Advanced Practice Nursing Role

Evidence based practice holds a high level of importance in the field of professional nursing. Nursing research adds to the current knowledge base and simultaneously supplies trustworthy data that can be used as the basis for practice (Kearney-Nunnery, 2016, p. 79) . The implementation of the practices gained through research, and proven through evidence, contribute to the profession of nursing, the welfare of the patient, and the health industry. In the field of nursing, evidence based practice provides the nurse with the most up to date and proven interventions. It increases the nurses overall knowledge and expertise, which makes them a higher quality provider of care.

Introduction Advance practice Nursing origins date back more than a century. Advance practice nursing roles do not stand apart from nursing rather it builds on foundation and core values of nursing discipline (Hamric, Hanson, Tracy & O’Grady, 2014). Advance practice nurses (APN’s) are distinctive of other healthcare professionals such as doctors and physician assistants because of their holistic approach and its nursing framework at its core. Barbara J Safriet’s article ‘Health care dollars and regulatory sense: The role of advanced practice nursing’ highlights the effectives of APN’s in terms of both quality and cost effectiveness and challenges barriers to practice. This paper is the reaction to the article and will identify the two issues

APN Role and Leadership Competencies Julliet A. Thomas Grantham University Abstract There are many different aspects of Advance Practice Nursing (APN) make that make the nursing profession unique and valuable. The competencies that comprise each advanced practice nursing discipline are vital in creating a solid foundation for clinical nursing. They prepare you to conquer challenges in the clinical setting and cultivate innovation to establish processes for clinical practice. Advance Practice Nursing is recognized as 4 nursing roles: Certified Nurse Midwife (CNM), the Certified Nurse Anesthetist (CRNA) the Clinical Nurse Specialist (CNS) and the Nurse Practitioner (NP).

The great importance of being prepared for our future role as an advanced practitioner nurse is to enhance our knowledge, the proneness to participate in the new world, and understanding that praxis no only cares for the concern of the facts but also how people involved in such facts, what we can learn from them and assist in their transformation. This means that the practices not only seeks to improve practice nursing but also teach to participate in building the knowledge and thus achieve freedom, independence and autonomy of the profession in the health area (Kagan, Smith, Cowling & Chinn, 2009). As the transformation process is known take time and it requires courage, patient, knowledge, perseverance and professional commitment; so nursing

Nursing is a dynamic profession and needs confident leaders at all levels, it is therefore vital that nurses develop leadership skills at an early stage in their career in order to fit into any position in the nursing profession. Management and leadership skills should be considered a priority for all healthcare professionals. NURSING MANAGEMENT Management is simply the process of decision making and control over the action of human being for the express purpose of attaining predetermined goal (Stanely Vancee 1959). Nursing service administration is a coordinated activity, which provides all of the facilities necessary for the rendering of nursing service to clients. Nursing service administration is the system of activities directed towards the nursing care of clients, and include the establishment of overall goals and policies within the aims of the health agency and provision of organization, personnel and facilities to accomplish this goals in the most effective and economical manner through cooperative efforts of all members of the staff, coordinating the service with other departments of the institution.

The growth and development of our health care services are improving continuously from day to day. As this condition continues, we as a part of the health care providers should take the patient’s autonomy as an imperative issue so that a good quality of service can be rendered effectively and at the same time falls beyond their expectation level. Recently, patient’s right is the most popular term that has been mention in most of the health sciences literature and practice which make it become an important part to be prioritized throughout this modern health care practice (Almoajel, 2012).

Professional vigilance is the essence of caring in nursing. This article uses historical and theoretical bases to define professional vigilance and discuss its components. Two types of nursing diagnoses, central and surveillance, are proposed. Central diagnoses indicate the need for the nurse to plan and implement interventions for the achievement of outcomes. North American Nursing Diagnosis Association (NANDA)-approved diagnoses fall in this category.

2.3 Professional Context: It is important for me to do more skillful and be competent in my quality of care rendered to my patient. Professional must ensure that my record is accurate and accessible, reliable since it serves as useful information for quality of care rendered. 2.4 Current Research on Quality control in Nursing Jack Needleman and Susan Hassmilter (2009) stated that, hospital need to integrate their work to improve quality and patient-centeredness and to increase the efficiency of care delivery. Nurses and other front line staff must play key roles. To benefit from the insight and input of these staff members, hospital will need to value their potential contributing shifting their vision of nursing from being a cost center to being critical service line.

To enhance patient outcome quality is always a goal of the health care industry. One way to achieve this is therefore to encourage and facilitate nurses’ participation in clinical judgment. As demonstrated, true empowerment is the antecedent of good clinical judgment. This means a structurally empowering environment, a belief of self-efficacy and autonomy to provide valuable quality care, and a nurse-patient partnership. Unless nurses feel empowered, they will however rely on physicians’ order or the bureaucratic system rather than their ability and creativity to make

In group deliberation, knowledge was seen to be a vital quality within nursing. We agreed that nurses must have a sufficient knowledge in order to provide competent patient care, and that nurses needed to have the ability to apply their knowledge so that they could benefit their patients. In our Coat of Arms, knowledge was characterized as an infinity sign made of green vines. Our interpretation was based on the belief that knowledge within nursing was ever growing, and that the pursuit of knowledge was always relevant within nursing.

Recently the advanced practice registered nurse (APRN) became a very important profession due to the major changes in the healthcare system and the Patient Protection and Affordable Care Act (PPACA) goals that focus on providing patients with affordable but quality care, improving patient health outcomes, expanding care to the underserved areas, and lowering the costs. It became apparent that over the years nurses played an important role in healthcare system. According to the National Governors Association (2012) “The demand for primary care services in the United States is expected to increase over the next few years, particularly with the aging and growth of the population and the passage of the Affordable Care Act (ACA)” (p. 1). In addition,

: I think these would all be great improvements to nursing. The ones I can appreciate is recommendation 3, about having a residency program for prelicensure or advanced practice nurses. I think it will allow us more time to become more proficient and skilled. Also, recommendation 4, these governing bodies and health care organizations should make obtaining a baccalaureate degree easier for nurses to achieve.

In order for the future of health care to change, changes must begin at the top with stakeholders, the hierarchy and nursing management, nurses as leaders within their organizations. According to Disch J. (2008), nurses as leaders within their organizations need to also step forward, CNEs have the background, perspective, and platform to help their organizations seriously tackle safety issues that jeopardize patient care and that face nurses and their colleagues daily, and are the essential building blocks of all health systems--and

The field of nursing science has been evolving with great speed and nursing knowledge has been transforming into clinical practice. However, Stevens (2013) indicated for meaningful impact on performance and better patient health outcomes, new knowledge must be implemented effectively across the entire care team within a systems context, and measurable terms. Furthermore, the Future of Nursing report from the IOM, 2011a, recommended that nurses lead interprofessional teams in improving delivery systems and care brings to the fore the necessity for new competencies, beyond evidence-based practice (EBP), that are requisite as nurses transform healthcare ( as cited in Stevens, 2013). Evidence-based practice has been and will continue to be one of the most important method that will shape advanced practice nursing environment. Knowledge translation has been facilitating the effective and timely incorporation of evidence-based information into the practices of health professionals in a way as to effect optimal health care outcomes and maximize the potential of the health care system ( as cited in Sudsawad, 2007).

Hi Freylen, as you discussed the Consensus Model allow APRNs to practice to the full scope of their education, able to move to different states, providing quality care. My new role as a primary care NP I agree with the continuity of care and follow patients into acute or long-term care facility to help them through their ongoing health issues and managing their chronic diseases(Stanley,2012).