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QUESTION
Title:
Power Dynamic Restriction to won practice in the state of Florida
Paper Details
Introduction- all background information element of power dynamic and its practice on how it Restrict ARNP from owning their own practice.
Description of the Power Dynamic
Legitimate Power
Ilegitimate Power
Reflection of Power Dynamic
Driving Forces
Restraining Forces
Conclusion
References that should be included but not limited are
https://www.flsenate.gov/Session/Bill/2017/543/BillText/er/PDF
https://www.aanp.org/legislation-regulation/state-legislation/state-practice-environment#fl-thru-ky
https://www.aanp.org/practice/clinical-quality
Please add additional
Subject | Nursing | Pages | 6 | Style | APA |
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Answer
Power Dynamic Restrictions on American Registered Nurse Practitioners in Florida
The American Registered of Nurse Practitioners (ARNP) is a research program that has since 1985 been providing quality research on the guidelines relating to nurse practitioners among other health issues. The program is controlled entirely by a comprehensive Nurse Practitioner database which regulates effective service delivery to patients in Florida among other states. Its resource features are continuously growing with qualified clinical specialists and effective practice settings to allow achievement of set goals for professional improvement. It also advocates for nurses’ rights while in field of practice, and has for a long time diversified on the issue of power restrictions as a main barrier to proper health service delivery to patients. This paper examines power dynamic and its practice on how it restricts ARNP in the state of Florida from owning their own practice.
Power is often considered an inherently dynamic core concept. Power dynamics further describes transfer of authority from the top most position in a nursing organization all the way down to lowest position on a hierarchical basis of informal promises which are considered highly rational. Allocation of power is an evolutionary process that occurs over time, while granting other professional members authority to perform certain duties with regards to their level of education and quality experience. It is very crucial for people to understand how power is allocated in different organizations through development of a dynamic power model.
Power dynamics often serve a crucial purpose as a rewarding mechanism on the top performers and in this case can be attributed to restrictions in prescriptive authority to nurses, through disciplining core subordinates within nursing practices in the city of Florida (Kaplan, 2016). Power has the capability of capturing whether organizations operate their core roles formally and whether officials are professionally accorded with regards to code of conduct in health organizations. Moreover, power dynamics encompass issues of sociology within organizational contexts, while defining why it is crucial to understand life systems within healthcare units.
Power Dynamic Restriction to own practice in the state of Florida
With regards to ARNP’s, power dynamics often provide newly established perspectives for monitoring different unit organizations and the existing differences between how units perform, and why some concepts are often established to adapt to operational changes within varying environments. It allows different departments be able to perform core functions without granting benefits of doubt in operational efficiency. Power dynamics ensure that any changes made to organizations are made public to create a correlation between stakeholders and providers with their clients who in this case are citizens of Florida, the patients. These respective changes must be easily noticeable and observable.
Nursing practice restrictions often interfere with one’s ability to deliver quality and optimal care to patients. It is a very frustrating ideology that affects people both philosophically and practically, leading to a wastage of both valuable resources and quality time that could have otherwise be invested into better developments. Lack of full practice and restricted prescriptive authority are the most limiting factor to nurses’ operational efficiency (Lowery et al., 2016). Consequently, very few states have legislated full authority in making patient prescriptions. Florida is one of the states within which full practice nor full prescriptive authority have not been implemented yet. It is, however, quite clear that both nurses and physicians do quality jobs in controlling patient health issues. This ,therefore, concludes that granting nurses power to prescribe and improve patient’s needed care is a factor that needs to be approved in due course.
Basing on doctor’s arguments against independence in ND Practice, most health physicians oppose implementation of independent practice by NPs. Most of them argue that they can only operate efficiently under a doctor’s supervision by expressing concerns that NPs who operate under limited supervision tend to misdiagnose. Stuart (2014) reflects on lack of potential approaches to diverse life-threatening problems and miss obvious operational ideas like making prescription errors. They equally lack adequate skills on management of patients with complex multisystem diseases and portray a likelihood of ordering extra tests while driving unintended health care costs. None of the studies made have been regarded valid due to debunking (Buppert, 2017). So many errors have been found prevalent within the NP practice as opposed to physician practices, with prevalent NP related cases in management proven to greatly reduce total number of hospital visits incurring low health care costs on organizations.
In the case of chronic disease management, it was also established that most Nurse Practitioners are well acquainted with managerial practices of controlling such diverse occurrences, attributed to complexities resulting from lifestyle behaviors. Basing on prescription related errors, Dr. Kenneth Brummel-Smith, chair of the department of geriatrics at Florida State University College of Medicine, there is very limited proved evidence that nurse practitioners perfume poorly in care delivery. Therefore, granting nurses a prescriptive authority will definitely improve their approaches to delivering quality acre to their patients.
Most recent researches are clear on the fact that a nurse practitioners’ scope of practice has outdone the amount of care provided by physicians. Nurse practitioners have further proven to be capable of handling more complicated medical problems. Power granting to nurses will allow their practices to even be more superior to those granted by physicians. Therefore, there is no need to baselessly conclude that health services provided by nurses are unsafe or rather reckless. It will be much better if equal judgement is made upon both physicians and nurse practitioners during quality care delivery. As a matter of fact, most doctors and Nurse Practitioners have similar responsibilities in ensuring that all patients are treated under the best conditions through subjection to highest quality of care. Nurses equally have quality degrees in the field of experience and doctorate education, and should therefore be granted power to run their own operations. The whole idea is not dependent on care providers but to quality of care provided under appropriate and highest professional caliber.
On the concept of physical relationship between Nurse practitioners and independent practices, full practice and prescriptive power will allow the NP’s operate more efficiently and collaboratively (Alligood, 2014). However, it will negatively impact on the operational patterns of the medical physicians. In as much it promotes health care related innovations during healthcare delivery, it is clear that it will equally save doctors a busy operational schedule. Moreover, this will be a great chance for creating a more qualified workforce that can swiftly address emergencies with a good example expressed after the incident of Hurricane Katrina, a point when Nurse Practitioners reached patients on time who otherwise would have been neglected.
Legitimate Power
Legitimate power can be categorized as a coherent power mostly derived from one’s formal positions in a given office setting, that grants one the mandate to control and examine an organization’s hierarchy power or authority. In this case, the overall CEO or president assigned within a given setting is subjected to certain powers of control by virtue of the seat he holds in the corporation. This is a type of power based on reality and precise perception relating to a given concept and by virtue of reality a president upholds in any given frim. It equally focuses on the fact that either employees or personal representatives have the legit power to control activities pertaining their operational context. He or she is often subjected to exerting control measures to all activities within their reach. Therefore, legitimate power forms the bound source of authority with distinct advantages over many other authoritative sources. In short, legitimacy is a dependent variable on rule of was governing any organization, in this case the ARNP’s in Florida.
On the other hand, illegitimate power prevails whenever one cannot get a direct access to a given commodity or position, forcing them to use unruly methods of acquisition. Illegitimacy in medical field describes achieving whatever one wants in a manner that is not acceptable, just and honest according to code of ethics. They view achieving ahead any resultant cost whatever they want a key drive within their professional scope of practice, and will invest whatever it takes provided they achieve it. Most managers within corporate health organizations regulate operational standards through exerting pressure on the call of duty and positional power he or she holds. However, to some extent, it is the same corporation law that drives major factors in healthcare provision. This is a position that can lead one into making unmeaningful restrictions against how different states should actually operate. Some people suffer such circumstances since it is obvious that one has adhere to organizational objectives and specific directives granted to him by the managerial board.
Granting nurses the power to equalized practice and prescriptive authority in power dynamics is ultimately necessary for proper functioning without interference with the current operational systems in field of practice. It will allow nurses to perfect their operational skills while offering streamlined and efficient care to patients. It will equally create an opportunity to for doctors to make better use of their working times to increase amount of quality care provided in all healthcare units.
References
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