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).
Clinical research is from acute to chronic care experience throughout life span. It involves health promotion and preventive care for individual, families and communities in different settings. It is important for nursing research to widen the scope in order to have a greater impact in future. The aspect of health promotion and preventive care are very important because some diseases are better prevented than treated and while some changes are irreversible such as aging are part of human experience. Health systems and outcomes research focuses on how health care delivery influences quality, cost and experience of patient.
The PICOT stands for population, intervention, comparison, outcome, and time. This format helps researchers to answer specific clinical questions that are related to particular scenarios. These scenarios may include intervention, etiology, diagnosis, prevention, prognosis, and meaning. Furthermore, two methods are commonly used in nursing research: quantitative and qualitative methods. Quantitative method research usually measures something, such as percentage of people with a particular disease in a community, whereas qualitative method research can seem imprecise (McCusker & Gunaydin, 2015).
The practice of nursing evolves daily from theories and philosophies that are proven by researchers, resulting in growth of the medical profession and advanced evidence based knowledge. Philosophies According to Alligood (2014b), philosophies are specific theories that focus on one or more metaparadigm concepts in a wide spectrum philosophical way (p. 43). For a person to understand philosophies it is required to understand the knowledge type, metaparadigms. Metaparadigm Metaparadigm is the vast perspective of a discipline and a way to describe a concern specifically to a profession or department (Alligood, 2014b, p.42).
Application of information based on the real observation of the patient with the combination of subjective and objective data that lead to conclusion making is regarded as clinical judgement. Its developed through practicing, experience, knowledge and continuous critical analysis.(Kienle & Kiene, 2011). It continuously expand to all medical fields: diagnosis, therapy, communication, and decision making. Clinical judgement is of complex because nurses are needed to have prior training in that he/she can have a better understanding of the subject. This relies on the ability of the nurse to make observation, identify information which is relevant and good reasoning.
A requirement of the nursing excellence class is to develop a clinical practice project and implement it throughout the class. The purpose of this discussion is to introduce my clinical practice project including my QSEN competency. Next, I will go on to discuss how the CDC supports my project. Following this I will explain areas for further research and finally concluding my paper with a proposed solution. Health care associated infections can become an unnecessary complication that may lead to longer hospital stays or even mortality.
“One of the movement’s major aims is promotion of best practice in healthcare based on the best available evidence” (Daly, Speedy & Jackson, 2010, p.140). As in any research the ethical dilemma is present. So research subjects (patients) have got rights to autonomy, confidentiality and are protected from any harm (Craven & Hirnle, 2009). As Erica calls attention to nursing is a long lasting learning. So her colleagues and herself stay up with the latest with new advancements and research accessible in her field to convey the most ideal treatment to her patients.
The objective of this essay is to explore and analyse a research topic relevant to me as a practitioner. This research critique will then be utilised in practice. . According to Jolley 2010 research is the driving force in improving care to patients through evidence based research. Research based practice is a hallmark of professional nursing as stated by (ICN)cite .Closing
Clinical questions are the large amount of important question level in Health Informatics as it works frankly with the patient. This is where a misunderstanding can arise with the term “clinical” when found in research, as all Health Informatics research is performed with the ultimate goal of predicting “clinical” events (directly or indirectly). This uncertainty is the reason for defining Clinical Informatics as only research which straight uses patient data. With this, data used by Clinical Informatics research has Big
According to Hiroko et al. (2014), nurses are charged with connecting updated theories with patient care for advancing the practice of nursing. Having an evidence based practice is instrumental in accomplishing this task. Research has allows new information to be gathered pertaining to different health care issues. Nurses are able to implement new evidence-based research into there practice.
Nursing profession is a practice that utilizes findings based on facts and/or evidence. In that, research plays a vital role in building a strong foundation to support the knowledge of nursing. In the profession of nursing field, research and/or evidence provides rationalized, cost-effective, and quality care interventions through validation (Barbara & Susan, 2014). It also assists with existing knowledge in creation of new ideas and innovations. Decisions are made based on research results.
Demonstrate effective use of technology to navigate the electronic health record, communicate with inter/intraprofessional teams, and be involved with decision making in the delivery of quality and safe patient care. (Ivy Tech Community College, 2016). Rationale In nursing, the use of technology is vital in providing high quality of care and complete understanding of the patient.