Family Nurse Providers
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Considered as a nonphysician provider (Anderson & Gillis, 1998), a Family Nurse Practitioner (FNP) is a Registered Nurse who has received advanced medical training to provide a diverse range of services to patients, regardless of their age, gender, or medical condition. These services include "evaluation, diagnosis, treatment, education, risk assessment, health promotion, case management, coordination of care [and] counseling" (Davidson, 1999, p. 67). Essentially, FNPs possess the knowledge and skills to perform many of the routine tasks that were traditionally limited to the domain of physicians (Sonnenstuhl, 1999). At the same time, they have been trained specifically to provide preventive care by educating patients, families and the community (Davidson, 1999). The field of advanced practice nursing started only during the mid-1960s (Anderson & Gillis, 1998; Sonnenstuhl, 1999). Originating as nondegree programs, nurse practitioner (NP) programs became an integral part of graduate programs in nursing schools by the late 1970s. The role of the NP was first conceived by Drs. Loretta Ford and Henry Silver at the University of Colorado to compensate for the shortage of the physicians. NPs were initially trained to provide basis diagnoses and offer routine treatments in pediatric primary care facilities. Even though NPs first started with their pediatric population, their roles were expanded as educational programs were created over the next three
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s must be able to adapt to their unique contexts when playing their diverse roles (Squires, 2004).
For FNPs, their need to fulfill multiple irreconcilable functions can produce tremendous stress such as role overload, role conflict or role ambiguity (Katz & Kahn, 1978). In role overload, FNPs can be simply overwhelmed by the amount of work that is expected to be performed by them within the organization. As for role conflict, FNPs experience difficulties with dealing with role expectations that compete with one another. This may occur when FNPs' role expectations within the organization conflict with their own beliefs and experiences about their roles, or when they encounter opposing expectations from different stakeholders - doctors and patients. For example, FNPs who tend towards the psychosocial approach will have difficulties working in a medical facility that emphasizes the biomedical approach in nursing. FNPs may also be placed in situations when they are uncertain about their role expectations within the organization because of continuous changes. Considering the fact that FNPs are trained to perform many tasks, the lack of clarity of their roles can constitute a tremendous problem.
FNP -- Advocate for P
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Approximate Word count = 2365
Approximate Pages = 9 (250 words per page)
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