PMHNP Practice Agreements in Texas.
In this Practicum Journal Assignment, you will examine the requirements of your own state in order to prepare yourself for the realities of practice upon graduation PMHNP Practice Agreements in Texas. Learning Objectives Students will: Analyze state PMHNP practice agreements Analyze physician collaboration issues Analyze barriers to PMHNP independent practice Create plans for addressing state PMHNP practice issues **Assigned in Week 9 and submitted in Week 10 To Prepare for this Practicum Journal: Review practice agreements in your state. Identify at least two physician collaboration issues in your state. For this Practicum Journal: Briefly describe the practice agreements for PMHNPs in your state. Explain the two physician collaboration issues that you identified. Explain what you think are the barriers to PMHNPs practicing independently in your state. Outline a plan for how you might address PMHNP practice issues in your state PMHNP Practice Agreements in Texas.
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PMHNP Practice Agreements in Texas
Healthcare institutions experience high admittance rates due to increased demand for healthcare services. Based on this facet, hospitals strive to maintain excellent medical care delivery by hiringqualified personnel. In fact, nurse practitioners enroll for courses to better their skills. Notably, Psychiatrist Mental Health Nurse Practitioners (PMHNPs) prove their competencies through evaluation examinations offered by the American Nurses Credentialing Center (ANCC). After completion and licensure, PMHNPs in Texas are allowed to operate, although with close collaboration with qualified physicians. Notably, the fight for self-autonomy in operations poses a challenge in the processof disseminating medical services between PMHNPs and physicians in the state. It is important to identify the challenges and barriers for practice, to warrant effective application of measures leading to cohesion in the health sector PMHNP Practice Agreements in Texas.
PMHNP Practice Agreement in Texas
The healthcare system is governed by diverse ministries of health all over the globe. In the United States, the Affordable Care Act provides frameworks through which practitioners operate. However, it is important to note that independentstates have a distinct provision for practitioner practice. For instance, the Texas practice laws allow PMHNPs to own licenses for operation (Graves, Mishra,Dittus, Parikh, Perloff, &Buerhaus, 2016). However, they are restricted various nursing aspects. PMHNPs may execute medical decisions pursuant to protocol and written agreement by qualified physicians. Additionally, physicians have the authority to delegate PMHNPs in matters pertaining to drug prescription. Additionally, PMHNPs are only allowed to prescribe Schedule Two to Five drugs under specific restrictions.
Physician Collaboration Issues in Texas
Texas is mostly a rural state, with many of its healthcare institutions positioned in theconurbations. Notably, the shortage of qualified physicians poses a detrimental challenge in the processof care delivery (Ura, 2014). The few available physicians serve a large population and are not sufficiently placed to satisfy the health demands of the population. Based on this aspect, PMHNPs fail to disseminate treatment interventions, since the few physicians available are unable to approve their requests. Additionally, PMHNPs are not approved by state-contracted insurance companies. The aspect demoralizes the practitioners since they attend to patients without pay PMHNP Practice Agreements in Texas.
Barriers to Independent PMHNP Practice in Texas
The inability of PMHNPs to operate in full capacity is one of the contagious issues facing thehealthcare system in Texas. It is evident that PMHNPs in Texas are trained and qualified enough to handle patients. However, the Texas practice authority bars them from full operation, unless advised by physicians(Bloren.d). Basically, this inadequacy is detrimental to the futureof American healthcare delivery. Additionally, the physicians’ body in Texas is not willing to relent on its roles in medical care delivery in Texas. In fact, they are opposed to granting PMHNPS full autonomy, for fear of losing lucrative contracts. According to Ura (2014),physicians in Texas claim that allowing PMHNPs to operate independently would jeopardize patient safety.
Addressing PMHNP Practice Issues in Texas
The numerous barriers to PMHNP practice pose a significant challenge and eventual degradation of the health status of people in Texas. It is important to ensure a cohesive healthcare system to warrant sustainability. Stakeholders in the state ought to grant full autonomy to PMHNPs, to fasten the process of service delivery. Additionally, the American Nurses Credentialing Center (ANCC) ought to provide bridging courses to the PMHNPs to ensure they acquaint themselves with necessary skills, similar to those of physicians (Bloren.d). Additionally, there is a need for the Texas administration to ensure incorporation of PMHNPs in state-contracted insurance programs to ensure they receive timely payment. Through this aspect, PMHNPs would experience job satisfaction, leading to high productivity. Besides, the state would minimize cases of brain drain from other well-paying states PMHNP Practice Agreements in Texas.
Conclusion
The highdemand for medical services requires healthcare institutions to hirequalified personnel, to warrant self-efficacy. Notably, PMHNPs play an integral role in maintaining mental stability amongst victims. However, Texas does not allow full practice for PMHNPs, as they require approvals from physicians. The aspect delays dissemination of urgently needed medical care. It is important to address such situation, by allowing PMHNPs practice on a full-time basis, to minimize delays PMHNP Practice Agreements in Texas.