Advanced Practice Nursing Roles

Nurse practitioners are advanced practice registered nurses who have received special courses and training. They usually work closely with doctors and can perform many high-level primary care tasks. They often specialize in specific types of practice such as pediatrics, psychiatry, or obstetrics. Some establish private practices; however, most work in doctors' offices, hospitals, or neighborhood health centers. Their duties often include taking detailed medical histories and performing complete physical exams, providing diagnoses and recommending treatment plans, treating common medical conditions, illnesses, and injuries, prescribing limited medications, and counseling patients and families. They also care

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.

The need for continuing education in nursing has been accentuated in response to rapidly changing health care environment. Expanding knowledge by pursuing higher education allows nurses to enlarge one’s practice. Furthermore, higher education in nursing has been shown that a nurse’s level of education can become a critical factor to the patient-centered quality of care. This essay describes increased demand for higher education in nursing and emphasizes the necessity of continuing education to provide optimum patient care in various setting.

In the article written by Ford, (2009), the doctorate of nursing practice (DNP) has an important role to play in the current health care system which is constantly changing. As healthcare around the world is transforming, the Institute of Medicine (IOM) 2011 report mentioned that in the United States, Advanced practice nurses play a vital role in the rapid complex changes based on the full extent of their education and training. This article describes some of the positive role of the advance practice Nurse as a facilitator in the regulatory and policy developments. The Advance practice nurse participates and provide cost-effective care models that will improve the access and quality of care of the population. Another positive area for the APN in this current healthcare system is health promotion, health maintenance, and prevention. In this evolving health care system, it gives the Advance practice nurse the opportunity to set up acute and primary care settings that will positively impact health care delivery as they meet the needs of an expanding, aging, and chronically ill population. All over the world, the NP’s role has developed and is beneficial to health care systems and health care consumers. As Advance practice nurses we must use this great opportunity to advance our role and work with others to improve and transform health care globally. DNP graduate 's role is include leadership, research, practice, education, and

The health care industry is experiencing a surge in the number of baby-boomers needing health care and increased demands on the physicians providing the care. This trend has made the role of Advanced practice providers more important (cite). It is imperative to understand the differences and similarities in the advanced practice provider roles as it pertains to healthcare. This paper will identify specialty nursing roles including advanced practice registered nurses (APRN). It will further compare and contrast the advanced practice nurse (APN) and physician assistant (PA) roles in practice.

In a report posted in AARP titled “Leading Change, Advancing Health,” the Robert Wood Johnson Foundation and the Institute of Medicine outlined ways that nurses are solving many challenges in health care and hold a key role in accessing health care for many patients and play a significant role in transforming the future of health care (AARP, 2012). The Nurse Practitioner is a Registered Nurse who have received their master’s degree or PhD in nursing and completed a course to a specialized medical field and is capable of providing patient care and writing prescriptions (AARP, 2012). With the boom in the aging population the nurse practitioner has a key role for adults over 50, the need for medical care will increase and the wait to see a doctor will also increase. The Nurse Practitioners Role in patient care will help provide continuity of care with chronic patients. In an article post on AARP website entitled “The Doctor Can’t See You Now-But the Nurse Can” states the importance of nurses in field of advance practice. In poor and underserved rural and urban areas, nurse practitioners represent the only health care available. Nurse practitioners play a vital role in the health of adults over 50 not

The historic article by Safriet (1992) fully lists and analyzes the major challenges facing the advanced practice nurse (APN). At the time the article was written compared to now, a few aspects are changing. In areas where change has occurred, it has been an exceedingly slow process. Change for APNs is often dependent on legislation and regulatory authorities which receives half-hearted support, at best, from the medical establishment (Safriet, 1992). Since the first day nurses were given any authority to practice outside of regular practice, physicians only objected when it began to encroach upon their perceived hierarchal status or potential for compensation (Hamric, Hanson, Tracy, & O’Grady, 2014). The concern that this

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).

The educational requirement for advanced nursing practice is a master’s level education in a program or track leading to APN licensure, including graduate degree-granting and post-graduate certificate programs with established educational standards and attainment of the APN core, role core and population core competencies (National Council of State Boards, 2012). APN’s acquire increased knowledge in the sciences of anatomy, physiology, microbiology, chemistry, pathophysiology, and pharmacology. The core curriculum for the advanced practice role includes priorities in

This article is about a study conducted on NPs in New York State to better understand their role, independent practice and team work in primary care organizations. Around 278 NPs completed an online survey. The results suggested that NP independent practice may improve team work.

In the past, there have been providers who were threatened by the role of the advance practice nurse either due to lack of trust in their skills or the fact it may take away from their roles and/or reimbursements. One example of this would be the history of the nurse anesthetist. The nurse anesthetists’ profession started just by an anesthesiologist having a layperson assist with the administration of chloroform. Through the years there was ongoing debate on the legality of a nurse being able to administer medication without a medical license. Providers filed lawsuits trying to deter the use of nurse anesthetist, but the courts ruled in favor of the nurses’ role. War, reimbursements, and education levels/degrees, also played a role in the alternating

Advanced practice nurses in Australia, much like other places around the world, were initially trained in a specific clinical setting, such as nurse anaesthetist, nurse midwife or clinical nurse specialist, due to an identified need, which determined their roles (Jansen & Zwygart-Stauffacher, 2010). However, as the need for these roles have become more varied, for example wound care nurse, breast care nurse or diabetic educator, the specific core roles have increased, while becoming more defined within each individual clinical setting (Hamric, Hanson, Tracy & O’Grady, 2014). There is a common theme regarding the core functions of an advance practice nurse, these include professional leadership and development, expert practice, consultancy,

The role of Advanced Practice Nursing (APN) has changed dramatically in recent years. Currently, the Unite States (U.S.) health care is focusing on delivering a cost -effective health care to all patients. In the last decades, there were many efforts to control health care over spending in the U.S. One of such efforts is to focus on applying proven principles of evidence-based practice and cost-effectiveness to find the least expensive way to produce a specific clinical service of acceptable quality (Bauer, 2010). The vast changes in health care system, such as cost, need for high productivity, limitation on reimbursement, and the inadequacy on access have made APNs to think in a way where they most fit to provide independent care for

The transition to the advance practice role of nurse practitioner (NP) can be difficult, particularly as one realizes the potential for surrendering experienced, often expert status in a current role, for that of the inexperienced novice nurse practitioner CITE BARNES. The domains and competencies of Benner’s Novice to Expert theory, extend beyond bedside clinical practice, and are equally applicable to the advanced practice role of (NP). For the masters prepared nurse, the ability to integrate theory and research into daily practice in order to advocate for individuals and communities is essential. The skills obtained in a graduate program prepare the (NP) to advance the profession of nursing. As stated in benners theory experience is

Nurses have what is called a scope of practice that is the limitations that these nurses or can or cannot do. Some of the things nurses can do is administer medication and know some of the side effects it can bring about as the nurse gains experience. Nurses can also create a care plan this is based on the physicians medical diagnosis from there the nurse will assess the patient for any abnormalities doing a detailed assessment. This includes vital signs, nurses to these assessments to see if