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Position paper on advanced nursing practice Essay

Prior to the general elections on May 2013, Senator Cynthia Villar’s declaration on “room nurses” drew ire via many Filipinos, especially those connected to the medical profession.

Within a senatorial issue, she mentioned that Philippine nursing learners do not need to end a BSN degree being that they are directed to turning out to be room nursing staff or caregivers in America or perhaps other countries. The Filipino Nursing Association was speedy to throw Senator Villar’s label by saying that “patient care or home care is only taking care of of [the] nursing career. ” (Calonzo, 2013) The mentioned incident may be a sign of the underdeveloped nursing occupation in the Philippines. According to the American Academy of Nurse Practitioners (2011), there are 33 countries which will practice advanced nursing roles.

This includes nearby countries in Asia including South Korea, Hong Kong, The japanese, Thailand, and Singapore and the like. Conversely, the Philippine’s current nursing regulation does not offer implementing recommendations for the practice of Advanced Practice Nursing. Statement of the position However , the proposed changes to the Filipino Nursing Action of 2002, ot herwise known as RA 9173, comes with coverage of Advanced Practice Nursing. The National Nursing Career Advancement Program (NNCPP), as stipulated in Document VII, Section 31 of the said changes, shall be implemented by the Board of Breastfeeding along with the Office of Health insurance and accredited professional organizations.

This method will provide options for nursing specialty programs and additional remunerations for Advanced Practice Nurses (APNs). We all view this as a very good revision of the current breastfeeding law because this paves the way pertaining to the ongoing progress of Philippine nursing and just how it may do in terms of global nursing standards in the future. Background information Mosby’s Medical Dictionary (2009) defines an Advanced Practice Registered nurse as a registered nurse having education beyond the basic nursing education and authorized by a nationally recognized professional organization in a nursing niche, or appointment other conditions established by a Board of Nursing.

Advanced Practice Healthcare professionals demonstrate a “greater interesting depth and breadth of knowledge, a greater synthesis of information, increased intricacy of expertise and affluence, and significant role autonomy. ” (O’Grady, 2004) Furthermore, APNs encompass certified nurse-midwife (CNM), qualified registered nurse anesthesist (CRNA), medical nurse consultant (CNS), and nurse practitioner (NP). In Document VI, Section 27 of the amended version of RA 9173, the roles of a nurse practitioner will be mentioned as well as the requirements to get one in the Philippines. Salient points range from the requirement of a master’s level for basic, and recognition based on the Board of Nursing process.

Discussion of both equally sides of the concern According to Blais, Hayes, Kozier, & Erb (2002), “Nursing education and advanced practice functions will need to develop in tandem in the event that nursing will be effective in preserving the very best of what nursing have been and to take the profession into the future of medical. ” Through the implementation of Advanced Practice Nursing, a career in nursing in the Thailand may enjoy a bigger function in the health-related system of Filipinos. Furthermore, the quintessential stereotype of nursing staff being the “doctor’s assistant” can be cut down.

According to the American Nurse’s Relationship, “APNs can offer 60% to 80% of primary care services and also or much better than physicians, including a lower price. ” (as cited in Huston, 06\, p. 413) Nurse practitioners provides complete physical examinations, identify and take care of many prevalent acute and chronic complications, interpret clinical results and x-rays, suggest and manage medications and other therapies, amongst others (O’Grady, 2004). In the Korea where there is known as a scarcity of doctors in the rural areas, nurse practitioners may also be able to fill in the difference with their capability to provide primary care in order to age groups.

According to Edwards & Davis (2006), because there are differences in educational preparation and clinical practice worldwide amongst nurses, you will need to gain an awareness of nurses’ perception with their clinical skills. Through advanced nursing functions, an overall embrace the comfort and self confidence of Philippine nurses may possibly thus adhere to. Lastly, chances for continuing development in the nursing occupation may provide a solution to the surplus of registered nursing staff in the Philippines. According to Julito Vitriolo, CHED Exec Director, there are around 4 hundred, 000 jobless nurses in the Philippines today (Dioquino, 2013).

The Department of Labor and Career has also urged jobless nurses to seek for option employment instead of waiting for work vacancies in medical features (Jaymalin, 2013). By encouraging newly registered nurses to pursue graduate student schooling, they may have a better chance for well-paying jobs in the near future under the same profession. Yet , there are some impediments and fallbacks that may be came across with the implementation of the recommended amendment upon Advanced Practice Nursing.

The in nursing practices throughout the world can lead to ineffective adoption of advanced breastfeeding roles. According to Sherman & Eggenberger (2008), the “autonomy of the nurse and the standard of collaboration among nurses and physicians are different across civilizations. ” Inside the Philippines wherever nurses are largely dependent on physicians for a patient’s medical management, the attitude to a widened scope of practice can be met with a lot of resistance by a number residents. This can be made worse with the reality “payers insist upon ‘paying pertaining to performance'” regarding physician-delivered treatment (O’Grady, 2004).

Furthermore, presently there may not be trusted training corporations in the country to shoulder Advanced Practice Medical. Today, you cannot find any school inside the Philippines that offers the depth and breadth of knowledge and skills required for advanced practice (Domocmat, 2012). This can greatly affect the efficiency of Philippine nurse practitioners as they do not get precisely the same quality of education and training when compared with their international counterparts. On this factor, role objectives may also not really be clear to them because work adjustments will be definately not countries considered as forerunners of Advanced Practice Nursing like the United States.

Last but not least, O’Grady (2008) mentions that “the speedy growth and success of the APN movements has been described as a disruptive innovation—in that APNs can in many ways give the same care or better care than physicians, cheaper in a more hassle-free setting. ” This may lead to specialist turf fights that may altogether affect top quality of care and patient’s safety. According to Safriet (2002), doctors have “prevented the creation of scopes of practice that accurately define the sort of care staying provided by fresh groups of medical care providers” including advanced practice nurses (as cited in Huston, 2006, p. 422).

Conclusion Thailand, which can be known as having similar healthcare needs and restrictions as the Philippines, offers greatly benefited from their implementation of Advanced Practice Breastfeeding. A study in 2007 concluded that majority of APNs in Thailand are inside the primary setting and that advanced roles has led to Thai nurses feeling “more useful” because their confidence is enhanced (Hanucharurnkul, Suwisith, Piasue, & Therathongkum, 2007). The need to enhance practice can be seen as a necessary step to enhance the function of the medical profession in the country’s health care system.

We expect that opportunities for training and training for nurses can easily lead to a much more competent staff that may be in a position to adapt preferable to the requirements of the Filipino people. The Philippines may well follow match with Singapore where APNs undergo a period of scientific internship as an APN-intern under the mentorship of a medical consultant in a particular place (Singapore Nursing Board, 2011). Although very much remains to be seen for future years of Advanced Nursing Practice, its rendering can be seen like a movement to improving a career in nursing as a whole in the Philippines.

Recommendations: American Academy of Nurse Practitioners (2011). NP Fact Sheet. Retrieved from American Academy of Nurse Practitioner data source Blais, K., Hayes, J., Kozier, B., & Erb, G. (2002).

Specialist nursing practice. New Jersey: Pearson Education, Incorporation. Calonzo A. (2013). Nurses’ group slams Cynthia Villar’s ‘room nurse’ tag. [ONLINE] Available at: [Last Accessed 02 September 13].

Dioquino 3rd there�s r. (2012). Nursing profession plagued by unemployment, poor-quality schools. [ONLINE] Available at: [Last Accessed two September 13]. Edwards, G. & Davis, C. (2006, November 01).

Internationally Knowledgeable Nurses’ Awareness of Their Specialized medical Competence. Diary of Continuing Education in Nursing, (6), 265, Recovered from Huston, C. J. (2006). Professional issues in breastfeeding.

Philadelphia: Lippincott Williams & Wilkins Hanucharurnkul, S., Suwisith N., Piasue N., & Terathongkum H. (2007). Attributes and operating situations of nurse practitioners in Thailand. Gathered September 1, 2013 by International Council of Healthcare professionals database Jaymalin Meters. (2013).

LITTLE advises rns to seek alternate jobs. [ONLINE] Available at: [Last Accessed 2 September 13]. Mosby’s Medical Dictionary (2009). 8th education. Elsevier.

O’Grady, E. (2004) Advanced Practice Registered Nurses: The Impact about Patient Protection and Top quality. Retrieved two October 2013 from Sherman, R. & Eggenberger, T. (2008, December 01). Transitioning Internationally Recruited Rns Into Medical Settings. Log of Continuing Education in Medical, (12), 535, Retrieved by

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