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Lioce Theoretical framework presentation

APN Legislative Change Proposal in Alabama

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Lioce Theoretical framework presentation

  1. 1. Legislative Changes in Advanced Practice Nursing<br />A Theoretical Framework Proposal<br />Lori Lioce, MSN, FNP-BC, APRN-BC<br />August 3, 2009<br />
  2. 2. Top Five List<br />Alabama has been identified as the most restrictive environment for nurse practitioner practice (Lugo, Hodnicki, & Hanson, 2007). <br />65 of 67 counties in Alabama declared as underserved (HRSA, 2007). <br />Top five states for death related to obesity, heart disease and strokes (Alabama Rural Health Association, 2007). <br />Limited third party reimbursement was listed as the number one barrier to utilization of APNs in Alabama (Nurse Practitioner Task Force (NPTF), 2004.<br />Lack of primary care provider status is a barrier insurance companies have been using to deny APN claims for reimbursement (Heins, 2007).<br />
  3. 3. Concepts<br />
  4. 4. Conger’s Organizational Change(Conger, Spreitzer, & Lawler, 1999).<br />
  5. 5. Lewin’s Change Theory(Schein, 1995)<br />
  6. 6. Overview<br />
  7. 7. Assumptions<br />
  8. 8. Variables<br />
  9. 9. Fitting the pieces together<br />
  10. 10. A healthier brighter futurefor Alabama<br />
  11. 11. References<br />American College of Physicians. (2009). Nurse practitioners in primary care. [Monograph]. Retrieved July 10, 2009 from http://www.acponline.org/advocacy/where_we_stand/policy/np_pc.pdf.<br />America’s Health Rankings. Retrieved on July 30, 2009 from http://www.americashealthrankings.org/2008/pdfs/al.pdf. <br />Conger, J.A., Spreitzer, G.M. & Lawler, III, E.E. (eds.). (1999). The leader's change handbook: An essential guide to setting direction and taking action. San Francisco:Jossey-Bass.<br />Health Resources and Services Administration (HRSA). Retrieved June 15, 2009 from ftp://ftp.hrsa.gov/bhpr/workforce/scope1992-2000.pdf.<br />Heins, K. Heins, A. (2007). Plan to improve the health and health care of the people of Alabama at a lower cost. Retrieved September 10, 2008 from http://gulfcoastmedicalclinic.com/political_advocacy.<br />Lewin, K. (1951). Field Theory in Social Science. New York: Harper & Row.<br />Lugo, N.R., Ogrady, E.T., Hodnicki, D.R. & Hanson, C.M. (2007). Ranking NP regulation: Practice Environment and Consumer Healthcare Choice. The American Journal for Nurse Practitioners 11:8-24.<br />Nurse Practitioner Task Force. (2004). A proposal to increase the Utilization of Nurse Practitioners in underserved Alabama. Retrieved on July 12, 2009 from http://www.arhaonline.org/PDF%20Files/NPTFreport.pdf.<br />Schein, E.H. (1995). Kurt Lewin’s change theory in the field and in the classroom: Notes toward a model of managed learning. Retrieved on July 5, 2009 from http://www.entarga.com/orgchange/lewinschein.pdf. <br />

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