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). While the main focus of APNs is clinical practice and direct patient care,
Due to overload, nurses and practitioner experience reoccurring errors, which place patients and healthcare workers’ life, at risk. As a result, the healthcare system and practitioners become aware of the need to review patient care. Some countries have seen the need for a change but focus on external factors rather than caring. However, Watson implies, that the state of been different is to focus on competent, compassionate, knowledgeable, and caring nurses and health practitioners. (Watson.p.471).
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). Nursing Metaparadigm The metaparadigms in nursing knowledge are human beings, environment, health, and nursing.
Since technology revolution has taken place in many areas of our life, quality of services in healthcare has become one of the most important objectives that concerning both private and public organizations. Because of the relation between work performance and patient care, according to [Aiken et al.,2002] there are many hospitals have poor services quality which has impact on patient treatment as a result of frustration of teamwork. Also, they concluded that a key of improving services in health environment is cope and solve nurses’ job dissatisfaction. So, management of team work plays a significant role in improving in solving this problem. For instance, workers should have a balance of tasks based on their experience and skills which would
The person-centred staff have to interact and communicate with the patient in the person centred care making it essential for them to possess strong and effective communicational skill. The purpose of communication in this aspect is to make sure that healthcare providers focus on the individuals (Edvardsson, et al., 2010; Chenoweth, et al., 2009). It also includes sharing information, providing empowering and compassionate care, sharing decisions, and being sensitive to the needs of the patient. This skill from the perspective of person-centred care is regarded as the prerequisite. All sort of communication such as verbal, non-verbal, and part verbal are imperative and play a vital role in the process of providing person-centred care (Elwyn, et al., 2012; Morgan & Yoder, 2012).
Organizations must analyze internal and external patient information to more accurately measure risk and outcomes. At the same time, many clients are working to increase data transparency to produce new insight knowledge. Praveen Kumar et al , in their work proposed that Hadoop is based on Map Reduction is a powerful tool manages the huge amount of data. With this echo system can use fault tolerant techniques. Emad A Mohammed et al , in their work big clinical data analytics would emphasize modelling of whole interacting processes in clinical settings and clinical datasets can be evolution of ultra-large-scale datasets.
Effective communication is one of the most fundamental tools of the nursing practice. Communication involves two parties the conveyor and the recipient, in which information is exchanged through personal and interpersonal mediums (verbal and non-verbal forms), allowing the message conveyed to be received and understood. Ultimately effective communication in healthcare reduces barriers constructed by language and cultural differences etc, creating a safe environment for the client in which they can actively participate in positive health-related behaviours. This explanatory synthesis will explore the concept of self- awareness in relation to therapeutic communication and how it significantly influences nurse-client rapports. It will also
Poor communication is so important that the Institute of Medicine identified it as the cause of many medical errors (Institute of Medicine, 1999). The Center for American Nurses (2008) defines disruptive behavior as “behavior that interferes with healthy communication among providers and adversely influences performance and outcomes. For instance, at the beginning of the placement, I found a reason behind the occurrence of client errors and missing nursing interventions that is insufficient communication among my teammates. Meanwhile, I have learnt a more systematic presentation to turn over cases and apply. Standard protocols, such as SBAR (situation-background- assessment-recommendations) are now commonplace as a way to improve communication (Beckett & Kipnis, 2009).
they are as follows: Level 1: Palliative care approach Level 2: General palliative care Level 3: Specialist palliative care Level 1 and 2 the responsibility for the patient remains at all times with the G.P., the district nurse, health care assistants and social workers that works both in the community and hospital. They promote the physical and psychosocial wellbeing whatever the illness or its stage. Level 3 is more specialist care where patients have more demanding care needs they require a greater degree of training. This care is available in general hospitals and specialist units such as
In response to safety concerns, these draft standards are emphasize that pain is one of the vital sign and should assess in all patients. Therefore, the element of non-maleficent, beneficence, soft skill and caring component in providing care includes in this current standard (Beauchamp & Childress, 2008). For example, the patient have a right to receive an appropriate care with a trust that will not cause them harm even if some pain and suffering is involved. Beneficence is another nursing ethic that should apply in pain intervention such as holding a patient’s hand during a painful procedure and give an emotion support throughout the process. Meanwhile, healthcare providers should listen and respond immediately to patient’s report of pain and manage pain appropriately.
The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012).