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AANP Responds to Bloomberg News Story on Nurse Practitioners
Bloomberg published a paywalled piece on NP practice and education titled "The Miseducation of America’s Nurse Practitioners". The AANP has responded to it. The problem is that there isn’t a single right or wrong answer to this issue. Before the NP boom, it was Physician Assistants. A PA with 20 years of experience as an Army Corpsman is usually highly competent, while a new PA fresh out of graduate school needs experience. But that’s the same for every medical profession.
There are two issues.
First, physicians undergo two years of mixed clinical rotations at school, three years of residency, and, in some specialties, additional years under supervision as a Fellow. The pronounced shift away from requiring 2 to 5 years of practical RN experience before becoming a Nurse Practitioner has taken a toll, and there is no substitute for experience.
Second, money. The last two decades have seen a 26% reduction in inflation-adjusted Medicare reimbursement, a trend that also affects insurance reimbursement. Despite budget increases, factoring in inflation likely results in a decrease of around 19% in healthcare reimbursement and training dollars. Gaining practical clinical experience is a problem in every clinical type.
AANP Responds to Bloomberg News Story on Nurse Practitioners
Tracking Hand Hygiene Adherence with Wearable Technology
Using devices for performance monitoring can actually be rewarding, when it is in small doses, the staff is involved, fun but not earthshattering incentives are offered, and the data is completely open. In this case, a brief bout of wearable devices to improve handwashing hygiene. As can be imagined, the first reaction was “are you really tracking where I am all day!?”. Having settled that, the pilot program went along a lot better.
A time is going to come, and very soon, when we’re going to have to figure out AI-monitored rooms for fall risks or mobile but disoriented patients. How well it works with humans is going to depend on whether they trust the data will not be abused.
Tracking Hand Hygiene Adherence with Wearable Technology - Daily Nurse