INDEPENDENT NURSE PRACTITIONER (INP)
A independent Nurse Practitioner (INP) is a registered nurse who has completed specific advanced nursing education (generally a master's degree or doctoral degree, B.sc. or GNM) and training in the diagnosis and management of common as well as complex medical conditions. Nurse Practitioners provide a broad range of health care services. & independent nurse practitioners function independently without physician involvement. Definition :
INDEPENDENT NURSE PRACTITIONER (INP) is a primary health care provider who cared of delivers a provider, curative or rehabilitative service to a community groups of functional in an autonomous ways close supervision and is self-employed nurse . Purpose:
1) To substantiate the income.
2) To the professional autonomy.
1) Generalized Nurse Practitioner: In Hospital & Community, both rural & urban, she/he will give promotive, curative or rehabilitative health care services 2); Specialized Nurse Practitioner : She / he provides package of promotive, therapeutic or rehabilitative services to a defined group. The Society will also receive special services from the specialized group in the form of voluntary health services, charity and missionaries etc. · Society often expected nursed to provide free advice to services in their neighbourhood & community. Educational Criteria for a Professionalization:
Autonomy Practice Curriculam Education Profession Socialization Theory Ethics Competency Skills & Abilities of INP: ANA formulated certain criteria for INP. 1. Advanced Assessment Skill
2. Advanced Ability to synthesis & analyze the data
3. Advance ability to apply nursing principles.
a) Ability to provide expert guidance & teaching.
b) Ability to manage client’s health & illness status.
c) Ability to use critical & abstract thinking.
d) Ability to recognize practice limits
e) Ability to make decision independently.
f) Ability to made diagnosis & Prescribe.
g) Ability to consult with or refer to health caseworkers.
Scope of practice
Diagnosing, treating, evaluating and managing acute and chronic illness and disease (e.g. diabetes, high blood pressure) Obtaining medical histories and conducting physical examinations Ordering, performing, and interpreting diagnostic studies (e.g., routine lab tests, bone x-rays, EKGs) Prescribing physical therapy and other rehabilitation treatments Prescribing pharmacologic treatments and therapies for acute and chronic illness (extent of prescriptive authority varies by state regulations) Providing prenatal care and family planning services
Providing well-child care, including screening and immunizations Providing primary and specialty care services, health-maintenance care for adults, including annual physicals Providing care for patients in acute and critical care settings Performing minor surgeries and procedures (with additional training and usually under supervision) (e.g., dermatological biopsies, suturing, casting) Counseling and educating patients on health behaviors, self-care skills, and treatment options . Issues in India (Regarding INP)
1.Legal Status :
The regulation for direct care role performed by nurses are not well defined such as: a) Prescribing medication
b) Orderign certain lab tests, X-ray & USG exam?
2. Nursing & Feminism:
a) Feminism can be defined as a world view that values women & confronts systematic injustice based on gender. b) Most of the professionalist view nursing as a traditional female occupation. The society is made dominant & not allowing independent nursing 3. Nurse are the resistant to change.
Nurses are the first enemies for nurses because the traditional nurse does not want to change her views regarding practice. In generally, the nurses relict the change. 4. Physician & nurse relationship. Most of the physician does not like the nurse who are like to do INP because of honesty, doubt and the nurses...
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