Aacp Core Competencies

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.

There are nine core competencies that the National Organization of Nurse Practitioner Faculties (NONPF) has adopted in which the nurse practitioner student’s education is based on: scientific foundation, leadership, quality, practice inquiry, technology and information literacy, policy, health delivery system, ethics, and independent practice competencies. This writer will describe and summarize the competencies as they relate to the nurse practitioners practice. After extensive research by this writer, she was able to conduct a thorough interview with a Certified Nurse Practitioner (CNP). This writer has learned how the working CNP utilizes the competencies in her practice as a Neonatal Certified Nurse Practitioner.

First, the state licensure regulates NP practice and it has been a big issue since NPs are not able to practice to the fullest extent despite of their education and training. NPs practice is regulated by state licensure and only about one-third of the nation has adopted full practice authority licensure and practice laws for NPs (Hain & Fleck, 2014). The American Association of Nurse Practitioners (AANP) reports that, under a full practice authority model, NPs are still required to meet

After reviewing the list of NASPA and ACPA professional competencies, I am most competent in the areas of Leadership, and Student Learning and Development. Nevertheless, I feel as though I can improve on Values, Philosophy, and History, and Assessment, Evaluation, and Research.

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

The role of the nurse practitioner began in the 1960’s, with the development of an advanced nursing role in pediatrics in Colorado, to meet the need of treating children of low-income families. Since the inception of the advanced nursing role, there has been controversy in educational standards, educational requirements, knowledge base needed, and state imposed restrictions on practice. It is through the rapid development of ARNP programs and inconsistencies in educational standards that have created obstacles in the advancement of these roles, licensure differences, and restrictions that have minimized the role of the ARNP (Stanley, 2011).

The Nurse Practitioner Core Competencies (NP Core Competencies) forms and builds upon ongoing Master’s and DNP core competencies and these are the channels and background for all graduating NP students. The NP Core Competencies can input their full scope of practice as an independent licensed practitioner. These essential competencies of an NP is fully developed by graduation, no matter what the NPs preferred speciality is. The core competencies are an essential part to face the multispecialty challenges of the changing health care system. By adding knowledge, skill, and ability to independently handle different

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,

The Institute of Medicine (IOM) has recognized five key core competencies (CCs) that all healthcare professionals should be aware of during practice. The initial competency described concentrates on patient-centered care. Throughout history, the nursing community has continued to evolve, both in the practicing aspect and in level of caring for patients. During this evolution of nursing care, nurses providing hands on care to patients must refer to the Institute of Medicine, peer reviews and/or evidenced-based research to guide them properly as it applies to the core concepts of nursing. The first core competency according to the IOM is patient-centered care.

Nurse Practitioner Core Competencies are a set of competencies that guides and regulates the scope of practice for Certified Nurse Practitioners (CNP). Patients and organizations benefit highly from nurses working at the top of the education in their profession. As a license Advance Professional, education will help innovate and govern our needs related to patient care, safety, evidence-base practice, and improvement of positive patient outcomes. Nurse Practitioner Core Competencies consist of Leadership, Quality, Practice Inquiry, Technology/Information Literacy, Policy, Health Delivery System, Ethics, and Independent Practice Competencies.

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 five core competencies identified by IOM and the sixth added by QSEN, safety, are believed to be necessary to improve both quality and safety of the healthcare system within which nurses work (Multimethod teaching). The six core competencies outlined are patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics, and safety (Diffusing Qsen). While all competencies are significant to the healthcare system, patient centered care is vital to positive patient outcomes and focuses on the patient’s perspective within the healthcare system.

The APN movement began in 1965 by Dr. Loretta Ford and Dr. Henry Silver whose vision of nurses having the ability to diagnose, treat, and evaluate independently founded the first nurse practitioner education program (Lugenza, 2015). The education program broaden the nurses’ roles to focus on illness prevention and health care promotion and integrated the nurse role with advanced medical training and expertise (Lugenza, 2015). Dr. Ford and Dr. Silver’s love for the nursing practice specifically allowed nurse practitioners to identify, assess, and manage common acute and chronic health problems, appropriately referring complex problems to physicians (Silver, Ford, & Stearly,

There were already over 200 substantial programs of this type across the United States, but the goal of the AANP was to merge all of these associations into one ‘unified voice for nurse practitioners’ (AANP Historical Timeline, 2012). The purpose of the AANP, as written on their official website, “is to impact national and global health by engaging recognized nurse practitioner leaders who make outstanding contributions to clinical practice, research, education or policy” (AANP Brochure, 2012-2015). This association is very involved with healthcare in the United States, and even offered the service of hundreds of NPs following the terrorist attacks on September 11, 2001. Nurse Practitioners who are a part of the AANP must demonstrate five core values of integrity, excellence, professionalism, leadership, and