Nurses in this field are called Advanced Practice Registered Nurses (APRNs) and are licensed registered nurses who have received a post graduate degree, master’s degree or higher, in one of four APRN roles – nurse practitioner (NP), nurse anesthetists (NA), nurse-midwives (NM), or clinical nurse specialist (CNS). APRNs serve as a primary healthcare provider but are limited to providing only those services within a specific “scope of practice” as follows:
Although all advanced practice nurses (APN) require leadership skills, master level preparation and clinical competence, they also incorporate various levels of research into core competencies. The Nurse Practitioner (family, acute and gerontology), the Nurse Educator, Nurse Informaticist, and Nurse Executive are advanced practice nurses that interact in the inpatient and outpatient settings and collaborate to contribute and enhance quality in healthcare. The APN roles continue to evolve as autonomy, healthcare transformation and affordable care impact our healthcare today (Turner & Burman, n.d.).
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..
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.
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).
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 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
Advanced Practice Nurses are Registered Nurses with specialty training at the master 's-degree level, in primary care settings, such as the Nurse Practitioners and Nurse Midwives and acute care of inpatients, such as the Clinical Nurse Specialists and in operating rooms, such as Nurse Anesthetists. This has opened a door in the nursing field. Nurses ' roles are no longer limited. Nurses now have opportunities to advance their career and expand their roles. Advanced Practice Nurses can be more directly involved in patient care
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
According to the American Association of Colleges of Nursing (2015) the traditional roles of the advanced practice nurses include nurse practitioners, clinical nurse specialists, nurse midwives and nurse anesthetists. Therefore, the impact of the research on the practice of the preparation of DNP nurse educator requires education in evidence-based practice, quality improvement, leadership, policy advocacy, informatics, and systems theory. Furthermore, transitioning to the DNP as a nurse educator does not change the current scope of practice of the Advance Practice Registered Nurses (APRNs) for their current roles. The transition of the DNP better prepares APRNs by utilizing new models of the care delivery system and growing complexity of health
It is clear that Family Nursing Practitioner Program is increasingly becoming valuable for nurses competing for the best job positions. Pursuing a FNP program can open many doors to students in the field of nursing as well as nursing administrators. Additionally it can result into higher salaries throughout the entire career of an individual.
Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the
The American Nurse Credentialing Center (ANCC) defines “certification as a tool in the form of an exam utilized to assessment minimal clinical knowledge and skills in entry-level nurse practitioners. Individuals must meet certain eligibility requirements before considering certification” (ANCC, 2014). For example, NP students must attend an accredited degree program that incorporates core courses outlined by the certifying body. Another requirement, applicant must have a current and active nursing license. On the other hand, credentialing is awarded once clinical competency has been assessed and successfully achieved. For example, ANCC award nurse practitioners as FNP-BC for board certified (ANCC,
I would like to become a DNP Family Nurse Practitioner. The requirements I will need for this degree will be RN licensure, followed by a BSN program, then a Nurse Practitioner doctorate program in family medicine. The road that will take me to this goal will be graduating Columbia Basin College with an ADN, take and pass the NCLEX, followed by one year of clinical experience. I will then apply to an online BSN program, preferably CBC, but I could apply to WGU, or WSU. An online BSN program may take one year to eighteen months to complete. The next step would be to apply to Washington State University’s Post-Baccalaureate DNP – Family Nurse Practitioner Program. WSU Tri-Cities offers online live video conferencing, that are archived, and
The educational requirement for advanced nursing practice is a master’s level education in a program or track leading to APN licensure, including graduate degree-granting and post-graduate certificate programs with established educational standards and attainment of the APN core, role core and population core competencies (National Council of State Boards, 2012). APN’s acquire increased knowledge in the sciences of anatomy, physiology, microbiology, chemistry, pathophysiology, and pharmacology. The core curriculum for the advanced practice role includes priorities in