Reply to peer’s Each replay to a peer’s discussion needs citation and references independently?PEERS.docx

First by Maria Rodriguez

Full Practice Authority (FPA) authorizes the nurse practitioners to make evaluations on patients, diagnosis, order, and interpretation of the diagnostic tests. The nurses are given the authority to make initiations and the management of treatments for the patients. Normally, physician involvement is not required during FPA. The collaboration of the nurses pursuing FPA with the physician organizations can pose both advantages and disadvantages during practice. The essay discusses the pros and cons.

The advantages of the collaborations are as follows. The collaboration ensures that the nurse practitioners can seek guidance and advice from the physicians where need be concerning patient care. The process ensures that the nurses offer properly informed services and that the patients can independently access health care from them (Brom, Salsberry, & Graham, 2018). The physicians can also take part in health care practice by taking on responsibilities to support the nurse practitioners (De Bruijn-Geraets et al., 2018). The process does not require the physicians to be paid and the process reduces the workload for the nurses. It leads to the nurse practitioners providing health care services with the involvement of physicians which reduced the number of medical errors as the physicians are supervising. The collaborations also ensure that the patients can access both the nurses and physicians at the same time which leads to greater health care, especially in underserved areas.

The disadvantages of the collaborations include the following. the physicians may tend to use the collaboration requirements in exercising unnecessary control over the nurse practitioners. The unreasonable exercise of power may cause conflict between the FPA nurses and the physicians. Poor or improper communication between the FPA nurses and the physicians can result in conflict. The process can lead to an increase in the medical errors by the nurses which results in poor health care outcomes. any unsatisfactory interprofessional relationship between the nurses and physicians can partially contribute to the shortage of nurses whereby the nurses decide to leave their professions. The physician’s time used up in the supervision reduces the ability of the nurses to provide proper health care to the patients. The time can be better utilized to increase the hours for health care provisions by physicians (Moore, Kabbe, Gibson, T. S., & Letvak, 2020). The process would ensure an increased utilization of the health care providers’ resources. The collaboration of the physicians and the nurses can result in increased costs for health care to pay for the oversight of the physicians during the practice.

The main reason FPA legislation was created is to eliminate the process of involving physicians in practice. The process would ensure improved access to care by patients, lower costs and the protection of the choice of the patients.

Second by Alain Castelnau

Managed care organizations and individual doctors are making concerted efforts to form a physician association that will support their efforts to influence FPA legislation and policy. By partnering with groups of this kind, market players may be able to recruit and retain the most qualified medical professionals as well as develop policies that save expenses and improve health outcomes for patients (Moore et al., 2020). Irrespective of the framework of the healthcare organization, they work for or the nature of their commitment, physicians, like everybody else, want to be compensated at a level that is competitive. The establishment of these types of physician organizations has the potential to stimulate continuous development as well as improved care.

When it comes to advancing FPA legislation, working together with medical groups may be quite beneficial on a number of fronts. The possibility that the proposed legislation will be enacted is increased when nurses work in conjunction with physician groups because they have the opportunity to cultivate connections with important decision-makers and policymakers. When it comes to the pursuit of legislation, the partnership also gives access to significant resources and knowledge, both of which may be quite helpful (Brom et al., 2018). Additionally, it guarantees that there is maximum communication and collaboration between the clinicians within the business, which results in greater patient outcomes as well as improved working circumstances for the practitioners (Moore et al., 2020; Brom et al., 2018). Collaboration is essential in order to increase the pace with which patients are treated since it enables medical professionals to attend to several patients in the same amount of time. The extra power structure that was developed as a result of the partnership led to the development of comprehensive inter-organizational frameworks that reduced the incidence of prejudiced hiring and promotion practices.

The collaboration with physician organizations when pursuing FPA legislation also has its drawbacks.  Since there is a lot of going back and forth on legislation as a result of the collaboration, the amount of time needed to make policies take longer making the process of making decisions may be time-consuming and laborious (Dillon & Gary, 2017). Due to the length of this process, it is possible that ineffective regulations may be enacted that will not be feasible or beneficial to some of the practitioners. It is also difficult to guarantee that regulations are operating in the best interests of the patients because of the lack of practitioners directly connected with consumers. This makes it tough to guarantee that policies are good and in the best interests of patients. The partnership also leads to longer working hours and increased workload for the nurses, both of which may contribute to a decline in the quality of care that patients get.

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