...Scope of a Nurse Practitioner Tyler O. Pickens Chipola College BSN Program Abstract Advance practice nursing in the United States has evolved in to four main types of advanced practitioners: clinical nurse specialist, nurse practitioner, nurse- mid –wife, and nurse- anesthetist. As healthcare delivery systems continue to change and develop, other roles may emerge to meet future needs. Each advanced role has a distinguishable scope of practice, but knowledge and skills overlap (Blais and Hayes, p. 447). The possibilities of advancing your education in the nursing profession have countless opportunities. If given the opportunity to advance my education in the nursing profession my choice would be to become a Nursing Practitioner....
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...Examination (NCLEX) are two of the highest hurdles any nurse would believe that they have to get over. Succeeding the NCLEX however simply means that one is minimally qualified to provide safe and effective care to patients. In 2010, the Institute of Medicine (IOM), along with The Robert Wood Johnson Foundation (RWJF) completed a two year report addressing concerns on the future of healthcare pertaining to nursing education, practice and leadership in regards to the demanding increase for public healthcare. The IOM Report suggests that changes need to be made that will affect education of health care providers, how primary care is to be distributed and the impact on nurses as leaders in their profession. With consideration that an additional year must be allowed for pre-requisite courses that must be completed before entering a program, it can take people anywhere from 3 to 5 years to obtain a degree in nursing. At this point students are able to take the NCLEX, which is a standard universal exam. With a known shortage of educators, the graduation rate of new nurses is less than what will be required. “More nurses are needed to replace the ones that are retiring, and many of those hold advanced degrees” (IOM Report, 2010, p. 126). With this being said, nurses will need to seriously consider the challenge of furthering their education very soon after becoming registered nurses. When considering that higher educated nurses are in more demand it should not be discounted that current...
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...and maintaining competencies mainly in knowledge and skill in the field of nursing is very important. Nurses needs to be updated with the current scope and standards of nursing practice. One of the important characteristics of any profession is the accurate educational preparation which can be achieved with the interest of the individual and funding. Every nurse is responsible for the professional growth (Association, 2001) Purpose for a Policy Change Education is important, it is the base for gaining knowledge and wisdom. It is an important tool and a path for success and paves the way in becoming good future citizens to the community, institution/organization and country. Once a person becomes a registered nurse (RN), it becomes important to pursue the career which helps nurses to apply and pass the knowledge to the fellow co-workers, apply the knowledge at the bed side with real patients and also in highly pressured situations. This knowledge gained by pursuing the career is also beneficial for the nursing students, by observing the clinical practice actions of skilled experienced nurses (Jackson, 2009). Due to the nations shortage of nurses, the effort to educate more nurses and advanced practice nurses has become one of the urging needs and the goal is to reach 340,000 practicing nurses by 2020. The need for nurses keeps growing but the funds for education are becoming scarcer. In 2006 due to shortage of faculty three-quarters of qualified applicants were turned down for...
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...Medicine Report Nurses make up the largest group of healthcare workers in the country. They play an integral part in the medial profession. Nurses are an essential part of health promotion, quality patient care, and the efficient use of healthcare resources. As healthcare becomes increasingly multifaceted, are nurses prepared to take on a more substantial role? In 2010, the In Institute of Medicine (IOM) released a report that provided an outline on how to successfully transform the nursing profession. The motives for professional change include the emphasis on healthcare reform and public access to quality of care practices. Some of the recommendations of the IOP report include removing barriers to practice and care, more opportunities for nurses to become leaders, and increase nursing education (Robert Wood Johnson Foundation and Institute of Medicine, 2010). The IOM report suggests that nurses should practice to their full range of their education and training. Guidelines regarding a nurse’s scope of practice vary because licensing and practice rules are different in each state. For example, some states allow Advanced Practice Nurses to treat patients and prescribe medications without a physician’s supervision and some states do not allow this practice. As a result, the tasks Advanced Practice Nurses are allowed to perform are not determined by their education and training but by the particular states law. The IOP recommends that the barriers to scope of practice eliminated so...
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...State University College of Nursing Question #1: You are interviewing for an advanced practice nursing position in a multi-physician practice. They have no prior experience with Advanced Practice Nurses or Nurse Practitioners. Please discuss how you might convince them to hire you. Please describe how you would benefit the practice by explaining the role, function, and limitations of a nurse practitioner. Incorporate research demonstrating the significance of the advanced practice nurse to support your position, including cost-related issues. The nurse practitioner role is one that has expanded significantly since its conception. As noted by the APRN Consensus Model, we...
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...to nursing, and the obstacles we as nurses must face and overcome to continue to deliver effective, quality care to all patient populations. According to the IOM report, the passing of the Affordable Care Act (IOM report p. 21) will greatly affect the delivery of care, and nurses need to be ready to accept the challenges, “The ACA represents the broadest changes to the health care system since the 1965 creation of the Medicare and Medicaid programs and is expected to provide insurance coverage for an additional 32 million previously uninsured Americans. The need to improve the health care system is becoming increasingly evident as challenges related to both the quality and costs of care persist” (IOM report, p. 21). The key factors involved in nurses having the competency to meet the higher standards being set are based on: the transformation of nursing practice, the modification of nursing education, and the cultivation of nurses taking a more active leadership role. Transforming nursing practice can occur several ways. The IOM report stresses the importance of this transformation to take place to improve care of the more diverse population of patients. It states that, “…the system must undergo and fundamental shift to provide patient-centered care; deliver more primary as opposed to specialty care; deliver more care in the community rather than the acute care setting; provide seamless care; enable all health professionals to practice to the full extent of their education...
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...Family Nurse Practitioners are expert, advanced practice nurses that provide holistic patient care and it is a role I have wanted to pursue for numerous years. I began my nursing career at the age of 16, as a certified nursing assistant in Calvert City, KY. At this young age, I decided to dedicate my life to helping others in their medical time of need. To date, I have been a practicing registered nurse for ten years, working in both acute and critical care settings. I am now anticipating taking the next step towards my short-term goal of becoming an advanced practice nurse. I plan to achieve my short-term goal by earning a Doctor of Nursing Practice degree from Murray State University. My long-term goal is to become a Family Nurse Practitioner, which will provide holistic and quality care to underserved families and individuals in rural Western Kentucky. After I completed my bachelors of science in nursing, I quickly knew that my professional goal was to strengthen my nursing skills while working in the nation’s top research hospitals. By practicing at Vanderbilt University, Stanford Hospital, and University of Vermont, I have fulfilled that goal, and in the process have been exposed to many different cultures, lifestyles, and nursing systems. I believe these vast cultural experiences enhance my ability to connect with and treat a diverse patient population within the communities of Western Kentucky. During my nursing career, I have had the opportunity...
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...Running head: WEEK TWO DISCUSSION BOARD Week Two Discussion Board May 27, 2010 Conceptual frameworks for advanced practice nursing play an integral role in the guiding of practice, formulating educational curricula, and the overall development of the specialty. The continued evolution of advanced practice nursing has seemingly sparked numerous conceptual models influencing practice. Many models share common similarities, while each maintains their own unique characteristics specific to their developers and contributors. Ann Hamric developed Hamric’s Integrative Model of Advanced Practice Nursing in 1996, that has undergone two subsequent revisions in response to research, variations in practice, and theoretical influence. The resiliency of Hamric’s Model is exemplified by its continued presence in advanced practice nursing literature (Hamric, Spross, & Hanson, 2009). Hamric’s model presents a foundational approach to advanced practice nursing that is generalizable among all specialties of advanced practice nursing. The structural basis for Hamric’s model shares many similarities with Abraham Maslow’s Theory of Self-Actualization. Hamric centralizes a foundation in education, certification, and experience that is built upon to develop central and core competencies. These competencies are patient focused and all encompassing of actions that take place in the healthcare setting. Like Maslow’s strive for self-actualization, where one must progressively...
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... From that day forward I knew that I wanted to know everything there was to know about the women’s body and the reproduction process. I wanted other women and men to see just how beautiful, amazing and unique the woman’s body was. As I got older, I learned there was another side to the story. I learned there were some women who could not bear children. I wanted to know why. I wanted to find ways to help them. I decided that I would go into the gynecology field of medicine as a nurse practitioner. I wanted to be an educator of women. I wanted to teach women about their bodies, I wanted to help them learn how to care for themselves so that they could be healthy; I wanted to help them deal when they weren’t healthy. As I learned more about registered nursing, I found that there are various types of registered nurses, various educational paths to nursing, and an array of career opportunities in the nursing field. Types of Nurses There are many different types of registered nurses. Nurses can specialize in diseases or health care condition, like oncology or HIV/AIDS, organ or body systems like gynecology or hematology, or by population like geriatrics or pediatrics. They may work in hospitals, doctor’s offices, rehabilitation centers,...
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...The journey of becoming a Nurse Practitioner Imagine a world where healthcare is not just a service, but a deep personal journey guided by empathy and expertise. Let’s explore a journey that goes beyond boundaries, shaping a tomorrow where healthcare is not just practiced, but is truly felt. In the complex realm of healthcare, Nurse Practitioners appear as the anchor, playing a crucial role that expands beyond the limits of traditional medical practice. As we navigate the strong passage of this profession, an intense and life-changing journey unfolds. A journey marked by continuous professional growth, a quantity of diverse opportunities, and a deep sense of purpose within the ever evolving landscape of healthcare. Choosing the path to become...
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...The Competent Nurse: The Movement Towards Baccalaureate Degree Nursing There is an ongoing debate on how to properly educate registered nurses. It has been proposed that the entry degree for practice should be the Baccalaureate of Science and Nursing (BSN). In 1951, due to a nursing shortage, the Associate Degree of Nursing was established (Friberg, Creasia, 2011). It is suggested that having two separate entry levels into registered nursing creates inconsistent competencies (American Association of Colleges of Nursing, American Organization of Nurse Executives, and National Association of Associate Degree Nursing, 1995). This paper is a review of findings that support baccalaureate registered nurses having advanced competencies. Included is an example of a patient care situation connecting the outcome to the registered nurse’s education at the entry level of practice. Most medical treatment team members have educational requirements that are at, if not above, the baccalaureate degree. For registered nurses to have collegial acknowledgement their educational pathway should be at least equivalent. The National Advisory Council on Nurse Education and Practice (NACNEP) has reported that a baccalaureate registered nurse is best skilled in the ability to effectively communicate patient care within the medical treatment team (Education and Practice. First report, 2001). Additionally the report provides declaration that registered nurses holding a baccalaureate degree are...
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...what sparked my interest in becoming an advanced practice nurse and what has helped to shape my short-term and long-term career goals. I want to attend the University of South Alabama’s graduate program to advance my nursing career and to achieve these goals as a dual focused Family Nurse Practitioner /Adult-Gerontology Acute Care Nurse Practitioner (FNP/AGACNP). I frequently work as the triage nurse; I see almost every patient that enters the emergency room and I am responsible for initiating his or her care. I have to decide what level of urgency their condition requires and order any tests that are pertinent to their complaint. This role continually pushes me to grow as a nurse. I am always thinking ahead to anticipate what the clinician will need ordered. My short-term goal would be to further my education and career by becoming a nurse practitioner. Becoming a nurse practitioner would allow me to take a step further in patient care by actually treating and educating the patient on...
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...Provide the requirements that must be met in your state in order to practice as an Advanced Practice Nurse (Family Nurse Practitioner). As a prospective Georgia Nurse Practitioner (NP), I must hold a degree at the master's level or higher approved by the Board. National certification is a requirement to practice in the advanced role as well as for continued practice and completion of continuing education hours. State licensure law requires physician delegation for at least one element of my practice. Does your state have independent practice or is a physician required as a collaborator or delegator? My state of Georgia does not have independent practice and physician involvement in delegation is required for any aspect of practice. I am authorized to perform advanced functions and certain medical acts allowed within my scope of practice as delegated by the physician via the nurse protocol agreement. What are the requirements you must meet in order to obtain prescribing privileges ? The physician must submit the written nurse protocol agreement to the Board of Medicine (BOM) for approval for me to have written prescriptive authority. The written agreement is mutually signed by me and the physician where the physician delegates to me the authority to perform certain medical arts. The protocol agreement is to be written and reviewed...
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...Healthcare Professional nursing practice models enable nurses to control the delivery of care and the environments in which that care occurs. Nurses have input into decision making and can design innovations specific to a particular care setting. (Professional Nursing, 2011) Today the nursing profession is increasingly in complexity and versatility. The current healthcare reform is adding a broader scope of practice for nurses. The current standards of practice continue to evolve allowing nurse to practice at higher functioning than what was previously expected. This has caused a shift to a higher complexity and more advanced level to the profession. Advancement in science and technology has added to the complexity in the nursing practice during the past 20 years. Technology savvy nurses are required to meet the standard of practice as we continue to advance into a paperless world. These issues are raising the bar on the practice of medical care for all healthcare workers across the board. There is a wide spectrum of nursing expertise, education, and credentialing that is now necessary for the ever changing profession. Differentiated models of practice are supported by a clinical "ladder" or defined steps for advancement within the organization based on experience in nursing, additional education, specialty certification, or other indicators of professional excellence. (Erickson, 1998) Much higher expectations are placed on registered nurse new graduate. Just a few decades...
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...Thoughts of Becoming an APNP Susan Chen Alverno College Thoughts of Becoming an APNP As I picture myself in the role of an Advanced Practice Nurse I see myself working in a primary care setting in an area of most need. I see my role as providing comprehensive care and promoting wellness in a community where healthcare has been on the back burner for many years not only by the healthcare community but also by the community itself. I am hoping that by being a strong advocate for those who have had difficulty advocating for themselves that I will also be able to pass my attitudes and caring on to others who provide care for this group of people. I see my role as the nurse practitioner as being a primary care provider working in collaboration with an entire team to provide the best possible outcome for the patient by utilizing all available resources. I want to work in a community health center where this can and is being done. Those served by the community health center are in desperate need of health care, quality health care. These patients have not had insurance up until the institution of the Affordable Care Act and have been treated poorly, if treated at all, in our current health care settings. My role as their primary care provider will be one of providing quality, comprehensive care along with the health teaching they so desperately need. Working with physicians and Nurse Practitioners in the community health center I work in now I am able to evaluate the differences...
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