Personal Nursing Practice 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.

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

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

As popular as the ADN is today, there is a huge momentum to encourage nurses to receive their BSN instead of an ADN. Nurses that are already entering the workforce at the BSN level are not only more skilled at following and understanding evidenced based practice, but they are also more prepared to go on to school to complete their masters or doctorate degrees. In the changing face of healthcare, more nurses with advanced degrees will be needed to provide primary care as in the role of nurse practitioners. APRNs are going to be in higher demand in community care, public health nursing, evidence based practice, research, and leadership. Shortages of nurses in these positions create a “barrier to advancing the profession and improving the delivery of care to patients” (IOM, 2010, p. 170). Shortages of APRNs and the increasing need for nurse practitioners to provide primary care is why the IOM is recommending to increase the amount of BSN educated nurses entering the workforce to 80% and to double the number of doctorate nurses by 2020 (IOM, 2010, p. 173) The goal to increase the nursing workforce to 80% BSN educated nurses and double the amount of nurses with doctorate degrees is a formidable goal, but increasingly necessary. Patients are becoming more complex inside and outside of the hospital setting with chronic multiple comorbidities. BSN educated nurses are not only better prepared to care for these

The AANP advocates for advanced practice nurses at both the state and federal level. This organization works diligently to advance and protect the ability and right of all nurses to practice at the full scope of their educational background, while also working to prevent any loss of independence. Additionally, educational opportunities are provided through membership services, guidance on research projects, access to mentoring relationships, and a wealth of resources and support are available through networking with peers (Mason, 2013). Currently there are over 150 different CEU activities

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

Hain, D., & Fleck, L. (2014). Barriers to NP Practice That Impact Healthcare Redesign. Online J Issues Nurs, 19(2). Retrieved from http://www.medscape.com/viewarticle/833516_print

Advance practice nursing has been applied to variety of roles like Acute Care Nurse Practitioner (ACNP), Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Nurse- Midwife (CNM) and Certified Registered Nurse Anaesthetists (CRNA). Even though clinical expertise is the core ingredient for APN practice, these nurses are expected to demonstrate competencies like use of holistic perspective, initiation relationship with patients, use of expert critical thinking and use of diverse health and illness management (AACN, 2006). Additionally they need to express core competencies like consultation, collaboration, leadership, research and expert coaching (NACNS, 2004). Experienced staff nurses may exhibit these competencies whereas the APN make it visible in their practices and they are believed to be basic components of every APN (Hamric B, 2009 p 84). Furthermore a brief consideration of Benner’s model is required to understand the acquisition of expertise in nursing. Benner defines expertise as a mixture of theoretical and practical knowledge and every APN begins as a novice and ends up with some expertise.

Personal theory and philosophies are important for Advanced Practice Registered Nurses (APRN) to help care for patients and their career. According to the American Nurses Association (ANA, 2010) an “APRNs are registered nurses (RN) who have acquired advanced specialized clinical knowledge and skills to provide health care” (p. 112). APRN is a general term used to describe certified registered nurse anesthetist, certified nurse midwife, clinical nurse specialist, and nurse practitioners (NP) (ANA, 2010). For the purpose of this paper and my personal theory and philosophy, I will focus on the NP as the APRN. NPs are able to perform comprehensive assessments and promote health and prevention of illness and injuries (ANA, 2010). The ANA’s concepts of health promotion and disease prevention have helped shape my personal theory and aided in identifying a theory for my future practice as a Family Nurse Practitioner (FNP). The best theory to guide my practice will be Nola J. Pender’s health promotion model (HPM). By using Pender’s HPM, it will allow me to identify each patient as an individual with different needs for health promotion and disease management.

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 shift in the health care management from individual disease management to the population health care approach has been a driven force for the recommendation by the institute of medicine (IOM) in the United States (Sickora, & Chase, 2014). Some of the recommendations include that the advanced practice registered nurses (APRN) to operate more efficiently, practice to their full professional scope, and in a cost effective manner. In light of this, the American Association of Colleges of Nursing (ANCN) in 2004, endorsed that the training for APRN should receive training to the doctor of nursing practice (DNP) degree level (Potempa, 2011). In addition, the ANCN stipulated the education and competency roles of the DNP nurses to include eight

A Nurse Practitioners is a licensed registered nurse who has had advanced preparation for practice that includes 9to 24 months of supervised clinical experience in the diagnosis and treatment of illness. Most contemporary NP programs are the master’s degree level: graduates are prepared for primary care practice in family medicine, women’s health, neonatology, pediatrics, school health, geriatrics, or mental health Nurse practitioners may work in shared practice with physicians of indecently in private practice or in nursing clinics. (Taber’s Cyclopedic Medical Dictionary, pg 1646) There are a number of factors to consider such as industry, company size, location, years of experience and level of education. While putting into consideration

The role of the Advanced Practice Nurse (APN) is expanding internationally throughout the healthcare system. Since the initiation of the Patient Protection and Affordable Care Act in 2010, there has been an increased need for APNs due to the growing demand for primary care services and increased population that have gained healthcare coverage (Lanthrop & Hodnicki, 2014). The purpose of this paper is to explore the role of APN and develop a professional development plan for my future career.

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

Nurses often feel a conflict between the ideals of the profession and the reality of the job.  Deheny (2001) writes “demands and expectations of the role are greater than the resources or number of hours in the day to accomplish what nurses would define as quality nursing care” (para. 1).  Also, the use of advanced technology can create emotional withdrawal from the patient as the nurse focuses more on the machines than the person.  These factors increase job dissatisfaction and emotional burnout.  To articulate one’s personal philosophy requires examining the values and beliefs that define a person. Masters (2014) writes, “the overall purpose of personal philosophy is