The Role of a Certified Nurse Practitioner and the Factors Affecting Role Transition
Tintu Sebastian
South University Online
NSG5000—Role of the Advanced Practice Nurse
Week 1, Assignment 4
Dr. Kellyn Mcmahon
August 11, 2015 The Role of a Certified Nurse Practitioner and the Factors Affecting Role Transition This paper explores the role of a Certified Nurse Practitioner (CNP) which is one of the four roles that is classified under the title of Advanced Practice Registered Nurse (APRN). This paper also highlights the clinical role of an NP and how they promote patient safety based on National Patient Safety Goals (NPSG). Two peer reviewed research articles and expert opinion article on nurse practitioner are also summarized in this
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The advanced nurse practice role that I plan to obtain from South University is certified nurse practitioner, to be precise Family Nurse Practitioner (FNP). “CNPs are members of the health care delivery system, practicing autonomously in areas as diverse as family medicine, pediatrics, internal medicine, geriatrics and women’s health care” (Consensus Model for APRN regulation, 2008, p.9). FNPs provide a wide range of health care services that revolve around the family unit, from health promotion and disease prevention to direct care and counseling across the life span. They also provide initial, ongoing and comprehensive care, including taking comprehensive history, physical examination and other health assessment and screening activities, diagnosing, treating and managing patients with acute and chronic illnesses and …show more content…
Around 278 NPs completed an online survey. The results suggested that the NP independent practice may improve teamwork.
The method used in this study was a cross sectional survey design and was approved by an Institutional Review Board of Columbia University Medical Center. Sample consisted of NPs with certification in adult, family, gerontology, pediatrics or women’s health and were practicing in a primary care setting in New York State. The survey tools used were Nurse Practitioner Primary Care Organizational Climate Questionnaire (NP-PCOCQ), Autonomy and Independent Practice (AIP) scale and Teamwork (TW) scale. All these tools were tested for validity and reliability. Data were collected from 278 NPs using a web based survey. An email invitation with a link to the survey was sent by Nurse Practitioner Association (NPA) to its members. Data were analyzed using SPSS version 21. Results showed that one third of participating NPs have their own patient panel and do not share a panel with physicians. The study also found that there was a significant positive association between the NP independent practice and teamwork in Primary Care Organizations
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.
In addition, a DNP degree will help me better serve my community by advocating for quality and safety healthcare system. Once attained, I would seek employment at either a school or university with the mission of educating nursing students to practice the highest quality of patient care. One of the major issues facing the nursing profession today is the lack of advance nursing practices. The medical field is in crisis. Doctors are stretched to the limits, and patients are demanding more advanced care. To alleviate some of the concerns facing medicine in the 21st century, advance nursing practices is a vital area in the contribution of understanding and working within the bounds of a team structure, and the promotion of communication between the interdisciplinary health team. The mission of the advance nursing practice is to help individual patients, and their families, determine and achieve optimum physical, mental and social potential, and to do so within the challenging context of the environment in which they live and work Nurses are among the largest professional care group within the healthcare service industry. We are responsible for providing quality care and assisting patients towards independent and healthy living. Considering the changing working environment, health care practitioners like nurses are
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.
The Salary of an RN is about $36.94 per hour, but the work schedule of a nurse is crazy. Nurses never really get a break especially floor nurses. I have talked to quite a few nurses and they have said that since you don’t truly get a break you tend to gain weight do to constantly eating/snacking. The education needed to be a Registered Nurse would be a Bachelor Degree which is a four year process. To be a Registered Nurse or RN you will need no training. On the job you will administer basic health care which is a temporary health coverage program for low-income, uninsured United States citizens or permanent legal residents of Contra Costa County. As an RN you will being giving patients intravenous medications. An intravenous
Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that
This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may
Since the inception of the Nurse Practitioner (NP) role in the 1960s, NPs have thrived in the delivery of primary healthcare and nurse case management. Despite patient satisfaction with NPs ' style of care, nurses have been critical of NPs, while physicians have been threatened by NP encroachment on MD practice. Balancing assessment, diagnosis, and treatment with caring defines NPs ' success as primary care providers. Understand the role and Scope of Practice of NPs is sometimes difficult for some to understand. The purpose of this paper is to define the role and history of NP, compare and contrast licensure versus certifications, understand NP Scope Of Practice and Standards of Care, discuss how the State Practice Acts regulate FNP practice, discuss credentialing and privileging, and differentiate between legislative and regulatory processes.
Patient safety is of major concern in healthcare settings due to the preventable nature of events that sometimes lead to serious injury, and even death, for patients. This was catapulted to the forefront of healthcare delivery in 1999 when the Institute of Medicine wrote a scathing report; To Err is Human: Building a Safer Health System, that highlighted "the lack of safety for patients in healthcare organizations" (Ulrich and Kear 2014). The National Patient Safety
The Nurse Practitioner, Nurse Educator, Nurse Informaticist, and Nurse Administrator have different educational background and training, thus they play a different role in the field of advance practice nursing but they have a common goal, and that is to ensure a safe and effective delivery of care to every patient, regardless of the type of health care setting. The difference is their roles lies in the fact that the Nurse Practitioner practices in the advanced clinical role while the Nurse Educator, Nurse Informaticist, and Nurse Administrator have the non-clinical roles. Having a clinical role means that the having a direct contact with patient. The NP’s main role is to provide direct care to patient, making diagnosis
NPs are not only moving into increased roles within the acute care hospital setting, but also into roles in the community as Primary Care Providers (PCPs). The anticipated shortage of physicians to handle an increased number of aging patients already affects my position as a staff nurse at a hospital. A career in nursing offers countless paths to further your education, whether it is to become a specialist in a field of practice, foray into research or to pursue a position as a nurse practitioner. I was interested to learn more information about how expanding the role of Advanced Care Nurse Practitioners (ACNP) may relieve shortages of physicians and lessen the burden on our current healthcare system. Increasing the roles of ACNP would only be feasible if patients are still receiving quality care while decreasing the cost of healthcare. As a nurse returning to school to further my education, I would like to know if pursuing a career as an ACNP would be a viable option for me to continue to interact with patients in an acute care setting in a more specialized role.
I am applying to the certified nursing program. Since I was little, I have always want to be in the medical field. I grew up in a big family, where my parents were illiterate but worked really hard, and struggled a lot to send me to school, as a first generation, to get educated. The idea of helping each other has always a joy to my heart and of course to those who received the help. Thus, as I get older and older, started to explore the field the more I fall in love with it. My parents could not afford to continue to send me to college. I felt the same pain that they had. I did not stop going I continued and graduated from highschool. Over the years, we moved to Minnesota for a better place. When we got here, I decided to start working as
The nurse manager I selected to interview is a Baccalaureate degree nurse and has attended several in-house training sessions related to her position within the hospital. She attended Lenoir Rhyne University to obtain her BSN and has been employed with the institution for 13 years and has been in nursing for nearly 20 years. She is currently certified as a Certified Emergency Nurse (CEN) and is also a Sexual Assault Nurse Examiner. The Hospital that she is employed with is a private hospital she manages a 15 bed emergency department and 6 bed express care facility, which also holds several involuntary commitments for several hours at a time waiting on placement.
The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and
The orientation process for new hires lasts six weeks. The new nurse attends nursing orientation for one week and then is assign a preceptor on the unit for each shift. The DPCS introduces the new employee to their preceptor. This nurse works three weeks on the day shift, one week on the evening shift and one week on the night shift working with both medically acute rehabilitation patients and surgical patients. Nurses receive extra days of their orientation with patients that the nurse has limited clinical experience such as a nurse with postoperative experience will work more with the medically acute rehabilitation patients to practice new skills. For new graduates their orientation is individualize and can last from 8-16 weeks.