Novice-To-Expert Model

Title of Short Paper Student Name South University Online This paper explores the role of a certified nurse practitioner (CNP) which is one of the four roles that is classified under the title of Advanced Practice Registered Nurse (APRN). CNPs are registered nurses who are prepared, through advanced education and clinical training, to provide a wide range of preventive and acute health care services to individuals of all ages. This paper also highlights the clinical role of an NP and how they promote patient safety based on National Patient Safety Goals (NPSG). Two peer reviewed research articles and an expert opinion article on nurse practitioner is also summarized in this paper. The title of the research articles chosen are “Nurse

Patricia Benner is known as one of the most recognized theorist of our time. Patricia born in 1955 in Hampton, Virginia spent most of her childhood in California. It was there that she received her professional education. This paper will focus on her Novice to Expert theory using the Model of Skill Acquisition through defining concepts within her conceptual framework, identifying assumptions within her theory, discussing the significance of her theory as it relates to advanced practice nursing, and addressing how applicable her theory is to actual nursing practice.

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

Executive Summary   Description of Periop 101: A Core Curriculum In 1999, expert surgical nurse authors at the Association of periOperative Registered Nurses (AORN) developed a comprehensive curriculum to assist in the education and transition of nurses entering perioperative clinical specialty for the first time (Beyea, 2002). In 2007, Periop 101: A Core

Nurse Practitioner Role 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,

Bachelor’s prepared nurses are better equipped to make clinical decision more effectively and efficiently.  Nurses have to make clinical decisions all the time to improve a client’s health and to maintain wellness. For example, it is the nurse who usually takes immediate action when a client's clinical condition deteriorates, who decides if a client is experiencing complications that warrant notification of the physician.   A nurse must be able to think critically, solve problems and find the best solution for client's need to assist clients in maintaining or improving their health. For instance, if an elderly patient status post hip replacement, bed-bound complains of pain in the affected leg and swelling, an ADN prepared nurse might carry out the order for pain management and will elevate the leg to subside swelling. On the other hand, a baccalaureate prepared nurse will critically think about the potential complication status post hip replacement surgery and will take the clinical manifestation of swelling of the leg might be secondary to DVT and will notify the Medical Provider immediately in order to prevent complication.  “Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels” Rosseter (2012)

It has grown from a non-educated nurse to one that has to be even more educated to keep up with the fast changing times with diverse topics and culture differences. It is a constant challenge for physicians and nurses to do their best in the fast changing nursing field. As nurses, we have to be constantly upgrading our education. We can’t expect anything to always be the same and to never change. Register nurses today work as a team, they work every day with physicians, pharmacists, speech and occupational therapists, just to name a few. Since nurses are primarily responsible for direct patient care and coordination, I believe that they should not be these educated on the health care

Since 1964, the ANA’s House of Delegates adopted a position “that ANA continue to work toward baccalaureate education as the foundation for professional nursing practice.” (ANA Reaffirms Commitment to BSN for Entry into Practice , 2000) The ANA has reinforced its position whenever challenged or questioned. The ANA’s emphasis on

Middle-Range Theory Application to Practice There are many issues in nursing that we, as nurses, can have a profound impact on changing. Using nursing theory, we can improve clinical practice and thereby positively influence the health and quality of individuals (McEwen & Wills, 2014). Benner’s theory of Novice to Expert illustrates how nurses evolve through clinical experience and education to become expert clinicians. Theory can be used to guide nursing practice when combined with clinical knowledge and critical thinking; such is the case in the ambulatory (outpatient) care setting. Ambulatory care nursing is complex and encompasses autonomous, as well as collaborative practice using evidence based information across a variety of outpatient health care settings (AAACN, 2017). This paper will look at the lack of specialized nursing education in the ambulatory setting, as well as, Patricia Benner’s Novice to Expert middle-range nursing theory. It will also look at how Benner developed her theory and how her Novice to Expert Theory has been used previously in the ambulatory setting. Lastly, I will address how Benner’s theory could be used to address the lack of specialized nursing education in the ambulatory setting.

The role of an Advanced Practice Nurse (APN) is evolving as the shortage of primary care providers occurs as a result of an aging population and the implementation of Affordable Care Act (ACA) (Laurant, 2014). The advancement in medical technology, increasing aging population, and the prevalence of chronic diseases increase the expectation of public in healthcare system. In order to meet those needs various nursing roles evolved, and all those fall under the umbrella of APN (Ramis, Wu, & Pearson, 2012). Evidences support the role of APN in reducing patient length of stay, subsequent hospital costs, and functions as a recruitment strategy to encourage nurses to stay within the profession (Bauer, 2010). In order to be a successful APN, a nurse needs to have the advanced knowledge and expertise in the designated area. The APN is one who has advanced knowledge and skills in meeting the needs of a population with complex and unpredictable health needs. The skills needed to be successful as an APN is critical thinking, leadership skills, and clinical judgment in addition to the mastering of core competencies required by the National Organization of Nurse Practitioner Faculty (NONPF). For the purpose of this project I interviewed Mrs. A.C, who is an APRN for the Cardiovascular Surgeon. The main focus of the interview was to analyze the NONPF core competencies possessed by Mrs.A.C. The part of this paper includes the Description of the NONPF NP core competencies, Interview

Ms Debra Shannon, BSN, perioperative RN is assigned to the OR consisting of 6 main rooms and 1 cysto room and provides support to the interventional radiology, during this rating period. She serves as Service Lead to Cardio, Vascular and Thoracic Services. She provided valuable input for this proficiency. This proficiency report demonstrates examples of how Ms. Shannon uses her perioperative nursing expertise to provide patient centered nursing care in exceeding the Qualification Standards in the four areas for a Nurse II.

Orientation of the New Graduate Nurse: A Change Proposal A newly graduated registered nurse is well prepared to pass NCLEX for licensure; however, being prepared for the acute care setting in a hospital is a completely different issue. Nursing schools develop the foundation of nursing knowledge, creates critical thinking skills, and

Clinical Reflective 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

In the early 2000s, NPs were introduced in a surgical unit in Sweden to help reinforce knowledge, strengthen interpersonal collaboration, and improve patient safety and quality of care. For this study, eight graduates from a new NP program in a university in Sweden participated in initial and follow-up interviews regarding

Utilizing Benner’s model of novice to expert to develop skills and practical knowledge is critical. As you stated, the new graduate is indeed a novice. While they might have been exposed to a procedure or have read about it, they are clinically a novice. Frederick (2014) notes, mentoring improves proficiency, self-confidence, skill development and knowledge. As the new nurse’s skills and knowledge increase so do patient outcomes. Fostering an environment in which new nurses’ feel supported, cared for, and valued increases retention rates. As leaders we must encourage and insist on mentoring new staff and experienced staff who are broadening their scope, for example the charge nurse who is interested in a nurse manager position. Pairing that