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An advanced practice nurse (apn) is the nurse most independently functioning of all professional nurses
Challenges of advanced practice nursing
Proposal of evidence based practice
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Recommended: An advanced practice nurse (apn) is the nurse most independently functioning of all professional nurses
The role of Advanced Practice Nursing (APN) has changed dramatically in recent years. Currently, the Unite States (U.S.) health care is focusing on delivering a cost -effective health care to all patients. In the last decades, there were many efforts to control health care over spending in the U.S. One of such efforts is to focus on applying proven principles of evidence-based practice and cost-effectiveness to find the least expensive way to produce a specific clinical service of acceptable quality (Bauer, 2010). The vast changes in health care system, such as cost, need for high productivity, limitation on reimbursement, and the inadequacy on access have made APNs to think in a way where they most fit to provide independent care for children and adults of all ages while focusing on providing high quality and preventative health care services. The main focus of APNs are patient education, disease management, treatment, illness prevention, and health promotion. There is a strong support within the education for the essential role of advanced practitioners. Nurse practitioners are highly qualified nurses with an enhanced level of authority to prescribe medication, refer patients and order diagnostic tests (ICN Nurse Practitioner/Advanced Practice Nursing Network 2013). Researchers have predicted that by 2015 primary care will be provided providers other than physicians , including Nurse practitioners (NPs) (Poghosyan, Lucero, Rauch, & Berkowitz, 2012). Urinary Incontinence (UI) is a prevalent medical problem in the U.S. Agency for Healthcare Research and Quality (AHRQ) estimates that about 25 percent of middle aged and postmenopausal women and about 75 percent of older women in nursing homes suffer from some form of UI... ... middle of paper ... ...audience. The NPs were able to get a good number of attendees on the urinary continence screening / awareness day by advertising on the hospital website, newspaper, and flyers that were provided to the community facilities, such as other Northwest community hospital related facilities, libraries , and other community centers. Word of mouth would be another way to promote the service. Conclusion Marketing is an ongoing process. The NPs need to revisit the marketing plan often to ensure the U I service is compatible and able to provide all the services that clinic was intended to provide in a cost-effective and quality care manner. Starting a independent clinic would be challenging for the novice NP; but with right partnership, careful implementation of the plan, frequent evaluation of the services and commitment, it could be satisfying and rewarding endeavor.
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.
The model discusses the impact of new regulations on education for APRN, Licensure Accreditation, Certification & Education Document, certification and practice. The model is implemented to grasp the general understanding and definition of advance practice registered nurse APRN role, inconsistencies with state by state recognition of APRN roles, and determining eligibility for APRN licensure (Consensus Model for APRN Regulation, 2015). The consensus model definition of APRN is a nurse who is educationally rounded to assume the responsibility of assessing, diagnosis, treating, teaching health promotion and disease maintenance, acquired advanced clinical knowledge and skills to provide direct patient care, has passed a national certification examination, and licensed to practice in one of the four roles (Consensus Model for APRN Regulation, 2015).
For the first component of the Session Long Project, your task is to write a 2-3 page essay about a health care organization with which you are involved, or are familiar. Specifically, your tasks are to select an organization and describe it. Then, discuss the main challenges in marketing that organization.
Many may argue that one is just as capable as the other in offering patient care. But recent studies conducted by Aiken et al. have shown nurses educated at higher levels are better prepared for delivering optimal patient care. One of the key eliminates is evidence-based practice. BSN programs provide the knowledge and preparation needed for evidence-based prac...
The topic that I chose is interventions used to reduce catheter associated urinary tract infections(CAUTI). This type of infection is acquired from the use of urinary catheter while in the hospital. According to the Institute for Healthcare Improvement, urinary tract infections are responsible for 40 percent of all hospital-acquired infections annually, with 80% of these hospital acquired infection caused by use of indwelling urinary catheters. When any type of tubes or catheters are introduced in the body it serves as a medium for infection. Urinary catheters are used during surgery to prevent injury to the bladder. It is also used for urinary retention or bladder obstruction. The implementation of evidenced based practice when providing care
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
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
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).
Mundinger, M., (1994). Advanced-Practice nursing—good medicine for physicians? New England Journal of Medicine, 33(3), 211-214. Retrieved from http://www.nejm.org/doi/pdf/10.1056/NEJM199401203300314
Typically NP’s provide health services in rural areas where they are the only source of medical services and this had n...
...sa, H. Cashin, A. Buckley, T. Donoghue, J. (2014). Advancing advanced practice — clarifying the conceptual confusion. Nurse Education Today 34 (2014) pp. 356–361
Kenneth, I really enjoyed your post. It is so interesting to read about the role of the advanced practice registered nurses (APRNs) in other countries. A shortage of physicians seems to be a common issue around the world. As a result, APRNs are in high demand because they can help fill vacancies within the healthcare field. In return, patients will receive quality care that is more cost efficient. One tremendous accomplishment is when the ICN created the International Nurse Practitioner/Advance Practice Nursing (INP/APN) Network in 2000. This network helps give guidance, education, research, health policies, support, and communication to the APRNs as they practice worldwide (AANP, 2016). The INP/APN Network is extremely helpful because it
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
There was a situation in which we had and outbreak of urinary tract infections. While most nurses emphasized hand washing and proper perineal care one of the managerial nurses who had her BSN. took it a step further. She analyzed the data for the urinary tract infections. Taking into consideration who the primary care givers were for those residents, she was able to track down the care givers who most probably did not give proper perineal care and gave them individual in-service training on top of the facility wide in servicing. She reviewed and amended the facilities policy and procedure on Urinary tract infections and then educated all staff on the revised plan of care with follow up schedules to ensure compliance. She implemented set standards of care for everybody to prevent urinary tract infections and also for those who had signs/symptoms of a UTI. The 3 quarters following the implementation of the revised pol icy and procedure for UTI’s there was not a single UTI in the facility. This definitely improved the outcome for