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Concept of advanced nursing practice
Florence Nightingale's influence on nursing
Florence Nightingale's influence on nursing
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Advanced Practice Nurse
Nursing expand and grow dramatically since Florence Nightingale era. During the old days, young women were taught about cleanliness and maintain sanitary practice as well as instilling the ideas and emphasizing the importance of hygiene to patients, doctors, hospital workers and community.
Today’s fast paced and continuous evolving healthcare technology as well as the complexity of patient condition ought the nurses to improve their knowledge and obtained greater range of skills. This is because development of treatment had change drastically since then and there are a lot of breakthrough findings in current medical field. Nurses who had master or doctoral degree went through an intensive and extensive training in order to obtain in-depth
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A Master’s degree is recommended for entry level” (ICN, 2008)
APN is an umbrella used by some countries to collectively define some other nursing subspecialties including Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Nurse Midwives (NW) and Nurse Anesthetist (NA).
Goal of APN
APN was introduced primarily to allow more access to healthcare despite limited number of doctors. Another reason for APN development is to promote higher quality care for patient with chronic illness by following up, providing counselling, giving health education and others. In certain countries, development of APN was seen as one of the way to contain the cost. By delegating the task from more expensive doctor charges to less expensive APN, it is possible to deliver same (or more) service at lower cost. After all, it is mean to improve health, to avoid complication and prevent unnecessary
I plan to pursue a career in nursing as a Family Nurse Practitioner. This career take many steps to complete. But it is different routes you can take and different programs you can enroll in for this profession. Family Nurse Practitioners can prescribe medication and diagnose patients and give treatment. They can work either in hospitals and or clinics as a primary healthcare provider. They can also order specific x-rays and test that need to be done for a patient. The nurse practitioners interact with less patients in a clinic than in a hospital. Np’s have privileges to prescribe medications in every state.
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
Nurse practitioners (NPs), one type of advanced practice nurses, are licensed by the states where they practice and certified by private boards. Nurse practitioners hold advanced degrees in clinical practice and function in a wide variety of settings and across the life span. They provide a broad array of healthcare services ranging from managing treatment plans, to prescribing medications, to implementing health promotion services. As of 2014, 205,000 NPs were licensed in the United States with 86% of those prepared to deliver care to patients in primary care settings (NP Facts, 2015). The progression of the Nurse Practitioner movement that occurred in the 1960 and 1970s emerged as a creative and
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.
o Type of healthcare worker: Nurse practitioner o When this type of work entered the market: The medical profession of nurse practitioner was developed in the mid 1960s. The job of nurse practitioners grew from implementing work from primary care physicians into that of traditional nurses. o Reasons for creation and growth: In the late 1950s and early 1960s, increased specialization amongst physicians was taking place, which led to many doctors exploring other avenues of medicine, resulting in a large shortage of physicians practicing primary care. This left many rural and inner city areas with very limited access to medical care.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
With the increase in the complexity of the healthcare system, the doctorate has become the preferred preparation for advanced nursing practice in order to improve the quality of care (AACN, 2006). The Doctorate of Nursing Practice (DNP) is a terminal degree in nursing. It is designed to prepare individuals for specialized nursing practice (AACN, 2006). A significant foundation for the practice of a DNP is the “Essentials of Doctoral Education for Advanced Nursing Practice” (AACN, 2006). Incorporated into the curriculum of a graduate nurse obtaining a doctorate degree are the DNP Essentials (AACN, 2006).
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...
The Nurse Practice Act or NPA was created to not only protect nurses during their practice, but the public as well. According to American Nurses Association (2012) "Acts are intended to protect patients from harm as a result of unsafe or incompetent practice, or unqualified nurses" (para. 4). These set rules and regulations are in place to allow safe and efficient nursing practice in any setting.
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).
I want to be a nurse, specifically a nurse practitioner. I have always been fascinated with the medical field and see a bright future in it for me. I have the opportunity of meeting new people every day with a variety of personalities. There is always something new to discover in this field. A nurse practitioner's job is to be able to diagnose and treat illnesses. They also prescribe medicine and run physical exams. I am highly interested in pursuing the career of a nurse practitioner because the healthcare field is always in need for medical professionals, it pays well, and I am helping people at the same time.
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.
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.
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.
It is very fascinating the most of the universities are having online courses for nurses to get their higher education, while nurses are struggling between the work and home. Currently most of the hospitals in the United Sates are moving towards magnet status which needed higher educated nurses. In this situation, it is blessing for nurses to attain their higher education through online course even for associate RNs to become BSN. The BSN program helps the nurses in many ways including to utilizing the process to the full scale and it will promote 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 also will aid to fill the gap from the influx of patients. The baccalaureate degrees and BSN program helps and prepares for the significant part they going to play in reinforcing the new healthcare modification. At present, I utilize and develop nursing care plan in the nursing process even though it needs some corrections due to the nature of my work. The highest standards of nursing could be only done through better research and advanced training. All these process will not only aid to create a healthcare model based on the clinicians wants, but also based on better data from the research which will eventually help to direct them towards right direction.