SNPPM And Importance Of Working Mutually With The Patient

Specialty Focus The specialty focus for the DNP project is Advanced Practice Nursing (APN). The advanced nursing role specialization is Family Nurse Practitioner (FNP). The writer’s nursing scholarly nursing focus is hypertension (HTN) in the family practice setting.

As this author continues his journey toward becoming an APN the patterns of knowing are very important to understand. By implementing these patterns to practice, and using evidence based findings to guide decision making, the author will be better able to care for his patients.

Bahadori and Fitzpatrick conducted a study regarding the actual level of autonomy of the APRNs in primary care settings. They compared clinical outcomes for patients assigned to either APRNs or physicians and found there was no significant differences in reported health status between patients treated by NPs or by the physicians. Also Bahadori and Fitzpatrick (2009) stated within their report although the APRNs had more restrictions regarding their professional authority and struggle with maximal autonomy they recommend APRNs have more autonomy and decision-making authority to allow them to work as competent professionals, and improve patient care outcomes.

A problem solving approach is a process of planning care for a patient (McFerran and Martin, 2003) using ASPIRE, based on APIE (Yura and Walsh, 1988); Assessment, Plan, Implementation and Evaluation. ASPIRE is a nursing process which includes six stages: assess, a systematic nursing diagnosis, plan, implement, recheck and evaluate (Barrett et al, 2012). Using a range of assessment tools, some potential risks can be identified although, these tools should be used as guidance for treatment and not used in the decision making process as to who and who does not receive treatment, (National Institute for Health and Care Excellence (NICE), 2011) but through gaining consent during each process, as it should be before any care or treatment (NMC, 2008).

Family Nurse Practitioners (FNP) are nurses who have acquired a higher level of education after Nursing. FNP are trained to treat, prescribe, and to provide quality healthcare needs for patients. The role of a FNP varies according to their realm of practice and state requirements. The amount of service that they can provide depends on the freedom of practice the state gives the FNP. Each state has various boundaries set for NPs to practice their field of healthcare. Nurse Practitioners can use their knowledge as a RN to boost their NP skills by using improved patient care techniques and evidence-based practice. Evidence-based practice provide NPs support by laying out the necessary components of healthcare methods in an organized fashion. NP learn to use evidence based practice to provide patients with the best possible care and treatment available. write more..

This because the Shuler Nurse Practitioner Practice model is built upon wellness theory, as well as nursing process, and it is organized within the system theory. In addition, it has medical model components such as, ordering diagnostic testing, determining medical diagnoses and prescribing medications. (Shuler & Davis, 1993). Shuler Nurse Practitioner Practice Model serves as a guide for integration of values and beliefs regarding the concepts of person, nursing, health, environment, and Nurse Practitioner (NP) role. It is an open system that consists of an organized set of dynamic and rhythmic interacted parts and processes. The model is built to guide the Nurse Practitioners through the entire clinical patient interaction, which will be created according to the type of visit. (Shuler & Davis,

Why is it important to join the national NP association, AANP, and how does it benefit the APN? Discuss items such as CEUs and protection of NP practice.

The relationship of the advanced practice nurse and the patient, with the patient being a single individual or a family unit, is participative with the focus being on meaning as the nurse practitioner assists the patient to select one of the multitudinous possibilities in a given health situation. The nurse practitioner does not prescribe a patient to a set of interventions alone, but instead the FNP intervenes with active presence and listening to help the patient to identify their own desires for change. Instead of finding what is wrong with the patient, the nurse practitioner asks what the patient wishes to discuss during an encounter. Then, the FNP supports the patient and helps improve the patient’s quality of life through perspective, pattern recognition, and change if the patient desires. Together, the FNP and patient collaborate to achieve patient-chosen health goals.

The healthcare system in America, is a system that the nation is working hard to improve and perfect. This means the rules and regulations in healthcare continue to change, and often times change rapidly. In the years to come, nurse practitioners (NPs) are predicted to hold a prominent role as healthcare providers. Currently, there are many rules and regulations that prevent NPs from practicing to the full extent of their educations. While the NP certification is standardized nationwide, regulations vary from state to state and many NP are still fighting to be recognized as highly qualified care providers. These current issues make uniting the voices of NPs everywhere important for the progression of the NP career.

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

There is a crucial need for Nurse Practitioners, especially in an area of shortage such as in the state of Missouri. The trending search for NP’s is at an all-time high. Although the need is great, there continues to be restrictions on NP’s License in regards to practicing. Many of the restrictions make it hard to practice at one’s full capability. My dreams of becoming a Nurse Practitioner still gives me hope with fears at time. Continuing to network in order to help with marketing my skills and resume for a position after school appears to be mandatory.

An advanced practice registered nurse (APRN) is an umbrella term consisting of but not limited to roles such as Psychiatric Mental Health Nurse Practitioner (PMHNP); Adult Geriatric Primary Care Nurse Practitioner (AGPCNP); Certified Nurse Midwife (CNM); and Certified Registered Nurse Anesthetist (CRNA). Across the Commonwealth of Massachusetts, it is an undeniable fact that APRNs care for multitudes of patients across the entire human lifespan and across many certain from the nursing homes and home care to hospitals, pain clinics, and substance abuse centers.

(Vleet & Paradise, 2015). NP’s are able to give 80-90% of the care that PCP’s provide (Vleet & Paradise, 2015). Strategies

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).

Advance Practice Nurses exhibit holistic healthcare when they treat a patient as a whole and not just based on physical findings. For example, the APN is referring a patient without transportation for dialysis treatment three times per week; in addition, the APN will also find transportation resources for the patient or refer them to social services for further assistance.