...Emeruem NSG 5000 South University Online In partial fulfillment of the requirements of NSG5000: The Role of the Advanced Practice Nursing Dr. Cheryl Williams September 19, 2014 Introduction The advanced nursing practice is the highest level of practice in the nursing field. Due to the diversity of this profession, the advanced nurse can play the role of nurse administrator, nurse informatics, nurse practitioner or nurse educator. These high level roles require more advanced education and experience to attain the required credential needed to handle the responsibilities that come with the profession. The purpose of this scholastic writing is to review the different advanced nursing roles and scope of practice for the respective roles. This paper will further expand more on the nurse practitioner role and scope of practice, core competencies, certification requirements, legal aspects and practice environment. Advanced Practice Roles: Differences and Similarities Clinical Practice When clinical practice is mentioned, the first thought that comes to mind is hands on patient care. Of all the advanced practice roles mentioned, nurse practitioner is the...
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...lifespan AACN Essential Standard # VI: Health Policy and Advocacy AACN Element # VI-5: Advocate for policies that improve the health of the public and the profession of nursing This Exhibit Contains: A membership certificate to the Coalition of Advanced Practice Nurses of Indiana (CAPNI). Rationale and Support: Joining professional organizations is a great way for advanced practice nurses to stay up to date on current healthcare information and share their ideas and opinions with other professionals. Professional organizations, such as CAPNI, provide numerous benefits for nurse practitioners. Becoming a member of a professional organization allows nurse practitioners to attend conferences and annual meeting with cohorts across the country. Attending these conferences is a great way to network with other professionals in the same field and share ideas and opinions. NONPF Core Competency II-7 is met here. Kearney-Nunnery states “To advance in your professional career, you must broaden and build on your knowledge base” (2012, p. 1). Several professional organizations offer exclusive courses and continuing education opportunities for nurse practitioners. It is important for advanced practice nurses to remain up to date with current...
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...What differentiates a technical nurse from a professional nurse? Is it their education, work experience or innate organizational and leadership skills? Most current educators, leaders and professional nursing organizations say the primary differentiator between a technical nurse and a professional nurse is the level of education. The Nursing Diploma and two-year Associates-Degree Nurses (ADN) are considered “technical” while a nurse with a four-year Bachelors of Science Degree in Nursing (BSN) is considered “professional”. The distinction of differentiating nursing capabilities based on education arose after the creation of the two-year ADN programs at junior colleges. After World War II there was a sudden growth in junior colleges to support the demand for technical training and education of returning veterans. At the same time there were accelerated advances in medical sciences and facilities and a supporting demand for more nurses. Creative educators, led by Dr. Mildred Montag, starting in the early 1950’s created the two-year ADN curriculum to help meet the growing demand for nurses. “Dr, Montag’s doctoral research, not only as the spark that began the Associate Degree Nursing movement, but also the research base that proved her ideas could work in the real world and established Associate Degree Nursing as the only nursing program that was research proven over time.” However, some educators took liberties and experimented with the ADN curriculum as they worked to...
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...Foundation (RWJF) partnered with the Institute of Medicine (IOM) and began 2 years of research to develop a thorough report on the future of nursing. As we move closer to the implementation of the Affordable Care Act (ACA) of 2010, nurses will be asked to take on the task of transforming the nursing workforce and expanding the delivery of nursing care. (Montalvo, 2010) We, as nurses, are in an important and unique position in that we are the segment of the healthcare field who addresses patient care both in a holistic realm as well as a contextual realm. The purpose of this paper is to look at three aspects of the IOM research and its implications. Nurses Scope of Practice is one of the key areas that the IOM put its focus upon. One of the ways the IOM anticipates changes imminently at hand is that nurses will be required to function to the full extent of their training and education no matter what level of education they currently have. The nursing profession is plagued by polices that are outdated. This is particularly true with regard to the policies regarding Scope of Practice. Much focus is being placed on APRN’s (Advanced Practice Registered Nurses) to act as Primary Care Providers. To facilitate this, one of the key elements would be to standardize the Scope of Practice nationwide. Across the United States each Board of Nursing has its own unique Scope of Practice that nurses must function within. This has the potential to create confusion within our practice...
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...Running head: COMPARATIVE RESEARCH PROJECT: DISCUSSION AND Comparative Research Project: Discussion and comparison of health promotion and prevention levels Nathan McCain Grand Canyon University Family Centered Health Promotion NRS 429V Kimberly Stout June 24, 2012 Comparative Research Project: Discussion and comparison of health promotion and prevention levels The purpose of this paper is to discuss the application of the three levels of health promotion: primary, secondary, and tertiary. To be included in this discussion, how health promotion is defined, the purpose of health promotion in nursing practice, nursing roles and responsibilities evolving in health promotion, and comparison of the three levels of health prevention. Three current journal articles relating to youth violence were chosen for examination of content and comparison regarding their methodology in their use of health promotion and prevention, at specified levels of care. Health promotion is defined in different manners. The general consensus within the health care community is that any model should reflect healthy actions and positive outlooks regarding health and well-being. The client should play a large part in the design of how their health goals are assessed, evaluated, and implemented. The client should be taught self-directed actions of care that improve their ability to magnify well-being, by enhancing their physical activity, improving their diet, managing stress, and eliminating...
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...State of Advance Practice Paper There are many definitions of advanced practice nursing. Nursing’s Scope and Standards of Practice (ANA, 2014) defines APNs as having advanced specialized clinical knowledge and skills through master’s or doctoral education that prepares them for specialization, expansion, and advancement of practice. Specialization is concentrating or limiting one’s focus to part of the whole field of nursing. Expansion refers to the acquisition of new practice knowledge and skills, including knowledge and skills legitimizing role autonomy within areas of practice that overlap traditional boundaries of medical practice. Advancement involves both specialization and expansion and is characterized by the integration of theoretical, research-based, and practical knowledge that occurs as part of graduate education in nursing. APN is an umbrella term for the four roles mentioned earlier: clinical nurse specialist (CNS), certified registered nurse anesthetist (CRNA), certified nurse-midwife (CNM), and nurse practitioner (NP) (Sheer, & Wong, 2008). Each role is distinguishable from the others, but in some respects they overlap. This APN definition encompasses nurses engaged in clinical practice; it does not include nurses with advanced preparation for administration, education, or research (ANA, 2014). Only recently has the expectation arisen that APNs should receive their education within master’s or doctoral nursing programs. Although CNSs have always required master’s...
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...Applying the Background and Methodology of the Research Process HCS/465 December 22, 2013 Jonathan Hoffsuemmer Applying the Background and Methodology of the Research Process A serious problem seen by nurse practitioners that work in rural areas is teen pregnancy. A peer-reviewed research paper published by The Journal for Nurse Practitioners entitled “Who Will Listen? Rural Teen Pregnancy Reflections.” There are both medical and social concerns that occur with teen pregnancy. Teen pregnancy statistic shows that teen mothers give birth to premature babies with low birth weight. The social aspect is teen mothers do not complete high school and lives in poverty. These situations rank high in abuse and neglect with teen parents. Definition of the Problem Rural areas show the highest rate of teen pregnancy compared to state rates, which produces a problem that researchers are questioning why this rate is higher in the rural areas. The Theory of Adolescent Sexual Decision Making (TASDM) is the basis this research was conducted to resolve. This theory has two main objectives that include the risk-promoting environments teens experience and exposure to risky situation that create the situations teens use to justify sexual behavior (Weiss, 2012). The problem with teen pregnancy produces premature birth and low birth weight in the babies. A medical problem with teen pregnancy is the medical expenses incurred with both teenager and infant. These statistics...
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...Abstract This paper is about the socialization of nursing, which includes the internalization of the attitudes and values of the role. The importance of role modeling the applied behaviors and skills through preceptor experiences to aid the new nurse is discussed. The importance of the socialization process and its impact on staff recruitment and retention is touched on. The author also shares her experience upon entry to the nursing profession and how it helped her socialization. According to Creasia and Friberg, socialization is the process of becoming- acquiring knowledge and skills and internalizing attitudes and values specific to a given social group. (Creasia & Friberg, 2011) The term socialization used here refers to the process through which novice practitioners are merged into the profession to become professional practitioners (Mooney, 2007). Socialization into nursing is recognized as more than just acquiring the skills and knowledge necessary to performs a role, but as also including understanding the values and norms that are fundamental to the essence of the profession. (Price, 2009) The process of socialization into nursing should occur through role modeling and reinforcement of applied behaviors and skills. Research shows that in order to progress successfully into a professional nurse the early parts of socialization to that role is significant. The socialization into nursing can be a very intense stressful experience. Upon reviewing the reports...
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...Primary Care versus Urgent Care: Why People are Choosing Urgent Care Clinics Group 1: Melissa Allen, Nahtika Belser, Meghan Evans, Hailee Gallaway Dr. Martha Rock University of North Alabama NU-200W-01 Abstract The purpose of this paper is to show why people are choosing urgent care over primary care facilities. In this paper, we showed the advantages of both primary and urgent care centers. The methods conducted for this research was online scholarly works. The participants who volunteered were Melissa Allen, Nahtika Belser, Meghan Evans, and Hailee Gallaway. The data obtained resulted in the advantages that urgent care is why patients are choosing them over primary care facilities. Overall, our conclusion shows that primary...
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...Health care today is becoming more complex with the aging population, multiple comorbidities, and rising health care costs. There are many issues that health care providers face while caring for patients on a daily basis. The two health care problems that will be discussed are hospital acquired infections and how it affects patient outcomes as well as antibiotic resistance related to overuse and misuse. This paper will discuss those two health care problems and how they affect health care delivery as well as costs, access to care, quality of care, and nursing qualities that influence evidence-based practice. Problems That Affect Health Care Delivery and Health Care Policies Hospital acquired infections The first health care problem to be discussed...
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...Kerry Ann Brown South University Due to the changing health care environment, the nursing profession is currently in a process of evolution. Scopes of practice and role expansions are being prepared. Some of these roles are traditional, such as nurse practitioners who have been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic care (Hamric, Hanson, Tracy, & O’Grady, 2014). NPs empower...
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...History can be defined as a study of events that link the past to the present. It also examines how those events have continued to impact and influence events throughout time. The nursing profession is intricately tied to historical influences throughout the ages. Exploring and understanding the history of nursing allows one to achieve an appreciation the role nursing has played in the advancement of the healthcare system. Ninetieth Century Florence Nightingale, conceivably the most famous nurse in history; was well known for making nursing a reputable profession for women, and bringing it to the forefront of the professional world. Wars were increasing during the ninetieth century, and as a result, the demand for nurses had grown exponentially (Nursing Theory, 2013). In 1854, the Crimean War erupted. Nightingale had learned the British troops had no nurses to care for their injured troops while the French had nursing nuns caring for their injured. Nightingale, with a group of nurses, served in the Crimean War by organizing hospitals to help improve the general conditions of the facilities. “In fact, most British soldiers were dying from disease rather than from injuries incurred on the battlefield” (Egenes, n.d.). Nightingale set out on a crusade to methodically scrub the soldiers’ barracks and hospital ward, and allow fresh air in. The death rate had radically decreased within months (Egenes, n.d.). Nightingale had laid the groundwork for modern evidence- based practice...
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...education a nurse has the better he/she can be at their job of taking care of patient as a whole and on a complex level. To obtain a Nursing Degree one can start at the LVN or go all the way to a PHD in nursing. This paper will focus on the abilities or competencies of a prepared Associate Degree nurse, and the abilities or competencies of a Baccalaureate Degree Nurse. This is a hot topic now and has been for many years. I have been hearing for many years that ADN will be phased out, and only BSN will be used in the future. The time period in which to mandate this event is governed differently by the state where the nurse works. There are catchy phrases out there like BNS in 10, or BSN by 2020. “As of 2010, at least 18 states, including New York, New Jersey, were considering BSN in 10 legislation.” (nursing link 2011, 07.) The first step is to define nursing. “Nursing is the knowledge based discipline, which focuses on the wholeness of human being.” (studymode, 2012,02.) The ADN nurse and BSN take a different approach in teaching their students. They both take the same state mandated NCLEX, but have a different time of training. “The Associated Degree takes a shorter path of two years where the BSN takes a longer with 4 years of education to complete the degree.” (studymode, 2012,02.) Now to break this down and let you know the difference of a 2 and 4 year nursing program. The Associate trained nurse is more task oriented, while the BSN is based on theory and research. I having...
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...RESEARCH DETAIL TITLE : Effectiveness and Appropriateness of Therapeutic Play Intervention in Preparing Children for Surgery: A Randomized Controlled Trial Study. RESEARCHER: 1. Cheung Li, PhD, is an Assistant Professor, Department of Nursing Studies, University of Hong Kong, Pokfulam, Hong Kong. 2. Violeta Lopez, PhD, is a Professor and Head of School, School of Nursing (NSW and ACT), Australian Catholic University, North Sydney, NSW, Australia. SUBMITTED DATE : January 25, 2007 ACCEPTED DATE FOR PUBLICATION : July 21, 2007 PUBLISHED DATE : April, 2008 JOURNAL : Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged...
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...and RWJF stated that accessible, high quality care cannot be achieved without exceptional nursing care and leadership (IOM, 2011, p. 2). This paper will discuss and explore how the IOM report impacts nursing education, nursing practice, and the nurse’s leadership role. The IOM recommends entering the field of Nursing prepared with a baccalaureate degree can provide a consistent foundation. Due to the complexities of managing patient care with chronic illnesses qualified nurses will need to possess the knowledge and training of a higher level of education. The IOM recommends that hospitals have a workforce of at least 80 percent of registered nurses with a minimum of a BSN degree by the year 2020 (IOM, 2011, p. 173). Although, there still exists various modalities to entering the nursing profession without having a BSN. The goal for nurses with a diploma and associate degree are encouraged to further their education by entering a baccalaureate nursing program. The future of nursing depends on promoting the importance of higher education. The U.S. Army, Navy, and Air Force have made it a requirement that all practicing nurses have a baccalaureate degree (IOM, 2011, p. 171). The IOM reports that bachelor prepared nurses are more inclined to advance their career (IOM, 2011, p. 184). Nursing students as well as seasoned nurses without their...
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