The Nurse Provider's Role As A Nurse Assistant

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.

1. Is the profitability or loss of the typical nursing facility in the hands of Medicare and Medicaid system administrators?

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 child's mental, physical and medical health are the main priority and when the parents are resistant to treatment, we sometimes have to take a legal approach in order to provide the best quality care available. Provision 4 of the Nursing Code of Ethics states "The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of task consistent with the nurse's obligation to provide optimum patient care" (ANA 2014). This provision surrounds my position of being a nursing manager completely! Being a nurse manager and directing youth care workers of the facility is an extremely big responsibility. It is my duty and obligation to ensure the safety of not only the children in the facility, but also the employees that work there. I am accountable both professionally and personally, even when I am not physically in the building. It is my responsibility to make sure all jobs are delegated appropriately and all those concerned are safe plus secure with the best available care possible. Only some of the employees have formal education or training, such as nurses... most employees are actually trained in the facility by the managers and the nurses. I am responsible for making sure the youth care workers and other personnel are educated on proper interaction, safety, infection control, policies and procedures from a medical standpoint.

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.

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.

Becoming a Nurse’s Assistant doesn’t require a whole lot of extensive education but a lot of hard work is needed to be put into this career. Being a Nurse’s Assistant requires you to have a high school diploma and specific training in certain fields (BLS.gov). So you will have to have graduated from high school obviously, but you will also need to have training in the nursing fields. You can start training while you’re still in school. Which would mean you could have a job as soon as you graduate or even before. You can take basic classes in high school and taking health occupation classes, and taking health and nurse’s aide training (MSHealth.org). You can talk to your school counselor to see about signing up for these classes, or you can

Role is a function played by an individual or particular group of individual in a particular situation. It includes connected obligations, behaviors, rights, beliefs, and norms as theorized by people in a social state. The role of a nurse practitioner (NP) started to manifest in the mid-1960s. This came as a response to the nationwide physicians’ shortage. The NPs were then classified under the advanced practice registered nurse (APRN) umbrella. The origin of the NP role in the United States came through the effort of Loretta Ford (RN) and Henry Silver a pediatrician who had insight for the nurses to be developed and be more effectively used to improve the health care. The demand for primary healthcare was increasing as physician were moving to areas of specialty because of the associated income, lifestyle incentives and status. The nurses were to fill the gap. To realize this, education was essential. The nurses where then equipped with skills of performing developmental tests, history taking, doing evaluative procedures, some laboratory procedures and physical examination and referral for medical care that traditionally had been a medicine domain (O’Brien, 2003).

As the health care system continues to change and the population of patient with chronic conditions transforms in the health care industry, the leaders of nursing much be able to adapt and change as well. Advance practice nurses are on the forefront and leaders of the patient health care. In addition to the challenges being faced with the current Affordable Health Care Act, the advance practice nurse must be willing to lead and take a stand for the betterment of the patient overall health and condition. As this writer reflects on the personal strengths, positivity, self-assurance, and relator are personality traits needed as an advance practice nurse. In the personal strength positivity, there is encouragement with individuals to believe within themselves and attempts to pull out their inner strength. This personal strength can be utilized with patients who are struggling to lose weight or being newly diagnosed with an illness, This writer can encourage the patient to believe within themselves and help create health care plans to assist the patient with changing their lifestyle.

The healthcare team will observe the legal statutes of the state of California when administering care to minor patients. Minor patients are any patients under the age of 18 at the time that services are rendered. In the state of California, minors of any age may consent to medical care related to pregnancy, contraception, abortion, emergency medical service, sexual assault and rape services (this office maintains that minors under 12 can not be expected to give consent to any sexual act* and the attending physician should notify the medical office manager immediately before the minor patient leaves) and skeletal X-ray to diagnose child for abuse or neglect (the physician doesn't need either the minor's or the parent's permission in this instance) without parental permission and the physician can not inform the parents without the minor's consent. Further, minors age 12 years and older may obtain outpatient mental health services, diagnosis and/or treatment for infectious, contagious communicable disease and sexually transmitted disease, HIV/AIDS testing and treatment, rape and alcohol and drug abuse treatment without parental/guardian consent. When

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 impact on health care accessibility. The purpose of this paper is to address a current problem by evaluating multiple influencing factors and investigate a policy capable of changing and providing a more positive outcome.

A discussion regarding the health care reform or even health care in general can be somewhat controversial. The definition of health is drastically different depending on whom you speak to. Many would define health as " a person's absence of disease, others would describe good health based on the status of mind, body & social well-being" (GCU Lecture, module 2, 2012). According to The American Heritage® Dictionary of the English Language, health is defined as "The overall condition of an organism at a given time". An individual's overall health affects the nation, this is where stakeholders come into value. According to Keele, Buckner & Bushnell a stakeholder is either an individual or an organization that either invest time and

We hear nurse’s talk about how rewarding their profession is but what they seldom talk about is how it can be very challenging as well. There seems to be many issues existing in the nursing profession. One of the most affective issues in nursing is the decreasing number of staff nurses. With inadequate staffing, nurses are demanded to have more responsibilities thus causing more stress on the nurse. This increase in responsibility causes nurses to neglect many aspects of their patients’ care. Patient care is suffering from the shortage of nurses as there is an increase in adverse patient outcomes due to the shortage. Also, there is evidence that there is a positive relationship between the number of staff and the effectiveness of their teamwork. The more staff available the more likely nurses will work together as a team. A new act is being implemented to help with the nursing shortage. This act is called the National Nursing Shortage Reform and Patient Advocacy Act. The purpose of this paper is to discuss the issue of nursing shortage and how the National Nursing Shortage Reform and Patient Advocacy Act is an example of evidence-based practice.

The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.