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Role of advanced practice nursing
Role of advanced practice nursing
Roles of the Advanced Practice Nursing Professional
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As healthcare reform evolves, advanced practice nurses (APNs) will play essential roles in improving health outcomes of diverse populations. APNs should be able to practice fully of education and training. However, barriers exist that limit the APN practice (Hain & Fleck, 2014). Because of known challenges, APNs must be involved in policy changing and be politically competent to effect change. The author will identify steps to advocate for policy change and identify ways to improve political competence.
Involvement in policy making is essential to influence change. First an APN needs to campaign or contribute to fundraisers to establish a relationship with a legislator. Next hire a lobbyist that will provide information about who to sponsor for legislation as lobbyist are known to having trusting relationships with legislators. Strong arguments must be developed on why physician collaboration needs to be eliminated. For example, the
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First, the APRN must have strong ties with individuals inside and outside of nursing; individuals must have high regard for the APRN as highly knowledgeable, genuine, and trusting. The APRN should gain knowledge of the of content and policy process. Ensure to seek out individuals with expertise on policy matters to include the opposition’s views. Engage stakeholders to learn about viewpoint on an issue. The engagement can help development strategies against opposing ideas with evidence if needed. Informing and contributing to health policy issues can help the APRN gain public support and catch policymakers attention. Lastly, become a member of a professional nursing organization with similar interest trying to obtain independent practice for APRNs. Having a deep understanding about an issue, along with developed political skills, can make a difference advocating for changes (Hamric, Hanson, Tracy, O’Grady,
For instance, I use to think that APRN can works in hospital settings, but I learned that she/he can work in many areas like pharmaceutical and biomedical companies, Insurance companies, Federal agencies, and as policy maker (Congress, and Senate). Also, there may be a confusion between DNP and APRN, but through this course I can now better explain difference between them. For example, DNP programs teach students to be embraced leadership, knowledge, skills, independent practice, and scientific foundation as core competencies of a fully trained APRN. These are emerging areas of scholarship in DNP that students can be prepared for, indicating the focus on clinical and systems outcomes of the Doctor of Nursing Practice
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.
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.
Even so, physicians and nurses debated the best way and extent to which the NP role should be integrated into care, as well as how far NPs could extend their scope of practice. The National Joint Practice Commission (NJPC), funded by the Kellogg foundation in 1972 was one attempt to bring nurses, physicians, and broader professional organizations together to model the collaborative behavior that made nurse-physician teams so effective at the practice level. The NJPC funded nurse Virginia Hall to investigate legal issues related to expanding nursing roles related to nurse practitioner practice. In 1974, she published Statutory Regulation of the Scope of Nursing Practice – A Critical Survey. Hall’s work was one of few nationally unifying positions to guide physicians, nurse practitioners, and state boards (Hall, 1975). The Commission also published Together, as series of exemplars that highlighted effective NP-physician collaborations (Hidgen, Offan, & Starr, 1977). Still, the American Medical Association and other physician organizations could not accept the broader scope of practice recommended by the NJPC, and it folded in 1981 after only 9 years of existence. (Fairman, 2008,
Provision 8 states, “The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs.” (Nursing World, 2001). Provision 8 taught me that ANA’s goals are not limited to the health and welfare of individuals, but their goals also encompass the welfare of the community through promotion of collaborative work of nurses with other health professionals and the members of the community.
Although our main mission is to provide great care to our patients, Florence Nightingale has taught us (Burkhardt & Nathaniel 2008, 3rd Ed. P18-19) that if we do not have legislative power many of our ideas can be oppressed therefore prevent the profession from thriving. To be well organized as a profession is very important, since many of the rules and regulation that govern us often come from a legislative process. According to Burckhardt and Nathaniel, we nurses, are nearly 3 million, ( Abood, S. January 2007). In addition to our caring skills we need to enact our lobbying and legislative skills to participate in the process and help protect the legitimacy of the profession. While many lawmakers may have advisers with some medical knowledge. However, many of these lawmakers have no background in the medical field particularly in the nursing field. We must get involved, let them feel our presence, not only through voting, but al...
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
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).
Nurses are at the forefront of the healthcare system and therefore must actively engage in policies that impact the healthcare system. DNP graduates can initiate the process of change by pointing out potential problems within the healthcare delivery system and spearheading legislation through lobbyists and nursing organizations. Nurses should be the middle-man between patients and policy makers. Patient advocacy has been part of nursing for a long time. Zaccagnini and White (2014) highlighted how Florence Nightingale advocated for the British soldiers’ poor living conditions during the Crimean war once she recognized the connection between policy makers and public health. Local, national and global nursing organizations provide ways for nurses to voice issues and concerns that affect public health welfare. In the United States of America, the Center for Disease Control (CDC) and the National Council of State Board of Nursing(NCSBN) can be used as a platform to raise awareness and concerns for public health and
This provides more jobs for medical professionals across the board especially nurses. This allows for nurses to become great leaders and advocate for their patients. The main focus on AANP political stance includes several values that provide a great framework. With both organizations they can help an individual to become a great leader and to be able to gain an abundance of knowledge. These organizations provide a great wealth of knowledge and job opportunities not just within the work force but great volunteer opportunities to go out into our community.
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
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.
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.
Organizations that implicate this process have a higher chance of influencing legislators to either support or oppose a particular bill. Nurses can also proclaim their obligation to being political active through testifying information at hearings. Any experiences from the clinic can aid in the passage of a bill. Furthermore, professional organizations; such as, ANA, CAN, NLN, and NSNA, update society on legislative matters and encourage nurses to take advantage of their profession and fight for legislative rights on behalf of healthcare consumers. (Blais,