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Issue of Unlicensed Support Personnel The administration of an ambula

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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 from 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.

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 the type of nurses needed. Although, the national shortage is around 11 percent, the shortage in some parts of the country reaches 15 percent. (Raf

. . .
re system of the past. In the next section of this report, the major differences between the past and current health care system are delineated and discussed. V. Major Differences in Health Care System Between Current and Previous Years Differences in American's health care system from past to present have been discussed by both Torrens (19 ) and Williams (19 ). The most major of these differences can be summarized as follows: (1) From 1960 to the present, the costs of health care have skyrocketed; simultaneously, the number of adequately insured Americans has decreased. (2) The aging of "baby boomers" over the years and improvements in the ability of the medical system to help people live longer has placed a greater demand on the current medical system than in years past thereby increasing total expenditures. (3) The two greatest sources of reimbursement for health care costs have become insurers and the government with the higher costs being passed to the public in the form of tax increases and higher premiums. (4) In today's health care system, RNs have more options other than working in a hospital than they had in the past, e.g. they can go into public health or community nursing working for state agencies o
. . .

Some common words found in the essay are:
Raffel Raffel, Sullivan Brown, Sullivan Decker's, Aiken Mullenix, Issues Understanding, Nurses Changing, Differences American's, Nurse Association, JOHNSON Please, health care, Prescott PA, care system, health care system, unlicensed personnel, ambulatory care, nursing shortage, care settings, care setting, nurses administrators, skill mix, ambulatory care setting, raffel 1994, aiken mullenix 1987, raffel raffel 1994, changing skill mix,
Approximate Word count = 2466
Approximate Pages = 10 (250 words per page)

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