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australian college of nurse practitioners

Trialed and Proven:
Time to Move on
Getting the most out of the NP role
Leonie ...
australian college of nurse practitioners

Overview
• Background
• Role implementation
- NP role and leadership
- NP role ...
australian college of nurse practitioners

transforming health care.
australian college of nurse practitioners

Potted History
https://www.acnp.org.au/australian-college-of-nurse-practitioner...
australian college of nurse practitioners

The journey so far.......
• Safety and efficacy
• Patient satisfaction
• Improv...
IN THE NEWS

australian college of nurse practitioners

Specialists raise doubts about the quality of nurse referrals

Dum...
australian college of nurse practitioners

transforming health care.
australian college of nurse practitioners

Practice reality.......
• Effective partnerships – patient-centred
• Diverse mo...
australian college of nurse practitioners

Distribution

Source:ACNP Survey 2012

transforming health care.
australian college of nurse practitioners

Employmentareas
settings
Practice

Source:ACNP Survey 2012

transforming health...
australian college of nurse practitioners

Getting the most from the role
• Empowering and enhancing leadership
• Communic...
australian college of nurse practitioners

Leadership
• NP leadership role is multi-faceted
• Learned or innate

• May “ma...
australian college of nurse practitioners

Qualities?
•
•
•
•
•
•
•

Advocate quality care
Collaborator
Communication
Ment...
australian college of nurse practitioners

Leadership in practice.........
• Clinical nursing role - setting standards, re...
australian college of nurse practitioners

Enabling factors
• Infrastructure + resource
• Policies and systems
• Clinical ...
australian college of nurse practitioners

Benefits and other considerations
• Complementary role that provides expert nur...
australian college of nurse practitioners

Benefits and other considerations
Optimization + full utilization of the role
b...
australian college of nurse practitioners

Benefits of NP role and practice
• Improved access
• Early intervention prevent...
Responsibilities include ................

australian college of nurse practitioners

transforming health care.
Source:ACN...
australian college of nurse practitioners

Discharge process

transforming health care.
Source:ACNP Survey 2012
australian college of nurse practitioners

Other considerations
• Identify need/benefits

• Determine scope and profile
– ...
australian college of nurse practitioners

Future : where to from here?
• Dynamic and evolving
• NPs as part of the soluti...
australian college of nurse practitioners

Future : where to from here?
• Cyclical funding/economic factors
• Health servi...
australian college of nurse practitioners

Critical Success Factors
Source: 2011 Queensland Health Office of the Chief Nur...
australian college of nurse practitioners

Questions?

transforming health care.
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Leonie Burdack, Australian College of Nursing: Trialled And Proven; Time To Move On: How Health Services Can Really Get The Most Out Of The Role

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Leonie Burdack, Vice President, Australian College of Nurse Practitioners (ACNP) delivered this presentation at the 2013 Developing the Role of the Nurse Practitioner conference. The event is designed for organisations and managers looking to better understand, utilise and grow the role of the nurse practitioner in their health service. For more information about the annual event, please visit the conference website: http://www.healthcareconferences.com.au/nursepractitionersconference

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Transcript of "Leonie Burdack, Australian College of Nursing: Trialled And Proven; Time To Move On: How Health Services Can Really Get The Most Out Of The Role"

  1. 1. australian college of nurse practitioners Trialed and Proven: Time to Move on Getting the most out of the NP role Leonie Burdack NP, FFACNP MNP; Grad Dip Ed, A&E Cert, Grad Cert BA, BApSc Vice President ACNP March 2013 transforming health care.
  2. 2. australian college of nurse practitioners Overview • Background • Role implementation - NP role and leadership - NP role in practice • Future direction and challenges transforming health care.
  3. 3. australian college of nurse practitioners transforming health care.
  4. 4. australian college of nurse practitioners Potted History https://www.acnp.org.au/australian-college-of-nurse-practitioners-potted-history.html • 1990 First Nurse Practitioner authorised in NSW (2002-SA; 2003-WA; 2004 - ACT, VIC; 2006-QLD; 2008-NT) • • • • • • 2005 2005 2007 2008 2009 2010 ANMC NP Competency Standards Inaugural National Conference ANPA 3 yr funded ARCS: Australian NP Research Project Primary Health Care Round Table ACNP registered MBS & PBS reforms announced transforming health care.
  5. 5. australian college of nurse practitioners The journey so far....... • Safety and efficacy • Patient satisfaction • Improved quality and access • Comparative analysis • Cost • “Outcomes” transforming health care.
  6. 6. IN THE NEWS australian college of nurse practitioners Specialists raise doubts about the quality of nurse referrals Dumbing down the Australian health system. Beware the ‘gift’ of nurse practitioners “I think there is a Trojan horse lurking in the weeds trying to pull a fast one on the American people.” George W Bush Debate rages over push for more nurse practitioners Push to restrict rights of solo nurse practitioners Nurse prescribing: a risky proposition Nurse practitioners: insurance status warning Inferior health care A dangerous and irresponsible path to follow transforming health care.
  7. 7. australian college of nurse practitioners transforming health care.
  8. 8. australian college of nurse practitioners Practice reality....... • Effective partnerships – patient-centred • Diverse models of care –good patient outcomes Aged care, Chronic disease, Acute care , Mental Health, Palliative Care, Community, Primary Health Care • Public + Private • Metropolitan, urban, rural + remote transforming health care.
  9. 9. australian college of nurse practitioners Distribution Source:ACNP Survey 2012 transforming health care.
  10. 10. australian college of nurse practitioners Employmentareas settings Practice Source:ACNP Survey 2012 transforming health care.
  11. 11. australian college of nurse practitioners Getting the most from the role • Empowering and enhancing leadership • Communicating benefits and considerations for establishing NP role • Changes in healthcare : future implications for NP models of care transforming health care.
  12. 12. australian college of nurse practitioners Leadership • NP leadership role is multi-faceted • Learned or innate • May “manage” clinics but focus is advanced clinical practice • Not necessarily leading group/people - NPs work alongside • Integral to establishment of role (Source: Watson, ANMC Competency standards) transforming health care.
  13. 13. australian college of nurse practitioners Qualities? • • • • • • • Advocate quality care Collaborator Communication Mentor Risk taker Role model Visionary (Source: Carter et al 2010) transforming health care.
  14. 14. australian college of nurse practitioners Leadership in practice......... • Clinical nursing role - setting standards, resource, expertise • Change – policy, professional, patient level • Mentoring or facilitating; Education and teaching • Promoting and contributing to evidence based practice • Maintaining an ethical practice; • Promoting or developing the nursing profession; • Developing new initiatives • Inspiring or motivating others; (Source: Watson, ANMC Competency standards) transforming health care.
  15. 15. australian college of nurse practitioners Enabling factors • Infrastructure + resource • Policies and systems • Clinical and professional governance • Clarification around the role • Integration + utilisation of the role dimensions • Role design transforming health care.
  16. 16. australian college of nurse practitioners Benefits and other considerations • Complementary role that provides expert nursing knowledge and skills • Grounded in nursing theory and not a substitute medical role • NP, RN, PN not mutually exclusive • Role differentiation + scope • Individually liable + accountable transforming health care.
  17. 17. australian college of nurse practitioners Benefits and other considerations Optimization + full utilization of the role benefits: • Patient • Organization • Professional/clinician transforming health care.
  18. 18. australian college of nurse practitioners Benefits of NP role and practice • Improved access • Early intervention prevents deterioration/exacerbation • Longer appointments with patients • Improved coordination of care • Expert case management • Provision of new services • Enhanced team work • Constant transforming health care.
  19. 19. Responsibilities include ................ australian college of nurse practitioners transforming health care. Source:ACNP Survey 2012
  20. 20. australian college of nurse practitioners Discharge process transforming health care. Source:ACNP Survey 2012
  21. 21. australian college of nurse practitioners Other considerations • Identify need/benefits • Determine scope and profile – Experience and qualifications – Clinical services, procedures, interventions -competency +skills • Verify quality of health services to be provided • Capability of employer or health service provider • Stakeholders Source: 2011 Queensland Health Office of the Chief Nursing Officer Clinical Governance for Nurse Practitioners in Queensland: A Guide transforming health care.
  22. 22. australian college of nurse practitioners Future : where to from here? • Dynamic and evolving • NPs as part of the solution? Aged care and Community Acute and sub-acute Primary healthcare Outreach models • Decisive implementation • Purposeful planning models of care, workforce transforming health care.
  23. 23. australian college of nurse practitioners Future : where to from here? • Cyclical funding/economic factors • Health service factors • Professional • NP specific outcome measures • Educational preparation • Policy framework transforming health care.
  24. 24. australian college of nurse practitioners Critical Success Factors Source: 2011 Queensland Health Office of the Chief Nursing Officer Clinical Governance for Nurse Practitioners in Queensland: A Guide Patient- Centred • • • • • • Full Potential Safety + quality Collaboration Autonomy Role clarity Innovation Respect + recognition Supportive environment transforming health care.
  25. 25. australian college of nurse practitioners Questions? transforming health care.
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