As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice. Establishing an independent nursing practice is an opportunity to obtain greater autonomy in your practice and focus on a particular population or healthcare venue. As long as the NPs cannot overcome the
Advanced Practice Registered Nurses(APRNs) have expanded in numbers and competencies over the past several years. Because of the increasing needs of APRNs, they are being highly valued and became an integral part of the healthcare system. APRNs include Certified Registered Nurse Anesthetists, Certified nurse-midwives, Clinical Nurse Specialists and Certified Nurse Practitioners. Each has a distinct history and context but shares the commonality of being APRNs. They are educationally prepared to presume responsibility and liability for health promotion or maintenance, assessment, diagnosis and management of patient problems which includes the use and prescription of pharmacologic and non-pharmacologic interventions. Since the health care system
Obesity is a major problem in the United States. Being obese can lead to other health issues that may include: heart disease, diabetes, high blood pressure, strokes, sleep apnea, certain cancers, kidney disease, osteoarthritis, and fatty liver disease. (National Institute of Diabetes and Digestive and Kidney Disease, 2015, para. 1-2). The measurement of someone’s body mass index can used to determine if one is considered overweight or
The role of the Advanced Practice Registered Nurse (APRN) is multifaceted. According to the Consensus Model for APRN Regulation (CMAR), the APRN is a registered nurse (RN) who has a finished an accredited graduate-level program to become a particular APRN. The APRN expands one’s expertise beyond the practice of an RN to provide more autonomous and comprehensive care (APRN Consensus Work Group & National Council of State Boards of Nursing [NCSBN] APRN Advisory Committee, 2008). Upon reviewing the American Nurses Association’s Standards of Care and Professional Performance, the CMAR, and the local state’s Nurse Practice Act, the APRN may gain insight into one’s scope of practice. However, there are strengths and weaknesses associated with these APRN standards and scope of practice statements that the APRN must consider.
The purpose of this discussion is to define research and evidenced-base practice in nursing. I will also provide a sample question for each definition.
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. Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
According to Barrett, when attempting to define what nursing science is, it remains quite a mystery. With various different worldviews, with wide range of theoretical and practical knowledge evolving over time, has made it a challenge to come with a universal definition. To ensure that nurses are current with the best practical and evidence based practices, it is important to focus on nursing-discipline-specific knowledge. Fawcett stresses the importance of using nursing discipline-specific knowledge in the form of explicit nursing conceptual models, because it governs the foundation of what and why nurses do what they do. Fawcett makes it clear that nurses must develop adequate knowledge in order to apply new evidence based treatments and
In this section, I will start to talk about the nurse practice act and how it improves patient care around the world. The Nurse Practice Act is laws that define responsibilities of the nurse and the scope of practice within their range. The range of activities and services as well as the qualifications for practice. The act describes what constitutes unprofessional conduct of misconduct and investigation and the disciplinary procedures for complaints filed against a nurse. These acts are in place to protect patients and families from harm as a result of unsafe or incompetent practices of unqualified nurses. We use the Nurse Practice Act to protect the patient and their families. Information about the Nurse Practice Act can be found on the National
Villegas, W.J. & Allen, P.E. (2012). Barriers to advanced practice registered nurse scope of practice: Issue analysis. The Journal of Continuing Education in Nursing, 43(9), 403-9.
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
Nurse practitioners may diagnose, treat, and prescribe for a patient’s condition that falls within their specialty area of practice. Nurse practitioner specialty areas include: Acute Care; Adult Health; College Health; Community Health; Family Health; Gerontology; Holistic Nursing; Neonatology; Obstetrics and Gynecology; Oncology; Palliative Care; Pediatrics; Perinatology; Psychiatry; School Health; and Women’s Health”("New York Nursing," 2014, p. 1). The applicant must be a certified and registered nurse by the New York State Education Department (NYSED) in order to practice as an NP in New York. The nurse must have “graduated from a nurse practitioner education program acceptable to NYSED or be certified as a nurse practitioner by a national certifying organization acceptable to NYSED and complete pharmacology coursework acceptable to NYSED and apply for nurse practitioner certification with NYSED”("New York Nursing," 2014, p. 1). New York provides an additional option for applicants that did not graduate from an education program registered by NYSED as qualifying for NP certification. The nurse must satisfy the pharmacology coursework requirement by demonstrating to NYSED that they
The ANA Scope and Standards of Nursing Practice include a list of standards. These standards are statements, which summarize what is expected from nurses in professional nursing practice. The standards form the foundation for decision-making and provide nurses with direction including which actions to take (Nursing: Scope and Standards of Practice, 2015). The ANA Code of Ethics for Nurses with Interpretive Statements aids as the ethical structure in professional nursing and offers direction for the future. The ANA Code of Ethics includes nine provisions, which summarize the main ethical ideas, values, and morals for the nursing profession and provides a guide for nurses to use in ethical analysis and decision-making, including which actions to take (Code of Ethics for Nurses with Interpretive Statements,
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 last past eight weeks have provided an opportunity to achieve several program outcomes that will prepare me as my role of nurse practitioner. This course NR 602 has provided me with an opportunity to meet the MSN program outcome #6, the MSN Essential VII, and the Nurse Practitioner Core Competencies # 8. These program outcomes will institute a base upon which care can be delivered with quality.
RNs practice in accordance with standards for nursing practice and the Code of Ethics for Registered Nurses (CNA 2008).