Advanced Practice Registered Nurses(APRNs) have expanded in numbers and competencies over the past several years. Because of the increasing needs of APRNs, they are being highly valued and became an integral part of the healthcare system. APRNs include Certified Registered Nurse Anesthetists, Certified nurse-midwives, Clinical Nurse Specialists and Certified Nurse Practitioners. Each has a distinct history and context but shares the commonality of being APRNs. They are educationally prepared to presume responsibility and liability for health promotion or maintenance, assessment, diagnosis and management of patient problems which includes the use and prescription of pharmacologic and non-pharmacologic interventions. Since the health care system …show more content…
Each state regulates APRNs legal scope of practice and the certification examinations for entry level competence assessment. For example, who can perform micro-dermabrasion and is it under the scope of practice? This lack of standardized criteria has generated a remarkable barrier for advanced nurses to move from state to state and has reduced access to patient care. It is crucial to align the education, accreditation, certification and licensure of APRNs to meet the increasing demand of advanced nurses for the current and future needs of patients and safety of the healthcare system. For this reason, the APRN Consensus Work Group and the National Council of State Board of Nursing’s (2011) APRN Advisory Committee suggested a APRN Consensus Model. According to this committee, many benefits are attainable with the APRNs Consensus Model. There will be consistency in the scope of practice across all the states. Future APRNs would have confidence in the quality of education programs. Board of Nursing would be able to meet equal requirements and able to ensure public protection. If new regulatory models merge, then APRNs will be an active participant in the political field to form a dynamic and evolving system that is reactive to healthcare environment, permit APRNS to practice to full extent of their education in a collaborative environment equally with other team members …show more content…
I prefer joining American Association of Nurse Practitioner (AANP). The mission is to lead nurse practitioners in transforming patient centered healthcare through practice, education advocacy, research and leadership; increase public awareness and work toward globalization. It is an organization working to ensure that all services provided by NPs are directly accessible to patients. It works with legislators, regulators and entities to choose policies that recognize the signature of nurse practitioners on forms for care that is within the scope of practice of the advanced nurses. AANP calls on policymakers to make full use of NPs so that healthcare needs are met in the state. Patients have the right to choose NP as their primary care provider and that care is covered under the insurance
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).
Kentucky Board of Nursing mission statement: The Kentucky Board of Nursing protects the well-being of the public by development and enforcement of state law governing the safe practice of nursing, nursing education and credentialing. Law & Regulations: An APRN (licensed by the Board and certified by a national organization in an advanced practice role and population foci) must first determine whether the statutes (the Nurse Practice Act) prohibit the action in question. For example, an APRN designated as a Family Nurse Practitioner may not write a prescription for a Schedule II drug for 30 days. This action would be outside the APRN, designated FNP’s scope of practice. (KRS 314.011(8) (a)
Conclusion In conclusion, APNs are equipped to deliver the same safe, efficient, and high- quality care as physicians. The clinical and professional background of nurses gives them an extraordinary opportunity to change the healthcare landscape and promote cost-effective, compassionate, and patient-centered care for people. In a study performed by Dill, Pankow, Erikson, & Shipman (2013), the patient preferred the APN to physicians due to greater accessibility, more personalized and compassionate care, increased comfort with communication, and past positive
Lindeke, Fagerlund, Avery, and Zwygart-Stauffacher (2010) noted that such APNs deliver anesthesia and anesthesia-related service in collaboration with other healthcare professionals. Lastly, APNs would be a great addition to New Mexico Essential Healthcare because they not only assume active leadership roles, but also serve as educators, patient advocates, and consultants (Zwygart-Stauffacher,
The American Association of Nurse Practitioners (AANP): It was formed in 2013 by the fusion of the American Academy of Nurse Practitioners (founded in1985) and the American College of Nurse Practitioners (founded in 1995). The purpose of this association is to advocate for the issues and performance of the nurse practitioners. AANP’s mission is to lead nurse practitioners in turning the health care system into patient-centered care. According to the AANP website, this organization has more than 60,000 individual members, and 200
Thank you very much for your post. I also agree with you that both ANA and AMA has same goal of providing qualitative, affordable, and best care to the public and promote their health and well-being. As you mentioned that AMA has a strong opinion of providing care by a physician –led team, however I believe that both physician and nurse practitioners and even physician assistant can work collaboratively as a team to accomplish the common goal. The AMA should not really be threatened by the advanced practice nurses because we are not here to replace or take away their position. I feel that the AMA is still worried about losing their authoritative position.
The nursing profession plays a vital role at the policy table in implementing full practice autonomy for Nurse Practitioners. Nurse Practitioners are contributing experts of the health care system. They have the education and skills needed to be a resource and partake in the policy process and political implementation. This particular policy development will require not just one nursing representative, but many, to push for and symbolize the dire need of full practice autonomy for Nurse Practitioners. In fact, the National Council of State Boards of Nursing [NCSBN] (2017) has formed the Advanced Practice Registered Nurse (APRN) Consensus Model, which streamlines the education, regulation, licensure, accreditation, and certification across the nation.
Despite accepting advanced roles and responsibilities APRNs have often encountered various barriers in the delivery of effective health care based on the variability in the legislative requirements endorsed by various states. To overcome these barriers and improve the delivery of healthcare the Consensus Model for APRNs has been endorsed by 41 various nursing organizations focusing on defining the roles, population foci and implementation strategies across the nation (American Nurses Association [ANA], 2017). Creating a standard expectation regarding the practice of APRNs will help to foster more consistent, quality education APRN programs nationwide (Rounds, Zych, & Mallary,
Educational Preparation: Associate vs Baccalaureate Nurses Laly C. Kurian Grand Canyon University: Assignment Week 2 September 12, 2015 Preface The scope of this paper is to discuss the difference in competencies based on the education preparation. Even though there are various level education preparation for nurses ranging from vocational training to doctoral level, the differences in competencies between the Associate Nurse (ADN) and the Baccalaureate Nurse (BSN) are analyzed and compared. Competencies differences between Associate and Baccalaureate Nurses from the two different educational streams ADN and BSN, can prepare for National Council Licensure Examination and eventually become a Registered Nurse, but the educational curriculum
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.
The health industry we are in today, demands that health professionals retool the way they practice. To support our patients health needs and to meet the needs of regulatory bodies, we must as nurse work collaboratively to provide total patient care. A multi-disciplinary approach does not support the need the complex needs of many clients, no one health discipline can provide all the care that is need for our patients. We must therefore work collaboratively to accomplish good, quality outcomes for our patients and our organizations.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
One concern of the adoption of the ACO is that nurses may spend increased time documenting outcomes and data to meet incentives and less time providing direct patient care (McMenamin, n.d.). Also, nurses are not directly referenced in legislation for ACOs and are considered “other healthcare professionals,” leaving the verbiage of the nurse role up for interpretation (American Nurses Association, 2010). In addition, certified nurse midwives and certified registered nurse anesthetists are “not considered in the final rule” but nurse practitioners are defined (American Nurses Association, 2010). Further clarification will be required for advanced nurses to practice
The ANA mission is to advance the nursing profession to improve health for all (American Nurses Associations, 2018). This policy proposal aligns with the ideals of this organization aimed at advancing nursing and advocating for improving health for all. The ANA should support this proposal as it will improve the education and preparation of APRNs and therefore, improve population health.