Advanced Nursing Career Paper

There are four types of Advanced Practice Nurse roles, the nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, and certified nurse-midwife. The Family Nurse Practitioner is the advanced practice role that will be discussed. According to Hamric, Hanson, Tracy, and O 'Grady (2014) the primary care NP provides care for patients in diverse settings, including community-based settings such as private and public practices, acute, and long-term care settings across the life span (pg. 396). Family Nurse Practitioners have faced many challenges in the medical profession to be recognized as health care providers. Most of these challenges where from fellow nurses. According to Hamric, Hanson, Tracy, and O’Grady (2014) conflict and discord about the Nurse Practitioner role continued to characterize relationships between NPs and other nurses (pg. 18). Despite the resistance to NPs in nursing, physicians increasingly accepted NPs in individual health care practices (Hamric, Hanson, Tracy, and O’Grady, 2014, pg. 18). Physicians readily accepted the role of the Nurse Practitioner, working together to improve patient outcomes and safety.

First, the state licensure regulates NP practice and it has been a big issue since NPs are not able to practice to the fullest extent despite of their education and training. NPs practice is regulated by state licensure and only about one-third of the nation has adopted full practice authority licensure and practice laws for NPs (Hain & Fleck, 2014). The American Association of Nurse Practitioners (AANP) reports that, under a full practice authority model, NPs are still required to meet

Nurse practitioners have been practicing and providing care to patients for decades. They are often at the forefront of providing care alongside physicians. They are quickly becoming the primary provider choice for many patients in a world where there is a shortage of good and accessible primary care providers. As health care providers, they have prescriptive authority to diagnose, treat, and evaluate patients. Besides being health care providers, nurse practitioners are mentors, educators, administrators and

Advanced Practice Nurses are Registered Nurses with specialty training at the master 's-degree level, in primary care settings, such as the Nurse Practitioners and Nurse Midwives and acute care of inpatients, such as the Clinical Nurse Specialists and in operating rooms, such as Nurse Anesthetists. This has opened a door in the nursing field. Nurses ' roles are no longer limited. Nurses now have opportunities to advance their career and expand their roles. Advanced Practice Nurses can be more directly involved in patient care

An advanced practice registered nurse (APRN) is an umbrella term consisting of but not limited to roles such as Psychiatric Mental Health Nurse Practitioner (PMHNP); Adult Geriatric Primary Care Nurse Practitioner (AGPCNP); Certified Nurse Midwife (CNM); and Certified Registered Nurse Anesthetist (CRNA). Across the Commonwealth of Massachusetts, it is an undeniable fact that APRNs care for multitudes of patients across the entire human lifespan and across many certain from the nursing homes and home care to hospitals, pain clinics, and substance abuse centers.

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.

The domains of nursing practice and the core competencies of the APRN role were explored. The four domains in relation to competencies were identified as clinical practice, nursing profession, system levels, and health policy. The competencies define APRN role and distinguish it from the specialty RN practice role. Direct clinical practice was acknowledged as the most fundamental of the seven competencies for every APN. As an NP it is vital to develop the clinical expertise in order to perform competent and safe care. I plan to achieve this by completing my program and practicum as an NP student as required by South University

As a FNP, it is expected that the evaluation and treatment of health care conditions be satisfied for each patient. Ordering diagnostic test, prescribing medications, and admitting patients are all part of the FNP responsibilities. FNPs are trained to use theoretical, scientific, and medical knowledge to provide care that will be in the best interest of the patient. The ability to practice advanced nursing is beneficial to addressing the health care demands of the communities, provide evidenced based applications, and address the physician shortages. With this, it is necessary to examine the APN scope of practice, personal assessment, and networking and marketing strategies for the benefit of patients, communities, and the health care

Nurse Practitioners are registered nurses (RNs). In addition, they hold an advanced degree (masters or doctorate) that is earned in a chosen field of nursing practice. Examples include women’s health (WHNP), family practice (FNP), or adult practice (ANP) (study.com, 2015). The NP’s scope of practice may vary from state to state. Typically, the scope includes patient counseling, addressing acute and/or chronic medical issues, drug prescribing, and diagnostic testing and lab orders, along with the interpretation of the results of this testing (study.com, 2015).

Advanced Practice Nursing Nurses play an integral role in provision and maintenance of high quality health care and medical services in the any community. After completing their undergraduate studies, nurses can decide to pursue specific fields such as midwifery, anesthetics, and clinical nursing. According to the American Association of Colleges of Nursing (AACN), nurses who have acquired post graduate education like masters, post masters or doctorate degrees can perform medical tasks such as diagnosis and treatment of acute illnesses, as well as provide primary health care services to patients without the supervision of a physician. These advanced practice nurses have attained that capacity from years of educational training, skills, and experience. Different states may have different requirement for registering Advanced Practice Registered Nurses (APRN), but their functions, once registered are almost similar in all states in America, and other parts of the world.

According to, “Advanced practice nursing is the patient-focused application of an expanded range of competencies to improve health outcomes for patients and populations in a specialized clinical area of the larger discipline of nursing.” (pg.69) It also describes an APRN as “A nurse who has completed an accredited graduate level education program preparing her or him for the role of certified nurse practitioner, certified registered nurse anesthetist, certified nurse midwife, or clinical nurse specialist; has passed a national certification examination that measures the APRN role and population focused competencies: maintains continued competence as evidence by recertification, and is licensed to practice as an APRN.” (Hamric et al, 2014,

In order to be classified as an Advanced Practice Nurse, one must attain either a Master's or Doctoral degree in the field of clinical nursing. There are four types of Advanced Care Nurses: Clinical Nurse Specialist (CNS), Clinical Registered Nurse Anesthetist (CRNA), Nurse Practitioner (NP), and Certified Nurse-Midwife (CNM). Each niche of the Advanced Practice Nursing industry requires targeted qualification and training to assure that CNSs, CRNAs, NPs, and CNMs are capable of delivering the specialized care and treatment their position entails. The educational preparation involved in becoming an Advanced Practice Nurse is as follows:

The specialty for which I was admitted to South University is the Nursing with a specialization in Family Nurse Practitioner Master of Science in Nursing. The need and demand for specialty nurses have evolved over the years. There are several APRN roles as delineated by the APRN Consensus Model (2008), an advanced practice nurse can work as a clinical nurse specialist (CNS), certified nurse practitioner (CNP), certified registered nurse anesthetist (CRNA), and certified nurse midwife (CNM). With the changing health care system and the diminishing availability of primary care doctors, many patients are seeing Nurses Practitioners and other APRNs for their primary care needs. According to the textbook, Advanced Nursing Practice: An

In healthcare, an advanced practice nurse (APN) has achieved additional education beyond an undergraduate degree in order to provide either direct patient care or direct employee support. Advanced practice nurses include nurse administrators, educators, researchers, nurse practitioners (CNP), certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS). All nurses that can give themselves one of the above titles should be considered advanced practice, as they have advanced their base nursing knowledge in order to provide additional care in the health care industry (DeNisco & Barker, 2016). In addition, the scope of practice within each of these roles is expanded in various ways (Wisur-Hokkanen,

They say home is where the heart is. Have you ever wanted your doctor to come see you at your home? Instead of going out to the doctor’s office where you could catch something worse than what you already have. If you’re a female then you should contact a midwife. A midwife is a primary health care provider for women throughout their lifespan. This means that midwives preform physical exams, prescribe medications including contraceptive methods, order laboratory tests as needed, provide prenatal care, gynecological care, labor and birth care, as well as health education and counseling to women of all ages (American College of Nurse-Midwives). CNM-attended births account for 10% of all spontaneous vaginal births in the United States, and 7% of all U.S. births in total. Of these deliveries, 97% occur in hospitals, 1.8% in freestanding birth centers and 1% at home. CNMs (Certified Nurse-Midwives) and their colleagues, certified midwives (CMs), provide family-centered primary healthcare to women throughout their reproductive lives (American Dental Education Association).