Summary: An Interview With APRN

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

This has allowed me to experience what each person’s role in a hospital setting truly is. Both physician assistants and nurse practitioners share a lot of the same responsibilities as a physician, although nurse practitioners are given the flexibility of choosing which specialty they are interested in pursuing. This autonomy is what drew me into this position, which includes a lot of independence within the practice. Over the years that I have worked in healthcare, I have realized that patients need a health care provider who will be an advocate for them, and they also need someone who will truly listen to them in order to help improve their quality of health. The roles and job responsibilities of a nurse practitioner have caught my attention and therefore have made me want to pursue this career

The customs and practices of the APRN has been restricted in many states. The sociocultural aspects of APRN have been a collaborative effort with a physician under the standards of care agreement. When a patient needs to be seen by a provider the APRNs have

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.

This paper explores the perception of clinical practitioners to the change in policy related to the advanced practice registered nurse (APRN) full practice authority. The author conducts a one-on-one, open-ended interview of 5 nurse practitioners and 5 physicians licensed to practice in Maryland on their perceptions of the recent passage of the Advanced Practice Registered Nurse Full Practice Authority. A literature review was conducted in a policy report by the professional nursing organization, and discussion within the peer-reviewed article supported an overview, regulatory differences among 50 states, including the District of Columbia. Their policy implication for enhancing APRNs role nationally. The author discusses a critical component

In 2008, the coalition of members from the Alliance for Advanced Practice Credentialing and the National Council of State Boards of Nursing (NCSBN) created the Consensus Model for Advanced Practicing Registered Nurses (APRN’s). This model creates a framework for APRN’s in licensing, accreditation, certification, and education in the United States (Alleman & Houle, 2013). The establishment of this Consensus Model has developed a bases for the ARNP’s comprehensive knowledge base, ability for clinical reasoning, cultural, and ethical competencies, establishing a model of practice for ARNPs in which to follow. These concepts will be further discussed in this paper.

While the demand of healthcare need increasers the United States facing a physician shortage. In recent years the number of nurse practitioners (NPs) and physician assistants (PAs) has significantly increased and they are taking the part in providing healthcare cervices to the majority of patients. I believe nurse practitioners and physician assistants can practice independently from doctors and be free of oversight. Expanding the scope of NPs and PAs is essential to overcome the healthcare crisis we are facing; it will increase patient satisfaction and stabilizing the healthcare economy.

The Consensus Model identifies four APRN roles: nurse anesthetist, nurse midwife, clinical nurse specialist and nurse practitioner. APRNs share many competencies, but the focus of practice

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,

A population health APN may potentially follow children and adults from varying genders, races, and ethnicity, an APN has been well trained in the management of a diverse population. Understanding and including one’s own beliefs and values, reading, examining, and mingling with these populations, also prepares any professional nurse. Even though she receives support from others, she frequently experiences animosity from physicians, noting never truly feeling treated as a colleague, in the actual sense.

Due to the patient to nurse ratio on the floor, the floor RN would be more focused on the shift’s operations such as the administration of the medications, ensuring that the patient’s ADLs are taken care of, and collaborating with the inpatient care team when family had demands or questions. On the other hand, the APRN would look more closely on the bigger picture, the care provider would not only look into the patient’s daily needs but also the welfare of the family and the organization. The APRN may dig deeper into the signs and symptoms associated with the psychological or psychiatric aspects of the patient’s condition that can sometimes manifest as somatic or physical illness. For example, the patient might have been sleep deprived due to some emotional stress related to the upcoming court hearing. The APRN would explore on why the patient is having an issue with sleep deprivation, make the care plan, intervene appropriately, and then evaluate the outcome. The APRN could also refer the patient to a psychiatric or legal counseling and assist the patient and family members embrace wellness by establishing trusting care relationships, recognizing the clients’ needs but setting limitations, and reassuring them that the APRN would facilitate towards the resolution of their health care

The historic article by Safriet (1992) fully lists and analyzes the major challenges facing the advanced practice nurse (APN). At the time the article was written compared to now, a few aspects are changing. In areas where change has occurred, it has been an exceedingly slow process. Change for APNs is often dependent on legislation and regulatory authorities which receives half-hearted support, at best, from the medical establishment (Safriet, 1992). Since the first day nurses were given any authority to practice outside of regular practice, physicians only objected when it began to encroach upon their perceived hierarchal status or potential for compensation (Hamric, Hanson, Tracy, & O’Grady, 2014). The concern that this

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).

Since the start of my nursing career, I made the decision early on to get a few years of Registered Nurse (RN) experience and then continue on the further my education to become a Family Nurse Practitioner. My first job after graduating with my Bachelors of Science in Nursing (BSN), I worked in Pennsylvania as an oncology and hospice RN in a small rural hospital. After gaining one years’ experience, I decided to further my career by starting a career as a travel RN and simultaneously I enrolled at Chamberlain College of Nursing in the FNP program. After graduation, I plan on settling down in Washington and start my career as an FNP. Throughout this paper, I will effectively explore the scope of practice for APNs in Washington, complete a personal assessment that reflects my strengths and weaknesses, explore local and professional organizations that can be accessed to gain information on employment opportunities, determine