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Support Services to Advanced Practice Nurses The administration of an ambulator

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The administration of an ambulatory care setting just announced that support services currently supplied to Advanced Practice Nurses (APNs) by RNs and LVNs will now be supplied by unlicensed personnel. Prior to this implementation, the Advanced Practices Nurse Association will be allowed to discuss the issue with administration. What follows in this paper is an action plan which the Association can use in its discussion.

The presented plan begins with a brief description of the problem followed by relevant historical/background information and discussions of: (1) supply/demand issues; and (2) differences in the health care system between current and previous years. Both sides of the issue are then explicated form the perspectives of nursing staff and administration; solutions addressing the concerns of both groups are offered. The paper ends with the formulation of conclusions regarding the issue followed by a proposal for research to assist the hospital in making both the decision and transition to unlicensed personnel.

According to Raffel and Raffel (1994), there are currently over two million registered nurses in the United States, of which about 80 percent are working on either a full-or part-time basis. Nevertheless, the authors state that the country is experiencing a nursing shortage. In this regard, they report that:

The severity of the shortage depends upon the geographic location and type of nurses needed. Although, the nat

. . .
k or activity comprising the whole and then determine which responsibilities can be or should be delegated to others. 2. Analyze Subordinates. In this step, those charged with determining delegation should analyze subordinates' job strengths and weaknesses to determine which tasks could be delegated to each subordinate. This analysis would include determining how much time is available to subordinates to perform any delegated tasks, the capability of subordinates to perform the task, and the characteristics of subordinates that might prevent them from accepting the delegated responsibility. 3. Decide. At this third stage of the delegation process, delegators must decide what tasks or responsibilities should be delegated and how much authority should be given to the subordinate to achieve these tasks. In other words, this step centers around determining the authority and level of delegation needed to get the overall job done. 4. Delegate. At the fourth stage, tasks are actually given to the selected subordinates. A large part of successfully handling this stage is the delegators' understanding and use of communication processes. Subordinates need to be told precisely what is desired in an unambiguous way. Moreover, th
. . .

Some common words found in the essay are:
Aiken Mullenix, Raffel Raffel, Sullivan Brown, Analyze Subordinates, Based Lewin's, Issues Prescott, Current Previous, Sullivan Decker, RNs LVNs, According Lewin, health care, unlicensed personnel, skill mix, job satisfaction, prescott 1989, health care system, care system, aiken mullenix 1987, aiken mullenix, ambulatory care, mullenix 1987, rns lvns, changing skill mix, raffel raffel 1994, advanced placement nurses,
Approximate Word count = 4508
Approximate Pages = 18 (250 words per page)

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