The first week lesson was focused on the historical development of the Advanced Practice Nursing (APN) role and evidence-based practice from the perspective of various philosophical and theoretical foundations. In which I have learned about various roles and responsibilities of APN. As the scope of practice for APN is vary from state, I have explored the role and scope of practice of Nurse Practitioner (NP) in Texas. The second week lesson was focused on the complexity theory and selected skills, understandings, and integrative abilities of the APN and specialty nurse practitioner practice. In which I have learned about the APN’s leadership role in healthcare policy to facilitate best practices for diverse populations. It is important for APN…
References: Barker, A. M. (2009). Advanced Practice Nursing: Essential Knowledge for the Profession. Sadbury, MA: Jones and Bartlett.…
Recently published in the New England Journal of Medicine that Advanced Nurse Practitioners provide cost efficient treatment and as competent as physicians. However, physicians and Advanced Nurse Practitioners have different roles but complement each other in patient quality care. Advanced Nurse Practitioners role in the 1960s and 1970s due to a shortage of primary care physicians in underserved areas, especially rural areas. I just don’t understand how come now it is a problem for Advanced Nurse Practitioners to practice as independent. Ken Miller, the AANP Co-president stated that 70% of patients are supportive of NPs to have more responsibilities in a statement she made last…
Gillum, D.R., Staffileno, B.A., Schwartz, K.S., Coke, L. & Fogg, L. (2011) The prevalence of…
Advanced Practice Nurses (APNs) are often primary care providers and are at the forefront of providing preventative care to the public. APN practice is typically defined by the Nurse Practice Act and governed by the states Board of Nursing, but other laws and regulations may impact practice, and other boards may play a role. The purpose of this paper is to develop a greater understanding of the scope of practice for nurse practitioners within the state of Oklahoma. Oklahoma’s mission for nurse practitioners is to promote, advance, and support high standards of health care delivery. The Association of Oklahoma Nurse Practitioners (AONP) and the Oklahoma Board of Nursing will help recognize professional guidelines for which Advanced Practice…
With changes in healthcare such as the Affordable Care Act of 2010 (ACA), nurses will be playing an ever increasing role in patient centered care as healthcare moves away from acute and specialty care, and focuses more on primary care. Today the top providers of primary care are physicians (287,000), nurse practitioners (83,000), and physician assistants (23,000) (Steinwald, 2008; HRSA, 2008). The demand for advanced practice registered nurses (APRN) is expected to increase dramatically to accommodate patients seeking primary care. The IOM suggests that to prepare for this increased demand for nurse practitioners “all health care professionals should practice to the full extent of their education and training so that more patients may benefit” (IOM, 2010, p. 96). This would include standardizing the scope of practice nationwide. Across the United States, scopes of practice vary widely, inhibiting many nurses to provide the full scope…
As advanced practice registered nurses (APRNs), it is vital that one must know how to properly document in electronic records. Concise documentation is deemed necessary for two reasons: 1) to provide adequate quality of care for patients, and 2) to receive prompt payments on furnished services (Centers for Medicare and Medicaid [CMS], 2014). If information is not documented, then you typically will not get paid for it. Furthermore, recording the patient’s story, objective findings, assessment, and treatment plan for the patient all serve as a legal record for the future (Phillips, 2013). This paper will discuss the purpose of evaluation and management (E/M) codes, while summarizing three components of E/M documentation…
Whereas, there are several aspects that Classmate 2 raise that are effective in understanding the distinction between the different categories of advanced practice nurses. Specifically, the criteria used in choosing to focus on becoming a primary care nurse practitioner highlight the way individuals make decisions. This way, the review does not only assist in portraying advanced practice nursing as an umbrella classification for describing various nurse specialist categories, which are all important, but…
Advanced practice nurses are nurses who have a masters or doctorate level education Buppert, 2009). They can be divided into four groups: nurse midwives, nurse anesthetists, clinical nurse specialists, and nurse practitioners (Buppert, 2009). Nurse practitioners can be further divided into two more specific groups, primary care nurse practitioners and acute care nurse practitioners (Arizona State Board of Nursing, 2009b). The education for these two certifications differs, based on the function of the nurse practitioner. The scopes of practice and functions of the primary care nurse practitioner and the acute care nurse practitioner have some similarities and…
Every individual has a personal, unique set of morals. The same is true for professions; each having a specific set of morals that determine practice. For the nursing profession, ethical principles, ethical frameworks and theories, and ethical competencies have been identified and developed based on practicing morals. The future advanced practice nurse (APN) will identify a practice specialty, state the previously chosen phenomenon of interest (POI) and relate three ethical principles and one framework to the chosen POI and her future practice.…
A theoretical concept that supports advanced nursing roles in health care and educational settings is clearly identified by the Institute of Medicine (2015). Altman, Butler, & Shern (2015) states, “ If nurses are to be…
Advanced practice registered nurses (APRNs) are registered nurses who work with a physician as either a specialty care providers or a primary care provider. They work side by side with other healthcare providers and their main focus is to provide an atmosphere of family oriented care. The family nurse practitioner’s (FNP) can assess, diagnose, perform different exams, and also prescribe medications to patient of all ages from infant to the elderly. The FNPs also play an important role in educating and counselling patient (para 1). American Association of Nurse Practitioners (AANP) (2013), explains that FNP’s scope of practice is determined by the American Nurses Association based on the populations’ need and service needed” (para. 1).…
Nursing practice has evolved drastically over the past two decades. There are numerous changes and advancement in the field of nursing. One of the most obvious change that took place is information and technology. Technology has advanced dramatically to help change the way nurses advocate and care for their patients. This is a major change that impacted not just nursing, but health care in general.…
Advanced Practice Registered Nurses (APRN) represent a powerful force in the healthcare system. As APRNs became the integral part of the healthcare system, their education, accreditation, certification and licensure need to be aligned effectively to ensure patient safety while expanding patient access to APRNs. An APRN includes, certified nurse practitioners, certified registered nurse anesthetists, certified nurse-midwives and clinical nurse specialists. Even though, each role has a unique history and context, but shares the commonality of being APRNs. In order to prepare an APRN for practice, the necessary components of education, accreditation, and certification are important, however, the licensing boards governed by state regulations and…
The definition of advanced practice would be the legal title for nurses who are licensed to…