Advanced Practice Nursing

There have been concerns regarding the identification and credentialing of advanced practiced registered nurses (APRNs). A APRN is a registered nurse who has successfully completed an accredited graduate-level education program, in which the individual is well prepared and successfully passed the nationwide certification examination (APRN Consensus Model, 2008). However, there are still debating issues of who would fall under the APRN category. The National Council of State Boards of Nursing (NCSBN) has identified four APRNs who are deem fit to be called ARPNs; however, only two will be named. They would be certified registered nurse anesthetists (CRNAs) and certified nurse practitioners (CNPs). Whereas, the nurse informatics and the nurse administrations are not considered to be APRNs; although, they are still license registered nurses but they do not provide direct patient care and are not required to take the national certification examination (ARPN Consensus Model, 2008).

The success of NPs depends on practicing evidence-based care with competency in assessment, diagnosing, managing patients, and maintaining a caring practice. The nursing component of the NP role continues to be challenged from within nursing, as well as by large national physician organizations. NPs are extensions of nursing practice who are guided by nursing theory. The transformation from nurse to the advanced practice role of NP involves development of advanced knowledge and skills for listening, knowing, being with patients, connecting patients to their communities, promoting health,

Advanced Practice nursing (APN) is considered the usage of a broader scope of constructive, logical and research-based expertise related to the health and well-being of patients, within a varying disciplines (DeNisco & Barker, 2013). What is the future position of APNs in the progression of our healthcare system? What role will this writer assume, educator, practitioner, population health coach, or all three? The use of theory, primarily Sister Callista Roy’s Adaptation Model, and EBP give this writer a firm foundation to develop and modify her own practice framework.

Some practical obstacles that hinder the delivery of proficient and economical services include differences in language, cultural and knowledge of health issues. However, the prudent advanced practice nurse (APN) considers these obstacles to communication when providing patient-centered care. Nevertheless, when language barriers are not addressed, the provision of quality care to patient and families are undermined, which then transcends to both economic and ethical dilemmas. According to the centers for disease control and prevention (CDC, 2016), the gateway to healthcare is often hindered to a great extent by the lack of the ability to communicate medical necessities due to language barrier. In any clinical setting, efficient patient communication is essential in the delivery and accessibility of quality care and safety.

Advanced Practice Nurses are Registered Nurses with specialty training at the master 's-degree level, in primary care settings, such as the Nurse Practitioners and Nurse Midwives and acute care of inpatients, such as the Clinical Nurse Specialists and in operating rooms, such as Nurse Anesthetists. This has opened a door in the nursing field. Nurses ' roles are no longer limited. Nurses now have opportunities to advance their career and expand their roles. Advanced Practice Nurses can be more directly involved in patient care

Advance Practice Registered Nurse (APRN) is a broad term that is used to define the masters prepared nurse that participates directly in patient care. This definition includes four different facets of nursing: certified nurse-midwives, nurse anesthetists, clinical nurse specialists and nurse practitioners (Joel, 2009). Of these four professions that are included in the APRN definition, Western Carolina University offers two: nurse anesthetist and nurse practitioner. Nurse educator and nurse leader, which are also offered at Western Carolina University, are not currently included in this definition.

Advance practice nurses (APNs) are at the forefront of today’s healthcare system. To keep up with the aging population and the demands of complex healthcare needs of this society, APNs need to perform at the highest quality to provide efficient, effective, holistic and improve patient outcome and satisfaction while reducing cost. To provide such care, APNs need to implement the six core competencies as outlined by Hamric. These six core competencies are: direct clinical practice, expert coaching and advice, consultation, research skills, clinical and professional leadership, collaboration, and ethical decision-making. This paper will explore how APNs can implement each of the six core competencies to support the effective improvement of outcomes such as patient satisfaction, readmissions, cost, health status, and complications. In addition, each of the six core competencies of the APN’s role identified by Hamric will be outlined and applied using a fictitious patient case study.

The Advance Practice Nurse has a long and interesting history. Advanced practice nursing has gone from women being trained by physicians to administer chloroform to, in some states, having their very own practice. The term of advanced practice did not begin until the 1980s, prior to that the advanced practice nurse was described as having an extended or expanded role. While the advanced practice nurse had finally gained a name for their role there are currently several definitions to define this ever changing field. There is currently no standardized definition of the Advanced Practice Nurse (APN). Three definitions of advanced practice will be described and reviewed within this text.

Due to the massive popularity and use of the P value in scientific research studies Advanced Practice Registered Nurse (APRN) in primary care settings must administer care based on the best available scientific evidence. In healthcare where frequency and volume of scientific studies overwhelm APRN’s and health care professionals, they are having to implement and rely on many statistical metrics to make crucial decisions. APRN’s in their daily practice will have to think critically through the research process and review the statistical data in such a manner that they can determine and decide on the best available evidence.

Texas has a rapidly growing population with complex healthcare needs, but has limited resources in terms of healthcare provider workforce. There is an expanding need for healthcare in Texas even without taking federal reform into account. Currently, more than forty percent of states have adopted full practice authority licensure and practice laws for Advanced Practice Registered Nurses (APRN). Texas is not one of them. Currently, APRN’s are regulated by both the Texas Board of Nursing and the Texas Medical Board. Passage of Senate Bill 681 would grant full practice authority to APRN’s, and therefore be regulated exclusively by the state nursing board.

As the young and rapidly-aging population continues to increase, the demands of primary, acute and chronic disease management will also increase. As a result, more health care professionals who provide primary care will be needed to meet these demands. Thus, the emergence of Advanced Practice Registered Nurse (APRN) evolve. APRN is a nurse who has completed a graduate degree and has acquired advanced knowledge and skills. APRNs are grounded with theory, concepts and principles that enable them to assess, diagnose, treat and manage their patients. APRNs can work in conjunction with other health care professionals or independently. APRNs improve access to health care by providing care in the rural and underserved areas. APRNs also reduce the cost to health care (Joel, 2013).

Hello Megan as you mentioned, Advanced Practice Nurses (APN) are prepared typically in master’s degree programs and especially the Nurse Practitioners (NP) are often team trained alongside medical students sharing the same course work, patient rounds and other onsite clinical experiences. The APNs have either a masters or doctoral degree or a certificate requiring up to two years of additional clinical training. After reviewing the studies conducted in 1986, the Congressional Office of Technology Assessment (OTA) concluded that the quality of care provided by the NPs and physicians was equivalent for comparable services, based on the weight of evidence for both process measures and actual outcomes. These studies also found that quality of care

The role of an Advanced Practice Nurse (APN) is evolving as the shortage of primary care providers occurs as a result of an aging population and the implementation of Affordable Care Act (ACA) (Laurant, 2014). The advancement in medical technology, increasing aging population, and the prevalence of chronic diseases increase the expectation of public in healthcare system. In order to meet those needs various nursing roles evolved, and all those fall under the umbrella of APN (Ramis, Wu, & Pearson, 2012). Evidences support the role of APN in reducing patient length of stay, subsequent hospital costs, and functions as a recruitment strategy to encourage nurses to stay within the profession (Bauer, 2010). In order to be a successful APN, a nurse needs to have the advanced knowledge and expertise in the designated area. The APN is one who has advanced knowledge and skills in meeting the needs of a population with complex and unpredictable health needs. The skills needed to be successful as an APN is critical thinking, leadership skills, and clinical judgment in addition to the mastering of core competencies required by the National Organization of Nurse Practitioner Faculty (NONPF). For the purpose of this project I interviewed Mrs. A.C, who is an APRN for the Cardiovascular Surgeon. The main focus of the interview was to analyze the NONPF core competencies possessed by Mrs.A.C. The part of this paper includes the Description of the NONPF NP core competencies, Interview

Advanced Practice Registered Nurses (APRNs) continue to play a vital role in providing patient centered healthcare in different environments and settings. There are several types of healthcare personnel categorized as APRNs including mid-wives, nurse anesthetists, clinical nurse specialists, and family nurse practitioners among others (Newhouse, 2011). One major issue of concern is to identify whether a nursing role is clinical or no clinical. Family Nurse Practitioners (FNP) comprise of registered nurses working autonomously or collaborating with other healthcare professionals to deliver healthcare in family-centered settings. They offer a broad range of healthcare services revolving around the concept of the family unit.

Each member of the team brings a different specialty to the table. Knowledge of each individual’s strengths and limitations can help to improve patient care and multi-disciplinary collaboration. Nurse Practioner (NP) and advance practice nurse (APN) are working to redefine roles in scopes of practice. According to research by Andregård and Jangland (2015), the introduction of the NP as a part of the healthcare team had mixed results, they ranged from “threat to professional boundaries” to “a resource for the team.” The physicians and nurses had opposing opinions on the ideology, medical or holistic the NP should align with. This can cause stress in multi-disciplinary situations and impede patient care. It is the responsibility of all health care team members to work together to define roles and provide stable care to the patient no matter the