Nature of Advanced Practice and Specialist Practice Essay example

Nursing education is constantly evolving as new techniques are introduced within the medical profession. Thus, it is imperative nurses are kept updated, and continuously learning new methods to enhance and improve patient care. Over the last 150 years there has been a drastic change in nursing`s participation in research. Nursing research advanced initially from the investigations made by Nightingale in the nineteenth century of nursing education during the 1930`s. This further progressed to the research of nursing roles in 1950s following on to the 1990s where nurses began to focus on clinical problems and finding solutions to these problems which had a major impact within the nursing profession. As of today many health professionals are focusing on clinical research which in turn has helped to establish an evidence informed practice for nurses. (Burns and Grove 2003)

The advanced practice nurse (APN) brings the combined training and experience received in school and the clinical practice to enhance patient care. Clinical decisions require problem solving, critical thinking, ethical judgment, and evidence-based practice to ensure patients receive the best care (Pearson, 2013). This unique set of skills allows the APN to determine areas needing further study to improve patient outcome. This paper will introduce the author’s phenomenon of interest and primary philosophic viewpoint for providing patient care, discuss an alternative or opposing philosophic viewpoint to patient care, and summarize the four patterns of knowing in nursing identified by Barbara Carper in 1978.

A nurse is a health care professional who cares for ill or disabled individuals, their families and communities ensuring that they attain, maintain or recover optimum health and functioning (Crosta, 2013). There are several kinds of nurses classified depending on their education and experiences. As an example,

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

In 2008 the Alliance for Advanced Practice Credentialing and the National Council of State Board of Nursing published specific masters educational, accreditation, licensure, credentialing, certification processes. The masters educational, accreditation, licensure, credentialing, certifications are based on a set of values steps to practice will ensure that NPs have the skills training to place themselves to serve an fundamental role in national health care reform (Graduate NursingEDU,

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.

Developing nursing science also connects to educated advanced practice nurses to have an increased depth of knowledge in health care policy. Nursing science is able to help maintain high levels of safety and quality over time and across all health services and various settings (Oberleitner, 2014). Advanced practice nurses may help form the policies. Many of these nurses have a personal knowledge base on what would work best for the patients and facility as a whole. Advanced nurses are able to advocate for the change needed in the health care systems. Another benefit to developing nursing science is the most obvious, the clinical roles. Nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives will have more specialized content in an area of advanced practice nursing. Middle range theories exist such as: weight management, acute pain, successful aging, and symptom management (Peterson, 2017). Advancing science helps nurses follow specialties comparative to medical doctors with the trust from the patients and knowledge base needed to provide effective and safe

The purpose of this paper is to describe the role of health care reform with regards to the evolution and development of advanced practice nursing (APN) in the United States. Foundational aspects prominent in the development of defined APN roles include the health needs in society, support for innovation in health care, governmental health policy and regulation, health workforce supply and demand, and the development of advanced education, among other factors (Ketefian et al., 2001). APNs are comprised of nurse anesthetists, nurse midwives,

The success of NPs depends on practicing evidence-based care with competency in assessment, diagnosing, managing patients, and maintaining a caring practice. The nursing component of the NP role continues to be challenged from within nursing, as well as by large national physician organizations. NPs are extensions of nursing practice who are guided by nursing theory. The transformation from nurse to the advanced practice role of NP involves development of advanced knowledge and skills for listening, knowing, being with patients, connecting patients to their communities, promoting health,

Domains of proficiency of the nurse include professional development (Domain 1) which "reflect the advanced enrolled nurse's active engagement in ongoing learning and their collaboration with others in education as a basis for practice;" the provision of clinical care (Domain 2) which "reflect the advanced enrolled nurse's ability to provide more comprehensive clinical care in a focused or specialized area of practice" in areas which may sometimes extend beyond a healthcare environment; and management of self and others (Domain 3) which "reflect the advanced enrolled nurse's broader experiences, knowledge and skills that enable a more comprehensive scope of delegated responsibility and greater degree of indirect registered nurse supervision" (Adrian 2005: 4-9). The domains of advanced nursing are thus multifaceted in nature, encompassing the technical aspects of the profession such as seeking out education and bestowing care on a high,

The knowledge of and experience of and Advanced Practice Registered Nurse (APRN) can be of value when examining core competencies. This paper will discuss the nine core competencies stated by The National Organization of Nurse Practitioner Faculties (NONPF). To gain a more complete understanding of how the core competencies integrate into practice an interview of an APRN was conducted. Additionally, an analysis of selected NONPF core competencies will be discussed and how they apply to the roles of the APRN. The paper will end with a conclusion of key points and benefits from interviewing an APRN.

Patricia Benner is the author and project director of the AMICAE Project (Achieving Methods of Intraprofessional Consensus, Assessment, and Evaluation) which aimed its studies at how knowledge is discovered and ascertained in nursing practice. Because of the increased intelligence of patients, shortened hospital stays, and the rise in healthcare technology and specialization, the result has been a demand for nurses who are highly experienced. Patricia Benner believed that being fluent in recognizing patterns through years of experience will lead to progression through the stages of proficiency. Therefore, it is important in nursing practice to continue advancing their education and knowledge. Because of this, there is a need to understand what makes a nurse a novice and what makes a nurse an expert.

Definitely, advanced practice nurses have new ways of approaching their patients and increasing the influence they may have on them, however advanced practice nurses are not only nurse practitioners, who may prescribe medications and treat illness. Advanced practice nurses can be clinical nurse specialist, nurse anesthetists or midwives (American Nurses Association [ANA], 2016). I understand, you are only establishing your own philosophy, and you may be aiming to become soon a nurse practitioner.

“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

There has been an evolution of nursing practice from when Florence Nightingale started. Nurses used to take direct medical direction to an evolution of independence. Today, advanced practice nurses are PHD, DNP, researchers, nurse practitioners,