¶ … advanced practice nursing that provides framework for job description of primary adult nurse practitioner.
Introduction-- definition of advanced practice nursing
Advanced practice nursing itself is popularly known as a concept that embraces three dynamics: 1. The specialization or provision of care for a specific population of patients with complex and usually unpredictable health needs; 2. The possession of knowledge, skills, and research that exceeds the traditional scope of nursing practice and particularly nursing practice in this specific field; and 3, advancement, which includes specialization and expansion in the field (ANA, 1995). The three conditions are interrelated and focus on the four primary conditions of nursing: health, environment, patient, and nursing.
In short, advanced practice nursing may best be defined in the words of ANA (1995) as an innovative, continuous development of skills, synthesis of experience, knowledge, and skills, and a holistic, patient-centered focus to the craft all constituent in what is known as 'advanced practice nursing' (Watson, 1995).
All agree that the title implies an integration of practice and skills where the objective is to improve patient health through education, research, clinical practice, and organizational leadership. Critical thinking is required and so is synthesis of disciplines. (e.g. Calkin, 1984). Advancement, by far, exceeds the traditional conceptualization of nursing in that it exceeds the role of nursing per se and enters into a diversity of other fields where applicable concepts are extracted and applied to nursing.
Sykles and Lewis (2000) see advanced practice nursing (APN) as a pyramid where the base stands on environmental factors that influence the nature and purpose of nursing. These include the local conditions, the nursing profession the health care system, culture, the government, and the APN community itself. In other words, all contracts, policies and procedures that drive and undercut the health care service and the nurse practitioner role within that service. The rest of the pyramid has layers within which the various roles of APN interact one with the other. The base however of the environment structure both guides the permutations of the pyramid and provides resources whereby APN can best function and actualize itself.
B.-- personal philosophy of nursing and its influence on your role as a primary adult nurse practitioner (must include the four concepts of nursing: health, patients/person, environment, and nurse/nursing)
The philosophy of nursing that has made the greatest impact on me and involves all four aspects of health, patient, environment, and nursing itself is the AACN model.
The AACN paradigm was launched in the 1990s by the American Association of Critical-Care Nurses that convened in order to formulate a paradigm for nursing that would guide the profession. It was agreed that certified nursing should be based on meeting the patient's needs and on qualitative care rather than on following a set of rigidly delineated methods (Hardin, 2005).
The AACN model is deductive in that it was formulated around a set of eight characteristics that the patient presents and around another set of eight competencies that the nurse possesses. These eight patient characteristics (resiliency, vulnerability, stability, complexity, resource availability, participation in care, participation in decision making, and predictability) define the basis of AACN care, and nurses direct their set of skills (clinical judgment, advocacy and moral agency, caring practices, collaboration, systems thinking, response to diversity, facilitation of learning, and clinical inquiry) accordingly (AACN, 2006).
The basis of the AACN model is that it is the patient's needs that drive the competencies of the nurse and that synergy is accomplished when the patient's needs are met. To the extent that the patient's needs are met is skilled nursing achieved.
The four concepts of the nursing meta paradigm are thus conceptualized in the following manner:
1.Patient's characteristics are of concern to the nurse, 2. The nurse's competencies are important to the patient, 3. The patient's characteristics drive the nurse's competencies, and, 4. Optimal nursing is achieved when the patient's characteristics and the nurse's competencies match and are synergized (Hardin & Kaplow, 2005).
The AACN Model for Patient Care is constructed on the following 5 assumptions:
1. Patients are presented in a holistic manner at a particular stage of their development and the whole (biological, psychological, social, and spiritual) must be considered in treatment.
2. Patient, family, and community all provide context for nurse in her nursing relationship with the patient.
3. Patients can be described by a variety of characteristics that must be seen in unison rather than apart.
4. Nurses, similarly, can be described by a set of interrelated characteristics, or skill dimensions that describe the overall...
Advanced Practice Nursing Compare and Contrast the APRN and MDs scope of practice. The scope of practices for APRNs is to focus on specific areas of medicine which can be transferred from the hospital to a clinic, skilled nursing facility or outpatient care center. The basic idea is that an RN with several years of experience and advanced training can offer effective health care solutions for families / children. Some of the
THREE: Ethics: This portion of the learning experience for the RN wanting to be an APRN is important because: a) ethical dilemmas and how they impact patient care must be part of the curriculum; b) decision-making with ethics as a driver for decisions must be learned; c) in what instances do personal conflict of interest arise? FOUR: Professional Role Development: the knowledge and skills to be effective are taught: a)
Advanced Practice Nursing Admission Summarize your nursing-related educational and professional activities. Explain your rationale for seeking a graduate nursing degree. Articulate the personal challenges and approaches to managing graduate school, work, and outside commitments As a nurse, I have worked in many capacities over the course of my career. I currently occupy the challenging role of case manager at a hospice. It is a daily privilege to help individuals and families face
American Healthcare System: Implications for Advanced Practice Nursing Advanced Practice Registered Nurses (APRNs) is the group of health care professionals on whom stakeholders and lawmakers depend to deliver most of America's health care. APRNs refer to registered nurses who've attained advanced clinical and educational practice requirements. They include clinical nurse specialists, nurse anesthetists, certified nurse-midwives and nurse practitioners. Experts project that the demand for APRNs is bound to increase as hospitals
Advanced practice nursing (APN) is one of the nursing fields that plays a critical role in the promotion of the health and wellbeing of patient populations. APN is regarded as the usage of a wider scope of logical, constructive, and research-based competence relating to patients’ health and wellbeing. This field incorporates knowledge and expertise from a variety of disciplines that are critical in the healthcare sector. Given the acute nursing
Advanced Practice Nursing Framework Following its introduction during the 1960s, the role of the advanced practice nurse (hereinafter alternatively "APN") has expanded greatly into a number of specialty areas (Nwosuocha, 1999). Consequently, the definition of the advanced practice nurse has also experienced significant changes. According to Nwosuocha, "With the expanded roles of advanced practice nursing there are many definitions of what constitute faculty practice. Teaching, service, joint appointments and other
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now