Kodi Namwino Ndi Wotani? NP mwachidule:
Namwino ndi dokotala wamkulu yemwe ali ndi ufulu wambiri wodzitetezera ndi ulamuliro kuposa ena a anamwino monga anamwino olembetsa (RN) kapena anamwino ogwira ntchito zapamwamba (LVN). Chifukwa chakuti ma NP ali ndi chizoloŵezi chochita zambiri kuposa anamwino ambiri, nthawi zina amadziwika kuti ndi "midansi" .
Komabe, ambiri amaona kuti mawuwa sakhala osowa kapena odzudzula, monga NPs amapereka chisamaliro chapamwamba cha chisamaliro, ndipo ambiri amatha kuchita zambiri pazinthu zina.
Chifukwa cha kuwonjezeka kwa anthu ogwira ntchito zachipatala, komanso kuwonjezeka kwa anthu ogwira ntchito ku inshuwalansi ku US kutsata kukhazikitsidwa kwa kusintha kwa thanzi, asayansi akuwona kuti anthu ambiri akudziwika kuyambira pachigawo cha ACA mu 2010.
Malinga ndi malamulo a boma omwe akutsogolera machitidwe a NP mudziko linalake, anamwino amatha kupeza ndi kuchiza odwala mofanana ndi madokotala , ndipo amatha kulipira ndalama zothandizira odwala pa nthawi ndi maofesi awo, ngakhale kuti nthawi zina amalephera kubweza madokotala. Chifukwa chake, NPs ndi omwe amapanga ndalama zothandizira machitidwe ndi zipatala, ndipo motere, ali ndi chitetezo chochuluka kuposa aamwino ena, ndipo amatha kufuna malipiro apamwamba.
NPs amalola chithandizo cha zamankhwala kuchiza odwala ambiri ndikukhala ogwira mtima popanda kuwonjezera kuchuluka kwa ndalama zowonjezera ku ntchitoyi.
Achipatala Ogwira Ntchito monga "Wopatsa Dokotala":
Ngakhale si mawu otchuka kwa ambiri, ena amaganiza kuti NP kukhala "dokotala akuwonjezera," chifukwa, nthawi zambiri, ma NP angapereke zithandizo zambiri ndi chisamaliro monga dokotala.
Makamaka pa chisamaliro chapamwamba, malo ena osowa zaumoyo tsopano akugwiritsira ntchito ma NP kuti akwaniritse zosowa za opereka chithandizo choyambirira pamene sangapeze dokotala wa chisamaliro kuti athetse zosowekazo.
Anthu ena ogwira ntchito zachipatala komanso gulu la odwala amamva kuti "dokotala" akuwonjezera, monga ma NP omwe nthawi zina amatchedwa, ndi yankho kwa kuchepa kwa madokotala. Pazifukwa zina, akatswiri ena azachipatala amaona kuti a NP sayenera kupatsidwa chiwerengero chodziimira okha ngati dokotala, chifukwa cha maphunziro aifupi ndi maphunziro a NPs, poyerekeza ndi madokotala omwe ayenera kumaliza zaka zambiri kusukulu ndi kukhalamo maphunziro asanayambe kuchiritsa odwala.
Udindo Wachipatala ndi Uchidziwitso Wachipatala Ogwira Ntchito:
Malamulo a azamwino amasiyana malinga ndi boma; Choncho machitidwe a NP amasiyana mosiyana ndi udindo wawo wodzisamalira komanso wodwala. M'madera ena, A nurse Practitioners amatha kudzipangira okha popanda madokotala, kuchiza odwala ndi kuika mankhwala ngati dokotala. Muzinthu zina zowonjezera, asing'anga amagwira ntchito ndi dokotala yemwe angathe "kulemba" pa zonse zomwe akupeza, njira, ndi zolemba za adokotala.
Kuyambira kukhazikitsidwa kwa kusintha kwaumoyo mu 2012-2014, mayiko ambiri akuyendetsa ufulu wodziwa kwa asing'anga kuti a NP athe kuthandiza momasuka kupereka chithandizo chaumoyo kwa odwala ambiri omwe akusowa chithandizo.
Zofunikira Zophunzitsa:
Monga momwe anamwino ambiri amathandizira, asing'anga ambiri amakhala ndi digiri ya bachelor ya unamwino (BSN) ndipo nthawi zambiri amavomerezedwa kale ngati RN. Chinthu chotsatira ndicho kupeza maphunziro a msinkhu wa unamwino ndi chingwe chovomerezeka cha NP ndi dera lapamwamba. NPs kawirikawiri idzadziwika bwino ndi zofunikira zachipatala, malo odwala, kapena odwala.
Maphunziro onse ayenera kupezeka ku sukulu ya anamwino yovomerezeka.
Zofuna zachipatala kwa aphunzitsi ochizira:
Malingana ndi Medical Group Management Association (MGMA), ena mwa malo omwe amadziwika kwambiri ndi a NPs ndi awa: Maphunziro a zaumoyo, a Gerontology / Akuluakulu, Achipatala, Osowa Mimba ndi Matenda a Gynecology, Care Primary, Gastroenterology, ndi Oncology.
Avereji Misonkho kwa Azamwino Ogwira Ntchito:
Malingana ndi American Association of Nurse Practitioners, (AANP), malipiro a madokotala akuwonjezeka khumi (10%) kuyambira 2011-2015. Apanso, izi zikutheka chifukwa cha kuwonjezeka kwa kufuna kwa asing'anga omwe sali madokotala monga NPs ndi PAs.
Malinga ndi phunziro la AANP la 2015, malipiro ambiri a aphunzitsi a nthawi zonse omwe amagwira ntchito maola opitirira 35 pa sabata ndi $ 97,083, (kuchokera pa $ 91,310 mu 2011).
Ndalama zonse za nthawi zonse za NPs za $ 108,643, malinga ndi kafukufuku wa ndalama za 2015 za pafupifupi 2,200 NPs. Izi zikuyimira kuwonjezeka kwakukulu kuchokera ku ndalama zonse zomwe zimapezeka mu 2011, za $ 98,760.