...Development of the Advanced Practice Nurse 1 Role Development of the Advanced Practice Nurse Julie L. Mitchell RN, BSN Grantham University NUR 506 Advanced Practice Nursing Dr. Ludella Brown DNP February 3, 2014 Role Development of the Advanced Practice Nurse 2 The role of the Advance Practice Nurse has changed drastically over the years as we have moved closer to a goal of professionalism, recognized by society. Professionalism in nursing has been evolving since the days of Florence Nightingale. For most of the 20th century nursing was considered a profession in progress by sociologists (Bucher & Strauss, 1961; Etzioni, 1969). Nurses have been striving toward professionalism and the autonomy that defines it for decades. Society, nursing shortages, the healthcare industry’s need to provide save, quality health care while maintaining financial stability, and many other factors have shaped a path of opportunities for nurses today. Advanced Practice Nursing has been evolving to meet our society’s healthcare needs for decades. Nurses have been and will continue to be the driving force of these changes and our ability to manage change and move to a new conceptualization of advanced practice nursing will define our success or failure in meeting societal needs in the future (Denisco & Barker, 2013) Society and the healthcare industry have offered opportunities for recognition of and institutional credentialing of Advanced Practice Nurses. The role...
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...Reflection Paper One Advanced practice nursing (APN) can be loosely defined as an area of nursing in which nurses are required to practice at an advanced level in a specific area of interest. APN extends the boundaries of nursing’s scope of practice and contributes to nursing knowledge, and the development of the profession (Canadian Nurses Association, 2008). In order to become an APN, the nurse must obtain a master’s or doctoral degree from an accredited university in an area of concentration designated for advanced practice nursing. According to Joel (2009), there are currently four major groups of APNs: certified registered nurse anesthetist, certified nurse midwives, clinical nurse specialists, and nurse practitioners. APN focus on critical thinking, educating the public, diagnosing and treating illnesses, and prescribing medications to name a few. This paper will discuss the future of the nurse practitioner and how I, as a future adult-gerontology primary care nurse practitioner, will advocate for my patient population. Philosophy and Beliefs of Nurse Practitioners Due to the fact that nurse practitioner is a branch of advanced practice nursing, the two professions often share many of the same philosophic beliefs. The overall philosophy of both professions is centered on four key concepts of person, society, health and nursing; whereas, the core philosophy for nurse practitioners is that of individualized care where focus is on patients’ conditions, as well as, the...
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...Philosophy The philosophy of the nursing faculty at the College of Nursing is congruent with the missions of the College of Nursing and the University of Missouri—St. Louis. Faculty and staff are dedicated to providing nursing education that prepares graduates as professionals to practice in generalist nursing roles, advanced nursing roles, and as nurse scientists in all health care systems. All academic programs reflect the faculty’s beliefs about nursing, clients, health, environment, and nursing education. The faculty believes that nursing is a profession and an academic discipline possessing a scientific body of knowledge that requires critical thinking, problem solving, and informatics. The primary function of nursing is to educate and assist the client to promote, protect, maintain, restore, and support health, or, to provide for a peaceful death. As a profession, nursing encompasses moral, ethical, legal, and scientific dimensions. Nurses are accountable to society for their practice and responsible for functioning within economic, legal, and moral/ethical parameters. Nursing practice is both theory and evidence based, using theories from nursing and other related disciplines. Nurses synthesize and apply knowledge from the arts, sciences, and humanities in nursing practice utilizing interpersonal communication to meet the complex and multidimensional needs of the client in a variety of health care settings throughout the metropolitan area and beyond. Through leadership...
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...According to a collaborative publication from the American Nurses Association’s APRN Consensus Work Group and the National Council of State Boards of Nursing’s APRN Advisory Committee (2008), the Advanced Practice Registered Nurse (APRN) is a graduate nurse who possesses national certification, advanced knowledge and skills, and who is prepared to responsibly assess, diagnose, and manage the patient’s ailments through the use of pharmacologic and other therapies. More specifically the role of the nurse practitioner (NP) is to provide care along the health continuum in a variety of settings, such as family practice. As deliverers of healthcare, NPs practice holistically and autonomously and ensure continuity of care for the patient. (American...
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...Why is it Important to Articulate Your Personal Philosophy of Nursing? Nurses often feel a conflict between the ideals of the profession and the reality of the job. Deheny (2001) writes “demands and expectations of the role are greater than the resources or number of hours in the day to accomplish what nurses would define as quality nursing care” (para. 1). Also, the use of advanced technology can create emotional withdrawal from the patient as the nurse focuses more on the machines than the person. These factors increase job dissatisfaction and emotional burnout. To articulate one’s personal philosophy requires examining the values and beliefs that define a person. Masters (2014) writes, “the overall purpose of personal philosophy is to define how one finds truth” (pg. 100). With a knowledge of personal values and beliefs, the nurse can examine why they entered the nursing field. With this introspective activity, the nurse can find balance and meaning in the workplace (Deheny, 2001). What is the Relationship Between Your Personal Philosophy of Nursing and Your Professional Practice? My personal philosophy of nursing is based on caring and compassion. With these core beliefs, I strive to provide the best patient-centered care that I am capable of. Like many of my colleagues, the demands of nursing tire me emotionally and physically. The reduction in staff to patient ratio creates a tense environment. Our staff is under constant pressure to perform more work and to...
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...require nurses to continue to seek knowledge and educate themselves in order to be well equipped to provide effective & safe care to their patients and the ability to make a well rounded and informed decision regarding health care issues as they arise. Education has always been of great importance to the nursing profession. The history of nursing reveals how women from different walks of life were able to put aside their differences, cultures, and beliefs to come together to provide care to casualties of the civil war. Their efforts created awareness for the need of well trained and educated nurses; consequently, training schools for nursing were established (Creasia & Friberg, 4). In this essay, the differences in competencies between Associate Degree Nursing (ADN) and Bachelor Degree Nursing (BSN) will be discussed. Furthermore, the benefits of BSN education to nursing practice and evaluation of how the education received can lead to positive patient outcome will be discussed. Anyone looking to gain entry into the nursing practice has two options to consider. The first is an associate degree program, which is offered through community colleges. Graduates from this program are trained to be caring, committed, and competent to provide care in various health care settings. The second mode of entrance is via a bachelor degree program, which can be obtained from a university. Grand Canyon University College of Nursing Philosophy describes the nursing practice at the...
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...DIFFERENCE BETWEEN NURSES PREPARED AT THE ASSOCIATE DEGREE LEVEL VERSUS BACCALAUREATE DIFFERENCE BETWEEN NURSES PREPARED AT THE ASSOCIATE DEGREE LEVEL VERSUS BACCALAUREATE Different levels at which a nurse is prepared have a strong impact on the nurse`s ability to practice in a health care setting. In the nursing profession, nurses are prepared at different levels. A baccalaureate nurse is a nurse who has completed a four years formal training in a university or senior college and has completed a 120 hours college and has acquired broader understanding in physical and social sciences, nursing research, public and community health, political, economic and social issues. While an associate degree nurse is a nurse who has completed a two years program in a community college and has completed a 60 hours college credit and only acquired understanding of fundamentals of nursing and sometimes lacks some basic knowledge to handle critical issues as they arise in patient care. Although both Educational levels took the same licensure exam after completing their program and have registered nurse license to practice as a registered nurse, there are still some enormous difference between the quality of their work in terms of positive patient outcome, lower mortality rates, quality patient care, clinical competency, administrative/leadership role, critical thinking and decision making. These roles are also incorporated in the GCU college of nursing philosophy where it states” the...
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...vocational nurse I witnessed many situations where I questioned if the nurse supervisor with a higher level of education was capable and suitable to handle and help resolve patient issues and their family’s concerns. In one particular situation, the patient’s family was disagreeing with how the patient’s care plan was established and implemented. The nurse supervisor was having trouble communicating with the patient and the family members; she was also having problems addressing the client’s primary health care provider. Up until this occasion I did not put an emphasis on the differences in competencies that existed between nurses with a baccalaureate nursing degree (BSN) versus an associate’s degree or diploma level. Although many nurses with associate’s degree will debate the fact that it is not necessary to obtain a BSN or higher degree to become more competent and skilled nurses, As stated in the American Association of Colleges of Nursing (AACN) Fact Sheet, research has shown that an increase in safety and compliance is correlated with acquiring a higher level of education ie. a BSN (AACN, 2013). There are many differences in the proficiency of performance and attitudes that a baccalaureate-degree nurse has compared to that of a nurse whose higher level of education is an associate’s degree or diploma. This includes advanced education, advanced critical thinking skills and fewer medical mal practice incidents. The baccalaureate program prepares nurses with the...
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...Nursing Philosophy Fredy M. Calderon-Ventura Lehman College Abstract Philosophy of nursing states our thoughts on what we believe to be true about the nature of the profession of nursing and provide a basis for nursing activities. It endorses ethical values we hold as basic and bases our beliefs in theory. Nursing philosophy is based on both professional organization and individual definitions. Many factors both intrinsically and extrinsically influence one’s personal perceptions of the great profession called nursing. Every nurse is accountable for maintaining her own knowledge and education after completion of a nursing program. With a focus on personal professional growth that intellectually stimulates and promotes individual autonomy with her given specialty of practice, a nurse can greatly improve her self-confidence and professional motivation, thus providing a firm foundation on which to base her nursing judgment. Nursing Philosophy One strategy nurses can use to affirm that their practice is in harmony with their value system is to write a personal philosophy statement. This might be general in nature, such as a philosophy that relates to life values; it could be a philosophy statement related to beliefs about the profession of nursing; or it might be a philosophy specific to school nursing. In each case, this activity will encourage nurses to clarify their values and then examine how their philosophy fits with their professional practice. Articulating a philosophy...
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...LEVEL NURSES Laisa Johny Grand Canyon University: NRS- 12/16/11 430V Professional Dynamics 05-Dec-2011(0102) Differences in Competencies of Associate degree and Baccalaureate degree level nursing Education level of nurses makes differences in their nursing practice. Many surveys and researches have done to verify the quality of care providing to the patients by the nurses with associate degree and baccalaureate degree. “Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels”(American association of colleges of nursing, fact sheet, 2011) EDUCATION LEVELS OF NUSING We have the opportunities to choose different levels of nursing education. That includes diploma, associate degree, baccalaureate degree, masters’ degree and nurse practitioner. As we educated more high levels, we are able to provide quality services to our people with our advanced knowledge. ASSOSCIATE DEGREE OF NURSING This education program mainly focus on technical skills than theoretical knowledge and with this student can become a registered nurse by passing the board exam. Many people like this because this allows a person to work early and earn money. BACCALAUREATE DEGREE OF NURSING This a 4 year course in United States, learn theories and technical skills, make students capable to provide quality care to the patients. Many institutions prefer to hire these nurses to work...
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...Baccalaureate nurses more desirable to employers than Associate degree nurses? Both BSN and ADN programs teach the fundamentals of nursing, to include health assessment, medication administration and care planning. Both must pass the NCLEX exam to qualify for entry level practice. But a BSN is a 4 year degree while and ADN is 2 years. BSN programs put more focus on the science of nursing, integrating theories and ethical decision making. Many hospitals are employing BSNs only in order to achieve ‘Magnet status’, recognizing them for quality patient care and nursing excellence. Nurses that are educated at the BSN level vs the ADN level are better trained for the workforce due to their theory background, their focus on evidence based practice and strong critical thinking skills leading to better patient outcomes. A nurse may wonder why knowledge of theory important while caring for patients at the bedside? As a particular religion guides a person for how they should live their life, theories act as guides for nursing practice. A theory provides a nurse with a tool to help them assist with describing, explaining and predicting why they do what they do. Creasia & Friberg, describe how theories provide frameworks to help give direction and guidance for nurses in their education, research and professional practice. (2011, p. 94) BSN programs provide more emphasis on theory than ADN programs. Magnet hospitals are adopting theories as the basis for their nursing philosophies and seek...
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...which was later founded in 1860 in London. Registered Nursing can be accomplished in three ways, Diploma in Nursing, Associates in Degree of Nursing, and Bachelors of Science in Nursing. Whichever educational path you take, all these degrees will lead you to be a RN but with healthcare always evolving, nurses who achieve higher levels of education are more qualified to keep up with the demands of the continuous change and quality of care. Diploma nursing has been established in Boston in 1873 and it was the first formal type of education in the United States where nurses received their technical skills while working in the hospital. They were not considered nursing students as they are known today because they were used as workers when there shortages of staffs and started off as 4 months based programs to now which is 2-3 years in length. These programs still exist today. Associates in Degree of Nursing was established by a Mildred Montag in 1952 which was designed to be a 2 year program that balanced both general education and the clinical aspects of nursing. The start of this program by Montag was for nurses with an Associates Degree to work under the nurses who had higher degrees who had the...
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...and their families to improve the continuity of care. I have been exposed to patients from different countries, cultures, and religions on a daily basis. I believe that it is crucial for the nurse to build a trusting non-judgmental relationship with the patient and their families to show compassion. When caring for patients I listen to their concerns, decrease the stress levels and improve communication and recovery. As a nurse I must take in consideration the culture and religion in which they come from, and care for them appropriately to avoid upset and miscommunication. My goal and focus is to use holistic care to provide the patient with a successful recovery. My personal framework paper will be expressing my own personal journey as a bedside nurse and using my own personal beliefs, values, and philosophies related to caring for culturally diverse patients. Madeleine Leininger’s Cultural Care Diversity and Universality Theory, and the nursing metaparadigm will be discussed, and shown how it is incorporated into my daily nursing practice. Philosophy In McEwen and Wills (2011), Empiricism is defined as “focusing on understanding the parts of the whole in an attempt to understand the whole” and was “founded on the belief that what is experienced is what exists.” This philosophy focus is that a one must go through an experience, or observation to gain knowledge that can be used in future education. Nursing is a profession in which you must observe and then perform skills...
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...Philosophy of Professional Nursing Kim Lopez American Sentinel University Philosophy of Professional Nursing The profession of nursing is sculpted by philosophies, theories and science. Theses components connect on another through the nursing process. The professional nurse’s philosophies shape practices, beliefs and nursing. Butts and Rich (2015) describe philosophy as a search for meaning and a set of beliefs. Nurses encounter many situations where their philosophies and beliefs guide their nursing judgment and decisions. As the nursing profession has evolved from a profession of skills to one of knowledge it is important to understand the overall discipline and the knowledge that motivates the thought and actions of the nurse (Butts & Rich, 2015). The development of theoretical formulations by nurse scholars has guided efforts to identifying what the core beliefs of nursing are. Theory development can be traced back to the writings of Florence Nightingale’s notes on nursing which altered the status of nursing from that of a domestic service to that of a profession (Selanders & Crane, 2012). When reflecting on my personal and profession philosophy, I found that looking at the traditional metaparadigm of nursing that includes person, environment, nursing and health (Butts & Rich, 2015) aided me in connecting my personal reflections, values, and beliefs with my professional outlook on my nursing practices. Personal Philosophy Nursing, for me, is more than a profession...
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...for Advanced Nursing Practice by the American Association of Colleges of Nursing (2006) many salient points were brought to light discussing the breadth and strength of the educational preparation of the doctoral prepared Advanced Practice Nurse. The writers briefly described the following essentials and applied them to the role of the doctoral prepared Family Nurse Practitioner (DNP/FNP). I. Scientific Underpinnings for Practice II. Organizational and Systems Leadership for Quality Improvement and Systems Thinking III. Clinical Scholarship and Analytical Methods for Evidence-Based Practice IV. Information...
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