Advance Practice Nurse Role Analysis

In order to reduce excessive expending, over ordering mandatory continuing education units (CEU) as an effort to educating providers on deciphering DME needs appropriately. The CEU education can tailored to specific practice specialty and population. Allowing for all providers to order DME in parallel with diagnosis/ condition within a certain span of time. For instance any provider can order a Continuous Positive Away Pressure (CPAP) machine for a documented sleep apnea patient within the last years. In cost saving efforts if another practitioner or physician orders this same DME within the last 5 years it will not be dispensed as Medicare has already paid for the equipment once. This reduces the duplicate charges for the same DME

Advance Practice Registered Nurse (APRN) is a broad term that is used to define the masters prepared nurse that participates directly in patient care. This definition includes four different facets of nursing: certified nurse-midwives, nurse anesthetists, clinical nurse specialists and nurse practitioners (Joel, 2009). Of these four professions that are included in the APRN definition, Western Carolina University offers two: nurse anesthetist and nurse practitioner. Nurse educator and nurse leader, which are also offered at Western Carolina University, are not currently included in this definition.

Tennessee board of nursing offers advanced nursing registration to nurses with qualifications at graduate levels who have achieved certifications in various areas of specializations. The state board applies the title Advanced Practice Nurse (APN).The state board also recognizes the advanced practice obligations as provided in the National Council Of State Boards Of Nursing (NCSBN). The four advanced practice roles are Nurse Practitioner, Clinical Nurse Specialist, Nurse Anesthetist and Nurse Midwife. APNs in the state of Tennessee must also be licensed as registered nurses. In the event that the nurse resides in another state, RN licensing is done in the state of residence. The

Merriam-Webster (2015) defines a nurse practitioner (NP) as ?a nurse who is qualified through advanced training to assume some of the duties and responsibilities formerly assumed only by a physician.? The NP is a direct care provider that provides a plethora of services ranging from primary prevention to disease management. For example, the NP has authority to monitor and alter drug therapies and order diagnostic tests.

According to the American Association of Colleges of Nursing (2015) the traditional roles of the advanced practice nurses include nurse practitioners, clinical nurse specialists, nurse midwives and nurse anesthetists. Therefore, the impact of the research on the practice of the preparation of DNP nurse educator requires education in evidence-based practice, quality improvement, leadership, policy advocacy, informatics, and systems theory. Furthermore, transitioning to the DNP as a nurse educator does not change the current scope of practice of the Advance Practice Registered Nurses (APRNs) for their current roles. The transition of the DNP better prepares APRNs by utilizing new models of the care delivery system and growing complexity of health

Imagine you are in a boat, heading up stream you and your teammates had to get to the finish line first. The whole team was rowing at different times the boat would hardly move at all. In fact, it would be chaos as the current sucked you back toward the starting line. On the other hand if you worked concise as a team and rowed together you would get to the finish line first and hardly be effected by the current at all. This can be carried over into a hospital setting. The team of doctors and nurses face an uphill battle against the patient (the current) to get them to the finish line (curing the patient). If the team only does their individual roles it can anticipated the patient will get worse or could possibly die. However, if the team works together collaboratively, going above and beyond to fill their role, but also communicate to other team members, it would be safe the say the patient will be cured faster. According to QSEN, the definition of team work and collaboration is “Function effectively within

Clinical Nurse Specialists (CNSs) and Nurse Practitioners (NPs) are both considered advanced practice nurses (APNs) in Canada (Donald et al., 2010). Although these roles have existed in Canada for decades (Canadian Nurses Association, 2008), confusion still remains about the titles and exact roles that these professionals play (Donald et al., 2010). This paper will use the Saskatchewan Nursing Advanced Practice model as a framework to highlight the similarities and differences between both types of advanced practice nurse. The scope of practice, registration, education, practice settings, and effectiveness of CNSs and NPs will be examined. Although their roles overlap, CNSs and NPs have both been shown to be important members of the health care team (DiCenso & Bryant-Lukosius, 2010). Research has shown that adding CNSs and NPs to our health care system can increase patient satisfaction, decrease wait times, and decrease readmissions (DiCenso & Bryant-Lukosius, 2010). Increased public and health care professional awareness is needed to have these roles fully incorporated into our current health care system (DiCenso & Bryant-Lukosius, 2010).

While uncertainty about the role of an Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) persists, what research has found about the role is that AG-ACNP’s provide advanced nursing care to those who are acutely, critically or chronically ill in both traditional and nontraditional healthcare settings (Kleinpell et al., 2012). Standard of scope differs between all types of scopes and nurse practitioners alike. The scope of practice (SOP) for an Acute Care Nurse Practitioner (ACNP) is not based on practice setting, but rather what type of care the patient will need, for example, someone who needs ventilator management in either the home or hospital environment (Kleinpell et al., 2012).

As an Advanced Practice Nurse, one must fulfill many roles, have a duty and responsibility to meet the needs of the patients. Needs that are not just sicknesses or are that can just be seen with our eyes but can be unseen and unspoken needs such as emotional and cultural needs. It should be remembered that everyone is an individual and has a unique background, history and culture. Understanding cultural can improve healthcare quality and the patient’s healthcare experience. An Advanced Practice Nurse needs to know and understand that cultures are continually growing and evolving (Spector, 2017). It takes time to learn culture competence and develop the skills. Cultural competence is a never-ending life-time progression with the commitment to learning to become culturally

The advanced practice nurse is on the front lines of care being received or falling short within their community. By having direct asses to the success and failures of health care in the community, the advanced practice nurse (APN) can be the voice of patient to the officials having an impact on health care accessibility. The purpose of this paper is to address a current problem by evaluating multiple influencing factors and investigate a policy capable of changing and providing a more positive outcome.

As an advanced practice nurse (APN), it is necessary to know the scope of practice for various states. There are four areas which consists certified registered nurse anesthetist (CRNA), certified nurse midwife (CNM), certified nurse practitioner (CNP), and certified nurse specialist (CNS). According to Goudreau (2011), clinical nurse specialist need to understand the distinct differences in license, accreditation, certification, and education (LACE) across states. To demonstrate the differences in practice, these areas will be examined for the states of California, Illinois, Ohio, and Washington. According to the National Council of State Boards of Nursing (NCSBN) (2014b), there are differences between states on APRN that needs to be standardized

The nurse has important roles to play on ACA, and registered nurses are in the position in providing needed prevention and wellness services, care coordination for clients and families. Nurses play a central role in health care cost, quality of care and patient safety, this is possible due to current trends in nursing education. The baccalaureate and graduate programs in nursing incorporate quality improvement in care settings. Nursing prepares leaders, administrators, and researchers who can improve care processes and related analytics around outcomes and cost.

Advance practice nurses (APNs) are at the forefront of today’s healthcare system. To keep up with the aging population and the demands of complex healthcare needs of this society, APNs need to perform at the highest quality to provide efficient, effective, holistic and improve patient outcome and satisfaction while reducing cost. To provide such care, APNs need to implement the six core competencies as outlined by Hamric. These six core competencies are: direct clinical practice, expert coaching and advice, consultation, research skills, clinical and professional leadership, collaboration, and ethical decision-making. This paper will explore how APNs can implement each of the six core competencies to support the effective improvement of outcomes such as patient satisfaction, readmissions, cost, health status, and complications. In addition, each of the six core competencies of the APN’s role identified by Hamric will be outlined and applied using a fictitious patient case study.

As the young and rapidly-aging population continues to increase, the demands of primary, acute and chronic disease management will also increase. As a result, more health care professionals who provide primary care will be needed to meet these demands. Thus, the emergence of Advanced Practice Registered Nurse (APRN) evolve. APRN is a nurse who has completed a graduate degree and has acquired advanced knowledge and skills. APRNs are grounded with theory, concepts and principles that enable them to assess, diagnose, treat and manage their patients. APRNs can work in conjunction with other health care professionals or independently. APRNs improve access to health care by providing care in the rural and underserved areas. APRNs also reduce the cost to health care (Joel, 2013).

As nurses, we need to have confidence, good viewpoints, strong beliefs spiritual understandings and moral values in developing a powerful image. “I have always believed you are what you think you are.” (Coelho, n.d). If you’re honest, have self-confidence, reliable, sound principles, and respect; you can acquire the capability to be successful. (Posner, n.d.).