Clinical Practice Experience At South Calgary Primary Care Network

Nursing is known to be one of the most challenging careers, owing to the tough responsibilities that nurse practitioners are charged with and the immense sensitivity of their role (Li, 2013). Both Registered nurses and nurse practitioners work together monitoring a range of patients’ health and providing them with adapt care needed within their scope of practice. However, the roles and the responsibilities they bestowed are different. Creating a balance between a tough job and the extremely sensitive wellbeing of a patient, which lies in the decisions that a nurse practitioner makes, does surely propel one to the pinnacle of clinical nursing. As they carry out this sensitive role, they are also expected to be active in a wide range of other areas, including research, education, policy, and clinical governance. It is true that the working environment in which they work, to a considerable extent, does not provide the flexibility needed by nurse practitioners in an effort to carry out these complex roles, but they somehow have shown they are able to achieve this (Fleming & Carberry, 2011). This essay looks to justify the claim that nurse practitioners are the pinnacle of clinical nursing drawn from evidence from existing literature. It will demonstrate the roles and responsibilities a nursing practitioner holds a higher expectation than a registered nurse. It is also argued though that there is immense pressure on registered nurse, making the nurse practitioners role not as

Our healthcare system is ever evolving, remarkably changing the sphere of nursing practice. The roles of Advanced Nurse Practice practitioners are expanding, taking up a multitude of roles across a diversified healthcare specialties. Advance Nurse Practice practitioner stands as leader in this comprehensive profession bridging the gap in management and clinical aspect of care (McDermott & Morant, 2010), reflecting the complexity of culture, organization and practice setting (Hyrkas & Dende,2008) to improve the quality of patient care. This paper is about the interview with a Certified Nurse Practitioner. The Certified Nurse Practitioner interviewed is from the Hematology/Oncology Department in one of the university affiliated hospitals in Chicago. The purpose of the interview is to learn about the competencies needed to successfully perform the various roles of a Certified Nurse Practitioner in this complex health system. The rationale of the interview process is to give an opportunity as a graduate student to “assimilate primary care competencies into specialty nurse practitioner practice that exemplify professional value, scholarship, service, and culturally global awareness” (Chamberlain College of Nursing, 2014) that can be advantageous for my professional development. The interview showed the importance of knowledge of competencies appropriately applied in practice essential in the functions and roles of a Certified Nurse Practitioner within the scope of practice for

It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).

There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster

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

Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.

As a practitioner or a population health coach, both APNs considered other nurses at any level, and physicians within the same discipline, as her peers. Over the course of their professional careers, increased confidence, trust, and knowledge were the commonalities with evolving roles. The confidence and trust originates with oneself, then, includes that of her co-workers and physicians, but mostly from her patients. Maturing from the novice RN to an expert APN, the confidence and knowledge base has developed, building an individual practice and supporting patients and communities towards optimal health. Each considered autonomy the greatest privilege guaranteed them as APN.

On November 1st, 2016 I had the opportunity to conduct an interview with Katherine M. Sawyer RN, BSN of Owosso, Michigan. Katherine, a female nurse who has worked in the nursing field for thirty-six years began her nursing career at Ingham Medical where she was a full-time staff-nurse for three years; then worked as a per-diem staff-nurse for eleven years. After working at Ingham for a total of fourteen years, Katherine obtained a position at Memorial Healthcare in Owosso where she worked as a nurse educator for fifteen years. Shortly after this she became a Basic Life Saving (BLS) instructor as her main role as a nurse educator was to provide nursing orientation and this additional role fit in perfectly. After some time she became involved in Quality Improvement for four years, and she has now switched back to the nurse educator role where she once again has the role of nursing orientation for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Patient Care Techs (PCTs). The number of staff she teaches and orientates each month varies between one and ten individuals. She also teaches BLS and First Aid at Baker College of Owosso. Her contact information is as follows: Phone number (989) 413-1974 and e-mail address kmsawyer521@gmail.com. The purpose of this paper is to inform the reader of Sawyer’s role in the nursing profession as a nurse leader. Individuals will learn of Sawyer’s many different roles, responsibilities, and the organizational structure of Memorial

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

Nurses are one of the largest portion of health care workers in Canada (Kosier pg. 3). They played a big part in shaping the Canadian health care system and have made a recognized impact on the health of patients, patient’s families, and their communities (Kosier pg. 3). This project is a description of nursing as a Regulated Health Profession which means it is an occupation that requires extensive education and training to gain a body of knowledge and is regulated by the College of Nurses of Ontario (Kosier). Nurse Practitioner is a registered nurse that has additional education and nursing experience (NPCanada.ca). In this paper I will provide information on the roles of the Nurse Practitioner,

Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.

These impose severe constrictions on the ability of the nurse to move forward or advance into the areas of practice where traditional nursing practices were not allowed {Institute of Medicine, 2010}. However with the increase in the number of nurses graduating with advance degrees in nursing; the situation is changing. These well educated nurses are leading the charge to confront the complex issues that the rapidly changing health care situation presents. Regulatory barriers must be lifted so that nurses can practice within their scope in order to be reimbursed by private insurance for the services they provide. These changes can be done through the federal and state legislators as well as supervisory agencies and bodies such as congress and licensing regulatory boards. The IOM also recommends that nurses will expand their scope of practice and increase their responsibility through teaching and counseling of patients. {Institute of Medicine,2010}. The use of Advance Practice Registered Nurses and Physician Assistant in providing primary care services will decrease wait time and increase patient satisfaction. The high turnover of nurses transitioning from school to practice also affects the quality of care. These nurses do not have enough experience to make decisions in patient care.{Institute of Medicine,2010}.The IOM and JCAHO{2012} report supports the recommendations for the introduction of nursing residency

Historically, nurses focused on the diagnosis and treatment of a disease, sickness or condition and emphasis on health promotion was nonexistent. However, today that has all changed. Nurses are now expected to expand their primary care services to include psychosocial nursing, advocacy, behavioral science, counseling and advocacy in addition to patient assessment, clinical diagnosis and patient-case management. In the article “Defining Nurse Practitioner Scope of Practice: Expanding Primary Care Services,” Sherwood, Brown, and Wardell (1997) state “the role of the nurse practitioner continues to evolve in response to changing societal and health care needs as consumers in all settings seek increasing services”. (Sherwood, Brown and Wardell, 1997).

There is no doubt that the health care system is constantly changing and working to improve its flaws, to the best of its ability. Whether nurses like it or not we are a part of the ever changing health care system. “With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce” (Institute of Medicine [IOM], 2010, p. 1). The Institute of Medicine believes that nurses should be active in transforming the profession of nursing, along with the health care system. Regardless, of backgrounds, race, and age all nurses can contribute to the future of the nursing profession. The following paper will discuss the Institute of Medicine’s nursing expectations and recommendations, as well as the opportunity to becoming a clinical nurse instructor.