Advanced Practice Nurse In The Community Essay
explanatory Essay
591 words
The chapter I read was chapter 39, The Advanced Practice Nurse in the Community. Educational preparation for the advanced practice public health nurse includes at least a Master’s degree and is based on an integration of current knowledge and research in public health, nursing, and other scientific preparations. In addition to executing the functions of the generalist in population-focused nursing, the specialist retains clinical experience in political and legislative activities, delivering and evaluating service, organizing, interdisciplinary planning, community empowerment, and assuming a leadership role in interventions that have a positive effect on the health of the community. Certification examinations for advanced practice nurses are rewarded by the American Nurses Credentialing Center (ANCC). Advanced practice nurses can work in primary care, correctional institutions, home health agencies, public health departments, independent practices, schools, ambulatory or outpatient clinics, emergency departments, long-term care facilities, and industry or occupational health. “Changes in the …show more content…
In this essay, the author
- Explains the educational preparation for the advanced practice public health nurse includes at least a master's degree and is based on an integration of current knowledge and research.
- Explains that advanced practice nurses can work in primary care, correctional institutions, home health agencies, public health departments, independent practices, schools, ambulatory or outpatient clinics, emergency departments and long-term care facilities.
- Describes the trends that have influenced the roles of the aphn and np in the past few decades.
- Explains that nurses in advanced practice function in several indirect nursing care roles, including health education within a nursing framework and professional nurse educator roles.
- Explains that the aphn and np provide formal and informal teaching of staff nurses and undergraduate and graduate students in nursing and other disciplines. nurse midwives provide fetal care, deliver babies in hospitals, and look into postpartum care.
- Explains that the aphn and np may function in administrative roles. as a health administrator, they may in charge of all administrative matters within an agency setting.
- Explains that consultation is an important part of practice for aphns and nps. consultation involves problem solving with an individual, family, or community to enhance health care delivery.
- Explains that practicing aphns and nps are in exemplary positions to identify researchable nursing problems related to the communities they serve.
The educator role of the APHN and NP includes health education within a nursing framework and professional nurse educator roles. The APHN analyzes groups at risk within a community and implements health education interventions. The APHN and NP boost wellness and contribute to conserving and advocating health by teaching the importance of a healthy lifestyle, stress management, physical exercise, and good nutrition. They educate about disease processes and the importance of following treatment systems. In addition, they provide guidance and educate clients on the use of birth control methods, diet, medications, and other therapeutic procedures. They also counsel groups, families, clients, and the community on the importance of assuming responsibility for their own
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- Research Paper On Advanced Practice Nurseexplanatory essayAdvanced Practice Nursing The National Council of State Boards of Nursing (2015) describes an advanced practice nurse as a nurse with a graduate level education in a specific area of study including nurse anesthesia, nurse midwifery, nurse practitioner, and clinical nurse specialist. Advance practice nurses have been crucial to meeting the demands of the growing patient population due to the implementation of the Affordable Care Act. These nurses bridge the gap between physician and patient and are a vital part of the healthcare team. There are a variety of specializations and educational paths nurses may pursue in order to advance their career towards advanced practice nursing.
In this essay, the author
- Explains that advanced practice nurses bridge the gap between physician and patient and are a vital part of the healthcare team.
- Explains that the clinical nurse leader is an advanced practice nurse who works directly with patient care providers to implement care plans based on evidence-based practice.
- Explains that nurse practitioners and physician assistants are similar in scope of practice, compensation, and job responsibilities. however, differences arise with their respective education backgrounds.
- Explains that nurse practitioners are advanced practice nurses with either a master’s or doctorate level education with coursework focused on nursing theory and the development and implementation of evidenced based practice in healthcare.
- Explains that advance practice nurses have many titles and roles including nurse practitioner (np), certified nurse midwife, certified registered nurse anesthetist, and clinical nurse specialists (cns).
- Explains that advanced practice nurses are regulated by the state in which they practice. rounds, zych, and mallary have adopted a new regulatory model for aprn regulation.
- Explains that the aging population and millions of new americans receiving health insurance have impacted the field of nursing profoundly. new regulation for aprns will undoubtedly provide clarification of roles, titles, and education for providers and patients.
936 wordsRead More - Advanced Practice Nursing Essayexplanatory essayWhat is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
In this essay, the author
- Explains that advanced practice nurses (apns) direct clinical practice and patient/families. aprns must pass a national certification exam and maintain their license through continuous competencies.
- Explains that nps provide direct clinical practice to patients and their families. they can manage acute or chronic illnesses.
- Explains that certified nurse-midwives are advanced practice nurses with additional training in delivering babies and prenatal and postpartum care to women. they can administer anesthesia during surgical procedures.
- Explains that most direct patient care is acted upon by nps, cnms and crnas. certification advances the profession of nursing by encouraging and recognizing professional achievement.
- Explains that in a survey done by jacobs & glassie (2004), 86 percent of nurse managers indicated that they would hire certified nurses over non-certified nurses since they have proven knowledge base in their specialty and demonstrates commitment to life ling learning. certification is an official recognition of achievement, expertise, and clinical judgment.
620 wordsRead More - Analysis Of The Article 'Federal Options For Maximizing The Value Of Advanced Practice Nurses'opinion essayIn 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.
In this essay, the author
- Analyzes barbara safriet's article, "federal options for maximizing the value of advanced practice nurses in providing quality, cost-effective health care" from a legal perspective.
- Explains that safriet identified several barriers to the removal of restrictive practices including lack of awareness of apns roles and abilities, purposeful or inertial retention of the dysfunctions resulting from historical evolution of our state-based licensure scheme, and organized medicine’s continued opposition to expanding ity of other providers to practice and be paid directly for the services.
- Opines that apns should continue to vocalize and educate the public about the different roles and capabilities.
- Argues that the "turf" battle between physician and apns is not new to legislatures. physicians were the first health practitioners to gain legislative recognition of their scope of practice.
- Explains that physicians have a financial incentive to prevent the apn from advancing professionally and legally. the faulty reasoning of the public and legislative officials needs to be corrected.
- Argues that the ama's position is to inhibit the apn, making it legislatively subservient and an appendage of the physician, rather than an autonomous care provider.
- Explains that state-based limitations on the scope of practice have hindered apns from practicing a fraction of what they are capable of.
- Explains that apns are invisible revenue makers because they cannot bill directly for services provided. billing under a physician's name bolsters their invisibility.
- Explains that the affordable care act, adopted in 2010, was to allow easier access to health care for many americans.
- Opines that utilization of apns is not the absolute answer to all of our health care issues. general medical practitioners alone cannot manage the imperative aspect of disease prevention and health promotion.
- Opines that apns should collaborate with other medical professionals and political leaders to allow them to practice to their full capabilities.
- Opines that the collective health care system (physicians, apns, nursing, administrators and legislators) needs to recognize the urgency of the crises.
- Opines that the current system cannot meet the needs of 30 million additional patients. nurses and physicians need to become partners in health care reform.
1924 wordsRead More - The History of HIVexplanatory essayNies, M. A., & McEwen, M. (2011). Community/public health nursing: Promoting the health of populations (5th ed.). St.Louis, MO: Saunders.
In this essay, the author
- Explains that the prevalence of hiv is determined by the percentage of the population living with hiv. to understand how statistical data is formulated researchers and epidemiologists look at figures.
- Explains the latest global statistics compiled by the who for december 2012 are as follows: people living with hiv globally are approximately 35 million, women make up 50 million and children 3.3 million.
- Explains that the white house released the national hiv/aids strategy for the united states (nhas) in july 2010.
- Opines that increased education, counseling and testing is needed to reduce this trend. the pennsylvania department of health in december 2012 a hiv surveillance report.
- Explains that in 2009 there were 3 reported cases of hiv and 1 reported diagnosis in 2012, which makes sense when compared to the more populated pennsylvania counties.
- Opines that hiv/aids has been a part of our society for nearly 2 decades. it has taken time for communities to acknowledge and design programs that are effective and promote safe social practices.
- Cites gostin, friedman, buse, waris, mulumba, joel, and sridhar. toward a framework convention on global health.
- Explains that there are many inequities in the health of people around the world; what can be done to eliminate these disparities and maintain sustainability?
- Explains that acquired immunodeficiency syndrome (aids) is a virus that is spread through body fluids that affect the specific t-cells of the immune system.
- Explains that the white house released the national hiv/aids strategy in 2010, which included prevention, increased access to care, and reduce hiv related disparities.
- Explains that nurses are the first line for the delivery of health care. they also play a role in the development of policy and implementation of hiv prevention strategies.
- Opines that hiv/aids has had a stigma placed on it more than any other communicable disease. the nurse's role in hiv prevention, awareness and treatment is essential as the first line in the delivery of health care.
- Cites kippax, stephenson, parker, r. g., and aggleton, p. between individual agency and structure in hiv prevention.
1456 wordsRead More - The Iom's Four Key Messages Of The Future In Nursingcomparative essayThe 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
In this essay, the author
- Explains that the institute of medicine has released a report that discusses the future in nursing. the iom has developed four key messages that outline the barriers that need to be overcome for nurses to work effectively and to their fullest ability.
- Argues that nurses should practice to the fullest extent of their education and training. advanced nurse practitioners are limited to what they may do, despite their training and education. state legislators should broaden the scope of practice of apns.
- Opines that nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. furthering nursing education should include information technology, leadership, and community health due to the increase in patient needs and expanding technological component of nursing.
- Opines that nurses should be key partners with doctors and other health care professionals to redesign healthcare in the united states. nurses should act as leaders and implement cost-effective, quality care.
- Opines that effective workforce planning and policy making require better data collection and improved information infrastructure. nurses will be able to collect and analyze data more effectively.
- Explains that the iom has developed eight recommendations that may improve the current healthcare system. these recommendations are directed towards all parties involved in the health care industry.
- Recommends that congress include nurse practitioners in medicare and medicaid coverage, just as a medical doctor is covered, and an extension of the medicaid reimbursement rates.
- Recommends expanding opportunities for nurses to lead and diffuse collaborative improvement efforts. health care organizations should support the nursing field in becoming strong leaders. nursing programs should incorporate entrepreneurial development into their curriculums.
- Recommends incorporating a residency program into the nursing school curriculum to better prepare nurses for work when they graduate. accreditation bodies should support and fund nursing residency programs for graduate nurses at all levels.
- Recommends increasing the proportion of nurses that hold a baccalaureate degree to eighty percent by 2020. employers should offer incentives for nurses to go back to school.
- Recommends increasing the number of registered nurses who hold a doctorate degree by fifty percent by 2020. academic accreditation organizations should monitor and encourage baccalaureate graduates to transition into master’s or doctoral programs within five years.
- Recommends nurses be involved in continuous education and lifelong learning. employers and other healthcare agencies should support and encourage nurses to complete competencies and possess adequate knowledge with new technology and evidence-based practice.
- Recommends that nurses should be prepared and enabled to lead change to advance health. nursing school curriculum and clinicals should include leadership segments to prepare nurses for the evolving role of leader in health care systems.
- Recommends that there should be adequate access to minimum data set throughout the country to assess the healthcare workforce needs with regards to demographics, skill mix, and geographic distribution.
- Opines that nurses will need to play a stronger role in the community due to the evolution of the health care system.
1517 wordsRead More - My Interview With a Public Health Nursecomparative essay“A public health nurse is a nurse who works to promote and protect the health of an entire population” (Allender, Rector, & Warner, 2010, p. 839) the public health nurse I chose to interview was Barbara, she currently works for the Health department and has been there for three years. During the interview Barbara discussed the requirements for a public health nurse. The individual must have the ability to exercise independent judgment, planning and able to administer safe effective public nursing care. In addition be able to work effectively with individuals and families to assist them in the satisfactory solution of health problems, by recognizing and respecting of different cultural, ethnic and difference on health care practices. The nurse is also required to know disease prevention such as, different techniques on teaching, counseling, interviewing and resources available. Barbara stated that the most important part of being a public health nurse is being able to care. Barbara acknowledged that there are numerous individuals that she assists everyday that just want someone to exhibit that they care and understand. The education a public health nurse should obtain is a bachelor’s degree in nursing, which Barbara posses. “Public health nurses working with specific populations or in administration position should hold a master’s degree” ( Allender et al., 2010, p.839). Barbara discussed that before becoming a public health nurse she worked at St. Francis Hospital as med-surge nurse for five years, after that it was imperative that she change working environment. Barbara confirmed that working as a nurse in the hospital was extremely diverse then working as public health nurse. “Comparing public health nurse and general nurse, public health nursing is population based, focuses on the greater good, health promotion and disease prevention, and utilizes community resources. The general nursing is individual based, focuses on individual good, restoration of health and function, and manage resources at hand” (Minnesota Department of Health, 2007). In the beginning Barbara thought that public health nursing would be a difficult job to gain knowledge of however, she established that it was exceptionally effortless and gratifying career to posses. Barbara stated that she did not realize how much assistance was out there for the public until; she worked as public health nurse. Barbara spends 95% of her day going from place to place by doing home visits, investigating different cases, assisting with screening programs and enormous amount of paper work.
In this essay, the author
- Explains the requirements of a public health nurse, including independent judgment, planning and administering safe effective public nursing care.
- Compares public health nursing and general nursing, stating that barbara's job was effortless and gratifying. she spends 95% of her day going from place to place by doing home visits, investigating, community outcomes, develop policies/plans, enforce laws, and evaluate services.
- Explains that primary prevention is implemented before a problem develops and promotes resiliency and protective factors, and targets essentially well populations. public health nurses work to prevent the community from reaching tertiary prevention.
782 wordsRead More - The Path to Becoming a Nurse Practitionercomparative essayUpon receiving their license, Registered Nurses have many options to continue their education and thus become and advanced practice registered nurse (APRN). APRN education can be completed in any of following four general areas of specialization: Certified Registered Nurse Anesthetists (CRNAs), Certified Nurse Midwives (CNMs), Clinical Nurse Specialists (CNSs), and Nurse Practitioners (NPs). This paper will discuss the education requirements, skills and clinical competency requirements, and formal licensure, registration, certification and credentialing of a Nurse Practitioner.
In this essay, the author
- Explains that registered nurses have many options to continue their education and become an advanced practice registered nurse (aprn).
- Explains that the nurse practitioner occupation originated in the united states in 1960s, and they are described as advanced practice nurses who have completed additional training beyond that of a registered nurse.
- Explains that nps are regulated at two different levels. licensure is completed through a process that takes place within each state laws.
- Explains that nps are allowed to provide a wide range of health care services after certification and licensure.
- Explains that nps with one to five years of experience report a mean hourly rate of $42.51 and those who are practicing at least 35 hours per week report an annual base salary of $84,850 and annual total income of $91,060.
- Concludes that nurse practitioners carry a great amount of responsibility for their patients and must be properly trained and proficient in their skills.
658 wordsRead More - Essay On Nurse Practitionerexplanatory essay1. I want to be a nurse practitioner. I would like to be a nurse practitioner because, I could help people and I. I think when I am will still want to be a nurse. I want to go to college when I am older.
In this essay, the author
- Opines that they would like to be a nurse practitioner because, they could help people and i. they want to go to college when they are older.
- Explains that advanced practice nursing began in the mid-20th century, followed by psychiatric nursing in 1954. the first official training for nurse practitioners was created by henry silver.
- Explains that a nurse practitioner (np) is an advanced practice registered nurse who has completed grade level education, and has master’s or doctoral degrees.
- Explains that np's are often found in texas, pennsylvania, new york, florida, and california, which are among the fastest growing states for new hospitals, clinics and other health care facilities.
- Explains that a nurse practitioner is an advanced education registered nurse (rn) with clinical training who can provide healthcare services. they work autonomously and in conjunction with other professionals to provide coordinated, comprehensive, quality health care.
- Explains that over 125 thousand np's practice nationwide in a variety of settings such as community health care centers, university and complex health problems and prescribing medications.
- Explains that some np's work part time in an office setting and work only 2-3 8 hour days, while others work full time 40 hours, 50 hours or more. if you work in a hospital they are 12 hour shifts times 3 day/week.
- Opines that nurse practitioners experience high levels of stress. they deal with sick or injured patients on a regular basis and are responsible for patient’s treatment plans.
- Explains that nurse practitioners must first earn a bachelor's degree in nursing bsn from an accredited training program, which requires both classrooms and clinical learning. many programs are tailored to the needs of working students.
- Recommends that students have a good education, take care of themselves, and be caring, have hands-on training, be able to recognize symptoms and know what to do with different diagnosis.
- Explains that their education plan is to get through grade school and make good grades throughout the years. then graduate with a scholarship for an academic that will help them get closer to their goal.
- Opines that they would like to go to a post-secondary school so they could higher their nurse practitioner studies and progress as they go.
- Explains that as an air for nurse practitioner, you'll provide comprehensive health care to airmen, retires, and families in settings ranging from solo practice in small clinics to group practice at large medical centers.
- Explains that aanp supports nps and the advancements of the profession through the offering of grant and scholarship opportunities.
- Explains that nurse practitioner apprenticeships cover a wide range of jobs roles on two pathways: the adult social care pathway. social care is about helping people with disabilities, elderly, or learning disabilities.
- Explains that there are 3,063,162 licensed registered nurses in the u.s. there are approximately 109,387 hispanic nurses.
- Explains that nurse anesthetists, nurse midwives, and nurse practitioners provide and coordinate patient care and provide primary and specialty health care. covenant health system is a faith-based ministry, focused on caring for the whole person.
1353 wordsRead More - Nurse Practitionerexplanatory essayMost APNs or NPs posses a master’s degree; however the American Association of Colleges of Nursing (AACN) member institutions voted to change the current level of preparation for advanced nursing practice from a masters degree to a doctorate level by 2015”. “An individual who wished to apply for a license must meet the following requirements; a complete application, pass the NCLEX, provide any felony or misdemeanor conviction information, any drug related behavior, functional ability deficit and license fee to Virginia State Board of Nursing”. Most RNs gain their clinical experience by working a staff nurse before entering into a graduate program for their nurse practitioners, but once they gain a significant of experience as a nurse t...
In this essay, the author
- Explains that nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals.
- Explains that most apns or nps posses a master’s degree; however, the american association of colleges of nursing (aacn) member institutions voted to change the current level of preparation for advanced nursing practice from masters to doctorate level by 2015.
- Opines that the employment of registered nurses is expected to grow 26 percent from 2010 to 2020, faster than the average of all occupations.
- Explains that nursing has its pros and cons, but in the end it can be rewarding for an individual that loves to interact and care for others.
- Explains the master of science in nursing – family nurse practitioner at old dominion university.
- Describes their short-term goals, which are to continue to work as a stylist for the next 4 years, and to transition to an rn working in dermatology.
- Describes their career as a licensed cosmetologist for the last 14 years, and their educational path to be able to diagnose, treat and prescribe vitamins and/or medications for patients experiencing hair loss.
960 wordsRead More - A Community Assessmentexplanatory essayAccording to Allender, Rector, and Warner (2014), public health is a combination of both an art and a science (2014). The mission of public health nursing is to promote health, prevent disease and ultimately prolong life (Allender et al., 2014). In order for this to occur an assessment must take place. An aggregate or community assessment begins with a collection of data. This includes: the community’s health needs, risks, environmental conditions, financial resources through local census data, and a windshield survey (Allender et al., 2014). Through public health nursing, communities can collectively come together to help promote an overall better health standing.
In this essay, the author
- States that buffalo, new york is the second largest city in the state and is a part of erie county.
- Cites allender, rector, and warner, in community and public health nursing, 8th ed.
- Explains that buffalo general medical center is a kaleida health facility – buffalo, ny.
- Explains that from prospect reservoir to jonny b. wiley pavilion. western new york heritage press.
- Describes the new york state community action association's (nyscaas) 2013 poverty report.
- Explains that american factfinder: erie county: median household income. retrieved from http://factfinder2.census.gov/faces/nav/jsf/pages
- Explains the mission of public health nursing, which is to promote health, prevent disease, and prolong life. the windshield survey is an assessment of the community through personal observations.
- Describes the east side community, which is located east to the city of buffalo, ny.
- Lists the poverty line for a family of 3-4 to have an annual income of $19,530-$23,550, and the median household income for erie county is $49,977.
- Describes the services available to the community, including fire, police, emergency/health care, public and private education, and libraries.
- Describes how elizabeth trigg's helps the community in many ways to improve the image of what people see and how people react to east side community.
1847 wordsRead More