Advanced Practice Nurse: A Case Study

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).

It is the job of the APN to apply their skills to promote a culture of excellence. Promoting such a culture involves using all aspects of the quality competency. The Nurse Practitioner is in a unique position as a clinician and manager. According to Carney (2011), clinical managers have the capability to ensure the safe, ethical, and high quality of care due to their professional background, which is firmly grounded in ethical healthcare. Therefore, the APN has a distinct set of skills that will ensure positive patient outcomes.

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.

Role of Family Nurse Practitioners: Case Study The shortage of primary care physicians has been a problem in health care system and will continue to the next decade due to increasing of aging population. According to National Governors Association (NAG) (2012), the growth of the aging population combined with the initiative of the Affordable Care Act, the problem of primary care providers shortage is worsening. Nurse Practitioners (NPs) are educated and prepared to perform primary care services as physicians do. More importantly, studies showed that NPs’ role as primary care providers achieve equal or higher patient satisfaction rates (Evangelista et al., 2011, Albers-Heitner et al., 2013).

The nurse’s role is to independently and collaboratively provides nursing services. This service is part of the total health organization which aims to fulfill the needs of a patient or community. The nature

Public Health In community health setting, Advanced Practice Nurses serve as clinicians, nurse educators or administrators. They provide services in schools, day care centers, community health clinics, group homes as well as in skilled nursing facilities. They are involved in the health of new mothers and babies through pre-and post-natal care, preventing domestic violence and child abuse through education and awareness

Advanced Practice Competencies There are many roles and areas of practice available to graduates with a master’s degree in nursing. Changes in healthcare resulting from the passage of the Affordable Care Act offer new and innovative roles for nurses. Among these roles are direct care practice roles as a Nurse Practitioner (NP) in family care, gerontology or adult health. Indirect care roles as a Nurse Educator, Nurse Administrator, or Nurse Informaticist are also options graduates of master’s program may choose. Regardless of the path chosen, there are core competencies that must be met for each, in addition to specific competencies related to the area of practice chosen.

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).

One similarity between NPs, other APNs and PAs is that, they all play a very important role in health care and patient centered approach of care is their objective. Also, their practice is based upon their education, training and certification in collaboration and under supervision of physicians. Another similarity is that, their scope of practice face limitations and restrictions in practicing be it state base or nationally. State laws and regulations act as barriers towards the broadening of PAs professional competencies same as NPs face licensure and practice laws that prevent full extent of their education practice. NP practice requires supervision, delegation, or team-management by an outside health discipline in order to provide

After reviewing Healthy People 2020 goals for maternal, infants, and child I can see that an APN can play many different roles to achieve these goals. The main role of an APN in the primary care setting is of educator, patient’s advocate, and care coordinator. As a primary care provider, an APN plays an important role in health promotion and disease prevention across the life span by supporting and providing needed education and information. APNs also facilitate quality care and provide treatments to improve the quality of life, reduce pain, suffering, and prevent further progress of the disease. There are several ways an APN can help achieve Healthy People 2020 goals for maternal, child and infants health.

According to the article, “at the state levels, [the] nurse [can be] instrumental in influencing change in scope of practice… expanded roles for advanced practice nurses” (Falk, 2014, p. 203). There are many people out in the community that now need primary care doctors because of the new health care laws and there are not enough doctors out there. By increasing the roles that an advanced practice nurse can do, it might help decrease the number of patient’s that do not have primary care doctors. By the master’s prepared nurse trying to get all people in the community a health care provider it will decrease on the visits to the emergency room that are

Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.

In collaboration with other medical personnel, nurses engage in the development and enactment of patient care plans. Furthermore, they provide education to families and groups on various health issues such as disease prevention, among others. Scope of Practice 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.

Introduction 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

Importance of nurses A nurse is a health care professional who is engaged in the practice of nursing. Nurses are men and women who are responsible (along with other health care professionals) for the treatment, safety and recovery of acutely or chronically ill or injured people, health maintenance of the healthy, and treatment of life-threatening emergencies in a wide range of health care settings. Nurses may also be involved in medical and nursing research and perform a wide range of non-clinical functions necessary to the delivery of health care. Nurses develop a plan of care, sometimes working collaboratively with physicians, therapists, the patient, the patient 's family and other team members.