Practice Policy Appropriate health care continues to be one of the major challenges throughout the nation. Financial and educational hindrances can produce negative health effects on individuals and communities. Advanced practice nurses can implement their evidence based knowledge and skills within any environment to increase the knowledge and health of the surrounding populations. However, nurse practitioners must comply with the protocols and laws mandated by the board of nursing. This paper will discuss the setting in which nurse practitioners practice in, along with the laws and limitations that they must adhere to at all times.
In the healthcare field, there are so many occupations to choose from. Occupations and careers and important milestones in life because they not only define so much about you, but they set what you are going to do the rest of your life. The healthcare field is a field of high interest to many people. One occupation of great interest is a Licensed Practical Nurse (LPN). An LPN is someone who works under registered nurses or physicians and takes care of sick, injured, or disabled patients.
National certification in the general practice specialty is required prior to becoming eligible for APRN authority and the District of Columbia Board of Nursing accepts certification for APRN’s offered from several national bodies including the ANCC (American Nurses Credentialing Center) and AANP (American Academy of Nurse Practitioners). There is also a required preceptorship that is at least one year long along with coursework covering adult care, primary health care, pharmacology, physical assessment, diagnosis, family care, gerontological care, pediatric care, neonatal care, school nurse care, and psychiatric
After many weeks of researching in-depth information pertaining to a Pediatric Nurse Practitioner (PNP), researchers will discover that there are various career paths one can seek with a Bachelor’s of Science in Nursing (BSN) degree, which is needed to start one’s difficult journey towards becoming a Pediatric Nurse Practitioner (PNP). Pediatric Nurse Practitioners (PNPs) can work with toddlers, adolescents, and young adults in an acute or primary care setting. A Bachelor’s of Science in Nursing (BSN) degree will pave a clear path, that will help guide a Registered Nurse (RN) in the direction needed to acquire a master’s degree with a concentration in Pediatrics. As the birth rate increases, Pediatric Nurse Practitioners (PNPs) should feel assured that they will withhold a job. That is why pediatric clinics and pediatric hospitals are built, so that parents can be ascertained that their kids are receiving the best aids available.
Self-Regulation and the New Registered Nurse Introduction The nursing profession has been self-regulating in Ontario since 1963. Self-regulation is a privilege granted to professions that have shown they can put the interest of the public ahead of their own professional interests. It recognizes that Ontario’s nurses have the knowledge and expertise to regulate themselves as individual practitioners and to regulate their profession through the college (“What is CNO?”, 2018). Proactive self-regulation involves establishing learning goals, strategies to address goals, monitor progress of goals, creation of environments conducive to learning, and maintenance of self-efficacy (Zimmerman & Schunk, 2011).
Advanced Practice Competencies There are many roles and areas of practice available to graduates with a master’s degree in nursing. Changes in healthcare resulting from the passage of the Affordable Care Act offer new and innovative roles for nurses. Among these roles are direct care practice roles as a Nurse Practitioner (NP) in family care, gerontology or adult health. Indirect care roles as a Nurse Educator, Nurse Administrator, or Nurse Informaticist are also options graduates of master’s program may choose. Regardless of the path chosen, there are core competencies that must be met for each, in addition to specific competencies related to the area of practice chosen.
Expanding Nurse of the Future Nursing Core Competencies Across the Academic-Practice Transition: A Pilot Study. The Journal of Continuing Eduaction in Nursing, 45(8), 366-372. doi:http://dx.doi.org/10.3928/00220124-20140716-03 Kantz, B. (2010, August). Nurse of the Future Nursing Core Competencies. Retrieved from http://www.mass.edu/currentinit/documents/nursingcorecompetencies.pdf Patterson, B. J., & Krouse, A. M. (2015).
Advanced practice nurses (APN) have a vital role in the future of health care, especially since the enactment of the Affordable Health Care Act. With more citizens having health insurance coverage they will be seeking health care providers, and there are not enough physicians to care for them all. According to Letiziam (2014), advance practice nurses are licensed autonomous health care providers that have been trained to evaluate, diagnose, and treat patients and their conditions. Advanced practice nursing is an umbrella that covers four separate roles of nurses, this includes: the certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), certified nurse practitioner (CNP), and certified nurse specialist (CNS).
One similarity between NPs, other APNs and PAs is that, they all play a very important role in health care and patient centered approach of care is their objective. Also, their practice is based upon their education, training and certification in collaboration and under supervision of physicians. Another similarity is that, their scope of practice face limitations and restrictions in practicing be it state base or nationally. State laws and regulations act as barriers towards the broadening of PAs professional competencies same as NPs face licensure and practice laws that prevent full extent of their education practice. NP practice requires supervision, delegation, or team-management by an outside health discipline in order to provide
These studies illustrates that NPs can play a key role in providing services to health care market. NPs provide a full range of high quality care to patients of all ages. These services include primary care, acute care, special health care services such as oncology, gerontology health, or women’s health to name a few (American Association of Nurse Practitioners (AANP), 2015). NPs practice in many health settings, including private physician office, hospital, urgent care site, emergency room, community health center, school, and others. Family Nurse Practitioners (FNPs) are NPs are primary care providers who focus on
In collaboration with other medical personnel, nurses engage in the development and enactment of patient care plans. Furthermore, they provide education to families and groups on various health issues such as disease prevention, among others. Scope of Practice The nursing scope of practice gives a precise definition of the strict duties of a registered nurse practitioner. It is obligatory for these professionals not to engage in medical activities that go beyond their scope of practice.
According to the BRN, the NP does not have an additional scope of practice beyond that of an RN scope, however, the NP can provide medical management based on the condition that a physician is available by phone if needed. A nurse practitioner is defined as a “registered nurse who possesses additional preparation and skills in physical diagnosis, psycho-social assessment, and management of health-illness needs in primary health care” (General information: Nurse Practitioner Practice, 2011). The NP is also not only just a health care provider, but is involved in professional organizations, participates in activities to advance the role and ensure professional standards are being met as a nurse practitioner. The PA is similar to NP in that both are integral members of the health care team.
The IOM Future of Nursing report provides a blueprint for transforming the nursing profession to improve the quality of health care and recommendation that nurses with BSN degree approach to 80 % by 2020. In this essay, the student will discuss a proposal, through the legislative process, suggest that Permit accredited community college offering RN to BSN program into law to make the IOM recommendation become reality. The proposal "Allowing accredited community college offering RN to BSN program" that can accelerate the associate degree RN to get BSN to meet the IOM recommendations goal that “nurses with BSN degree approach to 80 % by 2020.” According to the statistic from the Forum of State Nursing Workforce Centers in 2013, the
(2012). Advanced practice nursing education: Challenges and strategies. Nursing Research and Practice, 2012, 854918-8. doi:10.1155/2012/854918 Fairman, J. A., Rowe, J. W., Hassmiller, S., & Shalala, D. E. (2011). Broadening the scope of nursing practice.
Before working in the health care field, soon to be registered nurses have to follow procedures in order to achieve their current proposition. RNs are included as one of the certified occupations from predetermined standards, which is required by taking courses and final examinations. Students must graduate from an accredited program and obtaining an associate’s degree or bachelor’s degree in nursing. The nursing degree completion is subject to the will of determination in accomplishing the courses in two years to achieve an associate degree or four years for a bachelor’s degree. After graduating, candidates are advised to register for the computerized NCLEX-RN examination for a cost of $200.