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 chronic illnesses and cope with end-of-life care. The dignity and grace that I see is inspiring, and constantly rewards me with the knowledge that I am making a difference through the career of nursing. I have also worked in a leadership capacity as a director and team leader at a home health agency. My team encompassed RNs, LPNs, PTs, OTs, MSWs, and aides. In this role, I was required to coordinate patient care, create a sense of community, and foster…...

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 shortage that characterize the modern healthcare environment, advanced practice nursing has emerged as an important components of the health sector. This is attributable to the key roles that advanced practice nurses play in enhancing health outcomes of diverse patient populations. This paper examines various issues relating to the field of advanced practice nursing in relation to the critical role it plays in the modern healthcare sector. Regulatory Provisions to Full Deployment of Advanced Practice Nurses
According to Hain & Fleck (2014), advanced…...

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References

Al Maaitah, R. & AbuAlRub, R.F. (2017, January 30). Exploration of Priority Actions for Strengthening the Role of Nurses in Achieving Universal Health Coverage. Revista Latino-Americana de Enfermagem, 25. Doi: 10.1590/1518-8345.1696.2819

Carter, N., Dobbins, M., Ireland, S. & Hoxby, H. (2013, December). Knowledge Gaps Regarding APN Roles: What Hospital Decision-Makers Tell Us. Nursing Leadership, 26(4), 60-75.

Chesney, M.L. (2015, May/June). Increasing Families’ Health Care Access and Choice Through Full Practice Authority. Journal of Pediatric Health Care, 29, 219-221.

Hain, D. & Fleck, L.M. (2014, May). Barriers to NP Practice that Impact Healthcare Redesign. The Online Journal of Issues in Nursing, 19(2). Retrieved from

Heale, R. & Buckley, C.R. (2015, June). An International Perspective of Advanced Practice Nursing Regulation: APN Regulation. International Nursing Review, 62(3), 421-429.

Lugo, N.R. (2016, May). Full Practice Authority for Advanced Practice Registered Nurses is a Gender Issue. The Online Journal of Issues in Nursing, 21(2). Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-21-2016/No2-May-2016/Articles-Previous-Topics/Full-Practice-Authority-for-APRN.html

Safriet, B.J. (2010). Federal Options for Maximizing the Value of Advanced Practice Nurse in Providing Quality, Cost-Effective Health Care. In The future of nursing: leading change, advancing health (H1-H29, Washington, DC: National Academy of Sciences).

Pepler, C., Edgar, L., Frisch, S. & Rennick, J.E., Swidzinski, M., White, C., Brown, T. & Gross, J. (2006, January). Strategies to Increase Research-based Practice. Clinical Nurse Specialist, 20(1), 23-31.http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html

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 forms of practice are included in this definition" (1999, p. 62). Although specific definitions vary, Lachman (2006) reports that, "Nurses with advanced training are licensed, registered nurses with a master's degree who have received specialty credentialing as an advanced practice nurse" (pp. 78-79).

The titles assigned to the advanced practice nursing role also vary from jurisdiction to jurisdiction, but include general terms such as clinical nurse specialist and nurse practitioner, with specialty fields of practice including adult psychiatric clinical nurse specialist,…...

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References

Acton, G.J., Yauk, S., Hopkins, B.A. & Mayhew, P.A. (2007). Increasing social communication in persons with dementia. Research and Theory for Nursing Practice,

21(1), 32-34.

Beitz, J.M. & Kost, M. (2006). Nurse anesthesia education in the new millennium: Outcomes of a federally funded advanced nursing education grant. Nursing Education Perspectives,

27(4), 184-185.

Advanced Nurse Practitioner
There are a number of differences explored by Hamric et al. (2013) throughout the chapter which helps differentiate the Advanced Nurse Practitioner from other nursing roles in healthcare. One that is important is the contrasts shown between the Advanced Practitioner and a nurse working in a certain field of specialization. Hamric et al. (2013) describes specialization as "the development of expanded knowledge and skills in a selected area within the discipline of nursing" (68). As such, nurses working in a specialized genre of the field have experience often specifically within that field, and lack the more generalized knowledge that comes from working within an Advanced Practice situation. Education within specialization does not always require a graduate program and can often be done by working specifically in the field of specialization. On the other hand, Advanced Practitioners must follow a broader, yet more intense level of study. APNs…...

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References

Buppert, Carolyn. (2011). Nurse Practitioner's Business Practice and Legal Guide. Jones & Bartlett Publishers.

Hamric, Ann B., Hanson, Charlene M., Tracy, Mary Fran, & O'Grady, Eileen T. (2013). Advanced Practice Nursing: An Integrative Approach. Elsevier Health Sciences.

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…...

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References

American Association of Critical-Care Nurses (AACN). (2006). The AACN Synergy Model for Patient Care. Retrieved May 29, 2011 from   opendocumenthttp://www.certcorp.org/certcorp/certcorp.nsf/vwdoc/SynModel ?

ANA (1995b) Nursing's Social Policy Statement. American Nurses Association, Washington, DC, USA.

Bryant-Lukosius, D., Dicenso, A. (2004) A framework for the introduction and evaluation of advanced practice nursing roles, Journal of Advanced Nursing, 48(5), 530 -- 540

Bryant-Lukosius, D., Dicenso, A., Browne, G., & Pinelli, J. (2004). Advanced practice nursing roles: development, implementation and Evaluation, Journal of Advanced Nursing, 48(5), 519 -- 529

They should accept accountability and responsibility for the decisions they make in their field and should protect the interests of patients by helping in the development of better healthcare policies at a local as well as national level.
Additionally an advanced practice nurse should have enhanced cultural competency. It is essential for any healthcare provider to look past the cultural barrier and be able to treat any patient regardless of their cultural background. They should blend amongst them and their families and provide them with appropriate healthcare services. "Campinha-Bacote, (1996) defined cultural competence as 'a process, not an end point, in which the nurse continuously strives to achieve the ability to effectively work within the cultural context of an individual, family or community from a diverse cultural/ethnic background'" [Journal of Cultural Diversity]

SCOPE OF PACTICE

An advanced practice nurse is supposed to diagnose a patient and recognize the underlying problem. They are…...

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REFERENCES:

(1) Board of Nurse Examiners, State of Texas - [  Accessed on 28/08/2005http://www.bne.state.tx.us/position.htm#15.18 ]

(2) Registered Nurses Association of British Columbia -- [ Accessed on 28/08/2005http://www.rnabc.bc.ca/pdf/399.pdf]

(3) Journal of Cultural Diversity -- [  Accessed on 28/08/2005http://www.findarticles.com/p/articles/mi_m0MJU/is_3_11/ai_n8585220 ]

(4) [Charles I. Artz, Esq. - The expansion of APRN scope of practice (Physician's News Digest) -- [  Accessed on 28/08/2005http://www.physiciansnews.com/law/100artz.html ]

ADVANCED PACTICE NUSING OLES: NP vs. CNS
Advanced Practice egistered Nurse oles

The United States is home to nearly a quarter of a million advanced practice registered nurses (APNs). Of these, the vast majority chose to pursue a Master of Science in Nursing (MSN) leading to licensure as a nurse practitioner (NP). The second most common choice is an MSN program leading to certification or recognition as a clinical nurse specialist (CNS). Both pathways provide the preparation necessary for greater responsibility and autonomy as a medical professional. NPs make the transition from care provider to care prescriber, while CNSs become the best-practice experts for their healthcare organization. The care settings are distinct, as well, with many NPs practicing in underserved rural communities and inner-city neighborhoods and CNSs practicing in hospitals and extended-care facilities. To better understand the similarities and differences in NP and CNS roles this essay will examine in detail what…...

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References

American Association of Family Physicians. (n.d.). Education and training: Family physicians and nurse practitioners. Retrieved 27 May 2014 from  http://www.aafp.org/dam/AAFP/documents/news/NP-Kit-FP-NP-UPDATED.pdf .

American Association of Nurse Practitioners. (n.d.). Nurse practitioners in primary care. Retrieved 27 May 2014 from  http://www.aanp.org/images/documents/publications/primarycare.pdf .

Barnes, H. (2014). Nurse practitioner role transition: A concept analysis. Nursing Forum, published online ahead of print 9 Jan. 2014. Retrieved 29 May 2014 from  http://onlinelibrary.wiley.com/doi/10.1111/nuf.12078/pdf .

Goudreau, K.A., Baldwin, K., Clark, A., Fulton, J., Lyon, B., Murray, T. et al. (2007). A vision of the future for clinical nurse specialists. Prepared by the National Association of Clinical Nurse Specialists. Retrieved 27 May 2014 from http://www.nacns.org/docs/AVisionCNS.pdf.

Personal Advanced Practice Nursing Philosophy
Contemporary nursing comprises multiple dimensions of health, person, environment, and the concept of nursing at every level, especially in advanced practice. In general, health refers to the evidenced-based understanding of human health and welfare in terms of potential threats to human wellness and empirically demonstrated approaches to minimizing their toll on the individual as well as on the entire human community. Person refers to the recognition that patients are individuals with unique combinations of needs, perceptions, perspectives, beliefs, values, and expectations. Environment pertains to the world external to the individual patient's physiology and, in particular, to the causal interconnectedness between aspects of the external world and the internal state of patients. Finally, nursing refers to the entire range of processes and methodologies of modern healthcare and medical science that allow advanced practice nurses to provide optimal benefit to their patients by incorporating all elements of health,…...

ACNPC-AG Interview
The scope of practice for nurse practitioners varies depending on range of skills, processes, and procedures for which the professional has been trained, educated, and licensed to perform. Acute Care Nurse Practitioner Certification -- Adult Gerontology (ACNPC-AG) is entry-level advanced practice for acute care nurse practitioners who are trained and credentialed to offer advanced nursing care that meet the specialized needs of adult-gerontology patient population. To understand the scope of practice, supervision, and credentialing of nurse practitioners, I interviewed a member of a nursing administration in an inpatient setting and found the following:

How does the interviewee perceive the role of the advanced practice nurse?

The interviewee considers the role of the advanced practice nurse as a change agent who's crucial to the development of the nursing profession because he/she extends the conventional scope of knowledge. Therefore, advanced practice nurse works collaboratively with physicians and other healthcare professionals to offer complex…...

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Reference

Jansen, M.P. & Zwygart-Stauffacher, M. (2010). Advanced practice nursing: core concepts for professional role development (4th ed.). New York, NY: Springer Publishing Company, LLC.

Health Delivery System Competencies
Program Outcome #4: Evaluate the design, implementation, and outcomes of strategies developed to meet healthcare needs (MSN Essentials).

Nursing leaders are in a good position to facilitate the evaluation and implementation of healthcare system designs by drawing on evidence-based practice instead of intuitive perceptions, but the use of this approach is fairly recent (Harris, 2009). The curricular offerings provided by the MSN program served to emphasize this need and demonstrated how integrating evidence-based practice into system design can help improve patient care outcomes.

MSN Essential IV: Translating and Integrating Scholarship into Practice ecognize that the master's-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.

In their capacity as healthcare leaders, advanced practice nurses have a fundamental responsibility to identify constraints to effective patient care and develop appropriate solutions in response. As Forest and Kleiner (2011) point out, "Nurses are…...

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References

Bernstein, S. J. (2008, Winter). A new model for chronic-care delivery. Frontiers of Health Services Management, 25(2), 31-34.

Cornett, B. S. (2003, March). Health care compliance programs: An infrastructure for clinical practice. Journal of Medical Speech - Language Pathology, 11(1), 9-11.

Forest, M. & Kleiner, B. (2011, December). Effects of current nursing management styles on the retention and recruitment of nurses: A review of the literature. International Journal of Management, 28(4), 254-263.

Harris, D. D. (2009, July 1). Evidence-based healthcare design. Health Environments Research & Design Journal, 2(4), 132-135.

Practice egistered Nurse is a role that goes far beyond the limited roles of regular Ns. In fact, it is based on individuals completing a graduate degree program, where their skills within the nursing field are expanded dramatically. With the greater breadth of knowledge at their disposal, APNs are expected to work with patients, physicians, and other nursing staff and utilize problem solving evidence-based decision making skills to take control of situations like no other nursing staff can do (APN Joint Dialogue Group eport, 2008). Three major criteria to be an APN is the achievement of a graduate degree, utilize an evidence-based nursing approach to decision making, and provide support for others working in the field. There are a number of different types of APNs. First, there is the NP, or Nurse Practitioner, who is largely independent in his or her skills and capabilities. Their role does depend by…...

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References

APRN Joint Dialogue Group Report. (2008). Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education. National Council of State Boards of Nursing APRN Advisory Committee. Web.  https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf 

The National Organization of Nurse Practitioner Faculties. (2012). Nurse Practitioner Core Competencies. Web. http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pdf

Louisiana State Board of Nursing. (2010). Law Governing the Practice of Nursing. Web. http://www.lsbn.state.la.us/Portals/1/Documents/rules/npafull.pdf

University of California San Francisco. (2013). MS Specialty Area: Family Nurse Practitioner (FNP). School of Nursing. Web.  http://nursing.ucsf.edu/programs/specialties/family-nurse-practitioner-fnp

Ethical-Legal Dillema in Advanced Nursing Practice
Ethical-Legal Dilemma involving a Patient in Emergency Department (ED)

The case study discussed in this paper presents ethical-legal principles in nursing which protects patient's privacy, confidentiality and security. Nurses have a professional obligation to protect the privacy of patients. Nursing Law and confidentiality define privacy as the right of patients to have their personal, identifiable medical information kept discrete and only accessible to the physician of record and other health care and insurance staffs as necessary. The governments have laws that maintain the confidentiality and privacy of patient's medical data, particularly to information about transmittable diseases and mental health issues. According to Mullinex & Bucholtz (2009), nursing information is transforming the nursing field rapidly and the major issues causing the changes are the nursing ethics relating to patients privacy. According to Pearson (2009), there are penalties, both civil and criminal crimes that are enforceable if there…...

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References

Ekman, B.B, Granger & I. (2007). Standard medication information is not enough: poor 40 concordances of patient and nurse perceptions', Journal of Advanced Nursing 60 (2), 181-186

Mullinex, C., & Bucholtz, D. (2009). Role and quality of nurse practitioner practice: A policy issue. Nursing Outlook, 57

Needleman, J., & Minnick, A.F. (2009). Anesthesia provider model, hospital resources, and maternal outcomes.

Pearson, L. (2009). The Pearson report. American Journal for Nurse Practitioners, 13 (2), 8 -- 82.

How Doctors of Nursing Practice Can Influence the Quality of HealthcareToday, doctors of nursing practice (DNPs) serve as nurse educators, researchers, and administrators as well as serving in vital healthcare leadership roles in their local communities, states and even nationwide. Consequently, DNPs are well situated to influence the quality of healthcare that improve clinical outcomes in a number of ways. The purpose of this paper is to review the relevant literature to provide a discussion concerning the various ways in which nursing leaders can influence healthcare cost, policy, and delivery of care. In addition, a discussion concerning the responsibility of DNP-prepared leaders to educate patient care team members on the financial implications of patient care decisions together with salient examples of effective teaching methods for a clinical setting. Finally, a summary of the research and key findings concerning the ways DNPs can influence the quality of healthcare are presented in…...

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References

Androus, A. B. (2023). What Are Some Ways Nurses Can Influence Healthcare Organization Costs? Registered Nursing.org. Retrieved from  https://www.registerednursing.org/articles/what-nurses-can-influence-healthcare-organization-costs/ .

Borck, J. C., Meyer, D. D. C. A., Gettrust, L. D. A.-B., & Novalija, J. C. (2022). Escape the OR: A novel teaching strategy to promote interprofessional learning and teamwork. Nursing Management, 53(2), 28–35.

Breslin, S. E., Hamilton, K. M., & Paynter, J. (2014). Deployment of lean six sigma in care coordination: an improved discharge process. Professional Case Management, 19(2), 77–83.

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…...

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References

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…...

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:....

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....

Advanced Practice Nurses: Catalysts for Enhanced Patient Outcomes in Healthcare Settings

Advanced practice nurses (APNs) are highly educated and specialized nurses who play a pivotal role in improving patient outcomes within healthcare settings. Their advanced clinical knowledge, diagnostic capabilities, and prescriptive authority empower them to provide a comprehensive range of services, enhancing the efficiency, accessibility, and quality of healthcare delivery.

1. Expanded Scope of Practice and Independent Care:

APNs possess a broader scope of practice compared to traditional registered nurses, enabling them to independently assess, diagnose, and manage patient conditions. This expanded role allows APNs to:

Order and interpret diagnostic tests
Prescribe medications....

Part 1: Introduction

Importance of Nursing in the Healthcare System
Overview of the Nursing Profession
Different Types of Nursing Careers
Personal Motivations for Pursuing Nursing

Part 2: Educational Pathway

Types of Nursing Degrees: Associate's, Bachelor's, Master's, Doctorate
Accreditation and Educational Standards
Prerequisites and Admission Requirements
Nursing Program Curriculum and Clinical Experience

Part 3: Skills and Competencies

Foundational Knowledge in Anatomy, Physiology, and Nursing Theory
Critical Thinking and Problem-Solving Abilities
Interpersonal and Communication Skills
Technical Skills in Medication Administration, Wound Care, and Monitoring
Ability to Work Effectively in Interdisciplinary Teams

Part 4: Clinical Experiences

Supervised Clinical Rotations in Various Healthcare Settings
Preceptorship Opportunities with....