...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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...Running head: COMPETENCY DIFFERENTIAL BETWEEN ADN AND BSN Competency Differential Between ADN and BSN Grand Canyon University NRS-430V Competency Differential Between ADN and BSN The role of a nurse has been recognized for centuries. The educational requirements of a nurse have been debated for about as long. Throughout the centuries, the role of the nurse has changed and at the same time, so have the education requirements for entry into the profession. Nurses have been educated in different scholastic settings throughout the ages and although nurses function in similar roles within the workplace, there are differences in competency based on educational background. This paper will focus on the competency differences in students trained at the associate level versus those trained at the baccalaureate level. Prior to 1909, prospective nurses were taught in hospital-based schools. These nurses earned their Diploma in Nursing after spending 2-3 years of intense training, living and working in a hospital. In 1909, the first permanent undergraduate university nursing program was established at the University of Minnesota. The time and money that was required for university programs made it difficult for many and enrollment was extremely low compared to the hospital-based diploma programs (Creasia & Friberg, 2011). In 1924, working with an endowment established by the Rockefeller Foundation, Annie Goodrich started a baccalaureate program, Bachelors of Science...
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...Candace Haggard GCU Comparison between Associate degree and Baccalaureate degree Nursing education traces its history from the humble beginnings incorporating “on the job” training to a modern era of PhD program at today’s research universities. Currently, there are three levels of education found in entry level nurses: diploma nurses, associate’s degree in nursing, and a Bachelor of Science in Nursing. Often there is confusion as to why nursing students will put forth the extra effort to obtain a Bachelor of Science in Nursing. As the discussion unfolds, it will become apparent that the nurse trained at the associate degree level tends to practice at a technical level, whereas the nurse educated with a Bachelor of Science degree practices at a professional level. Nurses may have different competencies depending on whether they were educated through an Associate Degree in Nursing Program or a Bachelor of Science Program (Hood & Leddy, 2003). ADN graduates practice within the guidelines of eight core components and competencies identified by the National Council of Associate Degree Nursing Competencies Task Force. These core components are: professional behaviors, communication, assessment, clinical decision making, caring interventions, teaching and learning, collaboration, and managing care. These core components help with clinical decision making, continuity of care, leadership, and patient education. In order to meet expected outcomes, the ADN graduate utilizes...
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...1 Differentiating Nursing Competencies by Educational Preparation Rebecca B. Roe Grand Canyon University: NRS-430V Professional Dynamics February 15, 2013 EDUCATIONAL PREPARATION Differentiating Nursing Competencies by Educational Preparation Significant efforts are currently being designed to form partnerships between executives, 2 academia, and professional organizations to ensure nursing curricula and core competencies meet the needs of the complex and constantly changing health-care system, and those efforts will support a seamless path to advanced nursing degrees (AONE, 2005). The common goal for nursing is the promotion of academic progression between all entry levels, and support a more diverse and well educated nursing workforce that will adequately reflect and care for our changing demographic (AACN, 2012). The recently published NLN Education Competency Model (2010) provides a comprehensive overview of core nursing competencies at all levels of nursing education, listing expected proficiencies in each level attained. While debate continues for the BSN to be the accepted entry to practice, the shortage of nurses and lack of nursing instructors will dictate the need for the provision of trained nurses who can meet the needs of a more complex health-care system, and will continue a path of lifelong learning to fill important advanced nursing roles. The 2010 Affordable Care Act provides exciting and challenging opportunities for the nursing profession to seriously...
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...Nursing is a dynamic profession and life long learning is essential for nurses to stay current with the increased complexity of the healthcare needs of today and into the future.In other words, the needs of our patients are changing, as we must change in order to be prepared to better serve that need. Nursing has a long history of formal education which moved out of hospitals and into colleges and universities early last century. The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and following World War II. It was a proposed as a temporary solution to a shortage to a shortage but was not intended to replace the professional level of nursing education. The ADN program require about 2 yrs for the student to complete. The Adn nurses are associate degree in nursing, ADN nurses have clinical skills and hands on basic skills but they lack both management and leadership skills with in the nursing field. Additionally they lack research skills used in nursing as well as knowledge on informatics the use of technological advances in enhancing quality medical delivery. ADN gives you the fundamentals of nursing practices. They basic theory, skills, competencies knowledge of scope of practice and legalities for licensure and the essential general education core that is necessary as a foundation [English, psychology, biology chemistry, anatomy and physiology , etc].it gives you the bare minimum knowledge required...
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...My Leadership SMART Goal Leadership development is one of the many pertinent skills that nurses has to master in congruent with the dynamic and fast changing healthcare system, in order to provide an effective and safe patient care. Part of effective leadership is setting a goal that is achievable and realistic for the team or group in order to reach a desired outcome. Using a SMART-formatted goal ensures that the desired outcome is achievable, hence the meaning of SMART goal, Specific, Measurable, Attainable, Realistic, and Time bound. To help with my leadership development in the care of my patients, I will focus my SMART goal on improving my leadership skills in patient education particularly with pain management on post-surgical patients since I take care of a lot of post-surgical patients. This goal is in line with one of the Institute of Medicine’s core competencies for health clinicians that states to provide patient-centered care. I will achieve my goal with some help from a team member at work. Nurses and other health care professionals are expected to provide care that is effective, safe, and patient-centered. One of the core competencies that the Institute of Medicine (IOM) set for healthcare professionals is to provide patient-centered care. Providing a care that is patient-centered focuses on including the patients in their plan of care, recognize, and respect their needs, values and preferences. Open communication with the patients and collaborative care is also...
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...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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...Although there are differences in competencies between nurses prepared at an Associate-degree versus the Baccalaureate-degree level in nursing, they are slight. As I started my nursing career as an Associate-Degree Nurse (ADN), I felt inferior to my colleagues whom possessed their Baccalaureate-degree. That inferiority faded fast, as I saw that what an ADN and BSN did in my particular specialty was just the same. There were more similarities than differences. The similarities in competencies I found were, that both were required to pass the same NCLEX exam that is needed to possess the required license to practice nursing. There are no differences shown is regards to the legal scope of practice between an associate degree–prepared and baccalaureate-degree prepared nurses; for they are earn the same license upon passing testing from state boards. Although the required testing does not attest for differences between graduates of different programs, it does test for the technical competency that’s required for safe entry into basic nursing practice for both degrees. Secondly, by definition, the act of nursing for both is the same, ‘the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations (American Nursing Asociation, 2013). At the core nursing, there are no differentiations in...
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...Edition 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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...Edition 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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...Education Preparation Eunsook Kim Grand Canyon University: NRS 430V June 14. 2015 Education Preparation Nursing still lies in the middle of evolution. When we look back from the foundation of nursing, this powerful waves move continuously from a small nursing skills class several decades ago up to the philosophy’s degree in nursing practice today. Since nursing is the holistic care of a human being, as caregivers, we must continue to invest time and effort into providing more advanced nursing to our holistic beings for their better health. According to the Institute of Medicine (IOM), nurses must be 80 % baccalaureate prepared RN workforce by 2020 (AACN Face Sheet, 2015). Therefore, nurses must endeavor to achieve the Bachelor of Science in nursing (BSN) for more competencies in their lifetime working field. Needless to say, patients will receive highly qualified care based upon enhanced education. Thus, BSN education preparation should be differentiate in order to meet these expectations. Different Competencies between the Associate-Degree Versus the Baccalaureate Degree Level The enlightened preceding nurses through many experimental years have developed many characteristics for a professional nursing. Currently educated nurses utilize their competencies that acquired from school in many different clinical setting environments. Compare to Associated degree level (ADN) focused on learning basic clinical skills within two...
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...degree Competencies between nurses prepared at an Associate’s degree level verses a Baccalaureate degree level Jessica Power Grand Canyon University Competencies between nurses prepared at an associate’s degree level verses a baccalaureate degree level After the completion of nursing education, all prospective registered nurses are required to take their NCLEX – RN exam. “Entry into the practice of nursing is regulated by the licensing authorities within each of the NCSBN member board jurisdictions (state, commonwealth and territorial boards of nursing). To ensure public protection, each jurisdiction requires candidates for licensure to pass an examination that measures the competencies needed to perform safely and effectively as a newly licensed, entry-level registered nurse (RN).” (e.g; Wendt, Kenny, Schultz. 2011. P.8). There are four categories within the NCLEX-RN exam. These include: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial integrity and Physiological integrity (P.9). Once the applicant has passed the NCLEX-RN exam they can be employed at various healthcare settings such as acute, long term care, or community based settings. There are many ways to obtain your education in nursing. One path is the Associates Degree in Nursing. The Associate’s Degree is offered at community colleges and junior colleges and is typically “two years in length and consists of a balance between general education and clinical nursing courses...
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...How the IOM Report will Impact Nursing Education and Nursing Practice. Lisa Arroyo Grand Canyon University Professional Dynamics NRS-430V Professor Varnell Hudson August 28, 2013 How the IOM Report will Impact Nursing Education and Nursing Practice. The focus of the report is to show a need for more education for the graduate level nurse and a continued education plan for nurses already in the field. The IOM cited many reports that touched on the need for diversity amongst nursing graduates to meet the need to function as leaders and the dimensions of health professionals to deliver safe and excellent patient care (Johnson, 2010). The transformation of clinical practice key message was changing a nurse’s role (Johnson, 2010). This would require changing the old nurse roll to a more involved role using critical thinking, clinical judgment and nursing process (Creasia, 2011). The focus on other topics beyond the provision the NCLEX-RN would need to alter the test to encompass a more diverse multitude of questions that would be considered critical thinking (Johnson, 2010). The impact of the IOM report on transforming education is to incorporate more consistent competencies among nursing schools (Johnson, 2010). By providing nursing facilities with strategies to integrate quality and safety content into their curricula, with an interactive course work focused on a six core Quality and Safety Education for Nurses (QSEN), competencies. Using a Train the Trainer...
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...of practices (Transforming Leadership). Impact of Report on Transforming Education The report recommends five core competencies to be integrated in the nursing education. They are, patient centered care, working with other interdisciplinary teams, emphasize practice based on evidence, seeking improvement in quality, and informatics. Computer skills and information management are required for nurses in order to keep up with the technological advancement in the medical field. The need for highly educated nurses and improved and improved education system are a must to keep up with the drastic changes and challenges the healthcare field in the United States has shifted in this century. Patient care in the 21st century is not the same as last century. The need and patient care have become more complicated and complex so nurses have to obtain competencies and skills in order to deliver high quality care. The need for expansion in their roles for higher levels of education and an improved system of education are required for nurses now for meeting the diverse needs of the patients and to provide better care. Improving the education system and achieving a more educated work force is increasing with nurses having baccalaureate degrees, that is, a traditional Registered Nurse to Bachelor of Nursing program or a traditional 4 year Bachelor of Nursing program or a program that allows a transition from Associate in Diploma Nursing to Bachelor of Nursing....
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...Abstract Nursing career is one of the few fastest growing fields in the health care industry not only in the United States but also in the world. Nurse practice has drastically changed in the last decade and as a result the need for changes in nursing practice is becoming more and more important. The Institute of Medicine report discusses so many aspects in nursing but this paper requires detailing the impacts on Nursing Practice (Transforming Practice), Nursing Education (Transforming Education), and the Nurse’s role as a Leader (Transforming Leadership). These three key aspects are discussed in the following pages. Professional Development of Nursing Professionals: Impact on Future of Nursing The key points that the Institute of Medicine report covers are that nurses should be able to practice their full potential and extent based on the training and the education (Transforming Practice); the nurses should be able to achieve excellence in improved system of education and as well training (Transforming Education); and nurses should partner in full with doctors and professionals in health care in the redesigning of practices (Transforming Leadership). Impact of Report on Transforming Education The report recommends five core competencies to be integrated in the nursing education. They are, patient centered care, working with other interdisciplinary teams, emphasize practice based on evidence, seeking improvement in quality, and informatics. Computer skills and information...
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