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Background to advanced practice nursing
Roles of the Advance practice health nurse
The role of advanced practice nurse
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The chapter I read was chapter 39, The Advanced Practice Nurse in the Community.
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).
Advanced practice nurses can work in primary care, correctional institutions, home health agencies, public health departments, independent practices, schools, ambulatory or outpatient clinics, emergency departments, long-term care facilities, and industry or occupational health.
“Changes in the
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health care system and nursing have occurred in the past few decades because of a shift in societal demands and needs. Trends that have influenced the roles of the APHN and NP include a shift from the institution-based health care to population-focused health care, improvements in technology, self-care, cost-containment measures, accountability to the client, third-party reimbursement, and demands for making technology-related care more responsive to the client,” (Stanhope, 2012, p. 856). Nurses in advanced practice function in several indirect nursing care roles.
The educator role of the APHN and NP includes health education within a nursing framework and professional nurse educator roles. The APHN analyzes groups at risk within a community and implements health education interventions. The APHN and NP boost wellness and contribute to conserving and advocating health by teaching the importance of a healthy lifestyle, stress management, physical exercise, and good nutrition. They educate about disease processes and the importance of following treatment systems. In addition, they provide guidance and educate clients on the use of birth control methods, diet, medications, and other therapeutic procedures. They also counsel groups, families, clients, and the community on the importance of assuming responsibility for their own
health. As professional nurse educators, the APHN and NP provide formal and informal teaching of staff nurses and undergraduate and graduate students in nursing and other disciplines. Nurse midwives provide fetal care, deliver babies in hospitals and private settings such as homes, and look into postpartum care. Clinical nurse specialists provide a range of care in distinctive areas. Nurse anesthetists administrate the use of anesthesia for all types of surgery. The APHN and NP may function in administrative roles. As a health administrator, they may in charge of all administrative matters within an agency setting. They may have oversight over staff and the client care of the organization. Consultation is an important part of practice for APHNs and NPs. Consultation involves problem solving with an individual, family, or community to enhance health care delivery. They may also collaborate with physicians and other health care providers or with organizations or schools to enhance clients’ health care. Practicing APHNs and NPs are in exemplary positions to identify researchable nursing problems related to the communities they serve. They can apply their research findings to the community health practice setting The different opportunities and the different places where you can work are what I find the most appealing about the Advanced Practice Nurse. You can even do your own practice if you choose to. Reference: Stanhope, M., & Lancaster, J. (2012). The Advanced Practice Nurse in the Community. In Public Health Nursing: Population-Centered Health Care in the Community (8th ed., p. 856).
I now that I have the knowledge to aspire to take up my role within one of the identified population foci. APRNs program developed my core competencies by allowing me to be more efficient adaptability with regards to newly emerging APRN roles or population focus. Furthermore, achieving my course objectives enable me to understand the specific APRN roles. For example, course objectives provide me with a better detail, and align my licensure goals with the responsibilities expected of each role. Licensure will provide me and my fellow APRN graduates with the full authority to practice. Also, certification is required to meet the highest possible standards as APRNs are expected to align knowledge, skills and experience with the standards of health care professionals. This field has very narrow margins for error, and it is therefore important, for APRNs to meet the highest and most stringent academic qualifications. In order to be a recognized as APRN graduate, one is required to complete formal education with a graduate degree or post-graduate certificate awarded by an academic institute and accredited by a recognized accrediting agency empowered by the relevant government education
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.
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.
Currently, there are multiple challenges to the US healthcare system like the nation’s aging population and the staggering reports of alarming rates of increase in chronic diseases in both pediatrics and adults (Stanley, 2012). While the need for more healthcare providers who can take care of these populations increases, a study by Peterson et al. (2012) states that there is a foreseen shortage primary care physician due to new physicians opting to specialize. Coincidentally, the availability of Advanced Practice Registered Nurses (APRNs) has been increasing throughout the years. APRNs, specifically Nurse Practitioners (NPs) and Clinical Nurse Specialists (CNSs), can fill in the shortage of primary care providers (Stanley, 2012).
According to Allender, Rector, and Warner (2014), public health is a combination of both an art and a science (2014). The mission of public health nursing is to promote health, prevent disease and ultimately prolong life (Allender et al., 2014). In order for this to occur an assessment must take place. An aggregate or community assessment begins with a collection of data. This includes: the community’s health needs, risks, environmental conditions, financial resources through local census data, and a windshield survey (Allender et al., 2014). Through public health nursing, communities can collectively come together to help promote an overall better health standing.
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.
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.
Stanhope, M., & Lancaster, J. (2008). Public health nursing: Population centered health care in the community (6th ed.). St. Louis: Mosby.
“A public health nurse is a nurse who works to promote and protect the health of an entire population” (Allender, Rector, & Warner, 2010, p. 839) the public health nurse I chose to interview was Barbara, she currently works for the Health department and has been there for three years. During the interview Barbara discussed the requirements for a public health nurse. The individual must have the ability to exercise independent judgment, planning and able to administer safe effective public nursing care. In addition be able to work effectively with individuals and families to assist them in the satisfactory solution of health problems, by recognizing and respecting of different cultural, ethnic and difference on health care practices. The nurse is also required to know disease prevention such as, different techniques on teaching, counseling, interviewing and resources available. Barbara stated that the most important part of being a public health nurse is being able to care. Barbara acknowledged that there are numerous individuals that she assists everyday that just want someone to exhibit that they care and understand. The education a public health nurse should obtain is a bachelor’s degree in nursing, which Barbara posses. “Public health nurses working with specific populations or in administration position should hold a master’s degree” ( Allender et al., 2010, p.839). Barbara discussed that before becoming a public health nurse she worked at St. Francis Hospital as med-surge nurse for five years, after that it was imperative that she change working environment. Barbara confirmed that working as a nurse in the hospital was extremely diverse then working as public health nurse. “Comparing public health nurse and general nurse, public health nursing is population based, focuses on the greater good, health promotion and disease prevention, and utilizes community resources. The general nursing is individual based, focuses on individual good, restoration of health and function, and manage resources at hand” (Minnesota Department of Health, 2007). In the beginning Barbara thought that public health nursing would be a difficult job to gain knowledge of however, she established that it was exceptionally effortless and gratifying career to posses. Barbara stated that she did not realize how much assistance was out there for the public until; she worked as public health nurse. Barbara spends 95% of her day going from place to place by doing home visits, investigating different cases, assisting with screening programs and enormous amount of paper work.
With my academic, professional and volunteer experience, I have reached a point in my career where I am fully equipped to enter the advanced curriculum of the Doctor of Nursing practice, Family Nurse Practitioner program. Working in the nursing profession for the past three years has shown me that there is an increasing need for research to improve health care delivery and access to vulnerable populations. It is rewarding to be a nurse; however there are limitations in my current scope of practice that prevents me to go beyond my job requirements. Through advanced education, my aim is to provide quality patient-family
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
The purpose of this paper is the essential role of a mental health nurse in advocating increase of awareness of stigmatization of individuals with mental health illness among the health care professionals. The World Health Organization (WHO) defines health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (World Health Organization, 2006). Mental illnesses are characterized by alterations in thinking; mood or behavior (or some combination thereof) associated with significant distress and impaired functioning over an extended period of time (World Health Organization, 2006). The symptoms of mental illness vary from mild to severe, depending on the type of mental
Teaching and health information can be used to discuss immunizations, nutrition, rest, exercise, use of seat belts, and abuse of harmful substances, such as alcohol and drugs (Kaakinen et al., 2015). The community nurses where I live refer families to programs based on their needs. For example, a family with obese characteristics may receive a referral the local neighborhood YMCA for an exercise and healthy cooking class. The family will benefit from this because it will help change their
Furthermore, DNP advanced practice track will prepare and enable me to utilize my leadership skill in teaching, mentoring and educating other nurses and patients in a wide variety of community-based- setting because knowledge is important and creation of awareness about various health problem and preventive measures to take to prevent those health problem is vital as well. More so, Irrespective of the increasing demand to meet the health care needs of the diverse population, workforce shortage is still a challenge to meeting this demand of provision of primary care services in the community. Since there has been an increasing decline in the number of medical students and residents entering primary care and or pursuing internal medicine or family practices, there has also been an increasing need for nurse practitioners to bridge these