Advanced Nursing Practice

Advanced practice nurses are expected to practice with competence skills throughout their careers. Hamric's Model of Advanced Nursing Practice identifies several core competencies, these competencies require that APNs utilize a depth and breadth of knowledge, skill and judgment that allow them to safely practice and competently adapt to changes in the health care environment. The two competencies that I opted to enlist in my practice are leadership and consultation. I believe these two competencies will lead me in my practice as FNP to improve the delivery of care of my patients. Leadership, "Leadership and learning are indispensable to each other." stated by U.S. President John F. Kennedy. Leaders do more than delegate, dictate, and direct. They help others to achieve their highest potential, and foster communication between members of the multidisciplinary care team. Leaders have a distinctive set of personal qualities: integrity, courage, and an ability to manage stress. As well, Involves
Relationship with NPs, physician, social worker, and other health care providers ensure that patients have access to comprehensive care. Consultation, involves problem solving with an individual, family, or community to improve health care delivery. Steps of the consultation process include assessing the problem, determining the availability and feasibility of resources, proposing solutions, and assisting with implementing a solution. Robert (2009). In this role, I will work with other physicians in the surrounding county of Sanbernardino, to help them manage many of their complex diabetic patients in the rural communities. As well, I will develop a good working relationship with the internist, family medicine endocrinologist, and cardiologist associates. I will refer many of my patients to specialists when I have to face with a medical condition that I find too complex to handle on my