The Kentucky Coalition Of Nurse Practitioners

Nursing is a health care practice that is more directed onto care of individuals by ensuring their recovery and quality assurance in health. Their scope of practice is differentiated by their approach methodologies. Nursing has diversified and in response to the rise of practice, prior education and training is now effected in many states in America. One of the states, Kentucky, has well-established schools, frontier schools, and colleges to facilitate the dependability of nursing practitioners. In conjunction to the status requirements of nursing and certification of the American nurses Association, the state of Kentucky has formed the Kentucky Board of Nursing, a Commonwealth agency of Kentucky. The board is a distinctive entity in the nursing profession whose objective is to protect the public's health welfare through the development and reinforcement of laws and regulations that govern safe health practice through nursing.

The Indiana State Board of Nursing is a professional licensing agency that is accountable for the regulation of nursing practice. The board looks over all nursing practices in Indiana to make sure they are safe and effective. The board has different administrative positions, set by the Indiana General Assembly, such as the governor of state, a state agency, state official and organization. ISBN has the power to issue or suspend nursing license in Indiana. Some typical duties of the ISBN are to develop practice standards, enforce nurse practice acts, accredit/approve nursing schools, and develop polices, administrative rules and regulations.

This public health policy paper will discuss and outline the Affordable Care Act (ACA) as well as barriers and controversies surrounding the policy and its relevance in nursing profession. The ACA will eventually affect everyone. Statistics reflecting United States health outcomes have proven the need for the initiation of policy formation within the United States healthcare system. “In March 2010, President Obama signed into law a comprehensive health reform, the Patient Protection and Affordable Care Act (ACA).” (Estes, Chapman, Dodd, Hollister, Harrington, 2013, p. 144) The ACA promotes preventive care—including related services and family planning—that should result in improved health outcomes and

Through my experience with the healthcare field, I have seen that low socioeconomic status, culture, and access are the major contributors to the health disparities today. Whether it is not being able to afford health insurance/medical costs, a culture that’s attitude and beliefs does not put much value on preventative care, or simply not having appropriate transportation to the doctor, all these factors work together against the patient. Medical professions can best tackle these issues by first knowing and understanding the needs of the population in which they practice. Theoretically, if one is aware of specific needs then those needs can be better addressed, whether they are financial or cultural needs. Also, medical professionals can work

Samantha stated that initially many people asked her if she chose to be a family nurse practitioner to be a “mini physician” (S. Hage De Reyes, personal communication, June 22, 2016). In her perspective, it has been an issue to show others in health care professions that nurses just want to expand their knowledge. She “fights battles every day” for her patients because of the holes in our health care system (S. Hage De Reyes, personal communication, June 22, 2016). In her experience, she has seen many individuals without insurance. She has learned that being a family nurse practitioner is being an advocate for the patient and helping them get the resources that they need. Family nurse practitioners help provide care in a more affordable way. In Samantha’s opinion, family nurse practitioners are the answer to creating access to care for the large uninsured population and those that are newly insured under the Affordable Care Act, and I could not agree

Crawford County, Kansas is very familiar to me; it is where I was born and raised and now, as an adult, it is where I work as a nurse. Barriers to healthcare exists in every community. There is a high amount of poverty in Crawford County that contributes to barriers to access to healthcare. Furthermore, Crawford County has several stakeholders that influence the health of the community and advanced practice registered nurse (ARNP) practice. In this assessment of my community, I will identify Crawford County, as well as prevalent health care barriers and important stakeholders in my community.

The health nurse can be a great advocate in identifying both the current and future needs of the parent and baby. Many community services are available to assist with nutritional needs, prenatal care services, and future childcare needs (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2014). I myself was once a young pregnant mother who required assistance. Working a part-time minimum wage job while pregnant with my first child and attending nursing school full-time, I struggled financially. Before the time of healthcare reform, first-time pregnant mothers did not receive governmental assistance for health insurance or prenatal care. The community service that aided me during that time was the Women, Infant, and Children (WIC) program. Without the assistance of those wonderful nurses and program, I would have suffered from times of inability to buy food for myself while pregnant and would have also struggled to buy formula for my newborn. Not only was the food assistance godsend, the practical and applicable knowledge I gained from the nurse educators was

The rising cost of health care is a trend that is negatively influencing access to health care. According to our course textbook, Policy and Politics in Nursing and Health Care, over 46 million Americans did not have health coverage in 2008, and 25 million American adults were underinsured (p. 124-125). For most people, this can be attributed to the high cost of premiums, co-pays, and deductibles. The purpose of this paper is to discuss the history of the trend of rising health care costs, the influence rising costs have on the delivery of health care, how rising costs create disparities in health care, and two ways that nurses can address inadequate access to health care.

The Affordable Care Act, also known as Obamacare or ACA, was signed into law in March 2010 with the goal to expand insurance coverage to millions of Americans over a period of several years. Since its enactment six years ago, there have been millions of Americans that have gained access to coverage. The most notable of this population would be the disabled, mentally ill, and impoverished. In order to continue to provide quality outcomes for patients, especially patients of vulnerable populations, extra focus must be given to ensure access to healthcare, decreasing disparities, and harvesting improvement in areas such as preventative care, education, and maximizing quality of life. With this influx of people entering the healthcare field, the role of nurses and nurse leaders is also expected to change. Nursing scope of practice and education will be expanded to create an elite healthcare provider. This will include maximizing knowledge in areas of holistic care, education, and preventative care. The incorporation of the ACA into healthcare for vulnerable populations will have several implications for nurses including expanding leadership roles, changing the healthcare delivery model, and providing a broad range of care.

Health Care Reform, Policy and Advocacy. (2017). The American Nurses Association (ANA). Retrieved August 20, 2017.

The Affordable Care Act provides a lump sum, up to 1.1 million dollars, as a grant to increase home visitations and care of patients by home health nurses and social workers to high-risk expectant mothers. This grant is to help reduce the mortality rate and improve outcomes for mothers and babies. Affordable Care Act also provides grants to run community-based clinics championed by advanced practice nurse practitioners that have been proved to be cost-effective using nurse practitioner in routine office visits. Many HMO’s prefer patients seeing nurse practitioners expect in

According to the USDA Economic Research Service (2016), 6% of Kentucky residents lack health insurance, and 21% of the population in the rural area is classified as living in poverty. In Kentucky 67% of the population report being overweight or obese, 22% claim fair to poor health status, (CHR website, 2017). There are limited health care providers, clinics, and a larger stigma for medical care. The limitations placed on the population of Kentucky present challenges in quality and continuity of care for the FNPs serving in this area.

In the early 1980s it came to light that while the supply of nurses had reached a record high, only 80% of hospitals nationwide had adequate nurse staffing levels (American Nurse Credentialing Center, 2011, p. 8). To address this issue a taskforce was formed within the American Academy of Nursing (AAN). Through an initial study of 165 hospitals, the AAN determined the characteristics of healthcare organizations that were magnetically attracting and retaining nurses as employees (American Nurse Credentialing Center, p. 9). In this study the AAN found “Forces of Magnetism” that contributed to the high level of job satisfaction amongst nurses, superior quality of care, low job turnover, and high level of nurse involvement in leadership, decision-making, and research. In the early 1990s, catapulted by the findings of this initial study, the American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program. The intention of the ANCC’s Magnet Recognition Program was threefold: To reward hospitals that demonstrated “excellence in the delivery of nursing services to patients;” to encourage quality in the nursing work environment to support practicing professional nurses; and to guide navigation for the dissemination of evidenced-based clinical nursing practice (American Nurse Credentialing Center, 2011, p. 14).

Healthcare Reform has been and still is a highly debated controversial political issue in this country. It has been a hot topic of past presidential campaigns, with many proposed solutions, none of which were enacted upon by Congress. The Affordable Care Act (ACA) was passed in 2010. This law or Obamacare, as it is commonly called, was designed to cover the 48 million Americans, including about 1 million in New Jersey who did not have health insurance. It is envisioned to provide seamless, affordable, quality care that is accessible to all. Great emphasis will be placed on transforming our current “sick care” hospital system into a community “health care” system of prevention and health promotion. This paper discusses the evolving and future roles of nurses under the new system. It also examines the proposals of a joint committee made up of members of the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF), as an initiative to help nurses in their new leadership roles to a healthier nation.

There are over three million nursing professional in United States and they make the largest segment of nation’s health care workforce. Nurses can play a vital role in helping to realize the objectives set forth in the 2010 affordable act, legislation that represents the broadest health care overhaul since the 1965 creation of Medicare and Medicaid program (IOM 2010). Due to the restricting barriers nurses were not able to respond effectively to the changing health care systems. In 2008, The