Week 11 Evidence Based Practice

Healthcare and Nursing

[Author Name(s), First M. Last, Omit Titles and Degrees]

[Institutional Affiliation(s)]

This is a qualitative literature review about the Advanced Practice Nursing (EPA) models are supported by the trajectory of countries such as the USA. United States, Canada, United Kingdom, Australia, Belgium and Ireland, among others, with a broad, although unequal, degree of development. The appearance of these new roles has been conditioned by the historical context of each country, depending on its political-economic, social and health situation (Duffy, 2018). Initially, the EPA emerged as an alternative to the lack of physicians, in response to the growing demands of the population and, more recently, as a formula to search for more cost-effective organizational systems and to guarantee the accessibility of users to certain services. agile, coordinated and of quality.

The data is collected from content analysis. The experience of other countries allows us to analyze the procedure of design and application of these new models, as well as the structural arrangement in which they are integrated (Dotevall, et.al. 2018). The EPA devoted more time to each consultation, with greater dedication to providing information to the patient and / or family about their health problem and their therapeutic management, although this dedication limited the potential economic savings that were intended, among other issues. In Spain there are precedents in some autonomous communities, such as Andalusia and the Basque Country, where figures that contemplate advanced nursing roles have been created.

At present, it is necessary to outline the possible strategic lines to achieve its full development and ensure the achievement of the best consequences in global relations of fitness and excellence of life of patients through chronic processes, refining the excellence of services and cost. -effectiveness of the interventions, greater cohesion of the healthcare teams and, of course, that all this contributes to the sustainability of the health system and to the satisfaction of the users (Jairath, et.al. 2018).

The source is creditable as it is selected from scholarly article. The study also highlights a slight increase in the demand for visits of some patients to the EPA consultation, mainly those who had asthmatic problems or chronic obstructive pulmonary disease, which seems to respond to the ability of the EPA to detect problems or potential complications not previously studied, which shows that the EPA adds an important qualitative component in the care of chronic patients. In recent years there has been talk of in / sustainability of public health systems and the need to contain spending while meeting the needs of the population.

References

Duffy, E. G. (2018). healthcare policy: implications for advanced nursing practice. Advanced Practice Nursing Roles: Core Concepts for Professional Development, 165.

Dotevall, C., Winberg, E., & Rosengren, K. (2018). Nursing students' experiences with refugees with mental health problems in Jordan: A qualitative content analysis. Nurse education today, 61, 155-161.

Jairath, N. N., Peden-McAlpine, C. J., Sullivan, M. C., Vessey, J. A., & Henly, S. J. (2018). Theory and Theorizing in Nursing Science: Commentary from the Nursing Research Special Issue Editorial Team. Nursing research, 67(2), 188-195.