Characteristics of an ANP
A career in nursing is not an easy choice; nursing is hard work. The field of nursing requires individuals who are knowledgeable, competent, and committed. Advanced practice nurses (APNs) must possess an aptitude for managing complex circumstances, continuous learning, adaptability, critical change, differing interdisciplinary demands, radical technological shifts, and the inadequacies of resource allocation and time constraints (Sadri, 2012). Individuals not prepared to confront and embrace these realities should not seek entry here. Those who do accept the challenges of advanced nursing practice will find that these prevailing conditions and circumstances will yield levels of challenge, satisfaction,
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Demographic realities representing the impact of ethnicity, age, preparation, and roles are together creating an assortment of professional membership. Shifting demographic variables call for an increased level of cultural sensitivity. The need exists for programs that will increase cultural awareness. Leadership mechanisms that accommodate generational and ethnic variances are necessary, along with the creation of an organizational framework that is inclusive, participative, and seamlessly addresses the normative conflicts embedded in the very nature of human diversity. APNs must be prepared to meet these challenges (Porter, 2010).
The Institute of Medicine (IOM) recommends five core competencies that all clinicians should possess in order to satisfy the needs of the 21st century health system. The report says that doctors, nurses, pharmacists and other health professionals are not being adequately prepared to provide the highest quality and safest medical care possible, and there is insufficient assessment of their ongoing proficiency. Educators and accreditation, as well as licensing and certification organizations should ensure that students and working professionals develop and maintain proficiency in these five core areas (U.S. Department of Health and Human Services, 2014):
1. Delivering patient-centered care.
Nurses must expand the role of patient advocate to a level broader than individual patient considerations (Porter, 2010).
Nursing is defined as the promotion, protection and the prevention of illness and Injury, the treatment of a patient’s disease or diseases, the patient’s response to a disease, as well as one big thing that nurses are known for, and that is being a patient’s advocate nursing has been one of the fastest growing fields since the 1990’s (Mueller et al.,2012). Advocacy is defined as an action in which a person speaks out, argues a cause, supports and defends on the behalf of others. I believe that the role of being a patient advocate is one of the most important things a nurse can do because there are many patients that cannot speak on their behalf, I believe that it is up to the nurses to be those patients as well as all patient’s voices (Mueller et al., 2012).
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the
Advanced practice nurses have core competencies that are similar or are specific to each specialization defined as an advanced practice. The profession of nursing presents favorable circumstances for nurses to specialize in roles with distinct responsibilities and opportunities to contribute to the function of a health care industry with growing demands and complexity. The profession of nursing continues to debate to whom the title advanced practice nurse applies to. Examination of the core concept frame works described by nurse leaders and professional organizations tend to either support or refute the argument related to the use of the term, advanced practice nurse for nursing administrators and educators. For the purpose of this paper the author will explore the core competency similarities and differences of a nurse practitioner and a nurse educator. Nurse educators and nurse practitioners are registered nurses that possess advanced education, skills, and experience. Each specialty nurse has defined scopes of practice with distinct sets of responsibilities, requirements, and skills. Each role represents distinct educational requirements and activities that contribute to the complex and diverse health care industry.
The national shortage of Registered Nurses (RNs) has helped generate formidable interest in the nursing profession among people entering the workforce and those pursuing a career change. According to a report issued by the U.S. Department of Health and Human Service in 2002, the national population is continuing to grow and age and medical services continue to advance, so the need for nurses will continue to increase. They report from 2000 to 2020 the predicted shortage of nurses is expected to grow to 29 percent, compared to a 6 percent shortage in 2000. With the projected supply, demand, and shortage of registered nurses and nursing salaries ever-increasing, the nursing profession can offer countless opportunities. But first one must
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
In CS1 it is challenging for a nurse to develop new set of roles in conjunction with the term advanced practice nursing (APN), in the area of the direct role of the nurse practitioner (NP). APN’s are expected a broader more comprehensive insight of the vast complexity of health related circumstances than nurses that are in the lower more entry levels. What this means for the APN is that they have to reevaluate themselves and their healthcare contexts. During the case study driven by ambitions there are specific requirements needed in order for this study to be effective. The participants and tools that are needed for this case study are as follows, a nurse practitioner (NP)/advanced practice nurse (APN), NP students, hospital settings
The Tennessee Nurses Association has a goal to enhance nurse advocacy. For a nurse to practice advocacy for patients, one must understand the importance. Research had to be done to determine what the nurses were expected to advocate for their patients. Choi, Pin-Pin, and Mei-che Pang (2014) conducted a study to discover how the nurses integrate the advocacy. Choi, Pin-pin, Cheung, and Mei-che Pang’s discovered that nurses are a huge part of recognizing safety concerns and health changes for patients throughout their hospital stay (Para. 5).
Hamric, A., Hanson, C., Tracy, M. F., & O’Grady, E. (2014). Advanced Practice Nursing: An Integrative Approach (5th Edition). [VitalSource Bookshelf]. Retrieved from http://digitalbookshelf.southuniversity.edu/books/9781455739806/id/B97814557398060000
In 1990, the National Organization of Nurse Practitioner Faculties (NONPF), a United States-based organization which represented over 90% of academic institutions with nurse practitioner (NP) education programs, released the first set of entry into practice core competencies (Duller, 2013, p .71). Nurse practitioner core competencies integrate and build upon existing Masters and DNP core competencies and are guidelines for educational programs preparing NPs to implement the full scope of practice as a licensed independent practitioner ( NONPF, 2011). By interviewing an advanced nurse practitioner, I will be able to discuss the nine nurse practitioner core competencies and how they relate to APN practice.
The core competencies for the nurse practitioner is more patient-centered. The advance education and core curriculum prepares the nurse practitioner to manage complex health care needs, prevent chronic illnesses, promote quality care, integrate advance technology for health care improvement, enhance critical thinking skills, collaborate with other team members to improve patient outcomes, implementation of innovative strategies for evidence base practice within the organization and evaluation of patient health care. Most importantly, the nurse practitioner is a strong advocate for improving access to health care, increasing the quality of care patients receive while decreasing unnecessary health care cost. In order for a nurse practitioner
Today’s healthcare system requires that healthcare professionals across the globe change their focus towards evidence-based practice to meet the needs of the complex clinical setting and constantly strive to improve patient care and outcomes. The United States Institute of Medicine (IOM) has created five core competencies to be utilized by all health care providers in order to enhance patient outcomes (Inter-professional Education Collaborative Expert Panel, 2011). The competencies are employing evidence-based practice, working in interdisciplinary teams, applying quality improvement, utilizing informatics, and providing patient-centered care (Institute of Medicine, 2010).
Nurses play many essential roles in the care of their patients, one is being an advocate. Nurse advocates are the liaison between patients and doctors.
Curtin's (1979) concept of advocacy is based on the nurse/patient relationship that forms from the common bond of humanity. The nurse must realize patient reactions and needs created by illness, which may threaten the integrity of the person (Bu & Jzewski, 2006, p103)(McSteen & Peden-McAlpine, 2006, p. 260). Gadow (1980) states that advocacy not only preserves, but also positively contributes to self-determination. "The effort to assist patients become clear about what they want in a situation, to assist them in discerning and clarifying their values and examining available options in light of those values" (MacDonald, 2007, p.120) Kohnke's (1982) definition of advocacy focuses on ensuring patient self-determination over decision-making (MacDonald, 2007, p. 120). Advocacy involves the nurse supplying patients with information needed to make appropriate choices and then supporting the decisions they make along with their right to make that decision (Bu & Jzewski, 2006, p103). Robinson (1985) thought advocacy involved allowing patients to make decisions without pressure and promote informed decision-making" (Baldwin, 2003, p. 35). Chafey et. al. (1998) indicated that the nurse-patient relationship is an important feature of advocacy. Teaching, informing, and supporting are activities of patient advocates. Lindahl and Sandman (1998) described patient advocacy as "building a caring relationship, carrying out a commitment, empowering, making room for and
“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
While providing safe care, nurses are also taught to be an advocate for their patients. To be an