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American Healthcare System: Implications for Advanced Practice NursingAdvanced 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 impact on their patients and the community (Goudreau & Smolenski, 2013).
Role of APRNs
APRNs are practitioners that have completed formal graduate education and have earned a minimum of master's degree in nursing and eventually progressing to earn a Doctor of Nursing Practice degree in any one of the main APRN roles (American Nurses Association, 2011):
Nurse Practitioner (NP)
NPs give primary and specialized care to individuals, groups, families, and communities in several settings. They work in nursing homes, nurse-managed clinics, workplaces, schools, hospitals as well as private practices that they may run independently. Most of them specialize in a given area -- for instance -- family, pediatric, gerontological or adult care along with other areas like mental/psychiatric health and women's health (American Nurses Association, 2011).
Certified Nurse-Midwife (CNM)
CNMs are popularly known to help mothers deliver babies in birthing centers, homes, and hospitals. They also have other roles like managing women's health over their lifespan, giving primary care, performing gynecological checkups, giving advice on family planning, providing women with neonatal care and also catering to certain reproductive health concerns of the male partners of their...
Other CNSs work in clinics, their own practices, nursing homes and community-based centers. Besides providing psychotherapy and direct primary care, CNSs offer mentorship to other nurses, serve as case managers, help in the development of quality control standards and methods and also serve as educators, administrators, researchers and consultants (American Nurses Association, 2011).
Certified Registered Nurse Anesthetist (CRNA)
CRNAs usually work side by side with anesthesiologists or independently to administer anesthesia or provide care during therapeutic, surgical, obstetrical and diagnostic procedures. They also help in managing chronic pain and providing emergency care (American Nurses Association, 2011).
Barriers
One of the ways NPs are regulated at the state level is state licensure and it hinders the ability of NPs to practice fully and apply all their training and education. While the main goal of licensure is to define practice authority, states still have different practice and licensure laws for NPs (Hain & Fleck, 2014). Full practice authority refers to the collection of licensure laws and state practices that permit NPs to evaluate patients, diagnose, order and also interpret diagnostic tests, initiate, manage and make prescriptions for treatments as licensed exclusively by the state board of nursing (AANP, 2014).
As several nursing schools make transitions to the Doctorate of Nursing Practice (DNP), the advanced practitioner faculty who do not have doctorates may be rendered underqualified. APRN graduate numbers peaked in 1998 before beginning a decline which was influenced by several factors and barriers nurses face when seeking graduate education. It is very difficult to be admitted to an APRN educational program. About 17% of the programs have high selection criteria and there are limited, insufficient openings available for those who are qualified and willing applicants (Fitzgerald, Gordon, Katz, & Hrisch, 2012).
Nurse practitioners in Florida have, for years struggled to move to full practice from licensure and restrictive practice but derailed by opposition from various medical organizations.…
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
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
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