The Importance Of The Advanced Practice Nurse

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.

My chosen practicum will be teaching in the skills/simulation lab at NCMC. This paper will outline how the experience will enhance my knowledge and develop skills necessary to fulfill the role of nurse educator. The goals, objectives, and timeline will be discussed in this paper. The project that will be developed during the practicum experience will be a debriefing philosophy and evaluation tool to assess student learning with emphasis on critical thinking skills.

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

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).

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,

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).

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 related circumstances than nurses that are in the lower more entry levels. What this means for the APN is that they have to reevaluate themselves and their healthcare contexts. During the case study driven by ambitions there are specific requirements needed in order for this study to be effective. The participants and tools that are needed for this case study are as follows, a nurse practitioner (NP)/advanced practice nurse (APN), NP students, hospital settings

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?

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).

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

Over the last six weeks we learnt a lot in this course. We learnt that advanced practice nursing has evolved over the years to become recognized today as an important and growing trend among healthcare systems worldwide. Different advanced practice registered nurse (APRN) roles were identified such as nurse practitioners, clinical nurse specialists, nurse anesthetists, or nurse midwives who all play a pivotal role based on different set of clinical skills and knowledge to impact in the future of health care. The educational qualifications of APRNs role must be at least up to the graduate level. Other RN specialty identified included; nurse educator, nurse informaticist, nurse administrator, nurse executive, nurse manager, and clinical nurse leader. Learning the evolution of APN helped me understand where the practice started and where it is heading.

Almost every day an Advanced Practice Nurse (APN) will feel the impact of policy and change in the healthcare field, from the institutional, local, community, state and national levels nurses have a responsibility to contribute to the discussion focused on healthcare improvement on all levels. Let’s first look at these issues on an institutional level, Often we are faced with changes in policy in our current roles , it could be a new policy or a revision to an old policy , it can be written or a unwritten “ understood policy” that everyone follows . We had one of these policies in our clinic, Uninsured or self-pay patients were routed to main campus clinics over 35 miles away because of their uninsured or self-pay status. This

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 it. In the past, the stigma of HIV/AIDS was higher among people due to the cultural, social, and religious reasons. The AIDS certified registered nurses and other nurses can help reduce the stigma towards the patients. Organizations like the Association of Nurses in AIDS Care (ANAC), promote the health and welfare of the people affected by this condition (Association of Nurses in AIDS care [ANAC], 2015). This global organization is, of nurses who are in the AIDS care and aim to study more about AIDS. They conduct community events such as promoting social awareness concerning issues related to HIV/AIDS. These nurses have the training to help the patients cope with and manage the different emotional and physical symptoms. They administer treatments to help the patient’s suffering through the different stages of this condition (Association of Nurses in AIDS care [ANAC], 2015). The Advanced Practice Registered Nurses (APRNs) play a critical role in maximizing the effectiveness of the care team. Their care outcomes in the patients with HIV/AIDS are comparable to the patients managed by the physicians (HIV Medicine Association [HIVMA], 2014).

As I only have an Associate’s degree in Nursing, much of this information is unfamiliar to me. I have not been exposed to the contents of this course before and thus the reasons I would like to set a foundation of theories for professional nursing practice. Much of the information in this course is imperative in maintain an appropriate and professional role in nursing.