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Tayslen VIDEO: to an external site. Two barriers advanced nurses encounter with health care professionals Advanced nurses face many obstacles within the health care environment which directly affect the betterment of patient outcomes. In the chosen research attached, “reviewers described barriers to Advanced Nurse Practitioner implementation at the systems, organizational and practice setting levels, specifying problems within legislation role ambiguity and autonomy and resistance to the role” (Torrens et al., 2020, p.2). One of the barriers encountered by the master level nurse is, as mentioned, “role acceptance” in the healthcare environment. Even though the healthcare industry has opened its arms to the recognition of different nursing roles as a crucial piece of team collaboration and quality improvement, it is a reality that the sometimes the acknowledgment and importance of the advanced nurse role is bypassed.
These nurses work long hours and basically function in the capacity of the physician. Nevertheless, and more often than not, they might encounter that one patient or family member who is only willing to listen to physician recommendations despite the nurse practitioner working behind the scenes, formulating the patient’s plan of care. Another problem confronted by the advanced practice nurse when attempting to improve healthcare outcomes is performing with “autonomy”. The vast majority of nurse practitioners, especially in the acute care setting, work in environments where he or she is not the only one making important decisions. Often times, teamwork is necessary and perceptions among individuals regarding a certain issue tend to vary.
There is where these nurses may face frustrations related to disagreements when formulating patient care plans; as physicians may impose their views and opinions upon the nurse practitioner, deviating them from performing in a position of autonomy. The nursing field in advanced practices have grown tremendously and such roles have been recognized at a global level due to the complexity of increasing patient needs and the obvious deficiency in health care providers (Poghosyan & Maier, 2022).
How nurses demonstrate effective versus non-effective communication skills Effective communication skills in this video are demonstrated when the nurse picks up the phone to call the physician as she was concerned for the wellbeing of the patient. The nurse, without hesitation, recognizes the patient is not doing well and displays advocacy. However, these concerns expressed by the nurse must be backed up with factual information (ISBARR) that physicians, in this case, can refer to in order to examine and validate the patient’s deteriorating condition.
The nurse failed at first to provide such facts, which exemplifies ineffective communication skills. Nevertheless, subsequent communication with a colleague displays efficient communication; as the nurse did not know she had to follow a certain protocol in order to obtain orders to help her patient. Similarly, communication skills are essential in healthcare systems when collaborating as a unit to improve patient safety. The individual must seek guidance to shape these skills because it can, often times, mark the difference between life-or-death situations.
Paper For Above instruction
Effective communication and overcoming barriers are fundamental components in advancing nursing practice and ensuring positive patient outcomes. As seen in the case of advanced practice nurses, challenges such as role acceptance and autonomy significantly influence the quality of care delivered. Addressing these barriers requires systemic changes, education, and advocacy to elevate the recognition of nurse practitioners' roles within healthcare teams.
The barriers faced by advanced nurses extend beyond individual frustration; they are embedded within organizational and legislative frameworks that often undermine the autonomy and authority of nurse practitioners. Torrens et al. (2020) highlight that role ambiguity, legislative restrictions, and resistance from other healthcare professionals impede the integration of nurse practitioners into autonomous roles, especially in primary care. These barriers are compounded by societal perceptions and the traditional hierarchies present in healthcare environments, which may prioritize physicians' authority over nurses’ contributions (Frenk et al., 2010).
Despite these challenges, the global recognition of advanced practice nursing is growing. Countries like the United States, the United Kingdom, and Australia have implemented frameworks that support nurse practitioners' independence and expanded scope of practice, often leading to improved healthcare access and outcomes (Poghosyan & Maier, 2022). The development of standardized education, clear role definitions, and legislative support are critical steps toward reducing barriers and fostering role acceptance among healthcare professionals and patients alike.
Autonomy, a central concern for advanced nurses, influences their ability to make independent clinical decisions. In settings where autonomy is limited, nurses may experience frustration and decreased job satisfaction, which can affect patient safety and care quality. Effective team collaboration, built on mutual respect and understanding, can mitigate conflict. Communication skills are vital in this context, as they allow nurses to articulate concerns and advocate for patient needs effectively. As demonstrated in the case of the nurse calling a physician, timely and factual communication can bridge gaps between nursing assessments and medical decision-making.
The importance of structured communication tools, such as ISBARR (Identification, Situation, Background, Assessment, Recommendation, and Read-back), cannot be overstated. These tools facilitate clear, concise exchanges that improve patient safety by minimizing misunderstandings during critical conversations. Implementing such frameworks regularly enhances teamwork and promotes a culture of safety and respect among healthcare workers.
Nurses' demonstration of effective communication goes beyond verbal exchanges. It encompasses active listening, assertiveness, and the ability to provide evidence-based concerns. As the healthcare landscape evolves, ongoing education and training in communication are essential. Leadership programs should emphasize skills that empower nurses to navigate complex clinical environments confidently and advocate for autonomous practice rights.
In conclusion, addressing the barriers faced by advanced practice nurses involves tackling systemic, legislative, and cultural obstacles. Enhancing role clarity, fostering respect within healthcare teams, and promoting autonomous decision-making are crucial for optimizing patient outcomes. Effective communication is a cornerstone of this process, supporting collaboration and ensuring that patient care is paramount. Continued research, policy reforms, and education will be instrumental in advancing the nursing profession and overcoming persistent barriers to practice.
References
Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., ... & Zurayk, H. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet, 376(9756), 1923-1958.
Poghosyan, L., & Maier, C. B. (2022). Advanced practice nurses globally: Responding to health challenges, improving outcomes. International Journal of Nursing Studies, 132, 1-2.
Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, M., Cunningham, M., ... & Maxwell, M. (2020). Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies, 104, 2-21.
World Health Organization. (2016). Global strategic directions for strengthening nursing and midwifery 2016-2020. Retrieved from https://www.who.int/publications/i/item/9789241511306
Greenwood, J., & Aubeeluck, A. (2014). The importance of interprofessional collaboration in healthcare: A review. Journal of Research in Nursing, 19(4), 341-355.
American Association of Nurse Practitioners. (2021). Nurse practitioner role and scope of practice. Retrieved from https://www.aanp.org
Carroll, M., & Watson, R. (2020). Nursing professionalism and healthcare policy: Building bridges for autonomous practice. Nursing Standard, 35(4), 43-48.
Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. The National Academies Press.
Kang, J., & Lee, I. (2018). Communication skills training for nurses: A systematic review. Journal of Clinical Nursing, 27(21-22), 3777-3788.
Heale, R., & McVeigh, S. (2019). The role of communication in patient safety: Strategies for nurses. Nursing Standard, 34(12), 45-52.