The Role Of The Nurse

Our healthcare system is ever evolving, remarkably changing the sphere of nursing practice. The roles of Advanced Nurse Practice practitioners are expanding, taking up a multitude of roles across a diversified healthcare specialties. Advance Nurse Practice practitioner stands as leader in this comprehensive profession bridging the gap in management and clinical aspect of care (McDermott & Morant, 2010), reflecting the complexity of culture, organization and practice setting (Hyrkas & Dende,2008) to improve the quality of patient care. This paper is about the interview with a Certified Nurse Practitioner. The Certified Nurse Practitioner interviewed is from the Hematology/Oncology Department in one of the university affiliated hospitals in Chicago. The purpose of the interview is to learn about the competencies needed to successfully perform the various roles of a Certified Nurse Practitioner in this complex health system. The rationale of the interview process is to give an opportunity as a graduate student to “assimilate primary care competencies into specialty nurse practitioner practice that exemplify professional value, scholarship, service, and culturally global awareness” (Chamberlain College of Nursing, 2014) that can be advantageous for my professional development. The interview showed the importance of knowledge of competencies appropriately applied in practice essential in the functions and roles of a Certified Nurse Practitioner within the scope of practice for

As an acute care nurse practitioner I hope to utilize my experience as an Intensive Care Unit nurse along with clinical knowledge and skills acquired through a graduate level program to provide the highest quality patient care. In my current role, I place high value on patient-family centered care and advocacy as well as commitment to lifelong learning. I have built my nursing career upon these values. I am excited to begin the journey of becoming an acute care nurse practitioner and to further my education and expand my scope of practice in the field of critical care, for which I have already developed a passion.

Healthcare systems and the way safe, quality health care is delivered are continually changing to better serve patients and communities. Professional nursing practice is a large component in the healthcare system today. Back in the 1960s, professional nursing leaders tried to adopt the bachelor degree programs as the only educational track to become a registered nurse (Creasia & Friberg, 2011). Due to nursing shortages and demands this motive did not hold fast. Individuals entering the nursing profession today must first decide which educational pathway to take to become a Registered Nurse (RN).

In the traditional health care model, formal learning is not complete when a physician receives their medical degree and white coat at the end of their academic program. Medical school graduates are required to complete an accredited hospital residency program to become licensed to practice medicine, (Jolly, Erikson, & Garrison, 2013). However, acute care nurse practitioners (ACNPs) are not afforded, nor expected to complete, the same educational requirements. The current expectation that a new graduate ACNP learn their advanced nursing role “on-the-job” is unacceptable and leads to decreased job satisfaction and preparedness. In the every-changing climate of health care, the development of required residency programs for ACNPs should be maintained as a priority.

In the article written by Ford, (2009), the doctorate of nursing practice (DNP) has an important role to play in the current health care system which is constantly changing. As healthcare around the world is transforming, the Institute of Medicine (IOM) 2011 report mentioned that in the United States, Advanced practice nurses play a vital role in the rapid complex changes based on the full extent of their education and training. This article describes some of the positive role of the advance practice Nurse as a facilitator in the regulatory and policy developments. The Advance practice nurse participates and provide cost-effective care models that will improve the access and quality of care of the population. Another positive area for the APN in this current healthcare system is health promotion, health maintenance, and prevention. In this evolving health care system, it gives the Advance practice nurse the opportunity to set up acute and primary care settings that will positively impact health care delivery as they meet the needs of an expanding, aging, and chronically ill population. All over the world, the NP’s role has developed and is beneficial to health care systems and health care consumers. As Advance practice nurses we must use this great opportunity to advance our role and work with others to improve and transform health care globally. DNP graduate 's role is include leadership, research, practice, education, and

The role of nurse practitioner is valuable when discussing collaborative care. There are so many levels of care, so many health entities, and so many insurer criteria involved that it is instrumental to have a role that can work towards help bring all aspects together. In addition to diagnosing, treating, and managing care, the role of the nurse practitioner is to manage simple and episodic acute health issues along with chronic disease (Sangster-Gormley, Martin-Misener, & Burge, 2013). It is important to note that although this is a function of this role, nurse practitioners also practice from a holistic point of view which allows them to help manage patient conditions or wellness in a more complete fashion. This includes helping patients have access to care beyond primary and secondary care settings. This encourages nurse practitioners to work alongside other health care and allied health professions, and families to create an individualized plan for every patient (van

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).

Advanced practice nurses have core competencies that are similar or are specific to each specialization defined as an advanced practice. The profession of nursing presents favorable circumstances for nurses to specialize in roles with distinct responsibilities and opportunities to contribute to the function of a health care industry with growing demands and complexity. The profession of nursing continues to debate to whom the title advanced practice nurse applies to. Examination of the core concept frame works described by nurse leaders and professional organizations tend to either support or refute the argument related to the use of the term, advanced practice nurse for nursing administrators and educators. For the purpose of this paper the author will explore the core competency similarities and differences of a nurse practitioner and a nurse educator. Nurse educators and nurse practitioners are registered nurses that possess advanced education, skills, and experience. Each specialty nurse has defined scopes of practice with distinct sets of responsibilities, requirements, and skills. Each role represents distinct educational requirements and activities that contribute to the complex and diverse health care industry.

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,

This study will include nurses that are currently working in emergency department with at least six months of experience with varying ages and levels of education. The emergency nurses would be required to complete a formal training on understanding the Emergency Severity Index (ESI) algorithm and the complexities in accurately assigning a triage level. The level of competence of the nurses will be increased if they participate in the online educational opportunities. In addition to the formal course, an online acuity level triage designation course will also be implemented. The ED leadership team will be instrumental in encouraging staff to participate so they are adequately prepared to function as a triage

The competency-based approach to education, training and assessment has surfaced as a main policy in nursing. While the competency-based approach has the potential to fulfil the requirement for providing safe care to the patient, a speciality area focused nursing requires extra training and education to be able to practice in such area( ). Nurses have important roles to make sure that the care they are providing is safe and is of high quality. Likewise, emergency nurses plays an important role in the care of critically ill and trauma patients, their competency to be able to perform clinical skills is vital to safe and effective patient care (Harding, Walker-Cillo and Duke,2013 ). Nurses working in emergency departments provide specific

Society of Trauma Nurses (2014) reports that when NPs are added to the health care team, there is better communication with RNs, residents, and other physicians. The APRNs are especially important because they contribute specific knowledge that, in turn, provides the patient with the best care. Research has shown that clinical decision making is further enhanced when the APRN utilizes the evidence based model (Kilpatrick, Lavoie-Tremblay, Rithcie, & Lamothe, 2014). Knowledge that the APRN can

The role of the Advanced Practice Nurse (APN) is expanding internationally throughout the healthcare system. Since the initiation of the Patient Protection and Affordable Care Act in 2010, there has been an increased need for APNs due to the growing demand for primary care services and increased population that have gained healthcare coverage (Lanthrop & Hodnicki, 2014). The purpose of this paper is to explore the role of APN and develop a professional development plan for my future career.

Many people believe mandatory residency programs for newly licensed nurses are long overdue. The knowledge needed to practice nursing has grown to include health policy, ethics, public health, research, healthcare delivery improvements, as well as leadership skills. Nurses are part of the multi-disciplinary team and must work together with healthcare providers who possess masters or doctoral degrees. Nursing school prepares nurses with the basic information they need to know in order to practice safe nursing. However, modern nurses are faced with ever increasing demands. New nurses must know how to collaborate with the healthcare team, manage their priorities, stay organized and recognize life-threatening situations. Many new grads are overwhelmed with the demands of nursing, which can lead to compromised patient care and safety. Formalized, supervised guidance will improve patient care and retain nurses. The study also recommended doubling the amount of nurses with a masters or doctoral degree by 2020 in order to provide an adequate supply of nurses who are able to assume nurse faculty, primary care providers, and researcher positions.

Once these characteristics have been outlined and briefly discussed, emphasis will be placed upon one specific health improvement issue.