Chii Chiremba Anoshanda? NP Overview:
Mumwe mukoti mutungamiriri ndiye mukoti mukuru wechikoro uyo ane hurumende yakawanda yekuzvimirira uye simba pane dzimwe mhando dzevanamukoti vakadai sevanamukoti vakanyoreswa (RN) kana vanamukoti vanoita basa rekudzidzisa (LVN). Nemhaka yokuti NPs dzine huwandu hwakawanda hwekuita kune vamwe vakawanda vanamukoti, dzimwe nguva dzinorondedzerwa se "mid-level" muperekedzi .
Kunyange zvakadaro, vazhinji vanofunga kuti izwi iri harifaniri kushandiswa kana kushora, sezvo NPs inopa huwandu hwakanaka hwekuchengetedzwa kwehutano, uye vazhinji vanogona kuita zvese pamusana pekudzivirira zvakakwana mune dzimwe nyika.
Pamusana pekuwedzera kwekuda kwevashandi vehutano, uye kuwedzera kwevanhu vanochengetwa vehutano veUnited States vachichitevera kushandiswa kwehutano hwehutano, vanamukoti vanoona kuwedzera mukuzivikanwa kubvira pakudarika kweAACA muna 2010.
Zvichienderana nemitemo yehurumende nemitemo inotungamirira mutsika weNPs mune imwe nzvimbo, mukoti vanogona kuongorora uye kubata varwere zvakadai sechiremba vanogona, uye vanogona kubhadhara vatsigiri vezvehutano kwemahofisi avo nguva uye maitiro, kunyange dzimwe nguva pamutengo wakaderera wokubhadhara kupfuura vanachiremba. Nokudaro, NPs inotora zvibereko zvezvibereko zvezvipatara uye zvipatara, uye zvakadaro, vane hutano huzhinji hwemabasa kupfuura mamwe marudzi eukoti, uye vanogona kuda mari mikuru.
NPs inobvumira chirwere chekurapa kuti chirape varwere vakawanda uye kuve yakanyatsobudirira pasina kuwedzera kuwandisa kwemari yepamusoro kumitambo.
Mukoti Vanoshanda se "Chiremba-Anowedzera":
Kunyange zvazvo isiri izwi rakakurumbira kune vakawanda, vamwe vanotora NPs kuti "chiremba anowedzera," nokuti, mumatambudziko mazhinji, NPs inogona kupa zvakawanda zvakafanana namaseji uye kutarisirwa sechiremba.
Kunyanya mukutarisira kwepamusoro, dzimwe nzvimbo dzekuchengetedza hutano ikozvino dzichitsvaga NPs kuzadza zvido zvevanotarisira vanonyanya kukosha kana vasingakwanisi kuwana chiremba wekutanga kuti vazadze chido.
Vamwe vanhu vari munharaunda yezvechiremba uye munharaunda yevarwere vanofunga kuti aya "chiremba anowedzera," saNPs dzimwe nguva anonzi, ndiyo mhinduro kunekukura kwechiremba. Pano flip side, dzimwe nyanzvi dzehutano dzinofunga kuti NPs haifaniri kupiwa mukana wakafanana wekuzvimirira sechiremba, zvichienderana nedzidzo shomanana uye nguva yekudzidzira yeNPs, kana ichienzaniswa navanachiremba vanofanira kupedza makore akawanda echikoro uye pokugara kudzidziswa vasati vabata varwere.
Clinical Authority uye Kuzvidzivirira Kwechiremba Varapi:
Murairo mitemo yevashandi inopesana nehurumende; saka NP maitiro anosiyana mumutemo wekuzvidzivirira uye chiremera chechipatara chavanobata. Mune dzimwe nheyo, Nurse Practitioners anogona kudzidzira zvakakwana kuzvimiririra kunechiremba, kurapa varwere uye kurondedzera mishonga sechiremba. Mune dzimwe humwe hurumende dzinoremekedzwa, mukoti vanoita basa vanoita mutsika nechiremba anogona kunyanya "kubvisa" pane zvose zvinoridzirwa, maitiro, nemirairo yeanesi.
Kubvira pakushandurwa kwehutano hwehutano muna 2012-2014, nyika dzakawanda dziri kukurudzira kuwedzera kuzvidzivirira kwevanamukoti kuitira kuti NPs dzingakwanise kubatsira zvakanyanya kupa hutano kune vamwe varwere vari munzvimbo dzakawanda dzinoda kutarisirwa.
Zvinoda Zvidzidzo:
Sezvo nepamusoro pekurapa vanachiremba, vanachiremba vakawanda vanobata chiremba chechikoro chekuyamwisa (BSN) uye kazhinji vanenge vatozivikanwa seRN. Nhanho inotevera ndeyokuwana dzidzo yepamusoro yevanamwari mukuyamwisa nechepamutemo yeNP track uye nzvimbo yehutano. NPs inowanzotarisa nechinangwa mune imwe nzvimbo yehutano, nzvimbo yezvirwere, kana varwere vazhinji.
Zvose zvedzidzo zvinofanira kuwanikwa pachikoro chekuyamwisa chakabvumirwa.
Chiremba Special for Nurses Practitioners:
Maererano neChristian Group Management Association (MGMA), dzimwe nzvimbo dzakajairika dzekushandiswa kweNPs ndezve: Cardiology, Gerontology / Elder Care, Pediatrics, Obstetrics uye Gynecology, Primary Care, Gastroenterology, uye Oncology.
Avhareji Mishaire ye Mukoti Vashandi:
Maererano neAmerican Association of Nurse Practitioners, (AANP), mibairo yevanamukoti yakawedzera gumi kubva muzana (10%) kubva muna 2011-2015. Zvakare, izvi zvinokonzerwa nekusimudzirwa kwekuda kwevasingave vashandi vanofambisa tsika dzakadai seNPs uye PAs zvakare.
Maererano nebhuku reAANP ra2015 rekubhadhara mubhadharo, inowanikwa mubhadharo wevashandi venguva yakazara vanoshanda maawa anopfuura makumi matatu pavhiki ndeye $ 97,083, (kubva pa $ 91,310 muna 2011).
Mari yose yezvikamu zveNPs zvenguva yakazara inodarika madhora 108,643, maererano nehuwandu hwemari yemari ye 2015 inenge 2 200 NPs. Izvi zvinomirira kuwedzera kukuru kubva pamusana wekuwana mari yose muna 2011, ye $ 98,760.