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) learn collaboration with other healthcare professionals; b) an APRN must be an advocate, a teacher, a researcher, a consultant, a clinician, and a manager; c) changes must be monitored so learning to monitor changes is important; d) graduates must have learned how to recruit potential new students into the field. FIVE: Human Diversity and Social Issues: An APRN must not only be open-minded and comfortable with patients and nurses from other cultures, the APRN must: a) assess his or her…...
mlaWorks Cited
American Association of Colleges of Nursing. (2005). The Essentials of Master's Education
For Advanced Practice Nursing. Retrieved May 9, 2013, from edu.http://www.aacn.nche,
Barker, Anne. (2009) Advanced Practice Nursing: Essential Knowledge for the Profession.
Burlington, MA: Jones & Bartlett Learning.
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 pay more attention to the most unstable and sickest patients and move most of health services to homes, nurse-managed clinics, birthing centers, schools, community health centers, and other centers and venues (American Nurses Association, 2011). This stand on health policy as nurses view it, calls for action for APRNs to equip themselves with the knowledge of how current health policy works and how various initiatives will affect the policies. The knowledge will be instrumental in helping them have a positive…...
Nursing Education
Two relatively brief and recent articles by the Institute of Medicine (IOM; 2011a, b) offer some intriguing solutions regarding the future of the nursing profession, particularly advanced practice registered nurses (APNs). The gist of both of these brief reviews is basically that in order to keep up with the demanding healthcare needs and changes in the healthcare system the nursing profession should: (A) stress higher levels of education across the board for its practitioners and (B) should be given more leniency as to the scope of its practice (in other words the scope of nursing practice should be broadened).
It is interesting that the nursing profession should be held to a higher standard of education in the context of a diminishing number of new nurses coming into the field each year (Buerhaus, Staiger, & Auerbach, 2009). From an ethical standpoint no healthcare professional should be allowed to practice outside the…...
mlaReferences
Buerhaus, P.I., Staiger, D.O., & Auerbach, D.I. (2009). The future of the nursing workforce in the United States: Data, trends, and Implications. Boston: Jones and Bartlett.
Institute of Medicinea. (January 26, 2011). The Future of nursing: Focus on education. In The
Institute of Medicine of the National Academies. Retrieved September 20, 2014, from http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health/Report-Brief-Education.aspx.
Institute of Medicineb. (January 26, 2011). The Future of nursing: Focus on scope of practice. In The Institute of Medicine of the National Academies. Retrieved September 20, 2014, from http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health/Report-Brief-Scope-of-Practice.aspx.
ole of Advanced Practice Nurse
Framework for Clinical Practice
Person/Client/Client System
Environment
Health
Nursing/APN (Factors Effecting APN's Practice and Implementation of the APN
Nursing Process)
Interrelationships of Client System, Environment, Health, and Nursing/APN
ole of Advanced Practice Nurse
esearch shows that an advanced practice nurse (APN) is first of all a nurse that has been recognized as a person that has advanced education. This person is also known t knowledge and skills prepared at the masters or doctorate level. It advanced practice nurse have a broader scope of practice than egistered Nurses (N) often performing the same duties as those that are doctors. Their primary care duties involve things such as diagnosing and managing the treatment of chronic and acute illnesses. Advanced practice nurses are the ones that keep the emphasis on advanced practice nurse and health promotion, with a stress on wellness. Advanced practice nurses may choose to work independently or in collaboration with doctors. To practice they…...
mlaReferences:
Castner, D. (2011). The "coming out" of the advanced practice nurse. Nephrology Nursing Journal,, 28(4), 474.
Delametter, G.L. (2002). Advanced practice nursing and the role of the pediatric critical care nurse practitioner. Critical Care Nursing Quarterly,, 21(4), 16-21.
Swain, S.M. (2009). The role of clinical nurse educators in organ procurement organizations. . Progress in Transplantation, 284-7.
Villanueva, N.B.-R.-A. (2008). The role of the advanced practice nurse in neuroscience nursing: Results of the 2006 AANN membership survey. .Journal of Neuroscience Nursing, 40(2), 119-24.
In other words, physicians authorize the nurse practitioner to prescribe certain medications -- perhaps not all but those medications that are most often required by patients -- without getting approval from a physician. It saves time and is primarily designed to make the patient more comfortable, not just to hand additional authority to the nurse practitioner.
Is prescriptive authority appropriate? This question, according to Patricia Berry, a faculty member at the University of Utah, is raised often because there is in the healthcare industry a "…misapprehension about pain and addiction" (Lebo, p. 1). There are "myths about pain and pain management," Berry is quoted saying. Healthcare professionals get "…addiction, physical dependence and tolerance all mixed up," Berry continues. There are "erroneous beliefs about opioids and addiction, side effects, respiratory depression, those kinds of things," Berry explains (Lebo, p. 1).
In twenty-nine states physician collaboration is a "requirement," Lebo explains on page…...
mlaWorks Cited
Christianson, Martin. (2011). Advancing nursing practice: redefining the theoretical and practical integration of knowledge. Journal of Clinical Nursing, Vol. 20, 873-881.
Fagerstrom, L., and Glasberg. a-L. (2011). The first evaluation of the advanced practice
Nurse role in Finland -- the perspective of nurse leaders. Journal of Nursing Management,
Vol. 19, 925-932.
Nursing
Advanced Practice ole 5901
The Different Advanced Practice oles
The Different Advanced Practice oles
Advanced practice roles
The role of nurses has grown quite complex over years. It is no more simply about cleaning the wounds. The advanced practicing nurses have high education- often post-graduation and acquire skills and knowledge to work in complex healthcare situations. Different nurses have different role since advance nursing is organized into levels. Each nurse has knowledge of assessment, diagnostics, planning, and case evaluation. The advance nursing roles are supported by stand level of skill, knowledge, and experience that is applied within the nurse-patient/client relationship to achieve optimal outcomes through critical analysis, problem solving and evidence-based decision making (Advanced Practice Nurses, 2013). The advance practice nurses are categorized into levels of nurse practitioners, nurse anesthetists, clinical nurse specialists, or nurse midwives. All of them offer primary care to the patients and offer services of disease prevention as well as…...
mlaReferences
Advanced Practice Nurses, (2013), Retrieved from:
http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses
Ball, M.J., (2005), "Nursing Informatics of Tomorrow," Retrieved from:
Applying Evidence-Based esearch in Nursing Practice
What is the difference between research and evidence-based practice projects? Provide an example of EACH ONE and the reasons for the difference. Why should nurses be interested in learning about EBP? (evidence-based practice).
esearch and evidence-based practice are not synonymous, and the distinctions are not necessarily intuitive. esearch is a generic term that holds many different meanings depending on the context in which the term is used. The purpose of research is to generate new knowledge for theory building. That is to say that a body of existing knowledge or an observed phenomenon can be validated when new data emerges from a study. By tradition, research is conducted in such a way that sources of bias are liminated or avoided as much as possible.
Evidence-based research is a particular type of inquiry that is designed to identify proof or evidence of the theories in which the…...
mlaReferences
____. (2014). Evidence-Based Practice and Nursing Research: Avoiding Confusion. Health Leaders Media. Retrieved from http://www.healthleadersmedia.com/content/NRS-245879/EvidenceBased-Practice-and-Nursing-Research-Avoiding-Confusion
Daly, J., Willis, K., Small, R., Green, J., Welch, N., Kealy, M., & Hughes, E. (2007). A hierarchy of evidence for assessing qualitative health research. Journal of Clinical Epidemiology, 60(1), 43-49.
Dearholt, S., Dang, D., & Sigma Theta Tau International. (2012). Johns Hopkins Nursing Evidence-based Practice: Models and Guidelines. Retrieved from http://libguides.ohsu.edu/content.php?pid=249886&sid=2079582
Herman, B. (2011, November 22). Shifting cultures: A change management guide for hospital leaders. Becker's Hospital Review. Retrieved from http://www.beckershospitalreview.com/hospital-management-administration/shifting-cultures-a-change-management-guide-for-hospital-leaders.html
Jehovah's Witness And The Advanced Practice Nursing
All over the world advance nurse practitioners are often faced with ethical and legal dilemmas in the course of their practice. Dilemmas occur when a practicing nurse is in a situation where they are not sure whether the decision they are taking is the right one or not. The paper will look at a situation where a nurse in the course of her practice was faced with such a dilemma. The aim of this critical analysis of the case and the ethical legal dilemma that nurses face during their practice is ensuring that both nurses and patients benefit.
Advanced practice ethical-legal dilemma
A Hispanic male aged 30 years is presented in the emergency department after sustaining serious injuries from an accident. After a few tests were conducted on him there were some signs of internal bleeding. The doctor in the emergency room and advanced nurse practitioner…...
APRNs and State RegulationIntroductionThe evolution of healthcare practice has led to the development of advanced roles such as the Advanced Practice Registered Nurse (APRN). Specifically, the role of the Psychiatric Nurse Practitioner (PNP) has been integral in addressing the significant gaps in mental health care. This paper presents my personal philosophy and practice framework, which aligns with the work of nurse theorist Hildegard Peplau. This paper also identifies the educational, certification, and licensing requirements for APRNs in Florida, and it discusses the implications of prescriptive privileges for APRNs in terms of patient safety and care. The distinctions between prescriptive authority, credentialing, and clinical privileges, and their impact on patient care are also described. Lastly, the development of the APRN role is evaluated from a global perspective.Personal Philosophy and FrameworkAs a PNP, my philosophy is centered on holistic and patient-centered care, focusing on a bio-psycho-social-spiritual model. I believe that this approach…...
mlaReferences
American Association of Colleges of Nursing. (2023). The Essentials: Core Competencies for Professional Nursing Education. Retrieved from https://www.aacnnursing.org/Education-Resources/AACN-Essentials
American Nurses Credentialing Center. (2023). Psychiatric-Mental Health Nurse Practitioner Certification (PMHNP-BC). Retrieved from https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nurse-practitioner/
Florida Board of Nursing. (2023). Licensure: Advanced Practice Registered Nurse (APRN). Retrieved from https://floridasnursing.gov/licensing/
The human body is capable of developing adaptive responses in order to deal with foreign invaders. The body has the capability of shaping itself in certain ways in order for it to respond to various attacks, body exhaustion, or body injury. This paper will analyze the adaptive responses that are seen as symptoms for various scenarios, In the first scenario, the two-year-old is experiencing a running temperature and a sore throat, which is diagnosed as a throat infection or tonsillitis. The second scenario is diagnosed as allergic contact dermatitis, and the third is diagnosed as depression.
Scenario 1
The disorder that is depicted in the scenario is throat infection of tonsillitis. According to Bathala and Eccles (2013) this infection could have been caused by bacteria known as streptococcus, which causes the inflammation of the tonsils and also affects the surrounding areas. The body\'s adaptive responses to the throat infection are having a…...
New York Times by Fred Brock, dated June 2, 2002 details a national medical problem that is having a concrete impact upon the practice of advanced nursing and health care, particularly in emergency rooms across the country. Due to the recent downturn of the American economy, many individuals before the age of 65 who do not yet qualify for Medicare and have no retiree health care benefits from their previous employers are retiring in greater and greater numbers. According to the Employee Benefit Research Institute, only 56.8% of these early retirees have coverage through their former employers.
From a nurse's perspective on a practical level, this means that more and more elderly individuals without coverage are utilizing the health care system. With the 'graying' of the population, the health care system is already dealing with an unprecedented influx of geriatric problems, from arthritis to Alzheimer's disease. The downturn of the…...
Advanced Practice Nursing
Compare and Contrast the APN and MDs scope of practice.
The scope of practices for APNs 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 N with several years of experience and advanced training can offer effective health care solutions for families / children. Some of the different areas they are practicing in include: adult / family / pediatric, / gerontological care, psychiatry and mental health. This means that they have a number of duties they will perform to provide primary care to patients. The most notable include: taking / evaluating health histories, conducting physical exams, diagnosing / treating common acute illnesses, giving immunizations, managing high blood pressure / diabetes, ordering / interpreting X-rays / other laboratory tests, counseling on disease prevention / healthy lifestyles and referring…...
mlaReferences
American Nursing Association. (2010). Nursing World. Retrieved from:
http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/MediaBackgrounders/APRN-A -
New-Age-in-Health-Care.pdf
Louisiana State Board of Nursing Guidelines. (2011). LSBN. Retrieved from:
Introduction
An estimated 1.5 million “preventable adverse drug events” occur each year in the United States alone; the number of medication errors that did not lead to adverse effects but remained undisclosed is unknown (Jenkins & Vaida, 2007, p. 41). The scenario is this: You are working as an advanced practice nurse at a community health clinic. You make an error when prescribing a drug to a patient. You do not think the patient would know that you made the error, and it certainly was not intentional.
Disclosure is an ethical and legal prerogative, showing respect for the patient and a willingness to accept professional responsibility. Consequentialist ethics do not apply to situations like these, because the broader issue is about changing advanced nursing practice and ensuring a culture of safety for all patients. Likewise, disclosure empowers the patient to make informed choices about reactions to the medical error while encouraging the…...
Access, Cost, and Quality for Advanced Practice Nursing (APNs)IntroductionProvision of quality healthcare requires reasonable and appropriate treatment plans, access, an adequately qualified workforce, and responsible patient follow-through. People of all ages, particularly the elderly, usually require critical and emergency care services (Woo et al., 2017). This is due to rising cases of chronic illnesses, thus, the need for a more qualified workforce to provide such services. With an increasing demand for healthcare services, the effective utilization of advanced practice nurses is paramount to guarantee cost-effective and high-quality health services accessible to everyone. In some countries, healthcare wages total around 50 percent of healthcare expenditure (Joel, 2017). Therefore, regulatory cost strategies must be adopted to receive quality healthcare services. Various states are implementing measures to enhance access by increasing APN capacity.According to research findings, the global annual growth of advanced practice nurses is approximately three to nine times more than physicians.…...
mlaReferencesAbraham, C. M., Norful, A. A., Stone, P. W., & Poghosyan, L. (2019). Cost-effectiveness of advanced practice nurses compared to physician-led care for chronic diseases: a systematic review. Nursing economic$, 37(6), 293.Free, T. A. (2004). Advanced Practice Nursing: Essentials for Role Development. Nurse Practitioner, 29(2), 30.Joel, L. A. (2017). Advanced practice nursing: Essentials for role development. FA Davis.Woo, B. F. Y., Lee, J. X. Y., & Tam, W. W. S. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Human resources for health, 15(1), 1-22.
Advanced Nursing Development
A "master's education is achieving notable goals, including the development of refined analytical skills, broad-based perspectives, enhanced abilities to articulate viewpoints and positions, clearer ability to connect theory to practice, and enhanced skills in a specific profession" (American Association of Colleges of Nursing, 2012, p 2). An advanced practice nurse embodies a wide number of various roles. They must inspire, protect, advocate, and perform, all within one shift. It is clear that a nurse leader must serve a wide number of roles all which are necessary for providing for the best quality of care for the patients in need.
One of the nurse leader's roles is to be an advocate for the nursing profession. This is their primary societal role. As such, nursing leaders need to be active within the social sphere as a way to increase overall knowledge regarding healthcare practices, but also the trends and theories which…...
mlaReferences
American Association of Colleges of Nursing. (2012). The Essentials of Master's Education for Advanced Practice Nursing. Educational Resources. Web. Retrieved October 22. 2012 from http://www.aacn.nche.edu/education-resources/MasEssentials96.pdf
The role of the advanced practice nurse in creating an informed citizenry that is empowered to advance wellbeing within individuals, families, and communities involves:
1. Education and Advocacy: Advanced practice nurses play a crucial role in educating individuals, families, and communities about health promotion, disease prevention, and self-care practices. They provide evidence-based information and resources to empower individuals to make informed decisions about their health.
2. Collaboration and Support: Advanced practice nurses work collaboratively with other healthcare professionals, community organizations, and policymakers to address social determinants of health and promote health equity. They advocate for policies and programs that improve access to....
1. The Journey of a Nurse Practitioner: Following the Path to Empowerment and Healing
2. Rising Above Challenges: Becoming a Nurse Practitioner in Today's Healthcare System
3. Bridging the Gap: The Essential Role of Nurse Practitioners in Access to Quality Healthcare
4. The Power of Compassion: How a Nurse Practitioner Can Make a Difference in Patients' Lives
5. The Evolving Role of a Nurse Practitioner: Adapting to the Changing Healthcare Landscape
6. Empowering Nurses: Unveiling the Path to Becoming a Nurse Practitioner
7. Nurse Practitioners: Advancing Patient Care Through Advanced Practice
8. The Integral Role of Nurse Practitioners in Improving Healthcare Outcomes
9. A Holistic Approach to Healing:....
Elegant and Succinct Titles for an Essay on the Path of a Nurse Practitioner
The Call to Care: A Nurse Practitioner's Journey
The Path to Holistic Healing: Embracing the Nurse Practitioner's Scope
Bridging the Gap: Nurse Practitioners as Catalysts for Accessible Healthcare
Transforming Healthcare through Advanced Practice: The Rise of Nurse Practitioners
Intriguing and Provocative Titles
The Nurse Practitioner's Role in Redefining Modern Healthcare
Untapped Potential: Nurse Practitioners as Innovators in the Field
From bedside to Boardroom: The Ascendance of Nurse Practitioners
The Future of Healthcare lies with Nurse Practitioners: Exploring the Path
Titles with a Personal Touch
My Journey as a....
Advanced practice nurses (APNs) play a crucial role in improving patient outcomes in healthcare settings through several key contributions:
1. Expanded scope of practice: APNs have advanced training and education that allows them to provide a wide range of healthcare services, such as diagnosing and treating illnesses, prescribing medications, and performing procedures. This expanded scope of practice enables APNs to deliver high-quality, efficient care to patients, leading to improved outcomes.
2. Patient education and counseling: APNs are well-equipped to educate and counsel patients on various health issues, treatment options, and self-care practices. By providing patients with the necessary information and resources, APNs....
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