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Consensus Model Integration: Advanced Practice Registered Nurses

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Consensus Model Integration
Advanced Practice Registered Nurse (APRN) assumes an integral part in the delivery of healthcare to patients across the lifespan. The recent healthcare reform and the national shortage of health care providers in the rural and underserved areas caused a tremendous growth of APRNs. Thus, APRNs evolved as highly valued members in the delivery of healthcare. The purpose of this paper is to consider the various barriers that affect the delivery of affective healthcare by Advanced Practice Registered Nurses.
Practice Barriers
Each state regulates APRN licensure defining the full extent of the education and training. These laws and regulations vary from state to state creating an issue in the evaluation, diagnosis and …show more content…

Despite accepting advanced roles and responsibilities APRNs have often encountered various barriers in the delivery of effective health care based on the variability in the legislative requirements endorsed by various states. To overcome these barriers and improve the delivery of healthcare the Consensus Model for APRNs has been endorsed by 41 various nursing organizations focusing on defining the roles, population foci and implementation strategies across the nation (American Nurses Association [ANA], 2017). Creating a standard expectation regarding the practice of APRNs will help to foster more consistent, quality education APRN programs nationwide (Rounds, Zych, & Mallary, …show more content…

The model includes the following key elements to ensure the uniformity of state laws: title of APRN, licensure, graduate or postgraduate education, certification, independent practice and independent prescribing (National Council of State Board of Nursing [NCBON], 2017). North Carolina Board of Nursing has targeted some of the major elements of the Consensus Model, while independent practice and independent prescribing remained unaffected.
APRN titles and educational requirements
Currently, the North Carolina Board of Nursing (NCBON) uses the following titles for APRNs: Nurse Practitioner, Nurse-Midwife, Nurse Anesthetist, Clinical Nurse Specialist. According to the NCBON a candidate for APRN has to complete a graduate degree and pass a national certification examination to be able to practice in one of the APRN roles.
APRN Licensure
While some states use the term “licensure,” the NCBON uses the term “approval to practice” for the APRN roles. The national certification is required in the state of North Carolina.
Independent Practice and independent

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