I Am An Only Child Essay

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.

I currently work as a wound ostomy specialist for the hospi-tal. I desire to continue to grow as a nurse and professional. I am now ready to advance my career again and become an Acute Care Nurse Practitioner. In each position I’ve held, I have taken away a skill-set that has helped to mold me into the professional I am today. I have identified that there is a great need, in the Acute Care setting, for Acute Care Nurse Practitioners that can provide comprehensive and holistic care to the critically ill. According to Nursing and Health Sciences, hospital-based nurse practitioners influence team function, as well as facilitate advanced patient care, provide leadership and education as well as implement unit specific re-search. With my knowledge of the intensive care setting as well as my knowledge of pressure ul-cers, pressure ulcer prevention, wound management and advanced wound healing I feel that I would be a great asset to the profession as well as the hospital-based team. Once graduated, I plan to work in the Acute Care Setting, most likely in a specialty such as General

As an acute care nurse practitioner I hope to utilize my experience as an Intensive Care Unit nurse along with clinical knowledge and skills acquired through a graduate level program to provide the highest quality patient care. In my current role, I place high value on patient-family centered care and advocacy as well as commitment to lifelong learning. I have built my nursing career upon these values. I am excited to begin the journey of becoming an acute care nurse practitioner and to further my education and expand my scope of practice in the field of critical care, for which I have already developed a passion.

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

At this moment in time I am unsure of the nursing role that I am seeking, I am learning more about family nurse practitioner and acute care nurse practitioner as the days go by. Each field has its benefits, and whether I choose to go with FNP or Acute care I know that I will be making a positive difference in the field of nursing. Although I am a little bit unsure at this time, I feel that I am leaning more towards acute care. I love the fact that a nurse practitioner can work in many different specialties like being a nurse practitioner midwife, to working in the emergency department or even working at a clinic in a rural area, the possibilities for nurse practitioners are endless and I am very grateful to be in this program. Working at the hospital provides exposure to many different ailments, and being able to focus on one specific ailment and treat it is where my interest is in. I find the cardiac system to be complex and interesting, arterial lines, chest tubes, and hemodynamics are very interesting to me.

While uncertainty about the role of an Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) persists, what research has found about the role is that AG-ACNP’s provide advanced nursing care to those who are acutely, critically or chronically ill in both traditional and nontraditional healthcare settings (Kleinpell et al., 2012). Standard of scope differs between all types of scopes and nurse practitioners alike. The scope of practice (SOP) for an Acute Care Nurse Practitioner (ACNP) is not based on practice setting, but rather what type of care the patient will need, for example, someone who needs ventilator management in either the home or hospital environment (Kleinpell et al., 2012).

ACNPs have been propelled to the forefront as health care providers for the acute & critically ill as a response to a mandated eighty-hour weekly work limit for physician residents. The Accreditation Council

"If I grow up, I'd like to be a bus driver." If -- not when. Sentiments like this echo hauntingly through the pages of Alex Kotlowitz's account of his two-year documentation of the lives of two brothers, Lafeyette and Pharoah Rivers. The boys are afforded little happiness and too much grief, trying to survive from day to day in their appartment at the crime-ridden Henry Horner Homes housing project on the outskirts of Chicago. When Kotlowitz approached the boys' mother, LaJoe, about writing the book about her children, she agreed with him, but felt the need to set him straight. "But you know, there are no chlidren here. They've seen too much to be children," LaJoe told Kotlowitz.

My short-term goals are to gain acceptance into Nurse Practitioner school and commit to clinical and academic excellence throughout my education. I plan to immerse myself in my professional development and to continue improvement of my advanced practice role. My long-term goal is to oversee stroke patients in an acute care facility and be actively involved in their care as they move to rehabilitation services and eventually recovery. I plan to use my knowledge of critical care and family practices to develop a holistic plan of care for patients, which will involve treating both their acute and chronic

Acute care nurse practitioner (ACNP) is an advance practice registered nurse who hold a master or doctoral degree with advance knowledge and skills to provide advanced nursing care to patients with complex acute, critical and chronic health. The acute care nurse practitioner specializes in the management and care

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.

An advanced practice nurse is a registered nurse who has attained the expert knowledge base, complex decision making skills and clinical competencies for extended practice. They are competent in diagnosing and management of common medical conditions including chronic illnesses. They work collaboratively with physicians and other health care providers to provide complex health care services to patients. Advanced Practice Nurses (APN) use their advanced assessment and clinical skills to anticipate and manage complex situations, administer therapies to manage the actual and potential health issues. They also participate in the development of evidence based practice and integrate theoretical and practice-based knowledge to influence the development

Going back to when I was a novice nurse, I was nervous, scared, afraid of making medication error, charting errors or fail to recognized patients worsening symptoms. These fears, made me vigilant, focused and kept me on my toes at all times. No matter which part of nursing I ended up as I grew up the from medical surgical nursing to stepdown unit nursing to intensive care nursing, I felt those fears in every step of my growth and they helped me be a better nurse for my pateints. Today, I am in the advanced practitioner program to become a nurse practitioner who is responsible for: interviewing, assessing, diagnosing, counseling and treating patients. To provide safe and quality healthcare, I am expected to have good critical thinking and decision making abilities (Maten-Speksnijder, Grypdonck, Pool, & Streumer, 2012). while I can recognize clinically deteriorating patients and recommend treatments, I am now responsible for providing treatments. I am now recognizing that facts about being not only responsible for the patient, but also to provide safe care that keeps the patient out of the hospital and out of the ICU. Knowing these facts, I am yet again, faced with the fears of my limited clinical practice knowledge as a practitioner. The amount of information that I have received and learned during this clinical rotation was both exciting and overwhelming at the same time, because I realized as a novice student nurse practitioner (NP), the limited depth of

The oldest child plays an inimitable role in the structure of her family. She has a propensity to be confident and often craves her independence at an early age. She sets the standard for her younger siblings and realizes that her actions are observed closely by impressionable eyes. This accountability often instills in her a drive to act in a respectable and responsible manner. As the oldest child in a family of eight, I have been persistent in regarding these characteristics and have enabled them to shape my identity.

Growing up I was an only child, but I remember always wishing that I had an older sibling or was born a twin or that maybe someday I would be a big sister myself. My Aunt Sherry lived close by while my cousin Morgan, who is eight months older than I, and myself grew up and we were extremely close;, she still feels more like my younger but older sister to this day. When we were five and six years old my Aunt Sherry had fraternal twins, a girl and a boy, Macey and Collin. Now I felt that I had three siblings. Come the third grade, when Morgan and I were eight and nine years old, my Aunt Sherry moved to Indiana taking my cousins with her. I had never wanted siblings as much as I did at this point.