HSS 2121 Lecture Notes - Lecture 23: Nurse Practitioner, Registered Nurse, Physician Assistant

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Until recently nursing was seen as an occupation not a profession. Seen as an extension of the caring job of mothering. Nursing always seen as subservient to medicine. Nurses had(cid:374)(cid:859)t ide(cid:374)tified or organised their professional knowledge until recently. Nursing education not uniform (bscn, college degree, rpn etc. ) 4 year then worked in field then masters. (cid:862)a (cid:374)urse pra(cid:272)titio(cid:374)er is a registered (cid:374)urse (cid:449)ith additio(cid:374)al [(cid:373)asters le(cid:448)el] edu(cid:272)atio(cid:374) i(cid:374) health assessment, diagnosis. Incomplete autonomy of practice nursing still dependent on medicine a(cid:374)d (cid:373)a(cid:374)age(cid:373)e(cid:374)t of ill(cid:374)esses a(cid:374)d i(cid:374)juries, i(cid:374)(cid:272)ludi(cid:374)g pres(cid:272)ri(cid:271)i(cid:374)g drugs. (cid:863) Can diagnose patients, provide some forms of treatment, refer patients for tests & prescribe some meds. A move to team-based medical practice; cost efficient. (cid:862)pas support ph(cid:455)si(cid:272)ia(cid:374)s i(cid:374) a ra(cid:374)ge of health (cid:272)are setti(cid:374)gs a(cid:374)d pro(cid:448)ide (cid:272)are u(cid:374)der the super(cid:448)isio(cid:374) of a registered physician. A pa(cid:859)s pra(cid:272)ti(cid:272)e (cid:373)irrors that of the super(cid:448)isi(cid:374)g ph(cid:455)si(cid:272)ia(cid:374) (cid:894)e. g. , (cid:449)ork is assig(cid:374)ed a(cid:374)d controlled acts perfor(cid:373)ed are delegated to the pa (cid:271)(cid:455) the ph(cid:455)si(cid:272)ia(cid:374)(cid:895). (cid:863)

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