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Role of advanced practice nurse
Core competencies for nurse practitioners
The role of advanced practice nurse
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Advanced Practice Nursing Roles
The advanced practice nursing role has many specialties that focus on direct and indirect care. This paper will compare the roles of the nurse practitioner, nurse educator, nurse informaticist, nurse administrator as well as explore the roles of the advanced practicing nurse in in primary care, education, administration, clinical practice, and research. The future role of the author is an adult nurse practitioner (ANP) and this paper will examine the regulations and requirements needed to practice in the state of Florida. This paper will discuss the future role of the author as an ANP in an organizational setting as well as the importance of becoming a member of a professional organization for nurse practitioners.
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The ANP is a direct care provider and must follow the core competencies set forth by the American Association of Colleges of Nursing (AACN). The core competencies of the ANP begins with ensuring that the practitioner promotes health, ensures health protection, as well as treating and preventing disease (AACN, 2012). The ANP in clinical practice and primary care must be competent in assessing, evaluating, prioritizing, as well as demonstrate knowledge through the lifespan of the aging adult (AACN, 2012). The role of the ANP must also be able to do pharmacological assessments and develop differential diagnoses as well as treat patients by implementing a proper plan of care (AACN, 2012). The Consensus Model for APRN Regulation states that the APRN must be certified, educated, and licensed to practice in a role and a population (AACN, 2012). The National Organization of Nurse Practitioner Faculties (NONPF) published competencies that are required by all NPs in educational programs that focus on the growth of students as independent, licensed practitioners with an objective of obtaining independent and interprofessional practice which is essential for all NPs (Distler, 2015). Nurse practitioners are also required to be competent in retrieving, assessing, evaluating, and applying research in the clinical decision-making process …show more content…
The roles of each APN uniquely contribute to healthcare in a special way. Nurses in every specialty are directly involved with technologies and information systems as the basis for clinical-decision support tools, evidence-based practice, and the electronic health record. The nurse informaticist specialty has emerged over the past 20 years to assist all nurses in this changing environment (Technology Informatics Guiding Educational Reform, 2009). The core competencies of the nurse informaticist are basic computer competencies, information literacy and information management which has become a standard in educational programs that offer nursing informatics. South University nursing informatics degree program prepares graduate nurses in implementing and evaluating operational data systems as well as collect and evaluate data for patient information that is used for improvements in clinical care ("Online MSN, Specialization in Nursing Informatics | South University,"
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).
In the United States, depending upon the state in which they work, nurse practitioners may or may not be required to practice under the supervision of a physician, frequently referred to as a “collaborative practice agreement”. However, in consideration of the shortage of primary care/internal medicine physicians, many states are eliminating or lessening the restrictive authority which allows and nurse practitioners the ability to function more autonomously (AANP 2015).
Hebda, T. & Czar, P. (2013). Handbook of Informatics for Nurses & Healthcare Professionals. (5th Edition). Upper Saddle River. : N.J: Pearson Education
This certification will strengthen as well as show potential employers an intiative towards personal growth as well as professional achievement. To be specialized in a particular area of this field, one must amass knowledge by going through continuing education programs, formal coursework, self-study, and clinical experience. Then, you must successful pass a certification exam, which will then show their recognition of expertise. There are two programs, The National Association of Practical Nurse Education and Service (or NAPNES) and National Federation of Licensed Practical Nurses (or NFLPN), that offer certification courses in such areas as: infection control, nursing administration long term care, hospice and palliative, managed care, among
FNPs function independently as well as work collaboratively with other health care discipline. Whereas NAs work in the settings where a nursing division is operated of as a part of the organization. Although NAs do not provide direct care, they are highly significant members of nursing and health care system as well as FNPs are. The competencies from both groups of nurses are similar in some ways, but there are some differences between them as well. Some similarities of core competencies between FNP and NA includes communication, clinical knowledge, ethics competency, and leadership
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...
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
As an NP K.W. often needs to collaborate with other disciplines and thus this competency holds a major role in the care of patients to drive high-quality and cost-effective care (National Organization of Nurse Practitioner Faculties, 2012).
Brykczynski, Karen A. “Role Development of the Advanced Practice Nurse,” in Advanced Nursing Practice: An
Defining the role of an advanced nurse practitioner (ANP) is complex and commonly open to interpretation. Internationally there are many variances in what the role of the advanced practitioner entails, and the characteristics of individual roles are often shaped by the country and particular speciality in which they are practising (Mantzoukas & Watkinson 2006), (Sheer & Wong 2008), (Stasa et al 2014), (ICN 2008), (Dalton 2013), (NHS Wales 2010), (Haidar 2014), (Lowe et al 2011), (Pearson 2011).
Information Systems/Technology and patient care technology for the improvement and transformation of health care is an important part of the DNP. Technology has transformed every aspect of human life in positive ways. Technology brought efficiency and improved healthcare deliverance system. Healthcare technologies enabled practitioners to better understand disease process and how to implement best treatment plan. DNP programs across the country embrace information systems and technology in their nursing curriculum because, it prepares nursing students to be innovative and deliver best care (AACN, 2006). DNP graduates must have the ability to use technology to analyze and disseminate critical information to find solutions that
At this point, this writer is slightly unsure of which pathway she may take, once she has completed her studies; the writer is currently contemplating education, health population, or a career as a practitioner. So, this writer had the privilege of interviewing two individuals, one practitioner, and one population health coach. Each gave this writer interesting, sometimes similar, perspectives of being an advanced practice nurse.
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
According to Hamric, Spross and Hanson (2005), “advanced practice nursing is the application of the expanded range of practical, theoretical and research based- competencies” to provide patient care in different settings (Pulcini, 2013). Advanced practice registered nurse APRN is a nurse that completed a graduate level program that can practice as a certified nurse practitioner, (NP) certified registered nurse anesthetist (CRNA), clinical nurse midwife (CNM) or clinical nurse specialist (CNS) (Scope and standard, 2010). To be licensed to practice as APRN, they need to pass a national certification exam and maintained their license via recertification through continuous competencies.