Advanced Practice Nursing Essay
explanatory Essay
620 words
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families? According to Hamric, Spross and Hanson (2005), “advanced practice nursing is the application of the expanded range of practical, theoretical and research based- competencies” to provide patient care in different settings (Pulcini, 2013). Advanced practice registered nurse APRN is a nurse that completed a graduate level program that can practice as a certified nurse practitioner, (NP) certified registered nurse anesthetist (CRNA), clinical nurse midwife (CNM) or clinical nurse specialist (CNS) (Scope and standard, 2010). To be licensed to practice as APRN, they need to pass a national certification exam and maintained their license via recertification through continuous competencies. …show more content…
Age groups who can receive treatment from NPs are from neonate to elderly Adult. They can manage either acute or chronic illnesses. Additional job description of NP is their ability to provide comprehensive assessment, establish differential diagnosis, treat, order and interpret laboratories and diagnostic tests or even prescribed medication. They can also make referrals to other specialty areas (oncology, psychiatric etc.) if furthers assessment needs to be done regarding patient health status. An NP can be involved in health promotion and disease prevention by providing education to patients and their family about disease processes (Advance practice, “n.d.”). In contrast, CNS practice is more focus in education, consultation to other disciplines, research conduction, improving quality of care, and administrative role. CNS also provides direct patient role but NPs spend twice as much time providing direct care. CNS is more likely to teach, conduct support groups and provides psychotherapy in daily basis to health care staff (Lincoln,
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 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.
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- Role Development Concepts & Issuesexplanatory essayThe process of role development goes beyond networking and taking on a new role as an APN. According to Brykczynski’s study of clinical nurse specialists, role development involves a complete makeover of one’s professional identity and the ability to integrate the seven core advanced practice competencies.1 New graduate APNs go through phases during their transitioning period, from a registered nurse to an APN; these phases include orientation, frustration, implementation, integration, frozen, reorganization and complant.2
In this essay, the author
- Explains that role development involves a complete makeover of one's professional identity and the ability to integrate the seven core advanced practice competencies.
- Explains that the apn is excited about the new role and plans to apply advanced assessment skills to provide a systematic approach to providing care to patients.
- Explains that they plan on navigating through this phase by consulting with their mentor, exploring their goals and sorting through them to figure out what is important and what would be too far fetched
- Explains that role development involves a complete makeover of one's professional identity and the ability to integrate the seven core advanced practice competencies.
- Explains that the apn is excited about the new role and plans to apply advanced assessment skills to provide a systematic approach to providing care to patients.
- Explains that they plan on navigating through this phase by consulting with their mentor, exploring their goals and sorting through them to figure out what is important and what would be too far fetched
- Explains that brykczynski's third phase is implementation, during which the apn has managed to regroup, get reorganized, and focus. they plan on using feedback from patients, peers, mentors to build a structure that will support growth and efficiency.
- Explains that the fourth phase is integration, which is characterized by a level of confidence in one's practice. the apn is open to taking on new challenges and projects allowing for growth and role evolution.
- Opines that they view the frozen, reorganization and complacent phases as negative because they don't think one is productive while in these phases.
- Opines that if they were caught in the complacent phase, they would consider switching specialties and professions.
- Explains that transition stages in the first year of primary care practice are laying the foundation, launching, meeting the challenge and broadening the perspective.
- Explains that the launching phase is when the new apn experiences the "imposter phenomenon" and has insecurities regarding their performance. they plan on addressing this issue by developing time saving techniques, using resources such as epocrates for immediate reference.
- Explains that the new apn has increased sense of self, increased confidence in their work and environment. they plan on meeting their challenge by being an expert in understanding treatment of diabetes.
- Explains that they plan on making changes in their work environment in order to increase the care delivery system.
723 wordsRead More - Patients Acceptance of Nurse Practitionersopinion essayNurse Practitioners, through schooling, clinical experience and workplace experience are exceedingly capable to deliver care to patients. Nurse practitioners are able to specialize and work in almost any field they desire, such as pediatrics, family care and gerontology but according to the Health Resources and Services Administration, “the vast majority of nurse practitioners, about 65%, are employed in ambulatory or primary care (as cited in Poghosyan, Lucero, Rauch, & Berkowitz., 2012). As of 2015, to become a nurse practitioner one must obtain a doctorate in nursing practice degree. With the increase in schooling, nurse practitioners are becoming even more educated and equipped to deliver high quality care. Although nurse practitioners receive the same schooling and are equally qualified to do their job, each state has their own scope of practice for what they can do. According to Pearson, “in some states, nurse practitioners provide care without any involvement from a physician. In other states, providing the same care requires that nurse practitioners collaborate or even be...
In this essay, the author
- Explains that a nurse practitioner is an advanced practice nurse capable of furthering care for patients. nurse practitioners are highly capable and educated to administer care to patients in all settings.
- Explains that nurse practitioners are able to specialize and work in almost any field they desire, such as pediatrics, family care, and gerontology. each state has its own scope of practice.
- Explains that nurse practitioners are professionally identified for their scope of practice and capability to provide high quality care. the collaborative care allows other health care providers to see them at work.
- Explains that a nurse practitioner is an advanced practice nurse capable of furthering care for patients. nurse practitioners are highly capable and educated to administer care to patients in all settings.
- Explains that nurse practitioners are able to specialize and work in almost any field they desire, such as pediatrics, family care, and gerontology. each state has its own scope of practice.
- Explains that nurse practitioners are professionally identified for their scope of practice and capability to provide high quality care. the collaborative care allows other health care providers to see them at work.
- Opines that nurse practitioners are becoming more prominent in health care, since they are able to prescribe medicine and diagnose illnesses. patients are uneasy about seeing anyone who is not a physician.
- Opines that nurse practitioners are viewed in a skewed manor by their patients, but their job is still important. the recent health care reform has expanded the scope of practice for non-physician practitioners.
- Opines that larkin, g. l., and hooker, r. s. (2010). patient willingness to be seen by physicians.
799 wordsRead More - Nurse Practioners Play a Huge Role in Health Care in Canadaexplanatory essayNurse Practitioners are registered nurses with additional education and with more nursing experience (Kosier pg. 31). They play a big role in providing the best health care possible and making health care more accessible because of their wide scope of practice (NPCanada.ca). Working collaboratively with other health care providers, Nurse Practitioners are able to provide quality care for patients, while performing other additional skills such as, order tests, prescribe medications, and diagnose and manage chronic illnesses. They are health care professionals who treat the patients as a whole by caring for their physical and mental health, gathering their medical history, while focusing on how their illness affects their lives, and educating patients and their families to live a healthy life and t...
In this essay, the author
- Explains that nurses are one of the largest portion of health care workers in canada. they have made a recognized impact on the health of patients, their families, and their communities.
- Explains that nurse practitioners are registered nurses with additional education and more nursing experience. they provide quality care for patients, while performing additional skills such as, order tests, prescribe medications, and diagnose and manage chronic illnesses.
- Explains that all nurses are regulated by the college of nurses of ontario, the regulatory body for nursing in ontario.
- Explains that nurses are one of the largest portion of health care workers in canada. they have made a recognized impact on the health of patients, their families, and their communities.
- Explains that nurse practitioners are registered nurses with additional education and more nursing experience. they provide quality care for patients, while performing additional skills such as, order tests, prescribe medications, and diagnose and manage chronic illnesses.
- Explains that all nurses are regulated by the college of nurses of ontario, the regulatory body for nursing in ontario.
- Explains that there are four np specialty certificates in the extended class, namely primary health care, pediatrics, adult and anesthesia.
- Explains that to be a regulated health professional, one must be part of the regulatory college, which protects the public's rights to safe, competent, and quality health care.
- Explains that being in a self-regulating profession means being part of regulated professions and agreeing to follow all guidelines and professional standards.
- Explains that regulation is very important in health care because it allows professionals to regulate their health to provide the public with quality care and gain public trust.
- Explains that most health care professionals must be registered and have a valid registration certificate to be able to attain employment in canada.
- Explains that standards of practice are practice standards that the regulatory college puts out to support health professionals in providing safe and client-centered care to the public.
1114 wordsRead More - What Is Advanced Practice Registered Nurse (APRN)explanatory essayAdvanced practice registered nurses (APRN) are registered nurses educated at the Masters or post Masters level and practice in a specific role, such as nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse-midwives (National Council of State Boards of Nursing [NCSBN], 2015). Randi Toumbs is an acute care nurse practitioner on the Stroke Team at Memorial Hermann Texas Medical Center, employed through the University of Texas Health Sciences Center. This service line was recently developed to see the non-complicated stroke patients. The team is beginning small, and the service will grow to meet the needs. The service consists of one acute care nurse practitioner, six fellows, and the
In this essay, the author
- Explains that advanced practice registered nurses (aprn) are trained at the masters or post masters level and practice in a specific role, such as nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse-midwives.
- Explains miss toumbs' prescriptive authority agreement with dr. sarraj for patients in the acute care setting to initiate and manage treatment during the admission
- Describes miss toumbs' stroke care delivery model, which focuses on stroke prevention by educating high-risk populations about medication regimens and lifestyle modifications.
- Explains that advanced practice registered nurses (aprn) are trained at the masters or post masters level and practice in a specific role, such as nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse-midwives.
- Explains miss toumbs' prescriptive authority agreement with dr. sarraj for patients in the acute care setting to initiate and manage treatment during the admission
- Describes miss toumbs' stroke care delivery model, which focuses on stroke prevention by educating high-risk populations about medication regimens and lifestyle modifications.
- Describes how miss toumbs utilizes her role as an acute care nurse practitioner to provide an individualized approach to patient wellness.
- Explains that randi toumbs has practiced on the stroke team since receiving her masters degree from texas woman's university in 2013.
- Explains that miss toumbs is board certified acute care nurse practitioner through the american nurses credentialing center, which requires recertification every five years.
- Explains that miss toumbs is employeed by the university of texas health sciences center. she sees new stroke team consults, follows up on existing patients, prescribes medications and maintains a treatment plan.
- Explains that it is important for all aprns to maintain malpractice insurance. the per-occurrence limit determines the amount the insurer will pay for a single loss, claim, or occurrence.
- Explains that the aprn provides patient education on medication therapy, diagnostic evaluations, and disease management.
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- Explains that nurse practitioners provide patient-centered, accessible, high-quality health care. they learn their roles by practicing in education facilities before heading out to the real world where everything they have learned help to save people’s lives.
- Explains that nurse practitioners must have a bsn, an rn, and certain scores on the gre or miller analogies test. there is no licensure like the nclex (which all nurses must pass in order to practice).
- Explains that nurses must have certain roles, skills, and characteristics, such as diagnosing, treating, performing, ordering and interpreting the patient's medical experience.
- Explains the skills and characteristics of nurse practitioners, including problem solving, active learning, judgment and decision-making, reading comprehension, time management, instructing, leading, and persuading.
- Explains that nurses follow the code of ethics and standards of practice, but there is a proposed code specifically for nurse practitioners.
- Explains that a nurse practitioner's skill, knowledge, and love of their occupation help them to exceed in everything they do.
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In this essay, the author
- Opines that their personal advanced practice nurse philosophy is to provide the best care to their patients primarily by staying up to date on current practices.
- Opines that their personal advanced practice nurse philosophy is to provide the best care to their patients primarily by staying up to date on current practices.
189 wordsRead More - Nursing Role In Nursingopinion essayAdvanced practice registered nurses(APRNs) , such as nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives faces the rules and regulations of the state and federal government, which hinder them from practice to the full extent of their education and training. For an example: in some states nurse practitioners are allowed to see patients and prescribe medications without a physician’s supervision, whether other states does not allow that. “The report offers recommendations for a variety of stakeholders from state legislators to the Centers for Medicare & Medicaid Services (CMS) to the Congress to ensure that nurses can practice to the full extent of their education and training”( IOM, 2010, p. 2). Furthermore, expand the Medicare program to include coverage of advanced practice registered nurse services like perform admission assessments, certification of patients for home health care services and for admission to hospice and skilled
In this essay, the author
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814 wordsRead More - Advanced Nursing Practiceexplanatory essayDefining the role of an advanced nurse practitioner (ANP) is complex and commonly open to interpretation. Internationally there are many variances in what the role of the advanced practitioner entails, and the characteristics of individual roles are often shaped by the country and particular speciality in which they are practising (Mantzoukas & Watkinson 2006), (Sheer & Wong 2008), (Stasa et al 2014), (ICN 2008), (Dalton 2013), (NHS Wales 2010), (Haidar 2014), (Lowe et al 2011), (Pearson 2011).
In this essay, the author
- Explains andrews, v. 'using telemedicine in clinical decision-making' practice nursing. 25 (1) pp. 42-46.
- Cites calman, k., and the working group on specialist medical training. the department of health, london.
- Explains career framework for health (2006) advancing nursing practice. the association of advanced nursing practice educators.
- Explains andrews, v. 'using telemedicine in clinical decision-making' practice nursing. 25 (1) pp. 42-46.
- Cites calman, k., and the working group on specialist medical training. the department of health, london.
- Explains career framework for health (2006) advancing nursing practice. the association of advanced nursing practice educators.
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- Analyzes haidar, e. (2014), the reality of introducing advanced nurse practitioners into practice. journal of community nursing, vol 28, no 1, pp.
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- Opines that time to clarify: the value of advanced practice nursing roles in health care.
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- Explains the national institute for health and clinical excellence's an education strategy to support implementation of nice guidance.
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- Cites nolte, e., and mckee. caring for people with chronic conditions: a health system perspective.
- Explains the nursing and midwifery council's proposed framework for the standard of post-registration nursing.
- Explains nursing: towards 2015 alternative scenarios for healthcare, nursing and nurse education in the uk in 2015.
- Explains pearson, a., and peels, s. advanced practice in nursing: international perspective.
- Explains that concepts of advanced practice: what does it mean? british journal of nursing.
- Explains the prime ministers commission's front line care: the future of nursing and midwifery in england.
- Opines that rcn backs commission’s findings. royal college of nursing bulletin.
- Describes the rcn competencies: advanced nurse practitioners: an rcp guide to advanced nursing practice and programme accreditation.
- Explains that sheer, b. wong, f.k.y., the development of advanced nursing practice global, journal of nursing scholarship, 40:3, pp.
- Opines that the government promises swift action on regulation of advanced nurses. nursing standard.
- Cites stanik-hutt, newhouse, white, johantgen, bass, zangaro, wilson, fountain, steinwachs, heindel, weiner, the journal for nurse practitioners.
- Explains stasa, h. cashin, a. buckley, t. donoghue, j. advancing advanced practice — clarifying the conceptual confusion. nurse education today 34 (2014) pp.
- Explains sturgeon, d., advanced nursing practice and newton’s three laws of motion. british journal of nursing.
- Describes the ukcc's standards for professional education and practice, which are available at nmc-uk.org.
- Describes who's 2005 workforce report, preparing a health care workforce for the 21st century.
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1233 wordsRead More - Acute Ischemic Stroke: A Case Studyexplanatory essayThe role of an advanced practice nurse will allow to collect the evidence and propose the necessary alterations. Once the project in place an APN involved in acute care setting can assist in advocating and instituting the EBP into the current
In this essay, the author
- Explains that ischemic strokes are the leading cause of disability in the united states. early treatment with thrombolytic therapy or mechanical interventions improves patient outcomes and decreases disability.
- Explains that the stroke process at chesapeake regional medical center takes up approximately 60 to 90 minutes from the time a patient presents with the signs of acute ischemic stroke to when the patient receives intravenous thrombolytic therapy.
- Explains the multisociety consensus that shorter time between symptoms and reperfusion treatment is an indicator for better clinical outcomes. the american heart/american stroke association has adopted new guidelines on quality improvement.
- Explains that ischemic strokes are the leading cause of disability in the united states. early treatment with thrombolytic therapy or mechanical interventions improves patient outcomes and decreases disability.
- Explains that the stroke process at chesapeake regional medical center takes up approximately 60 to 90 minutes from the time a patient presents with the signs of acute ischemic stroke to when the patient receives intravenous thrombolytic therapy.
- Explains the multisociety consensus that shorter time between symptoms and reperfusion treatment is an indicator for better clinical outcomes. the american heart/american stroke association has adopted new guidelines on quality improvement.
- Explains that systemic reviews of multiple studies have been synthesized to formulate the final recommendations by the expert consensus.
- Explains that iowa is one of the widely used ebp models in the clinical setting.
- Explains that the topic related to the current stroke process was initiated during the most recent hfap re-accreditation.
- Opines that the stroke team, its coordinator, management and administration would be involved in a consideration of the current issue.
- Explains that the hfap re-accreditation highlighted some pitfalls in the delivery of the stroke process.
- Explains that asa guidelines advocate for an early treatment of acute ischemic strokes to improve clinical outcomes among this population group. an early initiation of reperfusion therapy was associated with decreased in-hospital mortality, long-term disability and improved patient outcomes.
- Explains that the stroke team in conjunction with management is working on the revision of policies and alternation of the current stroke process to decrease the total time between patient presentation into the hospital and initiation of thrombolytic treatment.
- Explains that the institute of medicine (iom) places an ongoing effort on improving the quality of health care, targeting various areas of consideration from the safety of the care to its efficacy.
- Explains that the shorter time to initiation of reperfusion therapy improves patient outcomes. with the alteration of the current stroke process we can provide a faster care to acute stroke patients.
- Opines that new ways of bypassing common obstacles like, prolonged registration and delays in ct scan will allow to provide more efficient care and prevent time wasting.
- Opines that timely treatment of stroke patients improves patient outcomes and provides the best ebp care to patients in our communities.
- Explains that the hospital has passed the re-accreditation program, which allows it to treat a variety of neurological emergencies including acute strokes.
- Explains that compliance with the new stroke guidelines and changes to the current stroke process will help to provide a better-quality care, improving patient outcomes and decreasing disabilities.
- Explains that once the hospital implements the new stroke process the data will need to be collected to reflect the evidence on the effectiveness of ebp.
1472 wordsRead More - Clinical Nurse Specialist Essayexplanatory essayThe purpose of this paper is to examine a clinical situation that required the writer to expand knowledge base about different roles of a clinical nurse specialist. Description of the situation is followed by its examination and analysis, and concluded with the writer’s reflection and insight for future practice.
In this essay, the author
- Explains the purpose of the paper, which is to examine a clinical situation that required the writer to expand knowledge base about different roles of clinical nurse specialists.
- Explains that many of their co-workers did not know that their preceptor was a cns, and even if they knew, they didn't know the roles.
- Describes the five scopes of a cns, including clinician, consultant, educator, researcher, and leader.
- Explains the purpose of the paper, which is to examine a clinical situation that required the writer to expand knowledge base about different roles of clinical nurse specialists.
- Explains that many of their co-workers did not know that their preceptor was a cns, and even if they knew, they didn't know the roles.
- Describes the five scopes of a cns, including clinician, consultant, educator, researcher, and leader.
- Explains that virani and associates for cna (2012) values cns' wide range of knowledge and flexibility that can affect multiple domains. however, their unspecified role description can be problematic when they are focused on one role without leading to one big picture.
- Describes the role of a cns in improving nursing care and the patient care system.
831 wordsRead More - Nurse Practitioner Personal Statementexplanatory essayBeing a nurse practitioner will give me the ability to enhance my nursing skills of helping patients manage acute and chronic illnesses by providing quality patient care and increasing their quality of life. I will provide an array of education and preventative care as I find those to be crucial proactive measures to avoid acute illness. By the year 2030, the baby boomer population will be approaching their elderly years and with that comes several challenges to the health care system. The elderly population is expected to be twice what it is today and they are also expected to live longer thanks to medical advances and lifestyle changes. Community resources such as long-term care or home health care will be at a higher demand because of the
In this essay, the author
- Explains that being a nurse practitioner will enhance their nursing skills of helping patients manage acute and chronic illnesses by providing quality patient care and increasing their quality of life.
- Describes how their experience as a registered nurse in various critical care settings has allowed them to care for critically ill surgical, trauma, and neuroscience patients.
- Describes how they gained invaluable leadership experience while at albany medical center. they voluntarily precepted a nursing student for the length of their capstone assignment.
- Explains that being a nurse practitioner will enhance their nursing skills of helping patients manage acute and chronic illnesses by providing quality patient care and increasing their quality of life.
- Describes how their experience as a registered nurse in various critical care settings has allowed them to care for critically ill surgical, trauma, and neuroscience patients.
- Describes how they gained invaluable leadership experience while at albany medical center. they voluntarily precepted a nursing student for the length of their capstone assignment.
- Opines that the rigorous curriculum for the fnp program at simmons college will prepare them to accomplish their goals.
684 wordsRead More