Nurse Practitioner Midwives

NURSE PRACTITIONER MIDWIVES: A RESEARCH PROPOSAL

Dynamic change characterizes the American health care environment in the 1990s (Hammonds, 1994, pp. 48-57). Within such an environment, care providers and support organizations must develop and implement new and effective strategies if they are to remain viable entities, and the system itself must change is all members of the American population are to have ready access to healthcare services. The changes in the health care environment result from a combination of factors--increasing costs of health care, changing societal values, advances in treatment therapies, technological innovation, changing demographics, and many others (Nichols and Stevens, 1992, pp. 86-95). Cost is a major factor involved in changes in the delivery of health care delivery and support services. It is, therefore, imperative for health care delivery and support organizations to develop procedures that will lead to more effective and more efficient operations. Proposed national health care reform, increased consumer demands for quality health care, and public outcries for the control of health care costs are issues that must be addressed by all health care institutions in both the public and private sectors. Budget reductions and increased attention to the efficiency and effectiveness of governmentally-provided services of all types are added pressures for health care institutions recei

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h care to women would include (1) nurse-midwives, (2) nurse practitioners, (3) family practice physicians, (4) obstetrician/gynecologists, (5) mental health professionals, (6) health educators, (7) nutritionists, (8) social workers, and (9) other tertiary care specialists as required. The nurse practitioner managed clinic can serve as a focal point for a primary health care team (Reifsteck and D'Angelo, 1990, pp. 12-21). As a focal point, the nurse practitioner managed clinic may act as the hub through which all health care services for the indigent are arranged. When viewed in the team context, the role of the nurse practitioner appears as less of a departure from accepted practice, and more as an expected and a desirable evolution in the delivery of effective health care services. Opposition to nurse practitioners will still be present; however, it is more difficult to justify, when the nurse practitioner is viewed as a necessary member of an essential primary health care team. Strong support also exists for the nurse practitioner concept. Support is strong within the public health community, where the active participation of nurse practitioners is viewed as a means of promoting improved levels of general health in the co
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Some common words found in the essay are:
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Approximate Word count = 1828
Approximate Pages = 7 (250 words per page)

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