Introduction The roles of advanced practice nurses have been an ongoing debate in many states. In a globalized world, advance nurse leaders are regarded as forefront leaders that provide first-rate healthcare to the public. However, the role of new advanced practice nurses is known to be complex. Advance practice nurses use countless different strategies and nursing theories to improve the wellbeing of their patient. To improve the well being of all patients, there is a growing demand for advance practice nurses worldwide. The advanced practice roles of CNM, CNP, CNS, and CRNA require a toolbox of skills, understanding, and integrative abilities that synthesize advanced practice nursing knowledge" (Buppert, 2011). With the rapid development of the advance practice nurse leader, the national organization of Nurse Practitioners are eager to help ensure the competencies of the diverse roles of APN.
Adult-Gerontology Acute Care Nurse Practitioner Role 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).
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.
The Development of Advanced Practice Nursing: The Role of Health Care Reform Lauren Minimo Azusa Pacific University The Development of Advanced Practice Nursing: The Role of Health Care Reform 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,
Advanced Practice Registered Nurses There have been concerns regarding the identification and credentialing of advanced practiced registered nurses (APRNs). A APRN is a registered nurse who has successfully completed an accredited graduate-level education program, in which the individual is well prepared and successfully passed the nationwide certification examination (APRN Consensus Model, 2008). However, there are still debating issues of who would fall under the APRN category. The National Council of State Boards of Nursing (NCSBN) has identified four APRNs who are deem fit to be called ARPNs; however, only two will be named. They would be certified registered nurse anesthetists (CRNAs) and certified nurse practitioners (CNPs). Whereas, the nurse informatics and the nurse administrations are not considered to be APRNs; although, they are still license registered nurses but they do not provide direct patient care and are not required to take the national certification examination (ARPN Consensus Model, 2008).
The Advanced Practice Nurse Merriam-Webster (2015) defines a nurse practitioner (NP) as ?a nurse who is qualified through advanced training to assume some of the duties and responsibilities formerly assumed only by a physician.? The NP is a direct care provider that provides a plethora of services ranging from primary prevention to disease management. For example, the NP has authority to monitor and alter drug therapies and order diagnostic tests.
In CS1 it is challenging for a nurse to develop new set of roles in conjunction with the term advanced practice nursing (APN), in the area of the direct role of the nurse practitioner (NP). APN’s are expected a broader more comprehensive insight of the vast complexity of health
Among older adults aged 65 years and older are found to have difficulty in reading and to comprehend discharge instructions. This has been found to be a concern regarding continuing care and re-admission concerns throughout urban and rural hospitals. Does the integration of Advanced Practice Nurse (APN) guiding discharge education, along with a follow-up contact with the patient after discharge effect compliance and readmission rates, more than not having an APN guiding discharge teaching to help decrease readmission rates?
Advance practice nurses (APNs) are at the forefront of today’s healthcare system. To keep up with the aging population and the demands of complex healthcare needs of this society, APNs need to perform at the highest quality to provide efficient, effective, holistic and improve patient outcome and satisfaction while reducing cost. To provide such care, APNs need to implement the six core competencies as outlined by Hamric. These six core competencies are: direct clinical practice, expert coaching and advice, consultation, research skills, clinical and professional leadership, collaboration, and ethical decision-making. This paper will explore how APNs can implement each of the six core competencies to support the effective improvement of outcomes such as patient satisfaction, readmissions, cost, health status, and complications. In addition, each of the six core competencies of the APN’s role identified by Hamric will be outlined and applied using a fictitious patient case study.
The advanced practice nurse is on the front lines of care being received or falling short within their community. By having direct asses to the success and failures of health care in the community, the advanced practice nurse (APN) can be the voice of patient to the officials having an
Authority to Initiate an Involuntary Examination Extension the Practice for Advanced Practice Registered Nurse Li Huang Georgetown University Professional Aspects of Advanced Practice Nursing The suicide death rate has been climbing for the last ten years in Florida. According to the report by American Foundation for Suicide Prevention (2017), on average, one person dies by suicide every three hours in the state. The report also states that suicide is the second leading cause of death for people aged from 25 to 34 in Florida. Suicide has cost Florida a total of $2,841,739,000 of combined lifetime medical and work loss cost in 2010, or an average of $ 1,018,910 per suicide death. Furthermore, according to U.S. Department of Justice (2017), the homicide rate has increased 4.8% in 2016, compared to the number in 2015 (U.S. Department of Justice, 2017).
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).
Doctor of Nursing Practice: Potential Standard for Advanced Practice Registered Nurses Rachel J. Kaufman, BSN, RN The State University of New York Polytechnic Institute Doctor of Nursing Practice: Potential Standard for Advanced Practice Registered Nurses Introduction Nurse Practitioners (NPs) are advanced practice registered nurses (APRNs) that are prepared beyond primary nursing education and trained to provide specialized care directly to patients (Christian, Dowder, & O’Neil, 2007). In practice since the development of the first NP program in 1965, these healthcare providers play a progressively significant role as primary care providers for millions of Americans nationwide (The American Association of Nurse Practitioners [AANP], 2015). NPs must hold advanced degrees and complete extensive acute and specialty care preparation to officially practice (2015). NPs have traditionally trained to achieve their Master’s in Nursing Science in order to apply and test in this examination (Kleinpell, Scanlon, Hibbert, Ganz, East, Fraser, Wong, & Beauchesne, 2014). However, the American Association of Colleges of Nursing (AACN) has recommended a new standard: nurses must obtain their Doctoral degrees and practice as Doctors of Nursing Practice (DNP) instead of just obtaining the minimum Master’s degree and practice as NPs (2012). It is believed that the education of DNPs is more easily compared to the education of other healthcare providers (2015). It is
Advanced practice registered nurses (APRN) most importantly nurse practitioners play a vital role in fall prevention during hospitalization. APRN’s are healthcare providers who have enhanced knowledge in diagnosing, disease prevention, and health promotion. For example, APRN’s are highly educated and competent to assess, take a detailed history, perform comprehensive examinations, and identify patients who are at risk for falls and refer them to a pertinent specialist such as a physical or occupational therapist. Additionally, APRN’s possess great leadership skills, excellent communication skills and can collaborate with members of the interdisciplinary team to bring about change and promote patient safety.
Impact of Nurses and Advanced Practice Registered Nurses Nurses are the first health care professionals that patients meet in a health care setting. The nurses have a major impact on the patients. A condition like Human Immunodeficiency Virus (HIV) infection and Acquired Immuno Deficiency Syndrome (AIDS) has a major stigma with