Yini Umhlengikazi Osebenzayo? Ukubuka konke kwe-NP:
Umhlengikazi ngumhlengikazi osebenza phambili ophethe ukuzimela nokugunyaza okungaphezu kweminye imithi yabanesi njengabahlengikazi ababhalisiwe (RN) noma abahlengikazi abaqeqeshiwe (LVN). Ngenxa yokuthi ama-NP anesilinganiso esiningi sokusebenza kunabanye abahlengikazi, ngezinye izikhathi bahlukaniswa njengomhlinzeki "ophakathi nendawo" .
Kodwa-ke, abaningi bakholelwa ukuthi leli gama lingasebenzi noma lihlehlise, njengoba i-NPs inikeza izinga eliphakeme lokunakekelwa kwekhwalithi, futhi abaningi bayakwazi ukuqhuba cishe isisekelo esizimele ngokuphelele kwezinye izifundazwe.
Ngenxa yesidingo esikhulayo sabanikezeli bezempilo, nokwanda kwabantu base-US abalandela ukulandela ukuguqulwa kwempilo, abahlengikazi babona ukuphakama ekudumeni kusukela ekupheleni kwe-ACA ngo-2010.
Kuncike emithethweni yomthetho kanye nemithethonqubo elawula umkhuba we-NPs esimweni esinikeziwe, unesi abahlengikazi bangakwazi ukuhlola nokuphatha iziguli njengalokhu odokotela bangakwazi, futhi bangakwazi ukukhokhela abaqinisekisi bempilo ngesikhathi sabo nezinqubo zabo, nakuba ngezinye izikhathi ezingeni eliphansi lokubuyisela odokotela. Ngakho-ke, ama-NPs abakhiqizi bemali engenayo eqondile yemikhuba nezibhedlela, futhi kanjalo, banokuphepha okwengeziwe emsebenzini kunabanye abahlengikazi, futhi bangadinga imiholo ephakeme.
Ama-NP avumela umkhuba wezokwelapha ukuphatha iziguli eziningi futhi ziphumelele ngokwengeziwe ngaphandle kokwengeza inani elilinganiselwe lokukhokhisa ngokweqile kulo mkhuba.
Abahlengikazi Abahlengikazi Njenge "Okhulisa Abahlengikazi":
Nakuba kungeyona inkulumo ethandwayo yabaningi, abanye bacabanga ukuthi i-NPs "ingabe udokotela wandisa," ngoba, ezimweni eziningi, ama-NP anganikeza ngezinsizakalo eziningi kanye nokunakekelwa njengodokotela.
Ikakhulukazi ekunakekelweni okuyinhloko, ezinye izindawo zokunakekelwa kwezempilo manje zisebenzisa ama-NP ukuze zigcwalise izidingo zabahlinzeki bokunakekelwa ngokuyinhloko uma bengenakuthola udokotela oyinhloko wokunakekela ukuze agcwalise isidingo.
Abanye abantu emphakathini wezokwelapha kanye nomphakathi weziguli banomuzwa wokuthi lezi "udokotela zandisa," njengeziNPs ngezinye izikhathi ezibizwa ngokuthi yi-NPs, ziyimpendulo yokuntuleka komdokotela okukhulayo. Ohlangothini lwe-flip, abanye ochwepheshe bezempilo banomuzwa wokuthi ama-NP akufanele anikezwe izinga elilodwa lokuzimela njengodokotela, ngenxa yezemfundo esifushane kanye nokuqeqesha ama-NPs, uma kuqhathaniswa nodokotela okufanele baqede iminyaka eminingi yokufunda esikoleni nokuhlala ukuqeqeshwa ngaphambi kokwelapha iziguli.
Iziphathimandla Zemitholampilo Nokuzimela Kwamanesi Abahlengikazi:
Imithetho yomhlengikazi ihlukahluka ngesimo; ngakho-ke imikhuba ye-NP ihlukahluka ezingeni lokuzimela kanye negunya lesiguli abahlala kulo. Kwamanye amazwe athi, abahlengikazi bangasebenzisa ngokuzimela ngokuphelele odokotela, baphathe iziguli futhi bahlele imithi njengodokotela. Kwezinye izinkulumo ezithintekayo, abahlengikazi kumele basebenze umkhuba nodokotela ongakwazi "ukususa" kuzo zonke izifo, izinqubo, kanye nemigomo yomhlengikazi.
Kusukela ekusetshenzisweni kwezinguquko zezempilo ngo-2012-2014, amazwe amaningi afuna ukuzimela ngokwengeziwe kwabahlengikazi ukuze ama-NP angasiza ngokukhululekile ukuhlinzeka ngempilo iziguli eziningi kulezo zindawo ezidinga ukunakekela.
Izidingo zezemfundo:
Njengabahlengikazi abaningi abaqeqeshiwe, iningi labahlengikazi banamakhono okunakekela abahlengikazi (BSN) futhi ngokuvamile baqinisekisiwe njenge-RN. Isinyathelo esilandelayo ukuthola imfundo yezinga lokunakekela ngobuhlengikazi nge-NP ithrekhi evunyelwe kanye nendawo yokuzikhethela. Ama-NP ngokuvamile azokwenza ngokukhethekile ekugxilweni okukhethekile kwezokwelapha, endaweni yesifo, noma ngesiguli.
Yonke imfundo kufanele itholakale esikoleni sokunakekela izingane esikwamukelekile.
Izidingo zezokwelapha zabahlengikazi abahlengikazi:
Ngokusho kwe-Medical Group Management Association (MGMA), ezinye zezindawo ezivame kakhulu zokubaluleka kwe-NPs yizi: I-Cardiology, i-Gerontology / Ukunakekelwa Kwabadala, I-Pediatrics, I-Obstetrics ne-Gynecology, Ukunakekelwa Okuyisisekelo, Ukunakekelwa Kwegazi, ne-Oncology.
Isilinganiso Semiholo Yabahlengikazi Abahlengikazi:
Ngokusho kwe-American Association of Nurse Practitioners, (AANP), amaholo omhlengikazi ayenyuka ngamaphesenti ayishumi (10%) kusukela ngo-2011-2015. Nakulokhu, lokhu kungenzeka ngenxa yokuphakama kwesidingo sabahlinzeki abasebenzisa imishanguzo abangewona odokotela njengama-NPs nama-PAs.
Ngokwe-AANP sika-2015 isitifiketi somholo, isilinganiso semali esesilinganisweni somhlengikazi osebenza isikhathi esigcwele esisebenza amahora angaphezu kuka-35 ngesonto ngu-$ 97,083, (kusuka ku-$ 91,310 ngo-2011).
Ingeniso ephelele yamazinga we-NP esigcwele isikhathi esilinganiselwa ku-$ 108,643, ngokusho kohlolo lwamaholo ka-2015 olungaba ngu-2 200 ama-NPs. Lokhu kubonisa ukunyuka okukhulu kusuka kumholo ophelele wenzuzo ngo-2011, wezingu-R6 98,760.