The Future Of Nursing: Advanced Practice Nurses

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

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

The role of Advanced Practice Registered Nurses (APRN) in high quality health care has been identified as critical role. APRNs have a vital place in the health care system, which means students need a relevant and valuable knowledge as well as experience to improve their abilities. As a future APRN, I place high priority on life-long learning and the development of health care providers skills set. Because of my dedication to excellence and selflessness; I will improve the capabilities of any APRN or health care professional, and I will strive to understand the new disclosures can be discovered every day, and become a strong leader.

According to the AARP article on the future of nursing; transforming health care, Susan Reinhard and Susan Hassmiller, wrote that for both now and future needs, registered professional nurses and other health professionals must be allowed to practice to the full level of their education and training. They suggested that advanced practice registered professional nurses (APRNs); such as nurse practitioners and midwives can be used to use to solve issues of primary care shortage so that the physicians may be free to take care of more complex medical issues that requires higher medical expertise. Another report by the Organization for Economic Co-operation and Development working paper in 2010, says that many countries are reviewing better ways to improve the health delivery system by reviewing the roles of nurses and other health care professionals. According to the conclusion of that report, developing new and more advanced roles for nurses might improve access to care and may even cut down cost. (AARP

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).

As an integral part of the healthcare team, nursing has evolved tremendously. In Nurse of the Future Nursing Core Competencies a picture was painted of what the future of nursing looks like. From my own opinion I do feel that a reform or evolution in nursing education is required to create competent nurses of the future. Current nursing school programs are academic heavy with an emphasis on skills. While growing competency in clinical skills is necessary, there is much more to the future of nursing than being highly skilled. It is time to distinguish not just skills, but characteristics of a successful nurse of the future. This is a nurse who will be well rounded with the tools and resources to help guide healthcare and the patient experience

The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care. Integrating humanities and sciences in nursing is important and allow individuals to enhance their knowledge and critical thinking skills in their nursing practice. The information I learn in this course has taught me that evidence-based research findings can be used to shape future practice settings going forward. As a change agent, I will change and implement new evidence-based care to my practice to deliver high-quality

Direct clinical care provided by advanced practice nurses (APNs) is defined by six characteristics – use of a holistic perspective, formation of therapeutic partnerships with patients, expert clinical performance, use of reflective practice, use of evidence as a guide to practice, and use of diverse approaches to health and illness management1. APN practice is distinct from medicine in its holistic approach to patient care. As conceptualized in Shuler’s model, although advanced practice nursing does encompass certain aspects of medicine, it distinguishes itself from the medical model by merging both nursing and medical values.2 The holistic perspective emphasized in APN practice considers the patient as a whole, encompassing all dimensions

As pointed out, the opportunities for a nurse transitioning from an AD position to a BSN position are diverse and endless. Patients, healthcare facilities and the nursing profession benefit from advanced degree nurses. The nurse’s ability to comprehensively assess the needs of patients and provide evidenced based practice benefits patients by improving outcomes. The use of evidenced based practices assists facilities with achieving accreditation requirements (Grove, Burns, Gray, 2013). Most importantly, nurses receive self-gratification for their

Your interview along with your thoughts on how your interview impacts you was very interesting to read. Hearing about your NP 's struggles during her education was an unfortunate, but common, experience. It is good to know that professionals we look up to have also experienced the same feelings we have as new nurses. Some of the barriers NPs face are "limited number of clinical sites and preceptors, concentration of educational programs in urban areas, and limited funding" (Fitzgerald 2012). I would like to know if these, or any other barriers, were a problem for your NP and what steps she took to overcome them. Being a new nurse can be overwhelming, and the guidance of an experienced NP could help minimize any concerns an RN would have about continuing their education.

Advanced practice nursing (APN) can be defined in many ways and differs from basic nursing practice. ANA (2010) defines APN as incorporation and application of evidenced based practice that is accomplished during graduate school. The AACN distinguishes the role of the APN by stating that they have a direct clinical focus. AACN states that interventions taken by APNs have an impact on patient care outcomes. APNs must put patient care and health care policy first. Cockerham and Keeling define APN as specialist in nursing (2014). Each definition is very different, but they are all important concepts that make up the role of an APN. The ANA and APRN definations are very similar because they both put focus on the importance of evidenced based practice

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.

Recently the advanced practice registered nurse (APRN) became a very important profession due to the major changes in the healthcare system and the Patient Protection and Affordable Care Act (PPACA) goals that focus on providing patients with affordable but quality care, improving patient health outcomes, expanding care to the underserved areas, and lowering the costs. It became apparent that over the years nurses played an important role in healthcare system. According to the National Governors Association (2012) “The demand for primary care services in the United States is expected to increase over the next few years, particularly with the aging and growth of the population and the passage of the Affordable Care Act (ACA)” (p. 1). In addition,

If the roles of the nurse practitioners are explained and clarified to other members of the team the treatments for patients can be executed faster, but also “Advanced Nurse Practitioners can have a positive impact on other staff members by improving knowledge, skills

A telenursing survey in 2005 was conducted around the world to assess how Advanced Practice Nurses, APN’s, perceived the impact of telenursing and the future implications. Seventy-five percent reported that telenursing could impact the nursing shortage. APNs reported 18 different practice sites for their telenursing roles and most of their time was spent in the following functions via telehealth: consultation, administration, in-person/face-to-face direct patient care, telemedicine direct patient care, supervision, research, and teaching nursing or other students in health care occupations (Fairchild, Varghese, Deickman, & Castelli , 2014). The data clearly showed that telenursing is typically not a full time