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,
The Nursing and Midwifery Council Code (2015) is to always provide the best possible service related to the best available evidence that is also in line with the patient’s preferences. It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance).
The field of nursing has pursued to gain recognition as a profession as opposed to a vocation for decades and has made great headway since its humble beginning.Since Hildegard Peplau’s first recognized theory of nursing, nurses everywhere have worked to apply it in practice in order to gain validity as professionals. To add to that concept, McCrae (2011) wrote, “The legitimacy of any profession is built on its ability to generate and apply theory” (p. 222). Martha Raile Alligood (2014) dedicated a section in her text, Nursing theorists and their work defending this principle. Alligood said, “Nursing theoretical works represent the most comprehensive presentation of systematic nursing knowledge;therefore, nursing theoretical works are vital to the future of both the discipline and the profession of nursing” (p. 2). It is evident that some professionals have sought out ways to reduce nursing theories and make them a thing of the past, but they are still highly regarded in professional healthcare.
APA style is used globally by nursing scholars as they share current advances and policy updates in nursing and health care. Nurses have to construct concise and truthful written accounts to offer quality healthcare to patients, and APA style supports professional language. Nursing records are also legal forms of documentation, so it is important that these documents are specific, clear, consistent, correct, and comprehensible on whose work is being interpreted, through proper citation.
By continuing to partake in the Quality Assurance program and self-regulating, behaviours can fulfill the standard of being “safe, competent and ethical practitioners” (CNO, 2014, pp. 3). Setting of First Year of RN Practice The ideal setting of my first year of practice, as an RN will be at the Juravinski Hospital in the hematology unit. I have always known that I wanted to work in oncology and my placement on the hematology unit solidified my decision to pursue this goal. During a clinical shift, I would be responsible for providing care to patients with malignant hematological diseases, completing pertinent assessments and teaching skills, such as how to care for the mouth when experiencing mucositis and how to avoid infections.
Wade gave women had the legal right to get an abortion in the early stages of pregnancy which is up to the third trimester. It is a woman’s legal right to choose abortion especially in the cases of rape, incest, or health issues threatening the life of the mother. In 1992, in the case of Planned Parenthood v. Casey the states were granted the right to set restrictions on women’s access to abortion. Many individuals forget that there are two victims in abortion being the mother and child. In the cases where the pregnancy was unintended, abortion is considered by many to be an accessible procedure to subdue the existing life being carried by the mother.
Planned Parenthood v.Casey Sperberg, 4 Planned Parenthood v. Casey: Right to privacy Rebecca Sperberg Liberty High School AP Government 3AB Abortion has always been an underlying option for pregnant females. The well-known case Roe v. Wade established that women have the right to an abortion through the 14th Amendment and right to privacy (Chicago-Kent College of Law, 2015b). Ten years after Roe v. Wade legalized abortion the case known as Planned Parenthood v. Casey questioned Pennsylvania?s restrictions on abortions in 1988 and 1989. Planned Parenthood challenged Pennsylvania Governor Casey on the Pennsylvania Abortion Control Act of 1982 protesting the abortion restrictions (Planned Parenthood v. Casey, 1992). The law required more consent in order for mothers to get abortions.
I currently work at Overland Park Regional Medical Center on the telemetry unit. The main professional nursing associations that I am aware of on our floor is the American Nurses Association (ANA) and the Kansas State Nurses Association (KSNA). The reason these specific nursing associations are influential at my place of work is because they help the nurses collaborate with one another all over the country and they are such large well known organizations . Matthews (2012) states that the ANA for example, advances nursing by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, and by projecting a positive and realistic view of nursing. The only professional nursing association I am a member of is
The concept of nurses as advocates within the healthcare system has not changed but the techniques and practices associated with patient advocacy are continuously advancing; there is already an extensive range of existing nursing definitions of patient advocacy (Wellard, 2014). In general, the nurse in the healthcare team is the member with the greatest therapeutic communication, contact and relationship with patients; putting them in an optimal position to utilize their advocacy skills to facilitate contact between the patient and family members and other health care professionals and departments (University Alliance, 2015). Additionally, by pursuing a career in nursing it means fulfilling many roles, such as educator, caregiver, interpreter,
The one that women find themselves thinking of the most is that in any case of rape or incest the woman should not be forced to have that unwanted child. Recently a Senate nominee Todd Akin stated that pregnancy from rape is very rare because “If it’s a legitimate rape, the female body has ways to try to shut that whole thing down.” That statement is beyond ignorant because according to The Washington Post and TheAtlantic.com on average in just America alone, 32,000 pregnancies are the result of rape. If a woman is forced to have a child because of rape the child could be raised up in a potentially dangerous home environment. Rape can cause PTSD and identity disorder as well as severe mood swings and depression. The woman may not have a chance to get better if she is reminded daily of that traumatic experience in life.
All members must be educated on the different roles and functions of all positions. Tensions, misunderstandings, and conflicts caused by differences of opinions and interests can interfere with effective interdisciplinary communications (Lancaster et al., 2015). While this study was performed in a hospital setting, I wonder if the results would be the same in a clinic? It is not unusual for a physician or an APRN in a clinic to only have a UAP working with them. As patient loads are increasing and providers have less time to interact with the patient, it is essential to include all feedback from the UAP.
Heather, we work in very different areas of nursing. You work in critical care and I work in a postpartum unit which normally has a healthy patient population. I find nursing to be a great field to work in with seamlessly endless opportunities. Giving everyone a platform to work in an environment of their calling or passion. Do you agree?
allowing abortion in cases of permanent mental or physical disability of either the child or the mother or if the mother was raped or cases of incest. There is also some similar laws that were passed in California, Oregon, and North Carolina. In 1973 the Supreme Court ruled on its first against abortion making abortion legal. In 1983 the Supreme Court passed a law that required women to get abortions after the first trimester to be performed at a hospital, and a 24 hour waiting period and parental consent to anyone under the age of
Evidence based practice is using the most recent research to asses the patient and provide them with the best outcome. “The NMC’s (2015a) Code: Professional Standards of Practice and Behaviour for Nurses and Midwives states that it is the responsibility of each nurse and midwife to maintain their knowledge and skills and to practice using the best available evidence.” The purpose of this paper is to mention challenges that nurses face when trying to implement EB, blah blah blah. What it is what it isn’t why it makes a difference and why its crucial. The top challenge faced by healthcare institutions today is providing evidence based, cost effective, quality care that will improve practice and improve patient outcomes. Evidence based practice
This along with the regular inspection of care facilities by HIQUA has raised the standard of care for all residents in care. However it seems while policy, documentation and building standards are visible and auditable, care is more difficult to change. Culture is the greatest barrier to change. My vision was that education would illuminate our care; we would gain the knowledge and change our practises. This seemed very achievable after all the nursing staff are educated to a very high standard with a wealth of experience to draw on .The carers are all now trained to NVQ standards.