The role of the Advanced Practice Registered Nurse (APRN) is multifaceted. According to the Consensus Model for APRN Regulation (CMAR), the APRN is a registered nurse (RN) who has a finished an accredited graduate-level program to become a particular APRN. The APRN expands one’s expertise beyond the practice of an RN to provide more autonomous and comprehensive care (APRN Consensus Work Group & National Council of State Boards of Nursing [NCSBN] APRN Advisory Committee, 2008). Upon reviewing the American Nurses Association’s Standards of Care and Professional Performance, the CMAR, and the local state’s Nurse Practice Act, the APRN may gain insight into one’s scope of practice. However, there are strengths and weaknesses associated with these APRN standards and scope of practice statements that the APRN must consider. …show more content…
The ANA provides the information on how the APRN can uphold the standards written by the ANA; this helps the APRN ensure competency in these standards. These provisions inform that an APRN must be held accountable, must meet all requirements to practice, such as meeting the education and licensure requirements, and must answer to the APRN’s local BON. From all of these resources, the APRN is equipped to fully practice to one’s extent, such as performing advanced assessments and providing tailored treatment plans. Another strength provided by these organizations is the provision of detailed definitions of each subset of APRN, such as certified nurse practitioners and clinical nurse specialists; this helps clarify each subset’s role as an
Hi Freylen, as you discussed the Consensus Model allow APRNs to practice to the full scope of their education, able to move to different states, providing quality care. My new role as a primary care NP I agree with the continuity of care and follow patients into acute or long-term care facility to help them through their ongoing health issues and managing their chronic diseases(Stanley,2012).
The ANA standards of practice are rules and regulations. They are not actual laws. State laws are much harder to change and require legislative action to do so. The ANA has 15 standards of practice (1-6) and professional performance (7-15) which are: Standard 1 – Assessment, Standard 2 – Diagnosis, Standard 3 - Outcomes Identification, Standard 4 – Planning, Standard 5 – Implementation, Standard 6 – Evaluation, Standard 7 - Quality of Practice, Standard 8 – Education, Standard 9 - Professional Practice Evaluation Standard 10 – Collegiality, Standard 11 – Collaboration, Standard 12 – Ethics, Standard 13 – Research, Standard 14 - Resource Utilization, &Standard 15 – Leadership How often do RN’s renew their license and what is the consequence of not
The overall goal of an ACO, which may include physicians, hospitals, and other healthcare professionals, is to provide quality care while meeting defined outcomes and indicators. Overall, the implementation of the ACO should allow for decreased healthcare expenditures. The concept of the ACO is not without barrier to implementation; it affects all healthcare providers and requires extensive interdisciplinary work and increased communication. Nursing practice is influenced by an ACO; staff nurses will be influenced and advanced nurses will be affected. Overall, additional responsibility will be placed on the role of the
Definition and Scope of Practice of a Nurse Practitioner Introduction An advanced practice nurse is a registered nurse who has developed and accomplished extensive practical experience and theoretical knowledge in critical decision making, and practice in their different areas of practice (Joel, 2013). Advanced practice nursing is a level of practice for such nurses who have acquired a certain level of educational and practical knowledge. The APNs play a major role in the healthcare industry, providing services such as patient assessment, patient history taking, physical and clinical examinations, ordering lab tests for patients, referring patients for specialized care if need be, performing diagnosis, and prescribing medications (Zaccagnini & White, 2013). They work at the primary care level, where they act as the first line of respondents for the patients.
As an advanced practice nurse (APN), I am committed to providing patient-centered care by using evidence based practice to treat and manage co-morbidities, direct care to the appropriate resources, and work among a multi-disciplinary team to provide quality service. My education reinforces me to be an ethical, compassionate provider who is committed to promoting a high standard of patient care. During my time as a healthcare provider, I have learned the importance of listening and tailoring the goals to promote compliance and increased knowledge among patients. I personally believe that through health education, effective assessment, and disease prevention, I can deliver competent care to the patients that I encounter.
The purpose of this posting is to discuss the nurse’s scope of practice. The nursing scope of practice includes the functions, actions, or procedures that nurses can legally perform (American Nurses Association 2010). As a registered nurse (RN), I must know what is within the scope of practice since I work under the direction of a licensed physician (MD) or advanced practice nurse (APN). The MD or APN may place an order that may not be within my scope of practice and performing that task may be harmful to the patient and result in loss of my license. Each state or country has their own definitions of the scope practice which are important to know as well as they may differ.
While the main focus of APNs is clinical practice and direct patient care,
Professional and ethical accountability is an essential factor in the nursing profession and patient safety. As proposed by the American Nurses Association (ANA) Code of Ethics requires that individual nurses take responsibility to one action to others (patients and family members, our profession, coworkers, workplace, and to oneself (Batti, & Steelman, 2014). Therefore, According to McCormick, (201) accountability is the basis in building trust, reducing fear, and enhancing morale and performant. Accountability depends on both effective communication skills and clinical expertise. It helps nurses to recognize breach in care that can adversely affect patient health outcome and be able to correct them on time.
With the ongoing healthcare demands and shortages, the appropriate role and responsibilities of the advanced practice registered nurse (APRN) will continue to be a controversial debate. There were many points addressed in your post that I agree and don’t agree with. It is most certainly not arguable that physicians do endure a longer, more intense education. I personally believe their role as a hospitalist is valuable and should never be discredited for their knowledge and expertise. However, I also believe that they are doing their patients a disservice if they are being overworked due to provider shortages.
First, it is important to define what it means to be an “Advanced Practice Nurse” in the state of Indiana before we can look at the stipulations set. It is defined as a registered nurse who is currently holding: knowledge acquired from a formal, and organized institution of learning, and additionally, clinical experience, or a stated board approved equivalent.
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
It is thus noteworthy that as much as advanced practice nurses have a medical responsibility to provide care, they are also expected
Throughout society, located within the media and within our own facilities, the topic of patients’ receiving high-quality, cost-effective care continues to be a popular topic. To address this topic, the Affordable Care Act (ACA), was initiated in 2010, cost-effective care, accessibility, as well as high-quality of care has become the primary focus of healthcare providers (Obama, 2016). Since the passing of the ACA, the percentage of Americans not insured has declines drastically by 43% (Obama, 2016). Since this initiation in the legislature, the Institute of Medicine formulated a report to coincide with the ACA to identify how the Advanced Practice Registered Nurse, (APRN) can partake in the political process in relation to health care policy. The Institute of Medicine’s (IOM) Report, The Future of Nursing: Leading Change, Advancing Health, details the exact role the APRN has on the ability to advocate, initiate, and engage policies and recommendations within the healthcare setting to support proposed policies (The Institute of Medicine [IOM], 2011).
Differences between the Basic and Advanced Practice Nursing in Difference Correctional Facilities and Those outside Correctional Facilities As I try to establish some differences between the basic and advanced nursing practice in different correctional facilities and those outside of the correctional facilities, it has been found that some of differentiate standards exist between the basic and the advanced nursing practice in the correctional facilities and also outside of the correctional facilities ( Clark C. ,2010). This slight difference exists because it requires difference standards of care for the prisoners in the correctional facilities. Those prisoners are entitle to receive either the basic nursing care or advanced nursing practice of the standards of care (Clark, C., 2010). The basic nursing practice primarily involves the provision of care to the individuals and families.
Primary care cost should be lowered due to the lack of primary care physicians currently available. If the advanced-practiced nurses do not provide basic primary care services to patients then who will at a reasonable cost. As stated in the textbook, by allowing advanced-practice nurses to perform routine duties often completed by physicians the United States could save billions of dollars in medical care cost. When someone goes to the doctor’s office nowadays they often see the nurse instead of the doctor unless the patient has a serious condition. Most APNs have either at least a master’s or doctoral degree, and recent studies show that the quality of care by nurse practitioners and physicians was equivalent.