Advanced Nursing oles
Sister Calista oy - Adaptation theory

Adaptation theory is one of the nursing theories that have had a significant impact in the general practice of nursing in the world. Nursing is one of the technical activities and undertakings that need immediate and tedious professionalism. In most cases, nurses are supposed to undergo equitable training and impartation programs that seek to add into their contemporary activities in the society. In order to be able to meet the daily challenges and difficulties posed by the profession, many nurses have engaged in education programs and training. Nursing requires nurse and all the participants to be at the forefront in the management of the available activities. For instance, nursing challenges are everywhere in the society. This means that in order to have a larger scale of performance and maintenance of the nursing standards in the nursing field, nurses, and many other participants should…...

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References

Basavanthappa, B.T. (2011). Nursing theories journal. Vol. 6, Issue 08, Pages 189. New

Delhi: Jaypee Brothers.

Daniels, R. (2010). Nursing fundamentals: Caring & clinical decision making journal. Vol.

7, Issue4, Pages 87-89. Australia: Delmar Learning.

Internationally, for example, most countries do not have protected titles and there is no agreement about the use of titles to distinguish APN roles. ole confusion arises when the same title, such a nurse specialist is applied to different roles with varied purposes, educational preparation, and scopes of practice. As this role becomes more integrated into the framework of different societies and is better defined, it is expected that barriers among different providers will drop and healthcare better work together.
eferences

Adams, B.L. (2005) Assessment of Child Abuse isk Factors by Advanced Practice Nurses. Pediatric Nursing.31(6):498-502

American Association of Colleges of Nursing (2004). AACN position statement on the practice doctorate in nursing. Washington, DC: etrieved January 28, 2008. http://www.aacn.nche.edu/DNP/DNPPositionStatement.htm

Benner, P. (2001). From novice to expert: Excellence and power in clinical nursing practice. Upper Saddle iver, NJ: Prentice Hall Health.

Fletcher, K. (2006). Beyond dualism: Leading out of oppression. Nursing Forum, 41(2), 50-59.

Fulton, J.…...

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References

Adams, B.L. (2005) Assessment of Child Abuse Risk Factors by Advanced Practice Nurses. Pediatric Nursing.31(6):498-502

American Association of Colleges of Nursing (2004). AACN position statement on the practice doctorate in nursing. Washington, DC: Retrieved January 28, 2008.  http://www.aacn.nche.edu/DNP/DNPPositionStatement.htm 

Benner, P. (2001). From novice to expert: Excellence and power in clinical nursing practice. Upper Saddle River, NJ: Prentice Hall Health.

Fletcher, K. (2006). Beyond dualism: Leading out of oppression. Nursing Forum, 41(2), 50-59.

Advanced Nursing Ethics
Nursing ethics refer to the code of conduct among nurses. Ethics is connotations of performance that reflect on the nature of behavior and activity among the concerned societies in the world. The human behaviors and activities are managed by rules and regulations. These rules and regulations appear to address on how justice and equitable human cohesion can be established in the minds of the people. The facet of ethical concerns helps to bring out the code of behavior that is expected of nurses and any other person within the limelight of the public demand. In most cases, it is essential to have directional ways and means of meeting the available interests of the people.

In the hospitals, nurses and many other health professionals are subject to intense activities and decision-making processes that call for their unified performance within the ethos outlined. In order to deliver a credible performance in…...

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References

Bartter, K. (2001). Ethical issues in advanced nursing practice. Vol. 8, Issue 4, pgs 23-34.

Oxford: Butterworth-Heinemann.

Butts, J.B., & Rich, K. (2011). Philosophies and theories for advanced nursing practice.

Sudbury, Vol. 5, Issue 6, pgs 34. Mass: Jones and Bartlett Publishers.

Advanced Nursing Theory
Any scientific discipline necessarily operates under the guidance of theory. Indeed, without theory, science cannot operate. On the other hand, it is also true of all theoretical disciplines that theory cannot exist without practical experimentation to support it. In fact, without the practice and experiments to further provide solid proof for theory, no theory can further develop. In this way, practical experimentation and theory go hand in order to further the entire discipline for the benefit of humanity and science. It words, or should work, the same for nursing. In nursing practice, however, there is often a divide between the theory and practice. One of the reasons for this is that, because nursing is such a practical profession, the theory is often left to gather dust. In other words, the interaction between theory and practice is somewhat diminished because of the nature of the profession.

Theories that interact closely…...

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References

Butts, J.B. And Rich, K.L. (2010) Philosophies and Theories for Advanced Practice Nursing.

Hulkower, R. (2010). The History of the Hippocratic Oath: Outdated, Inauthentic, and Yet Still Relevant. The Einstein Journal of Biology and Medicine. Retrieved from:  http://www.einstein.yu.edu/uploadedFiles/EJBM/page41_page44.pdf

More theoretical input from advanced practice nurses aims to help improve overall care strategies, providing for a better quality of life for patients around the country and beyond.
Not only do advanced practice nurses have a huge impact on patients while they are under hospital care, they often have a huge impact in the care strategies after the patient is sent home for recovery. According to McCauley, Bixby, and Naylor (2006), advanced practice nurses coordinate "care collaboratively with the patient's healthcare team while the patient is hospitalized and during the immediate period post-discharge to home, will prevent complications and errors, and improve outcomes while reducing the cost of care" (302). As such, it is clear that the role of the advanced nurse practitioner is incredibly vast and complicated, with the many roles the individuals who embody it must play. Advanced practice nurses are supposed to help facilitate the best strategy…...

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References

McCauley, Kathleen M., Bixby, Brian, & Naylor, Mary D. (2006). Advanced practice nurse strategies to improve outcomes and reduce cost in elders with heart failure. Disease Management, 9(5), 302-312.

McCormick, S.A. (1999). Advanced practice nursing for congestive heart failure. Critical Care Nursing Quarterly, 21(4), 1-8.

Advanced Nursing Ethics and Values
It is required that nurses understand their ethical responsibilities when it comes to providing care as well as when they are functioning within a diverse healthcare setting. The paper is based on a case study that will touch on various areas when it comes to nurses and their profession. First the importance of ethical theory in nursing profession will be highlighted. The link between rules of confidentiality and the idea of reasonable limits will be highlighted. This will entail looking at some of the aspects of rules of confidentiality and aspects of the tenets of reasonable limits. The rationale of breaking the confidentiality will also be highlighted. How conflicts can be resolved between various ethical principles will also be looked into. Also highlighted is the effect of cultural considerations and values. Finally, the paper will point out the models used in making ethical decision and those…...

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D. Broken confidentiality

Principles such as that of autonomy give patients the right to make a choice of the right treatment for them. This principle puts emphasis on the significance of informed consent and confidentiality. Informed consent advocates for patients to have control over their treatment and make decisions deemed right for their lives. Confidentiality gives individuals the power to control information of their lives. Autonomy can be affected when confidentiality is breached. This is due to the fact that healthcare professionals affect a person's autonomy and play a role in making informed consent and confidentiality in their lives (Gunderman, & Beckman, 2012).

There are various principles that that can be used to give an explanation of keeping or breaking confidentiality, an example is consequential theories like utilitarian theory can be used to explain confidentiality. Those who advocate for Unitarian theory hold the argument that actions are right morally if they are beneficial to people or bring good to many. Keeping the information might not be beneficial to all people as it might be affecting the treatment of a patient. This advocates for breaking confidentiality by doctors in order to help patients get right

In almost every career, one uses only a portion of the academic skills from college. In the nursing career, with one or two possible exceptions (certain maths or chemistry classes), almost all of the knowledge is needed in some way on a daily basis. This requires that the advanced levels of nursing (APN and PA) become substantive parts of the discipline of nursing. To do this, attendance at seminars, demonstrations, as well as refresher courses in managerial and clinical practice are not only necessary, but typically required for most certifications. This advanced education not only keeps the nurse fresh and up-to-date, but also allows for branching out into different sub-fields. For example, the ER nurse can focus on mental health or oncology, and pick up certifications that make them even more valuable to their organization (Arslanian-Engoren, Hicks, hall, and Algase, 2005).
Describe the advanced practice nurse's leadership role within the…...

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Works Cited

Arslanian-Engoren, Hicks, Whall, and Algase. (2005). An Ontological View of Advanced Practice Nursing. Research and Theory for Nursing Practice, 19(4), 315+.

Association, a.N. (2010). Advanced Practice Nursing. Retrieved from Nursingworld.org:  http://nursingworld.org/readroom/fsadvprc.htm 

Bryabt-Lukosius, DiCenso, Browne, and Pinelli. (2004). Advanced Nursing Practice Roles:

Development, Implementation, and Ealuation. Journal of Advanced Nursing, 48(5), 519-29.

Advanced Nursing Practice Field Experience
Lolita Knight

Proposal Form

Please refer to separate submission in Taskstream

CHSI is committed to providing the best quality medical care possible for its population of underserved patients. This summary addresses my proposal for the Advanced Nursing

Practice Field experience. One new policy recommended by the iverside County Health

Department is to include HIV screening and testing with all routine physical exams. The organizational change I am investigating is increasing provider compliance by including HIV

screening and testing with routine physical exams. The population affected by this change will be the underserved population in iverside County. My change leader is Evelyn Pearson-

ay MSN, NP, and Nurse Educator for the organization. My plan for conducting this investigation is to create a team of stakeholders, measure provider compliance of including HIV

screening and testing with routine physical exams, evaluate staff knowledge, provide necessary training, re-evaluate staff's knowledge of HIV screening and testing, evaluate patient population,…...

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References

Maillard, J. (2012, November 29). The impact of HIV-related restrictionson entry, stay and residence:. Joint United Nations Programme on HIV / AIDS.

S, B. (2009). Private acts, social consequences: AIDS and the politics of public health. New Brunswick: Rutgers University Press.

Uhrig, J. & . (2015, November). Health Communication to Support HIV / AIDS Prevention, Testing, and Treatment. RTI International.

Woods, W. (2012). Building Stakeholder Partnerships for an On-Site HIV Testing Programme. NCBI, 20(12), 249-262.

Advanced Practice Roles in Nursing
The starting point of all current-day nursing practices is a registered nurse. The current standards and policies with respect to education and legal regulations for attaining a basic first-level nursing standard weren't always fixed. For that matter, there weren't always professional nurses, either.

Specialist nurses can be considered as the primary product of nursing's professional evolution. The basis of the advanced nurses of today was established in the advent of specialist nurses in America. They were recognized in practice from the latter part of the 19th century; in the 1930s-1940s, the number of specialist nurses in USA grew. Clinical nurse specialists (CNSs) have become strongly recognized in the field of nursing since the 1960s. The Clinical activities of these nurse specialists were usually considered to be within conventional nursing practice domains, though their expertise was normally extended. Thus, CNSs were not considered to pose any particular threat…...

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Bibliography

AANAC. (2014). Nursing Leadership Management and Leadership styles. AANAC.

Dahlke, S., Baumbusch, J., Affleck, F., & Kwon, J.-Y. (2012). The Clinical Instructor Role in Nursing Education: A Structured Literature Review. Journal of Nursing Education, 3.

Daniel, G., & Oyetunde, M. (2013). Nursing informatics: A key to improving nursing practice in Nigeria. International Journal of Midwifery, 91.

Development of Advanced Nursing Roles. (2012). Nursing Times, 18-20.

Advanced Nursing Ethics and Values
(b) Justify the importance of ethical theory -- provide one example: The use of virtue ethics, according to the peer-reviewed Business Ethics Quarterly, is a way of providing resources for "moral thinking"; and for nurses that understand and apply virtue to their work have the background and knowledge as to what to do (that is moral) in any situation (Audi, 2012, p. 273). The virtuous nurse must have beliefs that can be shared and learned by those around the nurse, and there are six dimensions to Audi's approach: a) in the field of work, virtue ethics emphasizes "how one reaches it"; b) the target for virtue ethics in nursing is the "well-being" of others; c) the beneficiaries of virtue ethics are those benefiting from nurses' professionalism; d) a good nurse is a leader with high levels of intellect; e) virtue ethics calls for a nurse's motivation…...

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Works Cited

Andre, C., and Velsaquez, M. (2008). Calculating Consequences: The Utilitarian Approach to Ethics. Santa Clara University. Retrieved November 1, 2013, from  http://www.scu.edu .

Audi, R. (2012). Virtue Ethics as a Resource in Business. Business Ethics Quarterly, 22(2).

273-291.

Cohen, J.S., and Erickson, J.M. (2006). Ethical dilemmas and moral distress in oncology nursing practice. PubMed. Retrieved November 1, 2013, from http://www.ncbi.nim.nih.gov.

al, 2005).
Advance ractice Nurses, hysicians Assistants, Registered Nurses and hysicians

hysicians naturally have the most authority over patient care and in the traditional relationship between physicians and RNs, physicians directly control and must specifically authorize the clinical responsibilities of nurses. Advanced ractice Nurses enjoy a greater degree of autonomy and make certain independent decisions within a broader range of authority granted by physicians. Individual state laws define more particularly the exact functions that ARNs are authorized to perform (NCBON, 2011). hysician assistants and Nurse ractitioners perform specific clinical medical functions traditionally reserved exclusively to physicians such as prescribing medications and performing minor medical procedures (Hamric, Spross, & Hanson, 2009).

romoting Advanced ractice Nursing to the ublic

In many cases, patients are completely unaware of the distinctions between Nurses, Advanced ractice Nurses, Nurse ractitioners, and hysician Assistants. Advanced practice nursing professionals can help publicize and promote a better public understanding by communicating directly…...

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Physicians naturally have the most authority over patient care and in the traditional relationship between physicians and RNs, physicians directly control and must specifically authorize the clinical responsibilities of nurses. Advanced Practice Nurses enjoy a greater degree of autonomy and make certain independent decisions within a broader range of authority granted by physicians. Individual state laws define more particularly the exact functions that APRNs are authorized to perform (NCBON, 2011). Physician assistants and Nurse Practitioners perform specific clinical medical functions traditionally reserved exclusively to physicians such as prescribing medications and performing minor medical procedures (Hamric, Spross, & Hanson, 2009).

Promoting Advanced Practice Nursing to the Public

In many cases, patients are completely unaware of the distinctions between Nurses, Advanced Practice Nurses, Nurse Practitioners, and Physician Assistants. Advanced practice nursing professionals can help publicize and promote a better public understanding by communicating directly with patients in their clinical capacities and by introducing themselves by their proper titles. They may also make the effort to explain to patients receiving advanced clinical nursing care exactly why their nurse is treating them in connection with providing details about the extent of their training and qualifications. Since APRNs are also typically involved in public health promotions, they should also take advantage of those opportunities to educate patients and other members of the public about their roles, qualifications, and responsibilities.

Advanced Nursing Practice oles
Analyze the essential roles of the APN including educator, researcher, expert, consultant, leader, and change agent. Explain the functions of each role. Which role do you see as the most important and why?

Educator

APNs play the role of educators. Being educators in the nursing practice, they are held to high standards professionally and ought to satisfy these qualifications. As educators, they show their competencies in education, research and clinical skills. In addition, they promote quality and provide leadership within their field of expertise (Jansen and Zwygart-Stauffacher, 2010). Advanced Practice Nurses should model fervor for enduring learning, in addition to being tactically involved in professional nursing establishments to influence public policy and institute positive change in the nursing practice. It is imperative that devoid of the nurses taking up the role as educators, there would be no existence of advanced specialties. APNs educate the aspiring nurses so as to…...

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References

Carter, N., Martin-Misener, R., Kilpatrick, K., Kaasalainen, S., Donald, F., Bryant-Lukosius, D., Harbman, P., Bourgeault, I., DiCenso, A. (2010). The Role of Nursing Leadership in Integrating Clinical Nurse Specialists and Nurse Practitioners in Healthcare Delivery in Canada. Nursing Leadership, 23(Special Issue) December 2010: 167-185.

Elser, A., McClanahan, M., & Green, T. J. (1996). Advanced practice nurses: change agents for clinical practice. The Journal of perinatal & neonatal nursing, 10(1), 72-78.

Fitzgerald, C., Kantrowitz-Gordon, I., Katz, J., & Hirsch, A. (2011). Advanced practice nursing education: challenges and strategies. Nursing research and practice, 2012.

Jansen, M., Zwygart-Stauffacher, M. (2010). Advanced Practice Nursing: Core Concepts for Professional Role Development. New York: Springer Publishing Company.

Malpractice in Advanced Nursing Practice
A CLOSER LOOK

Legal/Ethical Principles

When nurses pursued independent practice outside hospitals, the law supported their bid to breach traditional roles (Kjervik & rous, 2013). This phenomenon was described as a form of "growing militancy" that refused to stay under the dominion of medicine (aer, 1993 as qtd in Kjervik and rous). Ethics supported the accompanying empowerment of the militant act as in expressing autonomy in practice, beneficence and care-based ethic in doing what they see as best for patients, and justice or fair treatment for patients and all providers involved. The earliest practitioner program was designed in 1965 by Loretta Ford and Henry Silver in their response to the lack of primary care physician at the time. The program emphasized primary care in health promotion and disease prevention. The idea caught and more primary care providers increased. This is why many of the first court suits involving…...

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BIBLIOGRAPHY

Abramson, M.A. And Dugan, K.F.(2013). The law of nursing malpractice.Medical

Malpractice Law Firm: Abraham, Brown & Dugan Attorneys. Retrieved on March

25, 2013 from  http://www.arbd.com/the-law-of-nursing-malpractice 

Hudspeth, R. (2009). Understanding discipline of nurse practitioners. Vol. 5 # 5 Journal

Personal practice framework: The family nurse practitioner.

As viewed in this paradigm, the nurse practitioner is a teacher and a student of health: a nurse must teach patients about health-promoting practices, but also must learn from the patient, so as to incorporate patient needs and perspectives into the treatment prescription and plan.

The relationship between the practice framework and the nursing process

The initial interview with the client is critical. All too often, nurses simply ask the patient about immediate symptoms or lifestyle practices. Cultural negotiation requires acting 'why' -- for example, WHY is a client not taking his or her medication, exercising, or eating certain foods. Client's presumptions of health and client health literacy are part of the patient's culture and must affect the treatment process.

The applicability or adaptability to clients of various ages in various health states

The multigenerational nature of nursing care makes cultural negotiation all the more important: first and…...

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References

Bridge, Jean, Sally Cabell, & Brenda Herring. (n.d.). Dorothea Orem's self-care deficit theory.

Troy University. Retrieved April 26, 2010 at  http://prism.troy.edu/~scabell/Orem.pdf 

Leininger, M. (1991). Excerpted in "The basic concepts of transcultural nursing."

Culture Diversity. 2008. Retrieved April 26, 2010 at http://www.culturediversity.org/basic.htm

oles for Advanced Nursing
Nurses who graduate with a master's degree are prepared for various roles and areas within their practice. Some graduates may pursue innovative and new roles which result from health changes and reforms in a global health system that is evolving. A master's prepared nurse is therefore an individual that has so many roles within the healthcare system. The paper will look at some of the roles of masters prepared nurses.

Master's prepared nurse's role as collaborator

Masters prepared nurses perform the role of being collaborators. Collaboration is the responsibility of a prepared nurse. The masters prepared nurses have the responsibility of ensuring that they work in teams in order to achieve better results. They have to ensure that they work together with other people within the healthcare industry. As a collaborator, a masters prepared nurse exchanges information and takes part in client care problems or other problems within the…...

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References

Peeks, P.(2009).The role of masters prepared nurse in contemporary health care. Retrieved October 15, 2013 from  http://nursing.msu.edu/Images_Docs/Syllabi/Web%202003-2004/Fall%202003/MSN/Fall%202003%20NUR%20801%20Syllabus.pdf 

American Association of Colleges of Nursing.(2013). Master's Education in Nursing and Areas of Practice. Retrieved October 15, 2013 from  http://www.aacn.nche.edu/faculty/faculty-tool-kits/masters-essentials/areas-of-practice

## Thesis Statement:

A comprehensive and multifaceted approach, including enhanced communication, patient-centered care, staff empowerment, and data-driven decision-making, is necessary to effectively improve patient satisfaction in nurse quality care.

### Introduction:

Patient satisfaction is a crucial indicator of the quality of healthcare services. Enhancing patient satisfaction leads to improved clinical outcomes, increased patient loyalty, and reduced healthcare costs. Nurses play a pivotal role in shaping patient experiences and influencing satisfaction levels. This thesis will explore the multifaceted strategies that can be implemented to improve patient satisfaction in nurse quality care.

### Body:

1. Enhanced Communication:

Establish clear channels of communication between nurses and patients, allowing....