Professor Glenn Gardner, QUT: The Nurse Practitioner Role: What It Is And What It Is Not
Upcoming SlideShare
Loading in...5
×
 

Professor Glenn Gardner, QUT: The Nurse Practitioner Role: What It Is And What It Is Not

on

  • 374 views

Professor Glenn Gardner, Professor Faculty of Health, School – Nursing, Queensland University of Technology delivered this presentation at the 2013 Developing the Role of the Nurse Practitioner ...

Professor Glenn Gardner, Professor Faculty of Health, School – Nursing, Queensland University of Technology 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

Statistics

Views

Total Views
374
Views on SlideShare
374
Embed Views
0

Actions

Likes
0
Downloads
0
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Professor Glenn Gardner, QUT: The Nurse Practitioner Role: What It Is And What It Is Not Professor Glenn Gardner, QUT: The Nurse Practitioner Role: What It Is And What It Is Not Presentation Transcript

  • Developing the Role of the Nurse Practitioner 3rd Annual conference THE NURSE PRACTITIONER ROLE: WHAT IT IS… AND WHAT IT IS NOT GLENN GARDNER RN, PHD PROFESSOR OF CLINICAL NURSING QUEENSLAND UNIVERSITY OF TECHNOLOGY & ROYAL BRISBANE AND WOMEN’S HOSPITAL Royal Brisbane and Women’s Hospital CRICOS No 00213J
  • Presentation Outline Barriers, hurdles & distractions for nurse practitioner service Realising the full potential of nurse practitioner service 2 1 2 3 The nurse practitioner role & health service reform
  • NP AND HEALTH SERVICE REFORM Health care consumers: • Older, sicker • Informed, aspirational and powerful Technological context • • Sophisticated and effective surgical & pharmacological interventions Increasing production of, and access to scientific knowledge on health and clinical care Escalating health care costs 3 •
  • NP AND HEALTH SERVICE REFORM Health care workforce • Specialist medical training that is at the pointy end of health care • Has overshot the health care needs of the bulk of HC consumers • Nursing workforce is underutilised 4 It is not sustainable to use the current workforce to deliver the same healthcare into the future
  • NP AND HEALTH SERVICE REFORM The current healthcare systems is Providing 5 Too little care Too late For too few people At too high a cost
  • NP AND HEALTH SERVICE REFORM Principles of reform Service models must meet the needs of the contemporary health care consumer • can I get the care I need Workforce reform models must be driven by community needs rather than discipline interests • I don’t mind who is the provider – I want competent care when I need it Models of reform that are responsive to economic imperatives 6 • Is this care affordable
  • NP AND HEALTH SERVICE REFORM Nurse practitioner   A new type & level of health care provider A service reform model that aligns the goals of : Addressing contemporary health care needs  Consumer rather than discipline focused  Economical sustainability  Capacity for service delivery across all contexts and specialty fields 7 
  • NP AND HEALTH SERVICE REFORM    The NP is educated, autonomous, collaborative NP service acceptable to patients – high level of satisfaction NP service is safe and effective NP service is acceptable to the multidisciplinary team 8 
  • NP AND HEALTH SERVICE REFORM The nature of NP work Consultation content Consultation process Clinical/scientific Knowledge content Physiology Health assessment Continuous coaching Pathophysiology Medication Physiological monitor’g Promoting awareness Chemistry Promoting self care Pharmacology Building confidence & capability Dietetics 9 Care planning
  • NP SERVICE: BARRIERS … Often framed as “safeguards” • “Collaborative arrangement” • Drug formularies • Restrictions to requesting imaging • MBS item numbers do not reflect NP service • No access to MBS in public employment 10 • Limited ability to work across the HC continuum
  • NP SERVICE: HURDLES … Mostly local and due to lack of understanding • Poor understanding and knowledge of the role and service potential by nursing and medicine • Lack of acceptance of the role by nursing and medicine • MOs refusal to accept NP referrals • No capacity building or backup for NP positions • Poor service planning for role implementation 11 • Underutilised scope of practice
  • NP SERVICE: DISTRACTIONS … Systems, process and consequential issues • Confusion about NP and APN • Medical and nursing budgets 12 • Acceptance on personality (we know her/him) rather than role (we don’t know her/him)
  • THE FULL POTENTIAL OF NP SERVICE NP service - a paradigm shift in health service delivery Traditional thinking for service improvement looks to best practice models • Evaluating the unique qualities of a service against those in other similar organisations 13 • Achieves a standard way of doing things that multiple organizations can use
  • THE FULL POTENTIAL OF NP SERVICE Best Practice thinking Is not relevant for new service paradigms Establishing nurse practitioner service Next Practice thinking 14 requires
  • THE FULL POTENTIAL OF NP SERVICE Next Practice Best practice is about what works best for now Next practice thinking is about what works for the future: Innovation Developing and testing new service models Using an ongoing inquiry process Being courageous Removing barriers, hurdles and distractions 15 • • • • •
  • THE FULL POTENTIAL OF NP SERVICE Using next practice thinking : We need to expect more of NP service than doing medicine cheaper or being a medical substitute 16 Nurse practitioner service is about doing nursing differently
  • THE FULL POTENTIAL OF NP SERVICE Developing effective NP roles: HS Planning • Involve stakeholders • Identify deficits in current service • Identify the drivers for change – service and patient deliverables 17 o How will the NP role improve service & patient outcomes o Consider SOP required - NP or APN service
  • THE FULL POTENTIAL OF NP SERVICE Developing effective NP roles: Prepare environment • Design & resource ongoing evaluation mechanisms • Incorporate ongoing provision for CPD • Consider sustainability issues • Institutional environment – promote and support the NP role in the core business of the organisation 18 • Service environment – clinical and admin teams educated about NP role, capacity and service capability
  • THE FULL POTENTIAL OF NP SERVICE Developing effective NP roles: Address barriers • NP service is developed from a health service planning framework • Scope of practice for the service is relevant to NP role capability • Organisational and service environment is prepared • Funding is sustainable 19 • Trust the professional and legislated mechanisms to protect the public
  • In Conclusion 1 The NP role is next practice thinking; innovative, reformative and focused on unmet consumer need 2 Barriers and other factors hinder community access to the full benefit of this leading health service reform model ● HC costs continue to rise, ● Patients continue to wait too long for clinical attention, ● Care for unique consumer needs is not provided ● The dominant, out-dated HS paradigm remains unchallenged 20 3 With inefficient use of NP service: