The United States of America, as the richest nation in the world, must determine how to allocate more resources toward health promotion, prevention, and the public health of its citizens. This exploratory study investigates the phenomenon of theMoreThe United States of America, as the richest nation in the world, must determine how to allocate more resources toward health promotion, prevention, and the public health of its citizens.
This exploratory study investigates the phenomenon of the advanced practice nurse as healthcare clinician for improved implementation of clinical and community preventive services. Multiple case study is the qualitative method used to examine the voice of nurse practitioners in three practice settings, and to hear the national perspective from six nurse members of the U.S.
Preventive Services Task Force. A nursing---health services research (N-HSR) paradigm became the foundation for a conceptual framework that included four stakeholders: researchers, payers, the public, and clinicians. The focus of this project was the advanced practice nurse (APN) clinician working in federally qualified community health centers, nurse managed centers, and retail health clinics. Five assertions are listed as conclusions- each calling for evidenced based change from the topics of health care delivery systems, health care providers, health care consumers, a new approach to preventive interventions, and a challenge for the APN and profession.
Advanced practice nurses in particular are ideal candidates to deliver a new, more comprehensive brand of care that starts with, but goes well beyond, conventional medical practice. If nursing can be the profession most responsive to change at this pivotal point in healthcare reform, then nursing can be poised to welcome and lead the changes that are expected and demanded by the public. Advanced practice nurses are positioned to become peerless prevention specialists that can result in the ultimate goals of consumer behavior change, disease risk reduction, promotion of good health practices, cost transparency and control, and improved delivery systems that achieve health equity.