...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 degrees in nursing, the educational preparation for many nurse-midwives, nurse anesthetists, and nurse practitioners did not necessarily occur in graduate nursing programs. Now, however, NPs must receive their education in graduate masters or clinical doctoral programs in nursing (Sheer, & Wong, 2008). Moving the education of all APNs to graduate degree nursing programs, and now the...
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...Becoming a nurse takes a lot of steps to complete and requirements that you may need to take. Individuals interested in nurse training programs typically enroll in a yearlong certificate, associate's degree or bachelor's degree program in the field. All nurses must have college level training. A LPN which stands for Licensed practical nurses which require to have an associate’s degree in nursing. An Rn which is a registered nurse must have at least 2 year degree but also a 4 year bachelor's degree in nursing. An Advanced Professional Practitioners and a Nurse Specialist needs a 2 year master degree. All nurses must have experience in communicating with doctors and a medical professionals, also caring for patients and had experience with...
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...an Advanced Practice Nurse Introduction Interview with APN/CNP, Diane John Diane John, APN/CNP is a nurse practitioner at Health land, a Hawaii center for the public. She has devoted 30 years to her nursing career. She has worked as a nurse in a medical intensive care unit and as a research nurse in the study in the intensive care unit. She has been a Female Nurse Practitioner for the past 20 years where she started out as a midwife at wife care center, where she provided midwife services to women. Rationale for an engaged interview process The reason for this interview is to find out Competencies necessary for APN role development and also to get some background information of a nurse leader on a one on one basis. This information will be important because it will help us to develop leadership skills in the field of nursing. About the Diane John APN leader Diane John, APN/CNP is an attendant specialist at Health land, a Hawaii community for the general population. She has dedicated 30 years to her nursing profession. She has filled in as an attendant in a restorative emergency unit as a examination nurture in the study in the emergency unit. Interview What is the CNS nurse? The CNS is a practice for preparing advance practice nurses to be part of the clinical practice team where you work together with doctors to provide service to patients.Bringing knowledge into practice to improve health outcomes of patients as well as improvement of education of nurses. What is your role...
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...website because it provides accurate and up to date information in regards to the ever growing and evolving practice of midwifery both in the United States as well as other developed and underdeveloped countries. The full name of the website is the American College of Nurse-Midwives and the URL to locate this site is http://www.midwife.org/. The purpose of the American College of Nurse-Midwives, also known as the ACNM, is to “establish midwifery as the standard of care for women and to lead the profession through education, clinical practice, research, and advocacy.” (American College of Nurse-Midwives, 2015). Evaluation of Website In regards to the five criteria used to evaluate the credibility of websites, the ACNM meets all five of the criteria set forth. “The ACNM gets its national work done through the collaborative effort of its office staff and a vast network of volunteer representatives – and everything is overseen by its Board of Directors.” (American College of Nurse-Midwives, 2015). Accuracy refers to specific criteria such as who wrote the page and can you contact him or her and is this person qualified to do so (Engle, 2015). The board of directors consists of members who are all either Certified Nurse Midwives or hold a PhD in an area related to women’s...
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...Curl is a Certified Nurse Midwife, Lamaze Certified Childbirth Educator, and a Fellow of the American College of Childbirth Educators. The article illustrates the efforts of reform applied to the founding cultures and purpose given to a modern day Certified Nurse Midwife. Assessing the Situation She begins unfolding her story at the time of hire with a concise perspective of the culture and practices of the community hospital she worked for. Curl describes the time old “Nursing Process” as assessing the situation, making a plan, then finally evaluating the outcome. She follows this same progression in her attempt to restructure nursing practices at this community hospital. She very clearly presents her personal experience as what practices (whether or not they were best practices) she was seeing in the nursing community verses research based best nursing practice. One piece of evidence she presents for this is how “This meant that labor nurses were assigned only one patient allowing the time to provide continuous labor support. Despite strong encouragement to remain at the bedside, most nurses remained tethered to the central monitoring station” (p.235). This observation strengthens the argument that research based best practices were not synonymous with current practices. She presents the proposed research based practices as time old patient centered care and the new accepted practices as being heavily based on technology with little emphasis on patient-nurse relationships...
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...I’m not one of those people who grew up always knowing that they wanted to become a nurse. I went through the usual childhood fantasies: pilot, lawyer, scientist, architect, etc. But, never a nurse. My complete fascination and admiration for the profession is something that came to me rather recently in my life. In fact, what inspired me to pursue nursing was my experience with my pregnancies and the birth of my second child. Second child? Yes, I have two babies. So maybe I am going about things in a somewhat unorthodox manner, but it sure makes for an interesting and challenging learning environment. Given my life situation, maintaining a 3.3 GPA in my undergraduate studies and a 3.5 GPA in my prerequisite coursework has proven difficult, though I hope my persistence and hard work will ultimately pay off. The delivery of my first-born child was by way of cesarean section. While it was perfect and beautiful and completely orchestrated, I knew almost immediately after the birth that if I were ever blessed with another baby, I wanted to do things differently. When that time came around, the plan was to attempt a vaginal birth after cesarean section (VBAC). Jumping feet first into this “plan”, I made sure to complete hours upon hours of research as to be armed with applicable information to provide to my obstetrician. While I knew VBAC deliveries were not necessarily favored in the medical community, I never anticipated the difficulty I would face when proposing my wishes. After...
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...University of Phoenix Material Health Care Service Worksheet Choose one health care service or function from your readings or this week’s vocabulary exercise that most interests you, personally or professionally. Identify it below. Division: Describe the chosen service or function of care by filling out the following. Address each point with complete, grammatically correct sentences. • Focus or mission of the service or function (100–200 words): • I have chosen OB/GYN from our weekly vocabulary worksheet; the mission of this field is Obstetrician-gynecologists to provide the highest quality of patient care in obstetrics, gynecology and primary care with compassion and concern for patients well-being • to maintain programs and clinical research efforts that will attract outstanding staff and advance the care of women to educate resident physicians to practice obstetrics and gynecology at the highest standards. • Description of the population served (100–200 words): • Based on my research ( J Women’s Health (Larchmt). 2013 Jul; 22(7): 643–648. doi: 10.1089/jwh.2012.4119) The description of the population being served is diverse among the races, point being The overall patient demand for ob-gyn services in the United States is forecast to grow by 6% between 2010 and 2020 (Table 1). The female population age 14 and older is projected to increase by more than 10% between 2010 and 2020, but much of this growth will be among women age 65...
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...Role Summary Samantha B. Quesada South University Family Nurse Practitioners (FNP) are advanced practice registered nurses who work autonomously or in collaboration with other healthcare professionals to provide health promotion, disease prevention, direct care, and counseling across the lifespan that is family-focused. FNPs are graduate level practitioners that may enter as non-nurses who must satisfy the requirements to take the RN licensure exam, either as a precondition to the NP program or as part of an articulated educational program that delivers the basic generic nursing content, in addition to the NP-specific content Midwives are primary health care providers to women throughout the lifespan. Women receive...
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...Identification (NPI). You are expected to access the nurse practice act relating to Advanced Practice Nurses (APNs) for the state in which you plan to practice. You will also access the HHS site that provides information on the NPI and application process. Answer each of the following questions. This does not have to be a formal paper but should include all of the requested information. You should site your sources in the references. I encourage you to summarize the information rather than just doing a cut and paste from any web site. 1. What state do you plan to practice in? Indiana 2. What information and documents are required in order to apply / obtain prescriptive authority in your state as an APN? (Be specific) ALL APPLICANTS must mail a completed application along with the items listed below to the Indiana Professional Licensing Agency. You must hold an active, valid registered nurse license in Indiana or another state to be eligible for prescriptive authority. The application requires you to indicate the category of Advanced Practice Nursing under which are applying for Prescriptive Authority: You must choose one of the following: Clinical Nurse Specialist; Nurse Practitioner; or Certified Nurse Midwife. Please note that if you are applying for prescriptive authority as a Certified Nurse Midwife, you still need a current Limited Nurse Midwife license in addition to your current RN license in order to practice nurse midwifery in the State of Indiana. I. REQUIREMENTS ...
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...document, endorsed by national nursing organizations “recognize APRNs as licensed independent practitioners, regulated by boards of nursing with standardized, educational requirements preparing all APRNs at the graduate level” (Towers, p.23). Consequently, Stanley (2012) notes the consensus group met to address issues related to regulation and practice with the goal of implementing the Consensus Model by the target date of 2015. The model provides clear parameters for the APN. ”Only individuals who have graduated from an accredited APRN education program, are nationally certified, and are licensed under the criteria delineated in the model may use the title APRN” (Stanley, p. 245). Moreover, Stanley (2012) addresses the importance of the consensus model for psychiatric/mental health APRNs. Recommendations of the model, adopted by the American Psychiatric Nurses Association and the International Society of Psychiatric Nurses include a one entry level educational focus for future education, across the lifespan and a focus on health promotion and health maintenance content in psychiatric mental health content. Additional LACE recommendations for PMHNP practice (2011) include didactic curriculum content that covers the three P’s identified in the model as advanced pharmacology, physical assessment,...
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...because of the skill needed to practice .All nurses’ use critical thinking and best judgment at all times in their area of practice. There is a belief that Associate degree in nursing educational level is lower than the Baccalaureate degree in nursing and their scope of practice. Associate Degree in Nursing is a two to three years program and Baccalaureates Degree is a four year program. After receiving the Associate Degree in nursing successful candidates are required to pass NCLEX an external professional exam monitored by Board of Nurse examiners. Bachelor’s Degree in Nursing is a four year program which deals with level of health promotion and spiritual perspectives and deals with ethical issues and social influences. It works across liberal arts including biblical concept. In the area of practice Bachelor’s degree nurse is better equipped to deal with all level of practice both as a bedside nurse and as a manager for good patient’s outcome. The program prepares nurses for a broader scope of practice. Bachelor’s Degree in nursing program equips nurses better than the Associate Degree Nursing to be able to meet with the challenges and the demand of the changing needs of patients in our world today as suggested by the Institute of Medicine Landmark Report on the Future of Nursing. This was initiated by the Robert Wood Johnson Foundation that is calling for more Baccalaureate prepared nurses in the workforce. Bachelor’s degree prepared nurse has the knowledge to function without supervision...
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...Nurse practitioner From Wikipedia, the free encyclopedia In the United States, nurse practitioners have a national board certification. Nurse Practitioners can be educated and nationally certified in areas of Family Health (FNP), Pediatrics, including Pediatric Acute/Chronic Care, Pediatric Critical Care, Pediatric Oncology and general Pediatrics (PNP), Neonatology (NNP), Gerontology (GNP), Women's Health (WHNP), Psychiatry & Mental Health (PMHNP), Acute Care (ACNP), Adult Health (ANP), Oncology (FNP, ACNP, ANP, PNP or ANP) Emergency (as FNP or ACNP), Occupational Health (as ANP or FNP), etc. In Canada, NPs are licensed by the province or territory in which they practice. The advanced practice nursing role began to take shape in the mid-20th century United States. Nurse anesthetists and nurse midwives were established in the 1940s, followed by psychiatric nursing in 1954. The present day concept of the APN as a primary care provider was created in the mid-1960s, spurred on by a shortage of doctors. The first official training program for NPs in the United States was created in 1965, with a vision to help balance rising health care costs, increase the number of health care providers, and correct the inefficient distribution of health resources. There was some confusion about the varying titles and abilities of advanced practice nurses as the role was developed, which has persisted as the authority and responsibilities of the NP have evolved over time. ...
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...health issues |Key health issues and maternal deaths: Poor health care in rural Appalachian mountains. Increased number of | | |child due to lack of care and services. | |Perspective/goals |In 1925 Mary Breckenridge started the Frontier Nursing Services. The goal was to provide obstetrics to the | | |people who lived in rural settlement areas. | |Role/functions |She went to train for nursing and graduated in 1910. She found the first school in America that trained and | | |certified midwives. It was a six months training program.. One training was completes there were licensed to | | |work in Kentucky. | |Health...
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...Professional Dynamics As the largest single profession in US healthcare, Nursing plays a major role in the healthcare delivery in both rural and urban areas. The nursing profession is a work in progress and constantly evolving. Nurses in this era in many ways are far different than what it was at its inception. Today’s nurses must embrace change and incorporate evidence based medicine, creativity and the enthusiasm with discipline. Currently nurses are limited with their ability to deliver care with the changing healthcare practice in US. In order to be an effective participant in the evolving and transforming healthcare system, The Robert Wood Johnson Foundation (RWJF) and Institute of medicine (IOM) launched an initiative in 2008 which created a report with eight recommendations for the future transformation of the nursing profession. The IOM report had 8 key recommendations for the future of nursing. The following key messages were the framework for the recommendations. * Recommends that nurses should be able to practice to the full extent of their training and education * Recommends that nurses should attain higher levels of schooling and training through an enhanced education system that encourages seamless academic advancement. * Nurses should be full allies, with physicians and other health care professionals, in reforming health care in the United States. * Recommends that labor force development be effective and policy making needs better collection of...
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...Impact of the Institute of Medicines 2010 Report on Nursing Courtney Peterson Grand Canyon University: NRS 430V-0104 September 20, 2015 Impact of the Institute of Medicines 2010 Report on Nursing Due to the passing of the Affordable Care Act in 2010, the health care system was going to have an increase in the number of people able to receive health care. Due to this increase, the health care system was going to need to find a way to transform itself into a more affordable, higher quality, more accessible, and a safer health care system. To be able to achieve this transformation many parts of the health care system were going to need to be changed. Since the nursing profession is considered one of the largest subdivisions of the health care workforce, the question arose as to what roles nursing could play to help address this soon to be increase in demand for safe, high quality and effective health care services (IOM, 2010). The Robert Wood Johnson Foundation (RWJF) developed a partnership with the Institute of Medicine (IOM) to respond to and evaluate the need to change the nursing profession in order to meet the new demands that were going to be placed on the health care system. They recognized that the nursing profession faced several challenges in fulling this demand and meeting the nation’s health needs. They together they issued a report ‘The Future of Nursing: Leading Change, Advancing Health”, which addressed several areas that needed improvement in the nursing...
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