Introduction
“Advance Practice Nurse (APN) is an umbrella term given to a Registered Nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for extended practice”. This definition of APN was adapted from International council of Nurses’ in 2005 by Singapore nursing Board (Kannusamy, 2007). The American Association of colleges of Nursing defines advance practice nursing as licensed registered nurses prepared at the graduate level in nursing as a nurse practitioner, clinical nurse specialist, certified nurse midwife or certified registered nurse anaesthetist to provide direct patient care. (Ruel & Motyka, 2009). As u can see, there are actually many different definitions for Advance Practice nursing depending on the countries and their settings.
The education of Advance practice nurses (APNs) started in the USA in the 1960s and the role of APN has already been implemented in approximately 24 countries, excluding the USA. (Nieminen, Mannevaara & Fagerstrom, 2011). However, in Singapore APN was introduced rather lately compared to the overseas context. Singapore started on the development of Advance Practice Nursing (APN) roles in the year 2001, and progressed consecutively with the introduction by the Ministry of Health (MOH) as one of the clinical nursing career (Schober, 2010).
APN was launched in Singapore due to rising chronic disease conditions, aging populations, higher levels of patient acuity and shortened hospital stays (Kannusamy, 2006). Another article extracted from overseas to compare with Singapore article, stated that APN’s was launched because they are needed in tertiary care, the follow-up-care of patients with chronic disease and in secondary prevention prima...
... middle of paper ...
...cohost.com.libproxy.nyp.edu.sg/ehost/pdfviewer/pdfviewer?sid=1e52b81a-9daa-4e5e-9eed-231e7261315d%40sessionmgr4003&vid=14&hid=4103
Nieminen, A., Mannevaara, B., & Fagerstrom, L. (2011). Advance practice nurses’ scope of practice: a qualitative study of advance clinical competencies. Scandinavian Journal of Caring Sciences, 25(4), 661-670. Doi:10.1111/j.1471-6712.2011.00876.x
Ruel, J., & Motyka, C. (2009). Advance practice nursing: a principle-based concept analysis. Journal of the American Academy of Nurse Practitioners, 21(7), 384-392. Doi:10.1111/j.1745-7599.2009.00415.x
Schober, M. (2010). APN role development: strategies to conquer the challenges. Singapore Nursing Journal, 37(2), 16-18. Retrieved from 30 November 2013, http://ehis.ebscohost.com.libproxy.nyp.edu.sg/ehost/pdfviewer/pdfviewer?sid=1e52b81a-9daa-4e5e-9eed-231e7261315d%40sessionmgr4003&vid=12&hid=104
For example, a DNP degree instructor can provide education to MSN or DNP students, therefore, making the student realize the increase level of confidence in clinical, leadership, and application skills that can be gained with a DNP degree. Evidently, this increases the number of DNP degree holders in the long run which subsequently improves patients’ care in nursing practice. DNP- prepared faculty members can act as a model for advanced practice education (Dunbar- Jacob et al., 2013, p.425). Since one of the roles an ARPN is leadership, which also involves with mentoring, other staff members may visualize the ARPN as a role model, thus, enhancing the self-concept of advance nurse
The role of Advanced Practice Registered Nurses (APRN) in health care has been identified as a critical role in the goal to provide high-quality health care. APRNs have a bigger role to play in the health care system and it is important that students are provided with relevant and valuable knowledge as well as experience that improve their abilities. Achieving course objectives are critical for APRNs with the goal of contributing positively to the health care system. As a future APRN, I place high priority on life-long learning and the development of other people’s skill sets. All duties associated with health care require a dedication to excellence and selflessness. These are two components of learning that will improve the capabilities of
In 2011, Barbara Safriet published an article “Federal options for maximizing the value of Advanced Practice Nurses in providing quality, cost-effective health care” from a legal perspective. The article focused on the benefits of utilizing Advance Practice Nurses to the full extent of their abilities as well as the current barriers that APNs encounter in their practice. The aim of this paper is to discuss two regulatory provisions to full deployment of APNs in current health care system, as well as three principle causes of current barriers to removal of the restrictive provisions for the APN. Furthermore, I will discuss the critical knowledge presented in the article and how it relates the APN practice. This article was incorporated into a two-year initiative was launched Institute of Medicine (IOM) and by the Robert Wood Johnson Foundation (RWJF) in 2008 which addressed the urgency to assess and transform the nursing profession.
The model discusses the impact of new regulations on education for APRN, Licensure Accreditation, Certification & Education Document, certification and practice. The model is implemented to grasp the general understanding and definition of advance practice registered nurse APRN role, inconsistencies with state by state recognition of APRN roles, and determining eligibility for APRN licensure (Consensus Model for APRN Regulation, 2015). The consensus model definition of APRN is a nurse who is educationally rounded to assume the responsibility of assessing, diagnosis, treating, teaching health promotion and disease maintenance, acquired advanced clinical knowledge and skills to provide direct patient care, has passed a national certification examination, and licensed to practice in one of the four roles (Consensus Model for APRN Regulation, 2015).
My personal advanced practice nurse philosophy is to provide the best care to my patients primarily by staying up to date on current practices. Staying up to date allows for the patient to receive care based on evidence. Through assessing, diagnosing, managing and treating patients I plan to take on all functions of a nurse practitioner to the best of my ability. Advocating and educating patients are two words that I will live by as a practitioner. I plan to be inspiring to my patients by developing a therapeutic relationship with each patient that is centered on trust and understanding. I want to be a practitioner for families that helps people to understand the change that needs to take place in their lives in order to live the healthiest
Define Nursing Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nurses who have received graduate-level nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialists when necessary. Some nurse practitioners work under the supervision of a physician while others run their own practices.
Mundinger, M., (1994). Advanced-Practice nursing—good medicine for physicians? New England Journal of Medicine, 33(3), 211-214. Retrieved from http://www.nejm.org/doi/pdf/10.1056/NEJM199401203300314
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Anderson, A. R., & O’Grady, E. T. (2009). The Primary Care Nurse Practitioner. In A. B. Hamric, J. A. Spross, & C. M. Hanson (Eds.), Advanced Practice Nursing an Integrative Approach (4th ed., pp. 380-402). St. Louis MO: Saunders.
At this point, this writer is slightly unsure of which pathway she may take, once she has completed her studies; the writer is currently contemplating education, health population, or a career as a practitioner. So, this writer had the privilege of interviewing two individuals, one practitioner, and one population health coach. Each gave this writer interesting, sometimes similar, perspectives of being an advanced practice nurse.
Masters, K.(Ed.). (2005). Role Development in Professional Nursing Practice (p. 186). Sudbury, MA: Jones & Bartlett Learning.
It is always advisable for nurses to work within their scope of practice, so that they can deliver good care while standing on the safer side. Bibliography Anderson, L. (2013, February 10). understanding the different scopes of nursing practice. Retrieved 01 22, 2014, from nursetogether: http://www.nursetogether.com/understanding-the-different-scope-of-nursing. .
The first key message that is discussed is that nurses should practice to the fullest extent of their education and training. Most of the nurses that are in practice are registered nurses. Advanced nurse practitioners are nurses that hold a master’s or doctoral degree and include nurse midwifes, clinical nurse specialists, nurse practitioners, and nurse anesthetists and consist of about two hundred and fifty thousand of the nurses currently working today. Advanced practice nurses are limited to what
INTRODUCTION There are many things that affect a student’s enrolment as a nurse the student must be competent in the many registration standards that the Nursing Midwifery Board of Australia have set. The stigmas attached to students with Impairments and or Criminal histories and the ineligibility to register. Nursing is defined by the International Council of Nursing (2014) as collaborative care of individual’s any age health or ill of all communities, groups, in all situations. Health promotion, illness prevention and the care of unwell, disabled and dying people are included in the nursing practice. Encouraging a safe environment, research, contributing to shape health policies and health systems management, and education are also key nursing
In this essay we are going to explore the connection between professional nursing practice and professional caring. I will outline the terms of professional nursing practice and what makes nursing a profession? I will describe the term of professional caring and the connection to the nursing practice and discuss the dilemma of care and cure. And also determine the importance of both in professional nursing practice.