...Role Development of the Advanced Practice Nurse 1 Role Development of the Advanced Practice Nurse Julie L. Mitchell RN, BSN Grantham University NUR 506 Advanced Practice Nursing Dr. Ludella Brown DNP February 3, 2014 Role Development of the Advanced Practice Nurse 2 The role of the Advance Practice Nurse has changed drastically over the years as we have moved closer to a goal of professionalism, recognized by society. Professionalism in nursing has been evolving since the days of Florence Nightingale. For most of the 20th century nursing was considered a profession in progress by sociologists (Bucher & Strauss, 1961; Etzioni, 1969). Nurses have been striving toward professionalism and the autonomy that defines it for decades. Society, nursing shortages, the healthcare industry’s need to provide save, quality health care while maintaining financial stability, and many other factors have shaped a path of opportunities for nurses today. Advanced Practice Nursing has been evolving to meet our society’s healthcare needs for decades. Nurses have been and will continue to be the driving force of these changes and our ability to manage change and move to a new conceptualization of advanced practice nursing will define our success or failure in meeting societal needs in the future (Denisco & Barker, 2013) Society and the healthcare industry have offered opportunities for recognition of and institutional credentialing of Advanced Practice Nurses...
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...Nursing Educators, Nursing Informatics, and Nurse Administrators should be classified as an advanced practice nurse. The consensus states that many nurses with advanced graduate nursing preparation practice in roles and specialties that are essential to advance the health of the public but do not focus on direct care to individual (APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee, 2008). If the consensus recognizes that nurses in these roles as essential to advance the health of individuals how can they not be qualified to practice as an advanced practice nurse? In today’s ever changing healthcare we need all roles that practice at a Master’s or Doctorate’s level to be considered an advanced practice nurse. Every role has a unique part in helping to advance nursing and healthcare in general. Our nursing educators are the ones that help educate other nurses to fulfill the four roles, CNP, CNS, CNM, and CRNA, which are classified by the consensus as an advanced practice nurse. They have the knowledge base to instruct other nurses on the evolving material that makes healthcare so unique. Without our educators none of the other nurse would even be able to practice as an advanced practice nurse. Our nursing informatics are the ones that help to put together the programs we use as nurses and as an advanced practice nurse to record patient data. We wouldn’t even be able to chart without their help. Every day new programs are created...
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...State University College of Nursing Question #1: You are interviewing for an advanced practice nursing position in a multi-physician practice. They have no prior experience with Advanced Practice Nurses or Nurse Practitioners. Please discuss how you might convince them to hire you. Please describe how you would benefit the practice by explaining the role, function, and limitations of a nurse practitioner. Incorporate research demonstrating the significance of the advanced practice nurse to support your position, including cost-related issues. The nurse practitioner role is one that has expanded significantly since its conception. As noted by the APRN Consensus Model, we...
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...Scope of a Nurse Practitioner Tyler O. Pickens Chipola College BSN Program Abstract Advance practice nursing in the United States has evolved in to four main types of advanced practitioners: clinical nurse specialist, nurse practitioner, nurse- mid –wife, and nurse- anesthetist. As healthcare delivery systems continue to change and develop, other roles may emerge to meet future needs. Each advanced role has a distinguishable scope of practice, but knowledge and skills overlap (Blais and Hayes, p. 447). The possibilities of advancing your education in the nursing profession have countless opportunities. If given the opportunity to advance my education in the nursing profession my choice would be to become a Nursing Practitioner....
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... Grand Canyon University: NRS-430V Professional Dynamics As the largest single profession in US healthcare, Nursing plays a major role in the healthcare delivery in both rural and urban areas. The nursing profession is a work in progress and constantly evolving. Nurses in this era in many ways are far different than what it was at its inception. Today’s nurses must embrace change and incorporate evidence based medicine, creativity and the enthusiasm with discipline. Currently nurses are limited with their ability to deliver care with the changing healthcare practice in US. In order to be an effective participant in the evolving and transforming healthcare system, The Robert Wood Johnson Foundation (RWJF) and Institute of medicine (IOM) launched an initiative in 2008 which created a report with eight recommendations for the future transformation of the nursing profession. The IOM report had 8 key recommendations for the future of nursing. The following key messages were the framework for the recommendations. * Recommends that nurses should be able to practice to the full extent of their training and education * Recommends that nurses should attain higher levels of schooling and training through an enhanced education system that encourages seamless academic advancement. * Nurses should be full allies, with physicians and other health care professionals, in reforming health care in the United States. * Recommends that labor force development...
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...Module Two: History of Advanced Practice Nursing Jamie P. Bernard Louisiana State University Health Science Center School of Nursing The historical evolution of the four Advance Practice Registered Nurse (APRN) roles date back as early as the 1860s when nurses were administering chloroform anesthesia during the Civil War (Cockerham & Keeling). During the nineteenth century lay midwives were delivering babies without any nursing education, and the first program for psychiatric nursing in America had opened its’ doors (Cockerham & Keeling, 2014). This specialty paved the way for Clinical Nurse Specialists (CNSs). Around the same time the Henry Street Settlement opened its’ doors, and public health nurses started providing primary care to the poor (Cockerham & Keeling, 2014). These nurses and lay midwives were practicing based on skills taught in the fields, because there were no formal education programs at that time for the APRN specialties. During the twentieth century, schools started opening and offering specialty nursing programs for the four Advanced Practice Registered Nurse (APRN) roles: Certified Registered Nurse Anesthesists (CRNAs), Certified Nurse Midwives (CNMs), Clinical Nurse Specialists (CNSs), and Nurse Practitioners (NP). This was also the time when nursing organizations were being formed including: the American Association of Nurse Anesthetists (AANA), the National Organization of Nurse Practitioner Faculties (NONPF), the...
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...Reflection Paper One Advanced practice nursing (APN) can be loosely defined as an area of nursing in which nurses are required to practice at an advanced level in a specific area of interest. APN extends the boundaries of nursing’s scope of practice and contributes to nursing knowledge, and the development of the profession (Canadian Nurses Association, 2008). In order to become an APN, the nurse must obtain a master’s or doctoral degree from an accredited university in an area of concentration designated for advanced practice nursing. According to Joel (2009), there are currently four major groups of APNs: certified registered nurse anesthetist, certified nurse midwives, clinical nurse specialists, and nurse practitioners. APN focus on critical thinking, educating the public, diagnosing and treating illnesses, and prescribing medications to name a few. This paper will discuss the future of the nurse practitioner and how I, as a future adult-gerontology primary care nurse practitioner, will advocate for my patient population. Philosophy and Beliefs of Nurse Practitioners Due to the fact that nurse practitioner is a branch of advanced practice nursing, the two professions often share many of the same philosophic beliefs. The overall philosophy of both professions is centered on four key concepts of person, society, health and nursing; whereas, the core philosophy for nurse practitioners is that of individualized care where focus is on patients’ conditions, as well as, the...
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...ROLES OF A NURSE PRACTITIONER Sabine Dorsainvil NSG5000 South University The role of a family nurse practitioner is a fundamental portion of the future of healthcare. The role is clearly not as understood by other healthcare professionals as needed which results in the disagreement if the role of a family nurse practitioner is even required for primary care. As people are getting older, the need for medical professionals that can provide patient care to our ever growing population increases. The need for the role of family nurse practitioners will grow too. The role of the family nurse practitioner, the ability of the FNP to be able to transition into their role. The scope of the nursing role has transcended overtime to allow for registered nurses to practice in more advanced autonomous roles. The first Nurse Practitioner program was initiated at the University of Colorado in the 1970’s as professors sought the need to prepare nurses for expanded roles as it was evident the capacity of nurse’s ability to assess and determine the necessary treatment options for children and families. (Jansen, Zwygart-Stauffacher, 2009) While the definition of the advanced practice nurse role continues to evolve, the construct of the role is birthing a growing population of nurse leaders and expanding the framework of nursing care delivery. A family nurse practitioner must have graduated from a graduate program obtaining a Master’s degree or higher and receive certification from the certifying...
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...AACN Statement of Support for Clinical Nurse Specialists The American Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe...
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...Development Plan It has been my experience that health care professionals as well as consumers are becoming more verbal about the inadequacies of the health care system. It is clear that improvement is necessary. There are many roads to improvement of the system, one of which is the proper use of the Advance Nurse Practitioner. With this role properly developed, the Advanced Nurse Practitioner can effect many changes both in and out of the hospital setting. It is for this reason that I chose to advance my practice as a nurse. As an advanced practice clinician, I will be able to make a difference in the community by contributing to the enlargement of the primary care workforce to meet the population’s primary care needs. Within the next five years, I view myself in an advanced practice role, that of a Nurse Practitioner serving the adult population in an outpatient clinical setting. As an advanced practice clinician and leader, my efforts will be directed at ensuring that effective health care is provided to the patients that will result in improved quality and health outcomes. At the local level, I will have a strong influence on my team in my area of clinical practice. This involves identifying the steps required to develop excellence in care for a group of patients such as skilled assessments, research-based interventions and the competencies required. As a leader, I must ensure that training and development programs and learning opportunities are provided and that there...
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... Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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... Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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...Advanced Generalist: Reaction Paper In today’s society nursing has grown to fit the healthcare needs of society. We have grown by providing different nursing educational roles that will evolve healthcare as we know it. The advanced generalist education role is a clinical nurse leader. The American Association of Colleges of Nursing defines the clinical nurse leader role (CNL) as a leader in the healthcare system that delivers care across different settings within a Microsystems, using assimilation and application of research-based information to design, implement and evaluate the patients plan of care (Thompson, and Lulham, 2007). The Clinical Nurse Leader is further described as designing and implementing, and evaluating client care by coordination, delegation, and supervision of the care provided by the health care team (Thompson and Lulham, 2007). Thompson and Lulham (2007) states that the healthcare team in which supervision care is provided from the CNL include the license nurses, technicians, and other various health care professionals. American Association of Colleges of Nursing (2013) states that clinical nurse leaders are masters prepared nurses that involves risk anticipation for individuals and groups of patients, implementation of evidence based practice initiatives, team leadership, management and collaboration with other health care professional team members, and the use of information system and technologies to improve healthcare. The advance generalist advocates...
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...Registered Nursing defines the nurse practitioners as “registered nurses who are prepared by advanced education to provide primary care including medical procedures that may be required for a specialty area “(BRN, 2012). Additionally, nurse practitioners must ”possess additional preparation and skills in physical diagnosis, psycho-social assessment, and management of health illness needs in primary health care and who have been prepared in a program conforming to board standards” (BRN, 2012). Advanced practice nursing, simply said, is a licensed registered nurse who has completed graduate training as a clinical nurse specialist, nurse anesthetist, nurse-midwife, or nurse practitioner. (Medical-Dictionary, 2012). The nurse practitioner is managed by standards in collaboration with the supervising Physician. The advanced practice nurse, is first and foremost a nurse. This role carries life experiences from hospital to clinical settings. The registered nurses role sets the basis for expanding the nurse practitioner role. This expanded role allows the family nurse practitioner to examine, assess and treat patients under the doctor's supervision. They can function in much the same way as a physician but does not have the same license or education as a doctor. Ylisela states, “In a family practice, the nurse practitioner sees patients of all ages for routine physical examinations as well as for illnesses and minor injuries. The family nurse practitioner assesses...
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...Nurse Management and Leadership Case Study Nurse Management and Leadership Case Study Introduction Good leadership is necessary in every business organization. When it comes to nursing, every health center must have a good leadership that supports the nurses so that they can maximize their performance. However, for leadership to be of good quality there needs to be a good working environment in all aspects (Pinelli et al., 2004). The following is a case study illustrating an ideal working environment that supports good nurse leadership in health institutions. Type of Organization The organization that I would like to work in is a medium sized health care center. The facility is equipped with all the necessary gear needed to deliver quality healthcare services. There are over fifty doctors and seventy qualified nurses in the organization. The healthcare center serves over five hundred outpatient patients daily. It has enough facilities to cater for approximately 250 in-patients at any particular point. This health facility has taken into consideration the guidelines that make it professionally fit for an advanced nursing role. The development and implementation of good governance in this facility has been taken seriously in order to promote the nursing role. The following are some of the principles that have been implemented in order to promote good governance in this health facility. The organization looks at all the aspects of service delivery to promote good decision...
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