...SYNTHESIS OF ADVANCED NURSING ROLES BROWN_K_W5A2_SU_NSG5000 Kerry Ann Brown South University Due to the changing health care environment, the nursing profession is currently in a process of evolution. Scopes of practice and role expansions are being prepared. Some of these roles are traditional, such as nurse practitioners who have been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic...
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...which focuses on supplying super quality, safer, more assessable and much affordable care. Nursing being the largest portion of the health care workforce has an eminent role to play in the transformation and remodeling of the various aspect of the health care system. This report committee provided high level suggestions that unanimously served as a blueprint, to empower nurses to fully adopt their critical role in renovating the current system. The final report contain four key messages: 1) make sure that nurses can practice to the horizon of their education and training (2) improve nursing education, (3) brings prospects for nurses to assume leadership positions and serve as full partners to upgrade health care and improvement efforts, and (4) systematic data collection for manpower planning and policy making. Hence, the Institute of Medicine report of 2010 has made a major impact on the nursing professional practice education and leadership. Nurse working on the forefront of health care delivery system, have much contact to clients and new methods of care processes across the continuum of care, giving them a unique ability to bring about changes in the nursing process. The Institute of Medicine Report has a huge impact of the current nursing practice. It states that the nurse can take a various other roles like hospital...
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...particularly in primary care and the nurse’s role as a leader will be our subject of discussion. The IOM is not a profit organization but an organization founded for the purpose of providing national advice with regards to biomedicine science, medicine, and health. It functions independent of the United States government and provides “unbiased, evidence- based and authoritative information and advice concerning health and science, policy to policy-makers, professional, leaders in every sector of the society and the public at large. In 2010 the IOM released a detailed report exploring the need of nursing profession to evolve and prepare for the impact that will occur as a result of health care reform and the transformation that will be seen on our complex health care system. Achieving this transformation will require remodeling many aspects of the health care system. With the recent passage of the Affordable Care Act (ACA), millions of Americans who could not previously afford health insurance now find themselves with the opportunity to seek and obtain medical attention that was previously denied to them. With a huge number of individuals who now are able to receive primary care. This brings the concern whether or not there will be enough providers available to handle the massive increase in workload. The IOM committee formulated key message address focusing on three important areas including, nursing practice, nursing education and nursing leadership. The IOM first key message is to address...
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...Did you know that 60 percent of all nurses are graduates from an associate’s degree program? (Aiken, 2011) The Institute of Medicine (IOM) was founded in 1970 to help the government and non-government establishments make decisions in health care by evidence base practices. In 2010 The Institute of Medicine, sponsored by the Robert Wood Johnson Foundation and AARP, conducted a study on the future of nursing. The study was involved and asked the questions of “who,” “what,” “where,” “when,” “why,” and “how” of nursing to produce better quality patient care. The IOM instituted initiatives or a project plan to reform nursing care. Lets touch base on how the IOM initiatives made in impact on nursing education, nursing care, and nursing leadership roles. Education Education is a very important part of a nursing career, with advancing technology, the nurse has to stay informed and up to date. Education can be acquired by certifications and advancing in higher education. The IOM initiative has increased the awareness of the need of higher educated nurses. Nursing is broad and is advancing to public health care, preventative care, and chronic care, not just acute care. (Aiken, 2011) The IOM initiative drives the education system to help nurses pursue higher education without difficulties, like in the past. There is more programs designed to help the nurse work and go to school at the same time. The initiative implemented the idea for more funding for applicants, as well as, for the...
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...THE IOM REPORT’S EFFECTS ON NURSING BY TA 11/24/13 The Institute of Medicine (IOM) report focuses on “Transforming Practice, Transforming Education, and Transforming Leadership” in which the goal of a transformed health care system is to provide higher-quality health care centered on the patient and their unique needs, to reduce errors, and increase safety (IOM, 2010, 87). The IOM report states “Nurses have the opportunity to play a central role in transforming the healthcare system to create a more accessible, high-quality, and value-driven environment for patients” (IOM, 2010, 85). In order to work towards this goal, the IOM places a major emphasis on education, the importance of collaboration with physicians and other health professions, and the importance of leadership in nursing practice to make the changes to allow for improvements. This paper will address the IOM’s impact on nursing education, the impact on nursing practice, and the impact on the nurse’s role as leaders to in order to transform the healthcare system. Nursing is a dynamic profession requiring lifelong learning to meet the needs of America’s complex health care system. To ensure safety and quality care, the IOM report places emphasis that the nurse is responsible to stay current on knowledge and practice in order to meet the ever-changing needs of patients. The report states that there is a dramatic shift in demographics, as we face an older and diverse American population with respects to race...
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...non-profit organization, developed to provide advice on the national level that addresses issues of medical care, education, and research. Through research, collected data, and nurse-led solutions, the IOM created an informative report in 2010 called The Future of Nursing: Leading Change, Advancing Health, which provides specific recommendations on the improvement of the nursing workforce and the healthcare delivery system. The report is directed towards various entities; individual policy makers, national state and government leaders, licensing bodies, educational institutions and consumer advocates, are just to name a few. Three particular recommendations, transforming education, transforming practice and transforming leadership, will be further discussed to display how each transformation will impact changes in the nursing profession and the health care delivery system. Transforming Education The first recommendation to be discussed that will impact change in the nursing profession and the health care delivery system is the transformation of education. The IOM report states that “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2010, p. 163). Several educational pathways have become available for nurses to smoothly transition from the Associate Degree in Nursing (ADN) to the Bachelor of Science in Nursing (BSN) degree. The IOM report explains how many hospitals are making...
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...Title: Core Competencies Necessary for the APN Role Development. Name: Course: Institution: Date: Interview with an Advanced Practice Nurse Introduction Interview with APN/CNP, Diane John Diane John, APN/CNP is a nurse practitioner at Health land, a Hawaii center for the public. She has devoted 30 years to her nursing career. She has worked as a nurse in a medical intensive care unit and as a research nurse in the study in the intensive care unit. She has been a Female Nurse Practitioner for the past 20 years where she started out as a midwife at wife care center, where she provided midwife services to women. Rationale for an engaged interview process The reason for this interview is to find out Competencies necessary for APN role development and also to get some background information of a nurse leader on a one on one basis. This information will be important because it will help us to develop leadership skills in the field of nursing. About the Diane John APN leader Diane John, APN/CNP is an attendant specialist at Health land, a Hawaii community for the general population. She has dedicated 30 years to her nursing profession. She has filled in as an attendant in a restorative emergency unit as a examination nurture in the study in the emergency unit. Interview What is the CNS nurse? The CNS is a practice for preparing advance practice nurses to be part of the clinical practice team where you work together with doctors to provide service to patients.Bringing knowledge into...
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...Role of the Advanced Practice Nurse Final Project Windy Allen South University Role of the Advanced Practice Nurse Final Project A thorough look was taken into the role of the advanced practice nurse during this course. There are many different roles that a nurse may pursue as a graduate of a master's in nursing program. The choice may involve direct or non-direct patient care depending on your interests. Leadership styles were also explored and these styles help to mold a person in their career as a nurse. Finally a look into health policies was taken. The policies and how a nurse can make a difference were explored. This course explored many ways that an advanced practice nurse can contribute to the well being of others. Advanced practice roles in nursing Advanced practice nursing is divided into two groups, direct patient care and non-direct patient care. Direct patient care can be described as directly assessing, observing and recording information about a patient and using that information to treat the patient. Listed below are four advanced degree nursing specialties along with their requirements. A nurse practioner is a registered nurse that has received their masters of science in nursing with a nurse practioner emphasis. The approved program must include 500 contact hours. At that point the graduate may sit for certification according to the American Nurses Credentialing Center Nurse. (2014) Nurse practioners give direct patient care. http://www.nursecredentialing...
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...head: NURSE MANAGER ROLE Nurse Manager Role Abstract The aim of this paper is to discuss the advanced practice nurse manger role. Discussion will ensue regarding the nurse manager role: historical development; original and current educational preparation requirements; licensing, certification, continuing education, value requirements, skill requirements, options in the employment setting; issues of concern; and future projections. Based on the informed understanding of the nurse manager role new insights, personal strengths, and personal challenges that are envisioned for a nurse assimilating to this role will be provided. Introduction Leadership is an integral part of nursing. Grossman and Valiga suggest that leadership is not necessarily tied to a position of authority (Grossman & Valiga, 2005, p. 4). Also suggested by Grossman and Valiga, is that each professional nurse has the potential and the responsibility to provide leadership in each of our individual areas of practice, institutions, professional organizations, communities, and our profession as a whole (Grossman & Valiga, 2005, p. 4). Leadership is a course in undergraduate education and nurses in any role are leaders in many capacities. The purpose of this paper is to look at the nurse manager role: historical development, educational preparation, skill requirements, value requirements, role options, concerns, future projections, and my perspective. Historical Development of Nurse Manager...
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...system. This transformation requires reconsidering of many roles, including nurses. This transformation in nursing particularly focuses on three aspects; practice, education and leadership. By changing this, nurses are more focused on primary as opposed to specialty care. The healthcare system is advancing every day and this requires nurses to advance in their education too. Particular focus should be given to how to improve quality in healthcare, organization level management and nurses should be educated with the physicians and other healthcare professionals. Strong leadership is critical in transforming healthcare system as well and this should begin from bedside and to boardroom. By transforming these, we will be able to provide high quality, more reasonable and safer care to our patients. . Impact of the IOM report on practice Nursing is one of the most adaptable profession in the healthcare industry and because of this versatility new career pathways have opened for nurses. Nurses have been an enabling force for change in health care along many dimensions (Aiken et al., 2009).Nursing has become increasingly integral part of the healthcare services, so in the future without having large number of nurses healthcare industry is impossible to function. The transformation particularly focuses on primary care, and today nurse practitioners along with the physicians and physicians ...
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...and highlight the need of lifelong education for nurses as changes occur in the American health care system. The leadership role of the 21st century nurse is changing in and outside of traditional healthcare settings. The paper will include possibilities of the nurse’s functions in the changing administrative and policy making capacity in the health care profession. In addition to providing information about educational needs and leadership roles the paper includes an opinion of personal practice as it relates to the goals of the IOM report’s Focus on Scope of Practice. Learning should be a lifelong venture for many professions that have changes occurring during their careers. Nursing is one of the professions that will benefit if the majority of practitioners take up the challenge of continual education during their careers. Society will be the beneficiary of the nurse’s increased knowledge and skill. The IOM report states “All health care organizations and schools of nursing should foster a culture of lifelong learning and provide resources for interprofessional continuing competency programs” (Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine [IOM], 2010, p. 6). The report continues with recommendations of “funding for grants and scholarships for nurses” to accommodate the lifelong learning desires of nurses (IOM, 2010, Focus on Education, p. 4). Funds available to nurses who will take advantage of learning can come from...
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...vital role nursing must play in addressing those challenges (Institute of Medicine [IOM], 2010). As the needs of patients have become more complex the skills of nurses caring for them must change as well. Nurses must have the requisite skills to deliver high quality patient care and take a leadership role in negotiating the obstacles of our ever changing healthcare system. Adoption of the IOM’s recommendations for the role of nursing in healthcare would drive changes to nursing education, nursing practice and nursing’s role as a leader within the healthcare field. The IOM has identified as a need, the improvement of the education of nurses to better enable them to meet the increasingly complex needs of their patients as well as be actively involved in the reform of the healthcare system. In its report the IOM (2010) states, “Nursing education at all levels needs to provide a better understanding of and experience in care management, quality improvement methods, systems-level change management, and the reconceptualized roles of nurses in a reformed health care system” (p. 163). As we move forward nurses will be required to assume a leadership role in the coordination of patient care. This will require expanded knowledge and competency in the areas of health policy and financing, leadership, quality...
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...the world of nursing to advance nursing practice in the future. This 600 plus page report focuses on four key messages which are described in detail throughout the report. The messages, which stated that nurses should practice to the full extent of their education and training, nurses should achieve higher levels of education and training through an improved education system, and nurses should be full partners with physicians and other health care professionals gives us a guide on what impact the IOM report will have on the future of nursing (http://books.nap.edu/openbook.php?record_id=12956, 2010). Nursing Education This report focuses a great deal on the need to advance our levels of education within the ever-changing profession of nursing. It focuses in on the benefits of requiring a BSN at entry- level, as well as the need for gender diversity, or more men, in the workplace. It also mentions nurses going from “continuing education” to “continuing competence”, which bases goals upon the concept of lifelong learning (IOM, 2010). After reading the IOM report, I was given a good understanding of the different ways that nursing will change in the future and why it is so important to enforce continuing education upon nurses....
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...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 be effective and policy making needs better collection of data and an improved infrastructure...
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...reviewed by the team present an opportunity to weigh out all options and develop the best way to resolve issues with which they are faced. These teams give nurses the opportunity to be actively involved in determining the path of care of their patients. When a nurse serves on the team, they can exhibit leadership qualities without serving in the capacity of an official role. Often the role of the nurse is overlooked by other members of the team. The role of the nurse is to serve as an advocate for their patient and to work in their best interest toward their full recovery and well-being. This can be fulfilled by displaying certain characteristics. Examples include embracing effective teamwork skills and communication and also promoting safety during planning. Effective teamwork and communication helps a nurse to display a sense of leadership and confidence in her own abilities and judgments. According to the Institute for Healthcare Improvement, possessing these qualities will “help groups navigate competing priorities” (PS-103). Utilizing these qualities will allow groups to work in an environment of togetherness and success. This will help all positive aspects of quality and care to improve as a result of synergy and excitement in relation to success. The promotion of the “safety culture” is another way nurses have the ability to excel. Utilizing safe practice guidelines and evidenced based practices is important for maintaining the best patient care. Educating...
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