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Comparing the four roles of advanced practice nurses
Role of the advanced practice nurse
Comparing the four roles of advanced practice nurses
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Increased studies show that Bachelor’s Degree prepared nurses have the ability to provide enhanced nursing care compared to nurses trained at an Associate’s degree level. Nurses who hold a BSN degree, are more well-rounded making them more competent in the profession. Bachelor’s degree nurses are educated in nursing theories, evidence based research, trends and issues in today’s nursing, ethical and spiritual decision making, nursing leadership, public health, and family centered health promotion. Associate degree nurses are trained in the basic technical aspects of nursing with only a minor focus on nursing histories and theory. Nurses work as part of an interdisciplinary team, with colleagues who are educated at a Master’s level or higher. …show more content…
A shortage in primary care providers is calling on the use of Advanced Practice Nurses to help fill the void. “Without a more educated nursing workforce, the nation’s health will be further at risk,” (Tri-Council for Nursing, 2010). With a strong BSN foundation, nurses are more invested into their future making them more likely to pursue graduate education. An advanced education leads to increased quality and safety of care provided. A Bachelor’s prepared nurse receives a broader education on the history of nursing, which can inspire nurses to make their own contributions to the greater good of the profession. BSN nurses also gain a sounder education into research and leadership which further enhances their critical thinking and collaboration skills. Whereas Associates degree nurses, mostly gain the basic technical, and critical thinking skills necessary to begin entry level work. In addition, expectations surrounding quality patient care have heightened and the settings where nurses are needed are increasing in volume and complexity. By having a sound education in the history of nursing, coupled with the leadership, research and family centered health promotion—a Bachelor’s educated nurse is better prepared to embrace the needs of our ever changing healthcare …show more content…
According to the Journal of Nursing Administration, for every 10% increase in the proportion of BSN nurses on the hospital staff, there is a 4% decrease in the risk of death (Journal of Nursing Administration, 2008). Bachelor’s prepared nurses provide better overall care because they are educated in the deeper science and framework of nursing practice. While working in the Intensive Care Unit, I once took care of a patient who was having frequent life threatening supraventricular tachycardia. The nurse who cared for him prior to me, was a BSN prepared nurse. On the day that I was his nurse, he again went into this life threatening arrhythmia, so I did the interventions that could normally help but still, his arrhythmia persisted. The Doctors were at the bedside, puzzled as to why nothing was helping, then they called on the help of a Cardiac Electrophysiologist. But before the specialist got to the bedside, the Intensivist stepped outside the room and began to just observe the patient through the window. I had tried over and over to help my patient out of this arrhythmia but at no avail. Seeing the Physician step outside the room, I felt it was also ok for me to leave the patient’s room, and see what else the Physician ordered. Meanwhile, the patient’s arrhythmia persisted, and so did the monitor alarms in the room, further terrifying the spouse who was in the room the
Nursing, as a crucial part of the health care system, keeps evolving while dealing with an increasingly complex clinical situation that involves quality of patient care. Therefore, to successfully handle these scenarios, nursing needs to become more advanced, clinically and academically. A DNP degree is needed in this situation because according to Dunbar- Jacob, Navito & Khalil (2013), a DNP degree is considered to have more impact on nursing than a Master’s or Bachelor’s degree due to the advanced clinical education a DNP provides (p. 425). Hence, the DNP degree has an enormous impact in nursing practice especially in terms of improving clinical care, promoting leadership roles, and improving educational status.
The national shortage of Registered Nurses (RNs) has helped generate formidable interest in the nursing profession among people entering the workforce and those pursuing a career change. According to a report issued by the U.S. Department of Health and Human Service in 2002, the national population is continuing to grow and age and medical services continue to advance, so the need for nurses will continue to increase. They report from 2000 to 2020 the predicted shortage of nurses is expected to grow to 29 percent, compared to a 6 percent shortage in 2000. With the projected supply, demand, and shortage of registered nurses and nursing salaries ever-increasing, the nursing profession can offer countless opportunities. But first one must determine which educational path to pursue, Bachelor of Science in Nursing (BSN) or Associate Degree in nursing (ADN). Most will initially be educated at the associate degree level, even though the American Organization of Nursing Executives (AONE) has recommended a baccalaureate level as a minimal for entry-level nurses. With the expanding number of RN to BSN programs available there is always the option to further one’s education at a later date. The benefits for acquiring a BSN over an ADN include a better knowledge for evidence-based practice, an increased advantage for promotion, and the necessary gateway for higher education.
Taylor, D. (2008). Should the entry into nursing practice be the baccalaureate degree?. AORN Journal, 87(3), 611-620. doi: 10.1016/j.aorn.2007.07.006
Taylor, D. L. (2008). Should the Entry Into Nursing Practice be the Baccalaureate Degree? AORN Journal, 87(3), 611-619.
In fact, Researchers had shown the results of outcomes having different degrees of level. According to AACN, Today 61% Nurses in the United States have a BSN degree who works in health settings. In fact, BSN nurses reduce death rate mortality, and readmission rate by using clinical practice knowledge (AACN) . Having advance level of knowledge involves nurses to manage the patient level of care and monitor for progress. American Organization of Nurses Executives states that nurses who have a higher education level promotes safe nursing care and improves patient safety. Higher educational nurses prepare herself for clinical challenging and complex roles (AACN, page 1). They develop more ideas, better intervention, and focus more on clinical
The RN BSN plays a critical role in facilitating the care of the patient in all phases of care. The RN BSN is present from the day of patient’s admission to the day they are discharged home, transferred to a long-term rehab facility, or when the patient passes away. Their education allows them to be involved in many aspects of the patient care. The BSN RN can play any role from direct patient care (bedside nurse), case coordinator, nurse manager, to being a educator by educating patients on preventative care. Other members of the interdisciplinary team unlike the BSN RN are not always present in the care of the patient. A speech therapist will only be consulted when needed, a dietician is consulted when needed,
Having and bachelor’s degree in the science of nursing (BSN) opens many doors for the registered nurse (RN). Amongst the opportunities also come additional expectations and responsibilities. In the new testament Jesus Christ refers to this by saying much is required of those that have received much (Luke 12:48). This is true for BSN-prepared RNs, but one must consider the risks and the benefits.
I also have to agree that it’s in the best interest of the hospital to hire Associates degree nurses and require them to acquire their bachelors within a certain timeframe. As Samantha stated, she did not find a difference in knowledge
What led me to nursing in the beginning was having a passion for people. I love the holistic approach and level of care that nurses bring to the literal bedside table. I knew throughout nursing school that I wanted to advance my education further than bedside nursing. I debated on whether to pursue a master’s degree in nursing and just become a nurse practitioner, but ultimately, I knew I wanted to advance my education even further to help make and promote changes in healthcare. By choosing to become a doctorally prepared nurse practitioner, I hope to change the stigma that is attached with being “just a nurse” and show that nurses play a vital role in redesigning
Nursing has always been a key career in the health care system. Although it is not often focused on in media and stories surrounding health care, nursing is a career of great importance. If any patient was asked about their experience at a hospital or a care center, many will mention the capability and care that they received from the nurses. The health care system could not function efficiently, if at all, if nurses were not present to perform their part. Nurses are more than just physicians support staff. Of interest in this paper is why people choose to study nursing in university or college. From students just graduating high school to mature student who have prior degrees or education, nursing is a popular choice as a path to study
The BSN program helps the nurses in many ways including utilizing the process to the full scale and it will encourage nurses to use their skills like educating the patient as we’ll as creating new nurses. Because of the new health care reform, the BSN program will also aid in filling the gap from the influx of patients. The baccalaureate degrees and BSN program helps prepare students for the significant part they are going to play in reinforcing the new healthcare reform. At present, I utilize and develop nursing care plans in the nursing process, even though it needs some corrections due to the nature of my work. The highest standards of nursing can only be achieved through better research and advanced training.
The master’s prepared nurse builds on the foundation of a baccalaureate prepared nurse. The master’s prepared nurse starts to critically think on a more advanced level (American Associations of Colleges of Nursing, 2011).
Often times advanced practice nurses are considered to be doctors/physicians but the fact remains that they are still nursing, practicing with advanced skill sets while providing care to patients. According to Hamric, Hanson, Tracy & O’Grady (2014), advanced practice nursing involves broadening the scope of practice for registered nurses through additional education and training (p. 70). It can also be noted that all advanced practice nurses are trained and prepared for their jobs with the same or similar basic competencies, although specific fields may require different specialization training while some require certain prerequisites such as work experience such as CRNA schools often require a certain amount of critical care experience for candidates and certified nurse midwives may require an amount of experience in the women’s health field (Hamric, Hanson, Tracy, &
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
As she lives in Canada doing BSN helped her to get the nursing registration (Entry level). She was applying for the new job opportunities and she felt doing BSN helped her to find the job more easily. Increasing the level of education definitely promote her to improving developing her leadership, clinical skills and knowledge to enhance the patient care and safety. There are many studies (Aiken ) found in between certain years that the hospital that employed more BSN-prepared nurses experienced reduced mortality than hospitals that did not add more BSN-prepared nurses (RWJF, 2014). So the connection between nurse education and patient outcomes was so evident.