Advanced Nursing Roles

Conceptual frameworks for advanced practice nursing play an integral role in the guiding of practice, formulating educational curricula, and the overall development of the specialty. The continued evolution of advanced practice nursing has seemingly sparked numerous conceptual models influencing practice. Many models share common similarities, while each maintains their own unique characteristics specific to their developers and contributors.

     Other major developments of the model in the 1999 textbook include: expanding the adaptive modes to include relational persons as well as individual persons and describing adaptation on three levels of integrated life processes, compensatory processes, and compromised processes. Roy has also outlined a structure for nursing knowledge development based on the Roy Adaptation Model and provided examples of research within this structure. Roy remains committed to developing knowledge for nursing practice and continually updating the Roy Model as a basis for this knowledge development.

Due to the massive popularity and use of the P value in scientific research studies Advanced Practice Registered Nurse (APRN) in primary care settings must administer care based on the best available scientific evidence. In healthcare where frequency and volume of scientific studies overwhelm APRN’s and health care professionals, they are having to implement and rely on many statistical metrics to make crucial decisions. APRN’s in their daily practice will have to think critically through the research process and review the statistical data in such a manner that they can determine and decide on the best available evidence.

As an advanced nurse practitioner (APN), one must understand that he or she is under constant scrutiny. The performance measurements of primary care providers include several aspects that affect their practice and treatment outcomes. The purpose of this discussion post is to identify and evaluate an aspect of clinical performance measurement. Then, determine the utilization of these measurements for nurse practitioner (NP) productivity. Lastly, I will share my opinion about incentive payment for care, which includes external motivators and a business model.

Advanced practice registered nurses (APRNs), have a master’s degree or higher, advanced practice training and a certification in their specialty of advanced practice roles (Yeewan, 2015). The roles of a APRNs consist of certified nurse-midwife (CNM), certified nurse practitioner (NP), certified registered nurse anesthetist (CRNA), and certified clinical nurse specialist (CNS) (Yeewan, 2015).

This paper will evaluate the local, national and international drivers that have influenced the development of advanced nursing practice. The discussion will include the political, economic, social, and technological influences that have contributed to the transformation from the traditional nursing role to the numerous exciting advanced level career opportunities achievable in nursing today. Dynamics that have shaped my own current advanced nursing role will be discussed and to conclude some thoughts on the future of advanced nursing practice.

In nursing practice the trend is changing under the leadership in order to the growing need of the nursing workforce as well as the community in healthcare system. The advancement of nursing education and research innovated active participation of nursing leaders in identifying the needs and resolutions. The Advanced Practice Nurses play key role in making trend in the patient care through creation of new competencies on the basis of patient care services. These research focused tasks are implemented by means of education and training of doctorally prepared nurses. Our goal of advancement of nursing education is to maintain core competencies of nurses with system-level improvement (Walker & Polancich, 2015).

A master’s prepared nurse will be “prepared for a variety of roles and areas of practice” (American Association of Colleges of Nursing, 2016). Having a master’s degree will prepare a nurse for a career with potential for multiple areas of practice in the health care field. One specific practice that a nurse can go into with a master’s degree is public health. This is a career path that is important to the health care field. The nurse has multiple roles in the health care field, one is clinical prevention and population health. A nurse no matter what his or her educational background, is a “fundamental [part] to the delivery of patient care” (Clark & Bujnowski, 2014, p. 154). Nurse leaders play an important role in the population’s health. The role of the nurse leader is to “design. . . new structures and processes envisioned by the

According to Roy, the Nurse using the Nursing Process, promotes adaptation responses during health and illness to free energy from ineffective or inadequate responses to increase health and wellness. Goals, mutually agreed on and prioritized, are proposed to meet the global goals of: survival/growth and promotion/reproduction of race/society/attaining full potential or mastery of self. The nurse uses activities to increase adaptive and decrease ineffective responses during illness and health. These activities alter or manipulate the client's focal, contextual and residual stimuli and expand his repertoire of effective coping mechanisms. Nursing focuses on the person as a biopsychosocial being at some point along the health-illness continuum. In contrast, medicine focuses on biological systems and the patient's

The purpose of this paper is to explore the role of a nurse practitioner (NP) within a specific context of identify the organization, clients and the professional role that fit Advanced Adult-Gerontology Primary Care- (AGPCNP). Therefore, focuses on roles and opportunities for NPs in the community health setting it is important because NPs can provide primary care to

Nursing is a practice that has been described as a science an art. It has many definitions and many philosophies that guide its practice. Nursing lacks a singular, definitive theory or philosophy. Individual develop their own philosophies and theories based on their values, beliefs and professional identities. As registered nurses that are seeking to advance our education and become professional nurses, defined as a registered nurse with a Bachelor’s of Science Degree in Nursing (BSN), we need to be able to describe our current professional identities. We need to

The health care system and nursing practices are undergoing rapid changes, which are as well becoming complex. Preparing nurses balance these changes is a significant challenge. The Institute of Medicine (IOM) report explored how nursing profession has to change to bring out a more solid health care system. As a result of these changes, the Institute of Medicine (IOM) decided to examine “Future of Nursing, Leading change and Advancing Health”

Nurse: A noble person who demonstrates a kind touch to the sick, the injured, and the elderly. These everyday heroes earn their living by performing tasks such as helping people with activities of daily living, nurses also are in emergency settings saving lives under intense pressure. Nurses can do a number of things ranging from giving medication to dealing with traumas. Nurses wear scrubs and closed-toed, comfortable shoes. Nurses should not wear jewelry, and also need to have their hair pulled back. Nurses are professional while also compassionate to every patient.

The role of nurses is constantly evolving. As a result, nurses need to develop resilience in their professional lives in order to respond to the competing demands of the service environment, quality and standard improvement of client’s care, service update and demographic changes. Nurses are expected to continue their professional development in order to maintain and demonstrate their decision-making competence to practice as required of them as in the Standards for competence for registered nurses (NMC, 2004). Nurses are to maintain their commitment to learning for the purpose nurturing their professional value and interpersonal skills, improving their leadership, management skills and team working in order to demonstrate competence in decision-making

The Adaptation Model, developed by sister Callista Roy, is a grand nursing theory that has been influential in developing research, education, nursing practice, and mid-range theories; including her own: cognitive processing and empirical work, for over 50 years. The work has been translated into multiple languages, and used by theorists throughout the world as a basis for model-based knowledge to advance nursing practice; as well as advancing the theory itself. Roy is known for continually updating the Adaptation Model; acknowledging that her best work is yet to come; yet, will most likely be accomplished by one of her students (Smith & Parker, 2015, p. 153). This paper will discuss Roy’s background, and her influences to developing the Adaptation Model; describe the model’s concepts; identify assumptions and examine the metaparadigms; and finally, describe how this theory has advanced nursing practice, and will guide my practice as a Nurse Practitioner.