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The role of the advanced practice nurse
The role of the advanced practice nurse
Role of advanced practice nurses
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Introduction
Advanced Practice nursing (APN) is considered the usage of a broader scope of constructive, logical and research-based expertise related to the health and well-being of patients, within a varying disciplines (DeNisco & Barker, 2013). What is the future position of APNs in the progression of our healthcare system? What role will this writer assume, educator, practitioner, population health coach, or all three? The use of theory, primarily Sister Callista Roy’s Adaptation Model, and EBP give this writer a firm foundation to develop and modify her own practice framework.
Interview Summary
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.
As an ARNP, working closely with obese children, within an outpatient setting, the interviewee acknowledged both autonomy and collaboration. Although her practiced is primarily in a clinic setting, the practitioner also holds hospital privileges. After practicing in the healthcare system for over 30 years, in varying roles and areas, this ARNP considered herself accepted, as a professional, by both nursing and medical personnel. She also concluded that the physicians she routinely works aside, ask her for advice.
In comparison, the population health discipline is relatively new in Northern Iowa, concentrating primarily on patients suffering from chronic disease, such as diabetes and/or conges...
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Senesac, P. (2013). The Roy adaptation model in practice. Implementing the Roy adaptation model: From theory to practice. Retrieved from http://www.bc.edu/content/bc/schools/son/faculty/featured/theorist/Roy_Adaptation_Model
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Nurse practitioners (NPs), one type of advanced practice nurses, are licensed by the states where they practice and certified by private boards. Nurse practitioners hold advanced degrees in clinical practice and function in a wide variety of settings and across the life span. They provide a broad array of healthcare services ranging from managing treatment plans, to prescribing medications, to implementing health promotion services. As of 2014, 205,000 NPs were licensed in the United States with 86% of those prepared to deliver care to patients in primary care settings (NP Facts, 2015). The progression of the Nurse Practitioner movement that occurred in the 1960 and 1970s emerged as a creative and
Role clarity and title confusion pose barriers to the amalgamation of advanced practice nursing roles. Colleagues and the public are unaware of the precise roles of the APN. Much of what the public knows about medicine is associated with a doctor, and the “doctor knows best” (Safriet, 2011). The public i...
Transitioning from academic nursing student to Registered Nurse/New Graduate Nurse (NGN) within the healthcare environment is a challenging task for many NGNs. They may encounter a number of challenges, such as the following: transition shock, professional isolation, lack of clinical experience, stress, lack of a support network and cultural incompetence. At the end, this essay will discuss the rationale for developing my two most important goals for the next twelve months.
The white paper entitled, The Doctor of Nursing Practice: Current Issues and Clarifying Recommendations was written and published by the American Association of Colleges of Nursing (AACN). The AACN Board of Directors formed a task force to review and clarify the evolution of the doctorate in nursing practice as outlined in the Essentials of Doctoral Education for Advanced Nursing Practice (DNP Essentials). This paper highlights the recommendations to describe and clarify the characteristics of the Doctor of Nursing Practice (DNP) graduate scholarship, the DNP project, efficient use of resources, program length, curriculum considerations, practice experiences, and guidelines for collaborative partnerships. In 2004, the AACN issued a Position Statement on the Practice Doctorate in Nursing that changed the trajectory of nursing education by recommending that advanced nursing practice education be moved to a doctoral level. DNP practice scholarships are validated when the principles of nursing scholarship are combined with the eight DNP Essentials to prepare a graduate capable of improving health and care outcomes.
The American Nurses Association (2008) has defined the FNP, under the broader title of Advanced Practice Registered Nurse (APRN), as one “who is educationally prepared to assume responsibility and accountability for health promotion and/or maintenance as well as the assessment, diagnosis, and management of patient problems, which includes the use and prescription of pharmacologic and non-pharmacologic i...
The Scope of Nursing Practice describes the “who,” “what,” “where,” “when,” “why,” and “how” of nursing practice. Each of these questions must be answered to provide a complete picture of the dynamic and complex practice of nursing and its evolving boundaries and membership. (ANA )The role of the nurse with the obese population is very important. Obesity is considered a chronic disease in many community health texts. Community health nursing grew greatly, during the later part of the 20th century, due in large part to a growing population of chronically ill people (who were now surviving illnesses that were previously less treatable). This situation with the chronically ill continues to grow, shifting more and more responsibility for health
As a nurse, we serve a society which is very culturally diverse. We provide care to many individuals whom have their own unique set of ethics, values, morals, and beliefs by which may be very different from our own. Because of our professional role, we must use lifelong learning as a tool to broaden our views, increase our knowledge, and understand the influences which affect it. To make this possible, we have to continually educate ourselves about the nursing laws, professional standards, and code of ethics all of which we are committed to.
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
This paper will evaluate the local, national and international drivers that have influenced the development of advanced nursing practice. The discussion will include the political, economic, social, and technological influences that have contributed to the transformation from the traditional nursing role to the numerous exciting advanced level career opportunities achievable in nursing today. Dynamics that have shaped my own current advanced nursing role will be discussed and to conclude some thoughts on the future of advanced nursing practice.
Wojciechowski, A. "Assuring the Effective Advanced Degree Nurse as Clinical Education Program Manager." Internet Journal of Advanced Nursing Practice: 5.2 (Jun 2002):43 Academic Search Premier. EBSCO Host. Camden Carroll Lib. Morehead State University. 27 Oct 2013.
The outcome has also been met through the completion of a head to toe physical assessment in the clinical lab with Troy nursing faculty. I have submitted multiple SOAP notes and received feedback from my clinical faculty. I have planned, delivered and assessed the care of multiple patients in the clinical setting under the guidance of my clinical preceptors. Each of these experiences, have equipped me with the role capabilities necessary to practice as a MSN prepared family nurse practitioner upon completion of this program.
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
What led me to nursing in the beginning was having a passion for people. I love the holistic approach and level of care that nurses bring to the literal bedside table. I knew throughout nursing school that I wanted to advance my education further than bedside nursing. I debated on whether to pursue a master’s degree in nursing and just become a nurse practitioner, but ultimately, I knew I wanted to advance my education even further to help make and promote changes in healthcare. By choosing to become a doctorally prepared nurse practitioner, I hope to change the stigma that is attached with being “just a nurse” and show that nurses play a vital role in redesigning
In recent years, health care has experienced an endless struggle between patient care and economic viability. Advanced practice nurses play a vital role in successfully achieving and carrying out hospital patient care missions (Cathcart, Greenspan, & Quin, 2010). Additionally, advanced practice nurse roles are sometimes poorly defined making responsibilities unclear with unrealistic expectations (Spence Laschinger, Wong, Grau, Read, & Pineau Stam, 2011). Undoubtedly, advanced practice nurses are quickly becoming more educated, vision driven, and influential in response to the advanced nursing practice demands of current healthcare demands. In this paper I use the Appreciative Inquiry model to explore my future as a nurse in an advanced practice role.
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