APN Leader Interview Project
The National Organization of Nurse Practitioner Faculties (NONPF) describes essential guidelines required for all Advance Practice Nurses (ANPs) to enter practice, regardless of their specialty (2010). The nine core competencies outline the best practice in providing quality educational programs and developing policies and curriculum at the national level. The purpose of this paper is to summarize an interview done with an APN leader in my community to understand the application of the NONPF NP core competencies in the role of Clinical Nurse Practitioner (CNP). Engaging in this interview process allowed me to collaborate with a practicing CNP through communication in person and on the telephone to facilitate professional
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networking around common areas of interest. This was also an experience for me to understand the importance of the teaching-coaching function of an advance practice nurse from this CNP’s display of knowledge, expertise, and ability to tailor educational interventions by using teaching principles. NONPF NP Core Competencies The competencies for advanced practice nursing roles arise from role requirements, principles of practice, rules and standards of professional behavior necessary to provide competent, ethical and safe care. These core competencies are the foundation on which individual practitioners, educators and regulators can determine the acceptable level necessary to practice in the advanced role context.
The scientific foundation competency utilizes the specialties of other disciplines such as psychology, social work, physical therapy and medicine to enrich and design comprehensive teaching interventions. The values that come from this competency serve as guidelines that affect all aspects of individuals and families. Leadership competencies are demonstrated by working with individuals and other professionals to maintain a climate of mutual respect and shared values in the clinical and practice setting. Leaders engage with diverse health care professionals who complement one’s own professional expertise as well as associated resources to develop strategies to meet specific patient care needs. The quality competency supports the demonstration and interpretation of APNs professional strengths, their role and scope of practice utilizing accountability and the highest standards of practice. This competency allows the APN to use research, peer reviews, and self-evaluation information to improve quality …show more content…
care and practice. The practice inquiry competency allows APNs to make use of the application of patient centered research and promotes positive change in the healthcare delivery system. With an increase in evidence-based practice it is essential for the APN to have the ability for interpretation and use of research in practice, evaluation in practice, and participation in collaborative research. The technology and information literacy competency uses technology to enhance the safety and observation of health statuses and outcomes, and transform nursing practice through technology, and supporting decision-making processes for future care delivery models to enable optimal outcomes. Policy competencies assist APNs to promote advocacy between public health and social issues such as poverty, literacy, and violence and its impact on the health of the population and the healthcare delivery system. APNs possess the ability to demonstrate strategies necessary to influence legislation to promote health and improve care delivery models through collaborative and individual efforts. The health delivery system competencies maintain cost, safety, effectiveness, and alternatives when the APN proposes changes in practice and care for organizational outcomes. The ethics competencies demonstrate the development of ethical decision making from knowledge, application, sensitivity, action, and creating an ethical environment are functional skills gained from this competency. Independent practice competencies influences the APN’s ability to bring the knowledge and skill acquired from mastering advanced physical assessment, advanced pharmacology, and advanced pathophysiology as well as an advanced level of nursing practice into action to which the APN can be held accountable for. These competencies also reflect the values of the nursing profession and offer direction for advanced clinical practice and professional development, and speak to the individual’s role in self governance of their professional practice and personal development. APN Leader Interview The family nurse practitioner that was interviewed for this paper J.M.
Culver, APRN, who specializes in adult health and has been a practicing APRN for over 10 years at a busy private family practice in Louisville, KY. She described her role as working within a team of medical staff consisting of two other advanced practice nurses, two registered nurses, one licensed practical nurse, four support and office staff, and a working collaboration with two internal medicine physicians. Her scope of practice includes telephone triage and seeing, treating and discharging patients with minor illness who need a same-day appointment as well as patients with long-term health conditions such as diabetes and heart disease. She serves a diverse (White, Black, Hispanic, and Asian) middle age to older adult population living in the community in the city of Louisville and surrounding areas. My basis for choosing J.M.C. for this interview is my professional goal of practicing in the primary care setting after I obtain my graduate degree and successfully pass the state licensure board and receive certification to practice as an advanced practice nurse in the state of Kentucky. I believe the opportunity to speak with her allowed me to gain insight into this area of practice as well as see how the core competencies are understood and applied in advanced practice
nursing. Mason, D., Leavitt, J., & Chaffee, M. (2012). Policy & politics in nursing and health care (6th ed.) St. Louis, MO: Saunders Elsevier National Organization of Nurse Practitioner Faculties ([NONPF], 2010). Clinical Hours for Nurse Practitioner Preparation in Doctor of Nursing Practice Programs. In: Clinical education issues in preparing nurse practitioner students for independent practice: An ongoing series of papers. Retrieved from http://www.nonpf.org/associations/10789/files/ClinicalEducationIssuesPPRFinalApril2010.pdf
The role of Advanced Practice Registered Nurses (APRN) in health care has been identified as a critical role in the goal to provide high-quality health care. APRNs have a bigger role to play in the health care system and it is important that students are provided with relevant and valuable knowledge as well as experience that improve their abilities. Achieving course objectives are critical for APRNs with the goal of contributing positively to the health care system. As a future APRN, I place high priority on life-long learning and the development of other people’s skill sets. All duties associated with health care require a dedication to excellence and selflessness. These are two components of learning that will improve the capabilities of
In 2011, Barbara Safriet published an article “Federal options for maximizing the value of Advanced Practice Nurses in providing quality, cost-effective health care” from a legal perspective. The article focused on the benefits of utilizing Advance Practice Nurses to the full extent of their abilities as well as the current barriers that APNs encounter in their practice. The aim of this paper is to discuss two regulatory provisions to full deployment of APNs in current health care system, as well as three principle causes of current barriers to removal of the restrictive provisions for the APN. Furthermore, I will discuss the critical knowledge presented in the article and how it relates the APN practice. This article was incorporated into a two-year initiative was launched Institute of Medicine (IOM) and by the Robert Wood Johnson Foundation (RWJF) in 2008 which addressed the urgency to assess and transform the nursing profession.
The model discusses the impact of new regulations on education for APRN, Licensure Accreditation, Certification & Education Document, certification and practice. The model is implemented to grasp the general understanding and definition of advance practice registered nurse APRN role, inconsistencies with state by state recognition of APRN roles, and determining eligibility for APRN licensure (Consensus Model for APRN Regulation, 2015). The consensus model definition of APRN is a nurse who is educationally rounded to assume the responsibility of assessing, diagnosis, treating, teaching health promotion and disease maintenance, acquired advanced clinical knowledge and skills to provide direct patient care, has passed a national certification examination, and licensed to practice in one of the four roles (Consensus Model for APRN Regulation, 2015).
Ja Young, thank you for breaking down what the difference are between diagnostic, formative, and summative assessments that demonstrates mastery of nurse practitioner competencies. After reading your post, I also felt it is important to examine the mastery of “policy” through courses such as health policy, which we will be taking in our program. It is important for nurse practitioners to not only understand the changing policies regarding scope of practice, but also how to advocate and contribute to the development of health policies (Dzubur, 2015). As nurse practitioner students, we can increase our exposure to political changes to practice by joining organizations such as California Association of Nurse Practitioners (CANP) and attending events such as Lobby day.
I want to approach my career with the best possible qualifications. Moreover, as a woman, I feel I will be an excellent role model for other ambitious healthcare professionals. Having been born in the Philippines and raised in the United States, I feel that I possess a level of cultural awareness, as well as a sensitivity for the different needs of minorities that will help me within the field. In addition, I feel that the US healthcare system needs people like myself who are bilingual and can communicate effectively with people of different backgrounds given the influx of diverse
Theisen, J. L., & Sandau, K. E. (2013). Competency of new graduate nurses: A review of their weaknesses and strategies for success. Journal of Continuing Education in Nursing, 44(9), 406. doi:10.3928/00220124-20130617-38
My vision for the Family Nurse Practitioner in a primary healthcare setting is to bring health care to small communities, comprised of predominately poor working class people, who are classified as underprivileged. Performing exams on the sick, providing immunizations to the young, educating all, and assisting the elderly with chronic illness and disease management, while providing preventative care and education on wellness. The Family Nurse Practitioner sees patients from young to old in need of a wide variety of care. As a Family Nurse Practitioner I will provide education and holistically meet the health care and wellness needs of my community, and others like it, by providing critical access to health care for the most vulnerable
Through my hands on experiences as a New York State certified nurse’s aide, I frequently care for a diverse population of individuals, as well as observe and assist other health care professionals at the facilities I am employed at. I have been
Most APNs or NPs posses a master’s degree; however the American Association of Colleges of Nursing (AACN) member institutions voted to change the current level of preparation for advanced nursing practice from a masters degree to a doctorate level by 2015”. “An individual who wished to apply for a license must meet the following requirements; a complete application, pass the NCLEX, provide any felony or misdemeanor conviction information, any drug related behavior, functional ability deficit and license fee to Virginia State Board of Nursing”. Most RNs gain their clinical experience by working a staff nurse before entering into a graduate program for their nurse practitioners, but once they gain a significant of experience as a nurse t...
Nurse Practitioners in Neonatal care are extraordinary individuals, who have studied hard, invested emotionally, worked alongside with doctors, saved many babies, and comforted those families who had to let their babies go. I have had my own personal experience in which I came into close contact with several of these kinds of nurses. With my personal experience, I have discovered this is the kind nurse I want to become. According to NANN, National Association of Neonatal Nurses, states that "Neonatal Nurse Practitioners (NNP) are advanced practice nurses who work with the physicians and nursing staff to provide comprehensive critical care to the infants in the NICU." (Is) In my research in becoming a Neonatal Nurse Practitioner, I looked into the history of the role, my personal experience, educational requirements, schools, the workplace environment, salary, and responsibilities.
In 1990 a group of educators, called the National Task Force for Family Nurse Practitioner Curriculum and Evaluation, created the initial curriculum guidelines for nurse practitioners (Graduate nurse practitioners education competencies, n.d.).Today, the NONPF represents most NP educational institutions worldwide and they continue to develop/improve the NP competencies and guidelines in order to prepare healthcare professionals across the world (Graduate nurse practitioners education competencies,
To inspire and influence others, a leader must possess many skills and abilities. As motivational speaker Peter Northouse, states, “a leader should be strong, but not rude; be kind, but not weak; be bold, but not bully; be thoughtful, but not lazy; be humble, but not timid; be proud, but not arrogant” (Northouse, 2013) Moving an entire group of individuals toward a singular goal is a considerable undertaking. Without effective communication skills and a clear vision of what needs to be accomplished, one will feel like they are trying to herd cats rather than leading.
“A few gaps were identified between CNS core competencies and CNS role expectations in current practice.” (Baldwin, Clark, Fulton, & Mayo, 2009, p. 193). Core competencies from the NACNS are well founded from the view of practicing CNS’s as stipulated by Baldwin et al. These core competencies serve as the framework for CNS’s. “The competencies are specific enough to facilitate an understanding of the role by nursing leaders who are not CNSs yet who are responsible for evaluating CNS practice within an organization.” (Baldwin, Clark, Fulton, & Mayo, 2009, p. 200). Findings from evaluation of the CNS job are being used by the American Nurses Credentialing Center (ANCC) as for a new core CNS test that is in
The first key message that is discussed is that nurses should practice to the fullest extent of their education and training. Most of the nurses that are in practice are registered nurses. Advanced nurse practitioners are nurses that hold a master’s or doctoral degree and include nurse midwifes, clinical nurse specialists, nurse practitioners, and nurse anesthetists and consist of about two hundred and fifty thousand of the nurses currently working today. Advanced practice nurses are limited to what
This is a nearly 40-minute interview. The object of this interview is the leader of a community medical centre. This medical centre has five physicians, two nutritionists, one occupational therapist, a nurse and three service desk receptionists. This medical centre serves the community of more than five thousand patients now. After the interview, integration of the following eight items in this leader’s characteristics and traits.