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Challenges of advanced practice nurse
Reflections on mentoring student nurse
Challenges of advanced practice nurse
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Mentoring is a very common and well discussed topic in nursing. Most of the nurses are trained under mentoring. It is defined as “a relationship between an experienced profession, known as a mentor, and a less experienced aspiring professional, known as a mentee”. (Atkins & Williams, 1995) It is found as a key element of leadership competency under advanced nursing practice (Hamric, Hanson, Tracy & O’Grady, 2014) and the main role of advanced practice nursing (Brayant-Lukosius, DiCenso, Browne & Pinelli, 2004). In this paper I will first share my own experience of being a mentee, followed by the discussion of mentoring based on the story mentioned previously, and finally will reflect on the lesson that I learned. Story of mine (345)
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(American Association of Colleges of Nursing, 2014; Department of Health, United Kingdom, 2010; Nursing and Midwifery Board of Australia, 2014; Singapore Nursing Board, 2106; The National Organization of Nurse Practitioner Faculties, 2011; 台灣護理學會, 2014) In Hong Kong, Hospital Authority (2005) clearly stated that advanced practice nursing should include the additional competency, compared with enrolled nurses (EN) and RN, of providing feedback and coaching to colleagues to enhance performance, providing support and guidance to nurses in their establishment of therapeutic and caring relationship with clients; acting as a role model and being a resource person on areas of nursing; motivating and encouraging staff on continue professional development; and empowering staff to assume responsibilities for client care with delegation, support and supervision. These competences perfectly fit the definition of mentoring the would be stated later. The Hong Kong Academy of Nursing Limited (2012), further elaborated that advanced practice nurses (APN) should include the competences of supporting socialization, education, and training of novice practitioners by serving as preceptor, role model and mentor; and motivating and supporting staff to be self-developing and achieving higher professional
The role of Advanced Practice Registered Nurses (APRN) in health care has been identified as a critical role in the goal to provide high-quality health care. APRNs have a bigger role to play in the health care system and it is important that students are provided with relevant and valuable knowledge as well as experience that improve their abilities. Achieving course objectives are critical for APRNs with the goal of contributing positively to the health care system. As a future APRN, I place high priority on life-long learning and the development of other people’s skill sets. All duties associated with health care require a dedication to excellence and selflessness. These are two components of learning that will improve the capabilities of
I presume the role transition from academic nursing student to Graduate Nurse will be challenging and rewarding. In their findings, the researchers Doody, Tuohy & Deasy (2012) stated that for a successful transition NGNs need to be competent in a range of domains: interpersonal skills, managing workloads, providing health information, communication, and prioritising care delivery. Although I believe I am competent in the above specified areas, I am still not confident that I would get sufficient support in the hospital environment in terms of knowledge sharing, moral support and being given constructive feedback. Constructive criticism increases confidence in the work role and reduces stress in an individual (Doody, Tuohy & Deasy, 2012). In my previous professional placements I have been able to demonstrate my competency to work in the healthcare environment. I have received positive feedback from placement educators, buddy nurses and patients. Despite being competent in a range of the above areas NGNs may still face transition shock.
Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nursed who have received graduate-leveling nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialist when necessary. Some Nurse practitioners work under the supervision of a physician; while others run their own practices.
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).
Just like any novice APN I would tend to be more focused on the clinical domain. Coaching and educating patients and family will be important to effect change in their lifestyle to be more compliant with the treatment plan. As we all know a patient’s care is not confined to nursing care but involves the other disciplines; doctors, therapist, social worker, nursing assistant, dietician, pharmacist, etc. and thus the importance of collaboration. Advocating for patient also requires expert communications skills and collaboration. As I continue with my journey to become an Advanced Practice Nurse, I hope to develop all attributes starting with the expert communication to the level where I can advocate for my patient’s needs in the health policy arena. I would also like to work on self-confidence. I know self-confidence comes in time with knowledge and experience. I believe that patients develop trust and confidence when they see confidence of their healthcare
In order to better understand the role of an Advanced Practice Nurse (APN) and how the core competencies work in their role I conducted an interview with
Black, B. P., & Chitty, K. K. (2014). Professional nursing: Concepts & challenges(7th ed.). St. Louis, Missouri: Saunders.
In this paper I will discuss how preceptors and educational leaders have contributed to my nursing career and many others. The mentors who have the most influence on nurses are those that stick with the nurses and help give them the motivation they need to move through obstacles. In the first few paragraphs, I will discuss my personal experience with a mentor and the characteristics they possessed that were beneficial to me. Mentors have become a great influence in my career and many others. In the last section of this paper, I will discuss some of my personal experiences in example and support why I value the characteristics by referring back to peer reviewed articles. Preceptors are essential and irreplaceable in the nursing profession and in this paper will describe how they are active in every nurse’s life and profession.
Brykczynski, Karen A. “Role Development of the Advanced Practice Nurse,” in Advanced Nursing Practice: An
...sa, H. Cashin, A. Buckley, T. Donoghue, J. (2014). Advancing advanced practice — clarifying the conceptual confusion. Nurse Education Today 34 (2014) pp. 356–361
Mentors are ideal for nursing students and new nurses in providing support and guidance. They are able to provide effective communication, and help ease the transition into the workplace (Shellenbarger & Robb 2016). Furthermore, nursing mentors can help student nurses understand the social aspects and the flow of the hospital which can be pressuring. Nurses must be knowledgeable about the demands of this profession and how to deal with the pressure. Being aware of high demands of healthcare can help new nurses adjust in their positions, and improve quality care for patients. Therefore, knowing what’s expected results in nurses less likely to leave their position and decrease turnover rates. Job satisfaction is essentially important. It lessens turnover, which helps decrease the rate of the nursing shortage that we are currently
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
Nurses need a seat at the table to ensure they have a voice to influence and shape their future. Nursing is constantly evolving and changing, and employers continue to raise the bar for nursing. Nurses understand early in their career the importance of continuing education to enhance future career opportunities. Professional development relates to how nurses continue to broaden their knowledge, skills, and expertise throughout their career, therefore enhancing their professional practice. This advanced knowledge is not only career boosting, but also opens a seat at the table giving nurses the power to make decisions and effect changes. Professional development and continuing education are more important to nurses now than ever before to keep up with the rapid changes in healthcare today. Numminen, Leino-Kilpi, Isoaho and Meretoja’s (2017) article contends professional development enhances personal satisfaction, rejuvenates the love of nursing, builds confidence and credibility. There are many avenues to pursue
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
My ethical and moral views, beliefs, attitudes and values have been fashioned by an up bringing that centred on Christian beliefs. Even though religion was not forced upon me as a child, my mother raised us all with a strong sense of right and wrong. Along with the influence of my family, the Navy has had a big influence on the person I am. The Navy has a strong ethos of what is expected of the personnel that serve; this is made up of the following: Leadership, High Professional Standards, and Courage in Adversity, Determination, Loyalty, Mutual Respect, Discipline, A Sense of Humour, Teamwork, and A Can Do Attitude. Most recently of all though, the biggest thing that has influenced me as a person and a parent has been my experiences of working with young people. This includes acting as a Youth Advisor for Portsmouth City Council, a Mentor for Barnardos and a Youth Advisor for East Sussex County Council. I am currently working in two secondary schools as part of my resettlement from the Navy. This has given me the experience of working with young people living in virtual poverty, in constant trouble with the Police and education services and some young people with varying levels of disabilities. This work has given me a good ability to stay impartial, to be non judgemental and has given me a capacity to treat people a lot more emphatically than I was ever able to. This is because I have been exposed to a greater range of problems and personalities than I have been used to in the Navy. These are qualities that I will hopefully be able to transfer into my coaching practice.