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An advanced practice nurse (apn) is the nurse most independently functioning of all professional nurses
Challenges of advanced practice nursing
Proposal of evidence based practice
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Recommended: An advanced practice nurse (apn) is the nurse most independently functioning of all professional nurses
The role of Advanced Practice Nursing (APN) has changed dramatically in recent years. Currently, the Unite States (U.S.) health care is focusing on delivering a cost -effective health care to all patients. In the last decades, there were many efforts to control health care over spending in the U.S. One of such efforts is to focus on applying proven principles of evidence-based practice and cost-effectiveness to find the least expensive way to produce a specific clinical service of acceptable quality (Bauer, 2010). The vast changes in health care system, such as cost, need for high productivity, limitation on reimbursement, and the inadequacy on access have made APNs to think in a way where they most fit to provide independent care for children and adults of all ages while focusing on providing high quality and preventative health care services.
The main focus of APNs are patient education, disease management, treatment, illness prevention, and health promotion. There is a strong support within the education for the essential role of advanced practitioners. Nurse practitioners are highly qualified nurses with an enhanced level of authority to prescribe medication, refer patients and order diagnostic tests (ICN Nurse Practitioner/Advanced Practice Nursing Network 2013). Researchers have predicted that by 2015 primary care will be provided providers other than physicians , including Nurse practitioners (NPs) (Poghosyan, Lucero, Rauch, & Berkowitz, 2012).
Urinary Incontinence (UI) is a prevalent medical problem in the U.S. Agency for Healthcare Research and Quality (AHRQ) estimates that about 25 percent of middle aged and postmenopausal women and about 75 percent of older women in nursing homes suffer from some form of UI...
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...audience. The NPs were able to get a good number of attendees on the urinary continence screening / awareness day by advertising on the hospital website, newspaper, and flyers that were provided to the community facilities, such as other Northwest community hospital related facilities, libraries , and other community centers. Word of mouth would be another way to promote the service.
Conclusion
Marketing is an ongoing process. The NPs need to revisit the marketing plan often to ensure the U I service is compatible and able to provide all the services that clinic was intended to provide in a cost-effective and quality care manner. Starting a independent clinic would be challenging for the novice NP; but with right partnership, careful implementation of the plan, frequent evaluation of the services and commitment, it could be satisfying and rewarding endeavor.
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
Nurses and physicians need to become partners in health care reform. We have a responsibility to provide competent care to our patients. National standards need to be put in place to decrease the inconsistencies in APN practice. Overwhelming data supports the APN over the physician in cost effectiveness, quality and access to care and many other aspects.
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).
For the first component of the Session Long Project, your task is to write a 2-3 page essay about a health care organization with which you are involved, or are familiar. Specifically, your tasks are to select an organization and describe it. Then, discuss the main challenges in marketing that organization.
Many may argue that one is just as capable as the other in offering patient care. But recent studies conducted by Aiken et al. have shown nurses educated at higher levels are better prepared for delivering optimal patient care. One of the key eliminates is evidence-based practice. BSN programs provide the knowledge and preparation needed for evidence-based prac...
2013). Inappropriate use of urinary catheter in patients as stated by the CDC includes patients with incontinence, obtaining urine for culture, or other diagnostic tests when the patient can voluntarily void, and prolonged use after surgery without proper indications. Strategies used focused on initiating restrictions on catheter placement. Development of protocols that restrict catheter placement can serve as a constant reminder for providers about the correct use of catheters and provide alternatives to indwelling catheter use (Meddings et al. 2013). Alternatives to indwelling catheter includes condom catheter, or intermittent straight catheterization. One of the protocols used in this study are urinary retention protocols. This protocol integrates the use of a portable bladder ultrasound to verify urinary retention prior to catheterization. In addition, it recommends using intermittent catheterization to solve temporary issues rather than using indwelling catheters. Indwelling catheters are usually in for a longer period. As a result of that, patients are more at risk of developing infections. Use of portable bladder ultrasound will help to prevent unnecessary use of indwelling catheters; therefore, preventing
Typically NP’s provide health services in rural areas where they are the only source of medical services and this had n...
...sa, H. Cashin, A. Buckley, T. Donoghue, J. (2014). Advancing advanced practice — clarifying the conceptual confusion. Nurse Education Today 34 (2014) pp. 356–361
Kenneth, I really enjoyed your post. It is so interesting to read about the role of the advanced practice registered nurses (APRNs) in other countries. A shortage of physicians seems to be a common issue around the world. As a result, APRNs are in high demand because they can help fill vacancies within the healthcare field. In return, patients will receive quality care that is more cost efficient. One tremendous accomplishment is when the ICN created the International Nurse Practitioner/Advance Practice Nursing (INP/APN) Network in 2000. This network helps give guidance, education, research, health policies, support, and communication to the APRNs as they practice worldwide (AANP, 2016). The INP/APN Network is extremely helpful because it
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
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
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.
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
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
There was a situation in which we had and outbreak of urinary tract infections. While most nurses emphasized hand washing and proper perineal care one of the managerial nurses who had her BSN. took it a step further. She analyzed the data for the urinary tract infections. Taking into consideration who the primary care givers were for those residents, she was able to track down the care givers who most probably did not give proper perineal care and gave them individual in-service training on top of the facility wide in servicing. She reviewed and amended the facilities policy and procedure on Urinary tract infections and then educated all staff on the revised plan of care with follow up schedules to ensure compliance. She implemented set standards of care for everybody to prevent urinary tract infections and also for those who had signs/symptoms of a UTI. The 3 quarters following the implementation of the revised pol icy and procedure for UTI’s there was not a single UTI in the facility. This definitely improved the outcome for