Advanced Practice Nursing Research

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.

There have been concerns regarding the identification and credentialing of advanced practiced registered nurses (APRNs). A APRN is a registered nurse who has successfully completed an accredited graduate-level education program, in which the individual is well prepared and successfully passed the nationwide certification examination (APRN Consensus Model, 2008). However, there are still debating issues of who would fall under the APRN category. The National Council of State Boards of Nursing (NCSBN) has identified four APRNs who are deem fit to be called ARPNs; however, only two will be named. They would be certified registered nurse anesthetists (CRNAs) and certified nurse practitioners (CNPs). Whereas, the nurse informatics and the nurse administrations are not considered to be APRNs; although, they are still license registered nurses but they do not provide direct patient care and are not required to take the national certification examination (ARPN Consensus Model, 2008).

According to the Texas, Nurse Practitioner can be well defined as a registered nurse who has advanced education and clinical training in a specialty area. They provide as a primary healthcare provider from children to the elderly population patients. They can address both acute and chronic disease conditions in the patients. Texas is more thorough and complete than the other states according to my own individual research. Board Rule 221 requires that one identifies the advanced practice role and population focus area for which you have been licensed as an advanced practice registered nurse by the Texas Board of Nursing.

Advanced Practice nursing (APN) is considered the usage of a broader scope of constructive, logical and research-based expertise related to the health and well-being of patients, within a varying disciplines (DeNisco & Barker, 2013). What is the future position of APNs in the progression of our healthcare system? What role will this writer assume, educator, practitioner, population health coach, or all three? The use of theory, primarily Sister Callista Roy’s Adaptation Model, and EBP give this writer a firm foundation to develop and modify her own practice framework.

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

Many Americans use Advance Practice Nurse Practitioners (APRN) for a number of their health care needs. For more than fifty years, APRN’s have provided a great amount of services in primary care and acute settings, making their presence in the health care system important. Likewise, expectations are that APRN’s will become even more crucial to the delivery of healthcare as more Americans gain access to providers through the new tax reform. With this being said, it is imperative that the APRN be able to practice to his or her full practice authority. “Full practice authority is comprised of state practice and licensure laws that allow advanced practice registered nurses to practice fully in the four domains of practice, under the exclusive licensure

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.

Advanced Practice Nurses play an important role as innovators who can help shape school policies across the nation. APNs need to know how the school system works so they can contribute in formulating school policies aimed at keeping school children physically active. APNs need to collaborate with parents, school officials and the community to direct activities that have the greatest positive impact on school-aged

The first lesson that I learned from the book is that it is important to truly, actively listen to what our patients have to say so that we can fully understand who they are as patients, and identify what the underlying cause of their condition or illness is. In the very beginning of the book, Anne Dodge is forced to undergo so many tests and see so many different physicians and specialists because the providers she went to never took the time to listen to what she had to say about her health status. If someone would have just sat down and listened to what she had to say with an unbiased approach, her disease process may have been discovered much sooner than it was. As a student and an advanced practice nurse, it is easy to get caught up in simply trying to diagnose patients based upon what you suspect the disease may be, rather than listening to the patient and getting a really good

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 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).

Nurse Practitioners (NPs) are advanced practice registered nurses (APRNs) that are prepared beyond primary nursing education and trained to provide specialized care directly to patients (Christian, Dowder, & O’Neil, 2007). In practice since the development of the first NP program in 1965, these healthcare providers play a progressively significant role as primary care providers for millions of Americans nationwide (The American Association of Nurse Practitioners [AANP], 2015). NPs must hold advanced degrees and complete extensive acute and specialty care preparation to officially practice (2015). NPs have traditionally trained to achieve their Master’s in Nursing Science in order to apply and test in this examination (Kleinpell, Scanlon, Hibbert, Ganz, East, Fraser, Wong, & Beauchesne, 2014). However, the American Association of Colleges of Nursing (AACN) has recommended a new standard: nurses must obtain their Doctoral degrees and practice as Doctors of Nursing Practice (DNP) instead of just obtaining the minimum Master’s degree and practice as NPs (2012). It is believed that the education of DNPs is more easily compared to the education of other healthcare providers (2015). It is

“Advanced nursing practice is the deliberative diagnosis and treatment of a full range of human responses to actual or potential health problems.” (Calkin, 1984). Advanced nurse practitioners attempt to maximize the use of knowledge and skills and improve the delivery of nursing and health care services. The field of advanced nursing practice differs from basic practice as the former requires clinical specialization at the master’s level. At this level, nurses become expert practitioners whose work includes direct and indirect patient care. Direct patient care involves caring for patients and their families; this is the focus of my section on nurse clinicians. Indirect patient care includes work as an educator, researcher, and a

This significance of public health nurses had made a major impact on history. They help shift relatively unsanitary living environments, diseases state awareness, health education, school programs for children from little or no existence to full swing participation by the community. Public health nurses in the Henry Street Settlement initiated awareness around the country, bringing rise to thousands more clinics spreading their mission (Buhler-Wilkerson). Despite the challenges the nurses faced, they carried on to care for the sick when the sick could not get care. As time went, it became so the visiting nurses were in demand as chronically ill patients filled the hospitals, leaving less space for critically ill and emergent cases.

According to the Arslanian, Hicks, Whall and Algase (2005) nursing theories have unique views. Advanced Practice Nurses (APN) not only focus on diagnosis and medical intervention but also considers family, environment and patient responses in their plan of care. This makes them different from other health care providers like physicians and physicians assistants (Arslanian et al., 2005). I agree that it is important for us as an APN to use theories to guide our own advanced practice because theory gives identification to nurses, and distinguishes nurses from other profession by its unique contribution to the clinical practice. Nursing is an autonomous profession (Kenny, 2013). Nursing theory provides various information to understand the patient