Week 1 Discussion: The Purpose Of This Assignment ✓ Solved

Week 1 Discussionpurposethe Purpose Of This Assignment Is To Provide

The purpose of this assignment is to provide an analysis and synthesis-level evaluation of the factors that influence both contemporary advanced practice nursing and the transition period during the first year of clinical practice.

Using Brown and Olshansky's (1997) model, describe the interventions you plan to implement during your first year of practice to navigate the various phases of transition.

Evaluate how the patient-centered medical home and value-based payment models, as discussed in Cuenca (2017) and Shi, et al. (2017), are expected to impact your practice as a nurse practitioner and transform primary care delivery in the United States.

Discuss your views on the economic benefits of nurse practitioners within healthcare practices based on insights from the AANP (2015) and White, et al. (2017) articles. Include how you would respond to questions about this topic in a job interview, supported by academic literature.

Sample Paper For Above instruction

Introduction

The transition from registered nurse (RN) to advanced practice registered nurse (APRN) is a complex process influenced by multiple factors, including personal, professional, and systemic elements. Brown and Olshansky’s (1997) model offers a comprehensive framework for understanding this transition, emphasizing the importance of targeted interventions in each phase to facilitate a successful evolution into an advanced practitioner. Additionally, healthcare reforms such as patient-centered medical homes (PCMH) and value-based payment models are reshaping the primary care landscape, demanding adaptable strategies from nurse practitioners (NPs). This paper discusses personal strategies aligned with Brown and Olshansky’s model, evaluates the impact of healthcare reforms, and explores the economic implications of integrating NPs into primary care settings.

Part 1: Interventions During Transition Using Brown and Olshansky’s Model

Brown and Olshansky (1997) delineate the stages of transition into primary care practice into several phases: rejection, dependence, and independence. During the rejection phase, new NPs often feel overwhelmed by clinical expectations, risking burnout or disillusionment. To counteract this, I plan to seek mentorship from experienced APRNs and participate in structured orientation programs that provide clarity on role expectations and clinical protocols.

In the dependence phase, NPs may rely heavily on supervisors and colleagues. To foster independence, I aim to progressively increase my responsibility, seek feedback regularly, and participate in case discussions to refine my clinical decision-making skills. Implementing reflective practice, through journaling or peer discussion, can also help me recognize growth areas and reinforce confidence in autonomous care delivery.

Finally, the independence phase entails confidently managing patient care with minimal supervision. To prepare for this, I will focus on continuous professional development, such as attending workshops, staying current with evidence-based guidelines, and engaging in interprofessional collaboration. This proactive approach ensures a smooth transition into a fully autonomous clinical role, aligning with Brown and Olshansky’s emphasis on targeted interventions tailored to each phase of the transition process.

Part 2: Impact of PCMH and Value-Based Payment Models on Practice and Primary Care

Based on Cuenca (2017) and Shi, et al. (2017), the implementation of patient-centered medical homes (PCMH) and value-based payment systems directly influences the efficiency and quality of primary care. The PCMH model emphasizes comprehensive, accessible, and coordinated care that involves interdisciplinary teams—a concept where NPs play a central role. In my practice, this model encourages a holistic approach, emphasizing preventive care, chronic disease management, and patient engagement, thereby enhancing health outcomes.

The shift toward value-based payment models incentivizes quality and efficiency over volume, aligning financial incentives with patient health outcomes. This change compels NPs to employ evidence-based practices, utilize health information technology effectively, and prioritize patient satisfaction. For instance, achieving recognition within the PCMH framework often involves meeting specific performance metrics, which can motivate continuous improvement and innovation in patient care approaches.

Transforming primary care, these models promote team-based care, reduce unnecessary hospitalizations, and emphasize cost-effective interventions. As a nurse practitioner, adapting to this paradigm involves embracing collaborative practices, utilizing clinical guidelines, and engaging patients in their health decisions. Ultimately, these reforms may lead to more sustainable primary care systems that deliver higher value while controlling costs.

Part 3: Economic Benefits of Nurse Practitioners and Strategic Response in Job Interviews

The use of nurse practitioners in healthcare settings offers significant economic benefits, primarily because NPs provide high-quality care at a lower cost compared to physician-only models. According to the American Association of Nurse Practitioners (AANP, 2015), NPs contribute to cost containment through reduced hospital admissions, emergency visits, and improved chronic disease management. White, et al. (2017) also highlight that NPs facilitate workflow efficiencies and reduce provider workload, leading to better patient throughput and satisfaction.

In a job interview context, responding to questions about the economic value of NPs involves emphasizing evidence-based findings. For example, I would articulate that NPs improve access to care, especially in underserved areas, with studies showing comparable clinical outcomes to physicians for many primary care services (Newhouse et al., 2011). I would also highlight the cost savings associated with NP-managed care, including decreased hospital readmissions and emergency department visits (Martini, 2017). This evidence supports the notion that employing NPs not only enhances patient care but also contributes to organizational financial sustainability.

Furthermore, I would emphasize my commitment to utilizing advanced clinical skills efficiently, adhering to best practices, and fostering a patient-centered approach to maximize economic benefits. This position aligns with national healthcare priorities to optimize resource utilization while maintaining high standards of care.

Conclusion

Transitioning successfully into advanced practice nursing demands strategic interventions tailored to each stage of the process, as outlined by Brown and Olshansky (1997). Healthcare reforms favoring PCMH and value-based arrangements are transforming primary care toward more efficient, patient-centered models that benefit both providers and patients. The integration of nurse practitioners into these models offers substantial economic advantages, demonstrating their value in improving quality while reducing costs. As future APRNs, adapting to these evolving trends with an evidence-based, collaborative mindset will be critical for delivering high-value healthcare in the United States.

References

• American Association of Nurse Practitioners. (2015). Nurse Practitioner Cost Effectiveness. AANP.
• Brown, M., & Olshansky, E. (1997). From limbo to legitimacy: a theoretical model of the transition to the primary care nurse practitioner role. Nursing Research, 46(1), 46-51.
• Cuenca, A. E. (2017). Preparing for value-based payment: five essential skills for success. Family Practice Management, 24(3), 25-30.
• Martini, J. (2017). The role of nurse practitioners in reducing healthcare costs. Journal of Healthcare Management, 62(2), 105-113.
• Newhouse, R. P., et al. (2011). Advanced practice nurse outcomes. Nursing Economics, 29(5), 1-10.
• Shi, L., Lee, D., Chung, M., Liang, H., Lock, D., & Sripipatana, A. (2017). Patient-centered medical home recognition and clinical performance in U.S. community health centers. Health Services Research, 52(3).
• White, D. L., Torabi, E., & Froehle, C. M. (2017). Icebreaker vs. standalone: comparing alternative workflow modes of mid-level care providers. Production and Operations Management, 26(11).