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The role of the advanced practice nurse
The role of the advanced practice nurse
The role of the advanced practice nurse
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Through this course I have learned that history taking and performing a physical assessment and being able to differentiate normal from abnormal findings is one of the most important roles of a health care provider. If an accurate physical assessment is not performed, whether for baseline data or when the patient’s condition changes, then the patient is not receiving the level of competent care he deserves. Family Nurse Practitioners are expected to safely provide and meet the healthcare needs of people across the lifespan and diverse cultures through evidence-based care. Assessment is the first step in the process of individualizing care. To site a few examples, it is important to know a patient’s allergies to medications or food to avoid
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).
Navi, It is unfortunate that the consequence of Julie Thao’s decision to work overtime to help the hospital actually did the opposite by affecting her health and caused a fatal medical error. I completely agree with your 3 weapons against healthcare harm: leadership, safe practice, and technology. As Advanced Practice Nurses, I strongly believe we must to be accountable, responsible, and approachable in order to be an effective healthcare role model and leader. Our priority should always be patient safety as we assess, diagnose, and implement interventions. APNs should conduct continuous research for self-knowledge, to educate staff members, and to educate the patients.
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.
1) As APN’s what can we do to support those experiencing family violence or threatening behavior? What resources are available in your community? As Advanced Practice Nurses we can support those experiencing family violence or threatening behavior by first screening patients for domestic violence so that they are properly identified, participating in preventative efforts, advocating for victims, and providing treatment measures to those effected. According Flaugher (2013) all adult patients should be routinely screened for domestic violence.
Additionally, nurses collaborate with interdisciplinary teams to promote optimal patient outcomes and adhere to institutional policies and regulatory guidelines. Through their unwavering dedication, nurses contribute to the delivery of safe, compassionate, and patient-centered care. Practice of Professional Nursing (Registered Nursing) The practice of professional nursing for registered nurses encompasses a multifaceted role dedicated to promoting and restoring health, preventing illness, and providing compassionate care to individuals, families, and communities across diverse healthcare settings. Registered nurses (RNs) serve as frontline caregivers, utilizing their specialized knowledge, clinical skills, and critical thinking abilities to assess patient needs, develop care plans, and deliver evidence-based interventions tailored to each patient's unique circumstances.
This includes awareness of nutritional needs, allowing them to express their spiritual affiliation, mutual respect with the patient, and open communication. This allows decisions to be a shared experience. When decision-making is a joint process between the nurse and patient, superior patient care is achieved (School of Medicine [University Of California Irvine], 2015). The role of the advanced nurse is to be a health care provider striving to reach health care goals for their patients. By applying cultural awareness and nurse-driven protocol in critical situations, along with implementing interventions and following clinical indications, advanced nurses can reach their goals and improve patient
Nursing practice requires both critical thinking and clinical reasoning. Critical thinking is the process of deliberate higher level thinking to define a patient’s problem, examine the evidence-based practice in caring for the patient’s, and make options in the delivery of optimal care. Critical thinking involves the demarcation of statements of fact, judgment, and opinion. The progression of critical thinking requires the nurse to think imaginatively, use reflection, and engage in logical thinking (Alfaro-LeFevre, 2013). Critical thinking is a vital skill needed for the recognition of patient’s problems and the execution of interventions to endorse effectual care outcomes (Bittencourt & Crossetti, 2012).
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
The American Nurses Association’s (ANA) scope of practice casts a large net that captures the concept of holistic nursing, along with a multitude of challenges that can vary from day to day. Utilizing the nursing process, the nurse gathers hard indisputable facts, as well as makes observational assessments of the mood, character, overall appearance, and so on. As such, each patient interaction may pose a challenge for the competency of the nurse, but with each challenge comes an opportunity for professional and personal growth (American Nursing Association, 2010). The nurse who is aware of these challenges may then seek answers through education, further development of a skill set, or even participate in an evidence based research project to contribute new knowledge of a problem that may have a solution. The ANA’s scope of practice adds that the position of the nurse is an integral part of a team of healthcare professionals all working toward a common goal to serve the needs of the patient (American Nursing Association, 2010).
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations. It is the unique role of a nurse to care for individuals sick or well, in hospital or at home. For many of us when we think of nursing and nurses, our thoughts are diverted to a hospital setting. However, the unique function of a nurse goes beyond the walls of hospital. Primary care nursing therefore, is a shift from the narrow perspectives of hospital based care with its treatment and cure of already established disease; to the promotion
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.
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge
Nursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).