"Njengoba silungiselela unyaka ozayo, kusobala isidingo sesiguli sokunakekelwa kwe-NP okusezingeni eliphezulu sizoqhubeka sikhula - ama-NPs ehamba phambili ohlwini lwabasebenzi bezempilo abadingeka kakhulu kule minyaka eyishumi ezayo, ngokusho kwe-US Bureau of Izibalo Zabasebenzi, "kusho u-April N. Kapu, DNP, APRN, ACNP-BC, FAANP, FCCM, FAAN, umongameli we-AANP.
“Ama-NP azoqhubeka nokuletha ukunakekelwa cishe kuzo zonke izindawo zokunakekelwa kwezempilo, okuhlanganisa amakhaya, izibhedlela, imitholampilo futhi, ngokwandayo, nge-telehealth - okuwumfanekiso wokukhuphuka okukhulu kokunakekelwa okubonakalayo. Njengengxenye yokuzibophezela kwabo ekunakekelweni okuyisisekelo nokuvikela, ama-NP azohlala ehamba phambili ekuhlolweni kwe-COVID-19, ukwelashwa nokugoma, kuyilapho esebenzela ukubhekana nezinye izinkinga zokunakekelwa kwezempilo ezicindezelayo, "kusho uKapu. “Izifundazwe ezihlinzeka iziguli ngokufinyelela okugcwele nokuqondile ekunakekelweni kwe-NP zihlala ziphakathi kwabanempilo kakhulu esizweni, kuyilapho lezo ezikhawulela ukukhetha kwesiguli kanye nokufinyelela ezingeni lokunakekelwa kwe-NP phakathi kwabanempilo encane ezweni lonke. Esigabeni esilandelayo somthetho, ngokusekelwa okuqinile okuvela ezinhlanganweni zenqubomgomo ezihlanganisa ne-National Academy of Medicine, sibikezela iphuzu lapho izifunda zizosusa khona imigoqo elawulayo ekhawulela ukufinyelela kwesiguli ekunakekelweni kwe-NP. "
1. Isidingo sama-NP Sizoqhubeka Sikhula - Abahlinzeki bezempilo bayadingeka, futhi ama-NP aphakathi kwalabo abahamba phambili ohlwini lwemisebenzi yokunakekelwa kwezempilo ekhula ngokushesha yeminyaka eyishumi ezayo, ngokusho kwe-US Bureau of Labor Statistics. Njengamanje kunama-NP anelayisense angaphezu kwe-325,000 e-United States enza ukuvakashelwa kweziguli ezingaphezu kwezigidi eziyizinkulungwane ezingu-1 ngonyaka, kanti umsebenzi we-NP unezinga lokukhula elicatshangelwayo elingaphezu kwama-45% eminyakeni ezayo.
2. Amazwe Anempilo Engcono Kakhulu Inikeza Iziguli Ukufinyelela Okuqondile Kuma-NP - Izifunda ezingama-24 ezinikeza iziguli ukufinyelela okugcwele nokuqondile kuma-NP, zigunyaza ama-NP ukuthi azilolonge ngokugcwele izinga lemfundo nokuqeqeshwa kwawo, ahambisana namazinga e-United Health Foundation ka-2021 wezifunda ezinempilo kakhulu - okuhlanganisa i-New Hampshire, i-Massachusetts, i-Vermont, i-Minnesota, i-Hawaii, i-Connecticut nezinye eziphezulu ezingu-10. Phakathi kwezifundazwe ezinempilo okungenani iyonke, izindawo eziphezulu ziphethwe yizifundazwe ezinokufinyelela okukhawulelwe kuma-NP.
3. Ukufinyelela Ekunakekelweni Okuyisisekelo Okwanele Kuyoba Yinselele Ngaphandle Kwezinguquko - NgokoMnyango Wezempilo Nezinkonzo Zabantu wase-US (HHS), abantu baseMelika abangaphezu kwezigidi ezingu-80 abanakho ukufinyelela okwanele ekunakekelweni okuyisisekelo, futhi ukushoda kubi kakhulu ezindaweni zasemaphandleni. Kodwa-ke, ama-89% ama-NP aqeqeshelwe ukuletha ukunakekelwa okuyisisekelo - ukuhlangabezana nesidingo sokunakekelwa okuyisisekelo ngalesi sikhathi esibaluleke kakhulu. Ama-NP amelela i-1 kwabahlinzeki bokunakekelwa okuyisisekelo kwe-4 emisebenzini yasemaphandleni, futhi ngaphezulu kwe-24 ithi ebavumela ukuba basebenzise ngokugcwele imfundo yabo nokuqeqeshwa komtholampilo.
4. Ama-NP Azoqhubeka Nokwelapha I-COVID-19 Futhi Agome Iziguli Njengoba Ubhubhane Luqhubeka - Ama-NP adlale indima enkulu ekuhlinzekeni ukunakekelwa phakathi nobhadane lwe-COVID-19, futhi iminikelo yabo izokwanda njengoba impi yokulwa naleli gciwane ingena onyakeni wayo wesithathu. Ngokwenhlolovo ye-AANP yama-NPs, bangaphezu kwama-60% abaphendulile abelaphe noma belapha iziguli ze-COVID-19 ngoJuni 2020, futhi bebehlinzeka ngokuhlolwa nokugoma lapho besebenza. Ama-NP ayaqhubeka nokusebenza ukulwa ne-COVID-19, futhi ahlinzeka ngokunakekelwa emiphakathini lapho ubhubhane lube nomthelela omubi ngokungenakulinganiswa. Ngokuvumelana nekhwelo lesikhathi eside le-AANP lokufinyelela okunwetshiwe kubahlinzeki bezempilo kuzo zonke izifundazwe, ikakhulukazi emiphakathini enganakiwe, ama-NP alapha futhi agomela iziguli nge-COVID-19 emiphakathini enesidingo esikhulu kakhulu.
5. I-Opioid Use Disorder (OUD) Yanda Kakhulu Ngesikhathi Sobhubhane, Futhi Ama-NP Ayadingeka Ukuze Usize Ukwelapha Iziguli - Ama-NP asemgqeni wokuqala wokulwa nobhubhane lwe-OUD e-United States, inkinga eye yaba yimbi kakhulu ngesikhathi se-COVID-19. ubhubhane futhi lokho manje kusezingeni elingakaze libonwe ngaphambili. Kusukela ngo-May 2021, ama-NP angaphezu kuka-22,000 agunyazwe i-Drug Enforcement Administration ukuthi anikeze ukwelashwa okusizwa ngemithi (MAT) - ngenani lama-NPs ahoxisiwe ukuze anqume ama-MAT aphindeka kabili phakathi kuka-2019 no-2021. Isikhathi sokuthi izifunda zenze imithetho ephelelwe yisikhathi futhi ibe yesimanjemanje kanye nemithetho ephelelwe yisikhathi futhi yenza iziguli zikwazi ukuthola ama-NP kanye nalokhu kunakekelwa okudingeka kakhulu.