"Ke hoʻomākaukau nei mākou no ka makahiki e hiki mai ana, ʻike maopopo ʻia ka hoʻomau ʻana o ka makemake o ka mea maʻi no ka mālama NP kiʻekiʻe - me nā NP e hoʻokiʻekiʻe i ka papa inoa o nā ʻoihana olakino koi nui loa o nā makahiki e hiki mai ana, e like me ka US Bureau of Heluhelu Hana," wahi a ʻApelila N. Kapu, DNP, APRN, ACNP-BC, FAANP, FCCM, FAAN, pelekikena o AANP.
"E hoʻomau ka NP i ka mālama ʻana ma kahi kokoke i nā wahi mālama olakino, me nā hale, nā halemai, nā keʻena lapaʻau a me ka hoʻonui ʻana, ma o telehealth - he hōʻike o ka piʻi nui o ka mālama virtual. Ma ke ʻano o kā lākou hoʻokō ʻana i ka mālama mua a me ka mālama pale, e noho mau nā NP ma ke alo o ka hoʻāʻo ʻana o COVID-19, ka mālama ʻana a me ka hoʻopaʻa ʻana, ʻoiai e hana ana e hoʻoponopono i nā pilikia olakino koʻikoʻi, "wahi a Kapu. "ʻO nā moku'āina e hāʻawi ana i nā mea maʻi i ke komo piha a pololei i ka mālama NP ke kūlana mau nei i waena o ka poʻe olakino maikaʻi loa o ka lāhui, aʻo ka poʻe e kaupalena ana i ka koho maʻi a me ke komo ʻana i ka mālama mālama NP i waena o nā mea olakino liʻiliʻi loa o ka ʻāina. I ke kau kānāwai e hiki mai ana, me ke kākoʻo ikaika mai nā hui kulekele me ka National Academy of Medicine, ke wānana nei mākou i kahi kikoʻī kahi e hoʻoneʻe ai nā mokuʻāina i nā pale hoʻoponopono e kaupalena ʻia ke komo ʻana o ka mea maʻi i ka mālama NP.
1. E ulu mau ana ka noi no nā NP - Pono nā mea mālama ola kino, a ʻo nā NP kekahi o ka poʻe i luna o ka papa inoa no nā ʻoihana mālama olakino e ulu wikiwiki ana i nā makahiki he ʻumi e hiki mai ana, e like me ka US Bureau of Labor Statistics. Aia i kēia manawa ʻoi aku ma mua o 325,000 mau NP i laikini ʻia ma ʻAmelika Hui Pū ʻIa e alakaʻi ana ma mua o 1 biliona mau kipa maʻi i kēlā me kēia makahiki, a ʻo ka ʻoihana NP ka piʻi o ka ulu ʻana ma mua o 45% i nā makahiki e hiki mai ana.
2. ʻO nā Moku'āina Me ka Ola Ola Loa Loa E hāʻawi i nā poʻe maʻi i ke komo pololei i nā NP - ʻO nā moku'āina 24 e hāʻawi i nā mea maʻi i ke komo piha a pololei i nā NP, eʻae ana i nā NP e hoʻomaʻamaʻa i ka nui o kā lākou hoʻonaʻauao a aʻoʻana, e like me ka United Health Foundation's 2021 rankings o nā mokuʻāina olakino holoʻokoʻa - me New Hampshire, Massachusetts, Vermont, Minnesota, Hawaii, Connecticut a me nā mea ʻē aʻe i ka 10 kiʻekiʻe.
3. E Paʻakikī ana ka loaʻa ʻana o ka mālama kula mua me ka ʻole o nā loli - Wahi a ka US Department of Health and Human Services (HHS), ʻoi aku ma mua o 80 miliona mau ʻAmelika i nele i ka loaʻa ʻana o ka mālama mua, a ʻoi aku ka paʻakikī o nā hemahema ma nā kuaʻāina. Eia naʻe, ua aʻo ʻia ʻo 89% o nā NP e hāʻawi i ka mālama mua - e hālāwai me ka pono o ka mālama mua i kēia manawa koʻikoʻi. Hōʻike nā NP i 1 i loko o 4 mau mea mālama mua i nā hana kuaʻāina, a ʻoi aku ma nā mokuʻāina 24 e ʻae iā lākou e hoʻomaʻamaʻa i ka nui o kā lākou hoʻonaʻauao a me ka hoʻomaʻamaʻa lāʻau lapaʻau.
4. E hoʻomau ka NP i ka mālama ʻana i ka maʻi COVID-19 a me ka hoʻomaʻamaʻa ʻana i nā maʻi e like me ka hoʻomau ʻana o ka maʻi maʻi - ua hana nui nā NP i ka mālama ʻana i ka wā maʻi maʻi COVID-19, a e hoʻonui ʻia kā lākou hāʻawi ʻana i ka wā e komo ai ke kaua kūʻē i kēia maʻi i kona makahiki ʻekolu. Wahi a kahi noiʻi AANP o nā NP, ʻoi aku ma mua o 60% o nā mea pane i mālama a mālama paha i nā maʻi maʻi COVID-19 i Iune 2020, a ke hāʻawi nei lākou i ka hoʻāʻo a me nā lāʻau lapaʻau i kā lākou hana. Ke hoʻomau nei nā NP i ka hana e hakakā iā COVID-19, a ke hāʻawi nei lākou i ka mālama i nā kaiāulu kahi i loaʻa ai ka hopena maikaʻi ʻole o ka maʻi maʻi. Kūlike me ke kāhea lōʻihi o AANP no ka hoʻonui ʻana i ke komo ʻana i nā mea mālama olakino ma kēlā me kēia mokuʻāina, ʻoi aku hoʻi i nā kaiāulu i mālama ʻole ʻia, ke mālama ikaika nei nā NP i nā mea maʻi e kūʻē iā COVID-19 i nā kaiāulu me ka hemahema nui.
5. Hoʻonui ʻia ka Opioid Use Disorder (OUD) i ka wā o ka maʻi maʻi, a pono nā NP e kōkua i ka mālama ʻana i nā maʻi - aia nā NP ma nā laina mua o ka hakakā ʻana i ka maʻi maʻi OUD ma ʻAmelika Hui Pū ʻIa, kahi pilikia i piʻi nui i ka wā o ka COVID-19 ʻo ka maʻi maʻi maʻi a aia i kēia manawa i nā pae i ʻike ʻole ʻia. Mai Mei 2021, ʻoi aku ka nui o nā NP 22,000 i ʻae ʻia e ka Drug Enforcement Administration e kuhikuhi i ka lāʻau lapaʻau-kōkua i ka lāʻau (MAT) - me ka helu o nā NP i hoʻokuʻu ʻia e kuhikuhi i nā MAT e pālua ʻia ma waena o 2019 a me 2021. ʻO ka manawa kēia no nā mokuʻāina e hoʻololi i nā kānāwai kahiko a hiki i nā poʻe maʻi ke komo i nā NP a me kēia mālama koʻikoʻi.
