Examining the Role of the Clinical Nurse Specialist in Diagnosing and Prescribing

Examining the Role of the Clinical Nurse Specialist in Diagnosing and Prescribing

Length: 2166 words (6.2 double-spaced pages)

Rating: Term Papers

Open Document

Essay Preview

Historically, the American Medical Association (AMA) has continuously contended the progression of nursing practice, in particular advanced nursing practice (Keeling & Bigbee, 2005). They have done so by opposing the advances of nursing practice claiming the broader and more specialized roles of advanced practice nurses (APNs), which includes diagnosing and prescribing, encroaches on physician practice and claim nurses are not educationally sufficiently prepared to take on these roles (Summers & Summers, 2007). The medical profession posits APNs should be supervised by physicians in their advance practice roles. Examples of such opposition are evident in for example AMA’s posting of a recent speech given by Nancy Nielsen (2009) stating that the AMA will oppose a proposed bill to allow APNs to classify themselves as primary care providers; or as presented and discussed at the recent 34th AMA Annual Meeting (AMA, 2010), in which a strong opposition to autonomous practice of APNs was discussed and the position of physician supervision of APNs practice was advocated.
This opposition not only hinders the advancement of cost efficient healthcare, it also stands in direct opposition to the newly proposed Patient Protection and Affordable Care Act (U.S. Congress, 2010), which recognizes APNs practice and working relationship with physicians to be one of collaboration, not submission, and recognizes the need for the expansion and recognition of APNs’ role in order to increase the availability of healthcare to all Americans.
In order to allow for APNs to be efficient in providing care to their patients, those APNs diagnosing and treating patients, need to be able to have the authority to prescribe treatments, inclusive of medications, f...


... middle of paper ...


...Summers, H. J. (2007). Changing poor portrayals of nurses in the media: The center for nursing advocacy. In D. J. Mason, J. K. Leavitt, & M. W. Chaffee (Eds.), Policy & politics in nursing and health care (5th ed., pp. 184-194). St. Louis, MO: Elsevier Saunders.
Tucker, S. (2003). Preparing CNSs for prescriptive authority. Clinical Nurse Specialist, 17(4), 194-199. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12869866
United States of America Congress. (January 5, 2010). In U.S. Government Information (Ed.), An Act (One Hundred Eleventh Congress of the United States of America). Retrieved from http://democrats.senate.gov/reform/patient-protection-affordable-care-act-as-passed.pdf
Weinkam, K., Bailey, L., & Goodman, H. J. (Eds.). (2003). What is the RN scope of practice? (The BRN report, pp. 7-9). Retrieved from http://www.rn.ca.gov/pdfs/forms/brnfall2003.pdf

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

A Media Specialist’s Role in the Research Process Essay

- A Media Specialist’s Role in the Research Process When settlers from the East planned to “go West,” they faced many challenges. Becoming hopelessly lost was likely. Starvation was a possibility. Floods threatened total destruction. Settlers needed an experienced guide to lead them to their destination. When students begin research projects, they face similar challenges—although the challenges are intellectual rather than physical. They can become hopelessly lost as they try to follow Internet links from one site to another....   [tags: Librarians Library Media Specialist Role Essays]

Free Essays
1387 words (4 pages)

Interview with an Engineer Specialist Essay

- Interview with an Engineer Specialist The purpose of this assignment is to explore the profession I hope to be working for in the near future. My task for this assignment was to find an engineer who has a degree in Aerospace Engineering, which is the degree that I am pursuing. I had to set up an appropriate setting for an interview with that engineer. I also had to arrange interview questions which consists of their career information’s, requirement skills, and advices that would help me get prepare to work in the field of Aerospace Engineering....   [tags: Industry, Specialist, Aerospace]

Term Papers
1633 words (4.7 pages)

Assessing Clinical Depression According to the MADRS Essay

- INTRODUCTION: According to Kessler et al. (1994) about 17% of people are likely to experience some kind of depression at some point in their lives. Another figure is: around 2.6 million people in England suffered from depression in 2006 (Thomas and Morris. 2003). Brown (2001) even suggests that by 2020 depression will become the second most common disease. All these alarming figures lead to the question of what depression exactly is and how to asses and treat it. In the DSM-IV depression is defined by meeting five or more of the following symptoms in a two-week period representing a change in previous functioning: (1)significant weigh loss / gain (2)insomnia / hypersomnia (3)psychomotor ag...   [tags: Clinical Psychology]

Term Papers
817 words (2.3 pages)

Essay on Core Competencies in the Clinical Settings

- Core Competencies In the clinical setting there are clinical and non-clinical advanced roles. A clinical advanced nursing role is one that involves direct patient care. An example of this is a nurse practitioner who provides treatment to patients and medical testing. A non-clinical advanced nursing role is one that does not provide direct care to the patients. Examples of this include nurse educators and nurse administrators who do not provide direct treatment to the patients. Both the clinical and non-clinical advanced roles have core competencies specific to their specialties....   [tags: clinical advanced roles, nursing]

Term Papers
857 words (2.4 pages)

Teaching and Learning in the Clinical Setting Essay examples

- Teaching and learning in the clinical setting is not a new concept and the teaching of clinical skill to nursing student ranks high on the current agenda of nurse education (Pfeil, 2003). Therefore, has be the duty of teachers to continue to provide ongoing guidance during teaching and learning taking place. According to While (2004), the mentor is required to feel personally and professionally confident when assessing the student’s performance. This allows the development of the students will become better and more effective....   [tags: clinical skills, nursing, teaching]

Term Papers
797 words (2.3 pages)

Role of Metabolites in Diagnosing Chronic and Infectious Diseases and the Efficacy of Therapeutic Interventions

- These scenarios share the critical need to develop noninvasive, low cost techniques that can help make critical decisions that impact everything from health, quality of life, costs, and public health policy. There has been recent interest in understanding the role that metabolites may play in diagnosing chronic and infectious diseases and the efficacy of therapeutic interventions. Since the metabolites represent the current state of the biochemical processes in the body, they are sometimes more relevant than the genomic and proteomic data in understanding the present status of the disease and intervening appropriately....   [tags: Medical Science]

Term Papers
777 words (2.2 pages)

Essay Information Technology in Clinical Research

- Definition of clinical research and clinical trial In World Health Organization’s definition, “for the purpose of registration, a clinical trial is any research study that prospectively assigns human participants or groups of humans to one or more health-related interventions to evaluate the effects on health outcome” (WHO, 2014). National Institute of Health specified the differences between clinical research and clinical trials. “Clinical research is research that directly involves a particular person or group of people, or that uses materials from humans, such as their behavior or samples of their tissue....   [tags: clinical trial, bio-informatics, patient outcome]

Term Papers
1991 words (5.7 pages)

Essay about Clinical Research Nursing

- Nurses are primarily responsible for the diagnosis and treatment of diverse populations; however, there are different nursing career paths beyond these traditional functions. A clinical research nurse (CRN) conducts scientific research within the context of modern medicine. Medical research consists involves the study of diseases, and the creation of new treatments or drug to treat them. Clinical research nurses may contribute to these innovations in various ways. For instance, they might work for universities, pharmaceutical companies, government agencies, or private research firms....   [tags: Clinical Research Nursing Career]

Term Papers
976 words (2.8 pages)

Essay on HR Generalist vs HR Specialist

- HR Generalist vs. HR Specialist According to Christensen (2005), “HR generalists and HR specialists clash over who does what, who has the most authority, and who is most important. Both roles are clearly needed...." (p. 187) There is much confusion of the terms HR generalist and HR specialist. While both can be key components in a successful business, they have very different roles. A HR generalist works with, or has the ‘customer’ of management and the employees of the company....   [tags: business strategy, planning, management]

Term Papers
953 words (2.7 pages)

Diagnosing Medical Disorders Essay examples

- Diagnosing mental disorders has been most challenging for psychiatrists and psychologists for many years. WHO and the American psychiatric association played a pivotal role in tackling this challenge by developing the diagnostic and statistical manual for mental disorders (DSM). Since its publication in 1953 by the American psychiatric association, DSM has undergone a considerable changes the DSM IV which is the latest version of the classification system has three major components: the diagnostic classification, the diagnostic criteria sets and the descriptive text....   [tags: psychology]

Term Papers
1800 words (5.1 pages)