Direct care, the core skill of an advanced practice nurse (APN), empowers us with six characteristics: the use of holistic perspective, the formation of therapeutic partnerships with patients, expert clinical performance, the use of reflective practice, the use of evidence as a guide to practice, and the use of diverse approaches to health and illness (Tracy et al., 2019). In this paper, I will delve into three of these empowering qualities, along with two indirect care qualities, which will be explored later on. As an advanced practice nurse, forming therapeutic partnerships with patients is essential to providing high-quality and effective healthcare. To build a therapeutic partnership with patients, the APN will have to establish rapport, …show more content…
Advanced practice nurses are able to assess, diagnose, and manage complex health conditions, as well as provide education and counseling to patients and families. APNs can work closely with other healthcare professionals to provide comprehensive care to their patients, especially when unlocking a hard case becomes questionable. As APNs practice more, complacency starts to creep in. It is crucial for APNs to recognize this thinking and take a step back to reassess the patients symptoms. Asking for different opinions on a case can only help the patient in the end. Indirect care for advanced practice nurses encompasses activities that contribute to and enrich patient care without involving direct interaction with patients. These actions include conducting research, analyzing data, devising care plans, coordinating services, providing education, and collaborating with other healthcare professionals. By engaging in these collaborative indirect care activities, advanced practice nurses can enhance patient outcomes and advance the provision of top-notch healthcare …show more content…
According to Urbine et al. (2012), “a pharmacist can assist providers by augmenting their knowledge of medications, identifying potential drug toxicities and interactions, and recommending alternative medications when standard therapy is ineffective, contraindicated, difficult for the patient to adhere to, or unaffordable” (p. 232). Although an APN writes a prescription, the pharmacist will verify it, ultimately double-checking every detail for patient safety. Lastly, discharge planning is an essential component of any APN role in providing comprehensive care to patients. Discharge planning involves coordinating with the healthcare team, patients, and their families to ensure a smooth transition from the hospital to home or another care setting. Case management is a key factor in discharge planning. The APN puts the discharge orders in place, but case management follows through with every step along the way, including when the patient is in the hospital. While gathering vital information, case managers have responsibilities such as the following: inpatient coordination, appointment schedules, monitoring length of stay, discharge and transitioning plan of care, and social factors (Higgins et al.,
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
It is the story of Dave Pelzer, who was brutally beaten and starved by his emotionally unstable, alcoholic mother: a mother who played tortuous, unpredictable games that left him nearly dead. Dave's bed was an old army cot in the basement, and his clothes were torn and raunchy. When his mother allowed him the luxury of food, it was nothing more than spoiled scraps that even the dogs refused to eat. The outside world knew nothing of his living nightmare. He had nothing and no one to turn to, but his dreams kept him alive. To this day Dave Pelzer still suffers from lingering pychological effects. The willful infliction of pain and suffering upon children is known as child abuse and is treated by society as a serious crime. Children are so extremely vulnerable and defenseless, it is thought, that no excuse is possible for mistreating them. Even so, abuse is believed to be widespread. Despite strict laws against it, it sometimes goes unreported and unpunished. Perpetrators of child abuse are most often the child’s own parents. A study done in 2005 showed 79.4 percent of perpetrators were parents, and 6.8 percent were other relatives. Almost 1 out of every 100 children in the United States are abused as a child and an average of 5 children die everyday from child abuse (USDHHS). Some cases may be more extreme then others, but child abuse still has a dramatic effect on a person’s life as it continues to effect the victim through their adoloscence and into their adult hood. Not only does child abuse affect a person’s relationship life, but structuring them on who they become in life by altering specific triggers in their brain. What effects does child abuse have on a child’s life from their adolescence and into their adulthood?
The APRN listens and engages with the patient as care and compassion take place. As the nurse discerns what the patient’s needs are and considers obstacles to achieving optimal care the application of theory is necessary as the process is not always quantifiable. The APRN who does not learn nursing theory may focus primarily on EBP and miss this engagement opportunity with the patient. One may prescribe medication; however, if the patient does not take the medication, then the nurse assumes the patient is noncompliant. The application of Watson’s themes where appropriate helps the APRN discern how to help the patient become compliant. It is necessary to care for the patient outside of the idea of only providing care to understand the obstacle in that patients circumstances and reach improved patient outcomes to any disease
The nurse practitioner (NP) is a registered nurse with graduate education and advanced clinical training. The NP has acquired knowledge and clinical skills to diagnose and treat illness, and provide individualized, evidence-based care to a particular population (Chism, 2013). Throughout the past decades, the responsibilities of the NP have expanded and evolved due to the advances in healthcare. NPs are responsible for understanding the complex life processes of patients and must integrate evidence-based research into clinical practice (American Association of Colleges of Nursing, 2006). NPs focus on meeting the current and the future health needs of the patient population.
As a future nurse practitioner, I have given immense thought in the selection of a clinical practice based on the primary care setting that utilizes the collaboration model. I have selected this type of clinical practice because it best suits my professional and personal goals. I value autonomy while having the ability to work within a healthcare team and enjoying teach my patients. Nurse practitioners (NP) are a valuable part of the healthcare team. In 1960s, from a vision to improve primary healthcare to under-serviced communities the development of the first NP program developed out of need as a public service and focused on the care of pediatrics and since then the care of other specific populations such as families, adults, geriatrics, and women health has emerged (Anderson & O’Grady, 2009, p. 380).
Nurse practitioners are called upon in the health care system to take the initiative and become changes agent, which will improve the quality, safety, and efficiency of care delivery (Clark, Casey, & Morris, 2017). The overall case scenario gave me the knowledge I need to be equipped to function in my role as a nurse practitioner. I was given the opportunity diagnose and treat patients with different
The key to a successful healthcare reform is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue. Description of the Topic Definition The American Nurses Association (2008) has defined the FNP, under the broader title of Advanced Practice Registered Nurse (APRN), as one “who is educationally prepared to assume responsibility and accountability for health promotion and/or maintenance as well as the assessment, diagnosis, and management of patient problems, which includes the use and prescription of pharmacologic and non-pharmacologic interventions” (p. 7).... ... middle of paper ... ...
Educational preparation for the advanced practice public health nurse includes at least a Master’s degree and is based on an integration of current knowledge and research in public health, nursing, and other scientific preparations. In addition to executing the functions of the generalist in population-focused nursing, the specialist retains clinical experience in political and legislative activities, delivering and evaluating service, organizing, interdisciplinary planning, community empowerment, and assuming a leadership role in interventions that have a positive effect on the health of the community. Certification examinations for advanced practice nurses are rewarded by the American Nurses Credentialing Center (ANCC).
As a nurse, we serve a society which is very culturally diverse. We provide care to many individuals whom have their own unique set of ethics, values, morals, and beliefs by which may be very different from our own. Because of our professional role, we must use lifelong learning as a tool to broaden our views, increase our knowledge, and understand the influences which affect it. To make this possible, we have to continually educate ourselves about the nursing laws, professional standards, and code of ethics all of which we are committed to.
The National Council of State Boards of Nursing (2015) describes an advanced practice nurse as a nurse with a graduate level education in a specific area of study including nurse anesthesia, nurse midwifery, nurse practitioner, and clinical nurse specialist. Advance practice nurses have been crucial to meeting the demands of the growing patient population due to the implementation of the Affordable Care Act. These nurses bridge the gap between physician and patient and are a vital part of the healthcare team. There are a variety of specializations and educational paths nurses may pursue in order to advance their career towards advanced practice nursing.
This paper will evaluate the local, national and international drivers that have influenced the development of advanced nursing practice. The discussion will include the political, economic, social, and technological influences that have contributed to the transformation from the traditional nursing role to the numerous exciting advanced level career opportunities achievable in nursing today. Dynamics that have shaped my own current advanced nursing role will be discussed and to conclude some thoughts on the future of advanced nursing practice.
Advanced Practice nursing (APN) is considered the usage of a broader scope of constructive, logical and research-based expertise related to the health and well-being of patients, within a varying disciplines (DeNisco & Barker, 2013). What is the future position of APNs in the progression of our healthcare system? What role will this writer assume, educator, practitioner, population health coach, or all three? The use of theory, primarily Sister Callista Roy’s Adaptation Model, and EBP give this writer a firm foundation to develop and modify her own practice framework.
My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering the nursing program at State University. My personal philosophy of nursing is related my life experience and my personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead me to nursing. I discovered client and family centered care to be an important quality when I look at the influential nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5 dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing client-centered care, the dimensions of trust, empathy and respect are particularly important (CNO, 2006). Illness can be a traumatic experience for patients and their families, and it is important to be empathetic to the patient’s needs, while still trusting the patient to be an expert in their illness and care.
Care planning is one of these tasks, as expressed by, RNCentral (2017) in “What Is a Nursing Care Plan and Why is it Needed?” it says, “Care plans provide direction for individualized care of the client.” A care plan is for an individual patient and unique for the patient’s diagnosis. It is a nurse’s responsibility to safely administer a patient’s medication prescribed by the doctor. Colleran Michelle Cook (2017) in “Nurses’ Six Rights for Safe Medication Administration,” she says, “The right patient, the right drug, the right dose, the right route and the right time form the foundation from which nurses practice safely when administrating medications to our patients in all health care settings.” Nurses must be safe when dealing with medications, and making sure they have the right patient. Nurses document the care that is given to their patient, as said by, Medcom Trainex (2017) in “Medical Errors in Nursing: Preventing Documentation Errors,” it states, “Nurses are on the front lines of patient care. Their written accounts are critical for planning and evaluation of medical interventions and ongoing patient care.” Nurses must provide an exact, complete, and honest accounts of everything that happens with a patient. Doing this allows for the proper evaluation, and medical interventions for the patient. The typical tasks a nurse involves care planning, administration of treatments and medication, and documenting the care given to a
A holistic approach to nursing is essential to make a patient feel cared about. Caring is at its best when there is a mixture of who the nurse is and what they do. In nursing practice, caring entails “knowing that”, not just “knowing how” (Corbin, 2008). To care for a patient at one’s best, you need to understand the other needs of the patient.