"Njengoko silungiselela unyaka ozayo, kucacile ukuba imfuno yesigulane yokhathalelo oluphezulu lwe-NP iya kuqhubeka ikhula kuphela - kunye ne-NPs iphakamisa uluhlu lwawona basebenzi bezempilo abafunwa kakhulu kwiminyaka elishumi ezayo, ngokutsho kwe-US Bureau of Izibalo zabaSebenzi, "kusho u-Aprili N. Kapu, DNP, APRN, ACNP-BC, FAANP, FCCM, FAAN, umongameli we-AANP.
"Ii-NP ziya kuqhubeka nokuhambisa ukhathalelo phantse kuzo zonke iindawo zokhathalelo lwempilo, kubandakanya amakhaya, izibhedlele, iikliniki kwaye, ngokwandayo, nge-telehealth - umboniso wokunyuka okubonakalayo kokhathalelo lwenyani. Njengenxalenye yokuzibophelela kwabo kukhathalelo olusisiseko kunye nothintelo, ii-NPs ziya kuhlala ziphambili kuvavanyo lwe-COVID-19, unyango kunye nogonyo, ngelixa besebenzela ukujongana neminye imiba yokhathalelo lwempilo, utshilo uKapu. "Amazwe abonelela izigulane ngokufikelela ngokupheleleyo kunye nokuthe ngqo kukhathalelo lwe-NP zihlala zihlala phakathi kweyona nto iphilileyo kwisizwe, ngelixa abo banqanda ukhetho lwesigulane kunye nokufikelela kwinqanaba lokunakekelwa kwe-NP phakathi kweyona nto iphilileyo kwilizwe lonke. Kwiseshoni yowiso-mthetho ezayo, kunye nenkxaso eqinile evela kwimibutho yomgaqo-nkqubo equka i-National Academy of Medicine, siqikelela ukuba i-tipping point apho amazwe aya kususa izithintelo ezilawulayo ezinciphisa ukufikelela kwesigulane kukhathalelo lwe-NP. "
I-1. Imfuno ye-NP iya kuqhubeka nokukhula - ababoneleli bezempilo bafunwa, kwaye ii-NP ziphakathi kwalabo abaphakamisa uluhlu lwemisebenzi yokunakekelwa kwezempilo ekhula ngokukhawuleza kwiminyaka elishumi ezayo, ngokutsho kwe-US Bureau of Labor Statistics. Kukho ngoku ngaphezu kwe-325,000 yee-NP ezinelayisenisi e-United States eqhuba ngaphezu kwe-1 yezigidigidi zokutyelela izigulane ngonyaka, kwaye umsebenzi we-NP unomlinganiselo wokukhula oqikelelweyo ongaphezu kwe-45% kwiminyaka ezayo.
2. Amazwe aneMpilo ePhakamileyo eGqibeleleyo inika izigulane ukufikelela ngokuthe ngqo kwi-NPs - I-24 ithi izigulane zibonelela ngokufikelela ngokupheleleyo kunye nokufikelela ngokuthe ngqo kwii-NPs, ukugunyaza ii-NPs ukuba ziqhube ngokugqibeleleyo kwimfundo noqeqesho lwabo, zihambelana ne-United Health Foundation's 2021 rankings yelizwe jikelele enempilo - kuquka New Hampshire, Massachusetts, Vermont, Minnesota, Hawaii, Connecticut kunye nabanye phezulu 10. Phakathi ithi ubuncinane impilo jikelele, kwiindawo zokubeka phezulu zibanjwe ngamazwe kunye nokufikelela ezithintelweyo NPs.
3. Ukufikelela kwiNqamelo ePhambili eyaneleyo kuya kuba ngumngeni ngaphandle koTshintsho - Ngokutsho kweSebe lezeMpilo lase-US kunye neeNkonzo zoLuntu (HHS), ngaphezu kwe-80 yezigidi zabantu baseMelika abanako ukufikelela okwaneleyo kunyango oluphambili, kwaye ukunqongophala kunzima kakhulu kwiindawo zasemaphandleni. Nangona kunjalo, i-89% ye-NPs iqeqeshelwe ukuhambisa ukhathalelo oluphambili - ukuhlangabezana nemfuno yonyango oluphambili ngeli xesha elibaluleke kakhulu. I-NPs imele i-1 kwi-4 ababoneleli bezononophelo eziphambili kwiinkqubo zasemaphandleni, kwaye ngaphezulu kwi-24 ithi ivumela ukuba baqhube ngokugqibeleleyo kwimfundo yabo kunye noqeqesho lweklinikhi.
4. Ii-NP ziya kuQhuba nokuNyanga i-COVID-19 kwaye ziGonye izigulana njengoko ubhubhani uqhubela phambili - ii-NP zidlale indima ebalulekileyo ekuboneleleni ngononophelo ngexesha lobhubhani we-COVID-19, kwaye igalelo labo liya kuphindaphindeka njengoko umlo ochasene nale ntsholongwane ungena kunyaka wawo wesithathu. Ngokovavanyo lwe-AANP yee-NPs, ngaphezulu kwe-60% yabaphenduli baye banyanga okanye bebenyanga abaguli be-COVID-19 ngoJuni ka-2020, kwaye bebebonelela ngovavanyo kunye nogonyo kwimisebenzi yabo. Ii-NPs ziyaqhubeka nokusebenza ukulwa i-COVID-19, kwaye zibonelela ngokhathalelo kuluntu apho ubhubhane ube nempembelelo embi ngokugqithisileyo. Ngokuhambelana nomnxeba we-AANP wexesha elide wokufikelela okwandisiweyo kubaboneleli bezempilo kuwo wonke urhulumente, ngakumbi kwiindawo ezingafumani nkonzo, ii-NPs zinyange kwaye zigonya izigulana ezichasene ne-COVID-19 kwiindawo zoluntu ezinesidingo esikhulu.
5. I-Opioid Use Disorder (OUD) Yanda ngokukhawuleza ngexesha le-Pandemic, kwaye ii-NPs ziyafuneka ukuze zincede ukuNyanga izigulane - ii-NP ziphambi kokulwa nobhubhane lwe-OUD e-United States, ingxaki eye yanda kakhulu ngexesha le-COVID-19. bhubhane kwaye ngoku ikwimigangatho engazange ibonwe ngaphambili. Ukususela ngoMeyi ka-2021, ngaphezu kwe-22,000 NPs zigunyaziswe yi-Drug Enforcement Administration ukuba ichaze unyango oluncediswa ngamayeza (MAT) - kunye nenani le-NPs liyekiweyo ukumisela iMATs ngokuphindwe kabini phakathi kuka-2019 kunye no-2021. yenza ukuba izigulane zikwazi ukufikelela kwiiNP kunye nolu khathalelo lufuneka ngamandla.
INTO ONOKUYITHATHA KWELI NQAKU:
- I-United States eneMpilo eGqibeleleyo inika izigulane ukufikelela ngokuthe ngqo kwi-NPs - I-24 ithi izigulane zibonelela ngokufikelela ngokupheleleyo kunye nokufikelela ngokuthe ngqo kwii-NPs, ezigunyazisa ii-NPs ukuba ziqhubele phambili kwimfundo kunye noqeqesho lwazo, zihambelana ne-United Health Foundation's 2021 rankings of the Amazwe asempilweni ngokubanzi - kubandakanya iNew Hampshire, Massachusetts, Vermont, Minnesota, Hawaii, Connecticut kunye nezinye kwi-10 ephezulu.
- I-Opioid Use Disorder (OUD) Yonyuka Kabukhali Ngexesha Lobhubhani, kwaye ii-NPs ziyafuneka ukuze zincede ukuNyanga izigulana - ii-NP zikwimigca engaphambili yokulwa ubhubhane we-OUD e-United States, intlekele eye yanda kakhulu ngexesha le-COVID-19 bhubhane kwaye leyo ngoku ikwimigangatho engazange ibonwe ngaphambili.
- Imfuno ye-NPs iya kuqhubeka nokukhula - Ababoneleli bezempilo bafunwa, kwaye ii-NP ziphakathi kwalabo abaphakamisa uluhlu lwemisebenzi yokunakekelwa kwezempilo ekhula ngokukhawuleza kwiminyaka elishumi ezayo, ngokutsho kwe-U.
