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Advanced Practice Nursing

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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). …show more content…

According to Lampe (2013) a clinical nurse specialist (CNS) is a graduate prepared advanced practice nurse that provides expert clinical care in a specialty population and practice in a variety of settings. Generally speaking their practice is specialized in a clinical area that can be identified in terms of: population, setting, disease or medical subspecialty, type of care, or type of problem. The main difference between a CNS and NP is that the CNS practices in a specialty population, and the NP can treat a larger population. Rules and regulations vary for CNS depending on the state in which they choose to practice. Rights for prescribing medications to patient range from independent prescribing authority to no prescribing authority. In some states they can only prescribe when collaborating with a …show more content…

From the research, it is believed by the author, that since the licensing is done at the state level, this is where changes in America should be implemented. APNs need lobbyists to advocate for the changes needed. It appears that in the states where there APNs have restricted practices, it is due to lobbying by the state’s medical board. The legislators should be presented with the facts, APNs provide safe and cost effective care to the patients. Citizens should get involved and write letters to make the legislators aware of the problem. APNs should be allowed to practice to the full extent of their education, and if they were, all of the states in America would allow full practice for their

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Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.

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1252 Words | 6 Pages

FMLA and ACA in regards to APRN or NPs Introduction The Affordable Care Act created new health care delivery and payment models that emphasize teamwork, care coordination, value, and prevention: models in which nurses can contribute a great deal of knowledge and skill. Indeed, the nursing profession is making a wide-reaching impact by providing quality, patient-centered, accessible, and affordable care. - Institute of Medicine

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328 Words | 2 Pages

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.

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87 Words | 1 Pages

Jessica, I agree with you 100%. The differences and variation in the ANP scope of practice among the nation, does not allow for others especially legislators, to have a clear view of the ANP nurse and what it can be accomplish it all the restrictions and barriers were eliminated. It will also change the public perception and attitudes towards nurse practitioners. I firmly believe that NPs have not only the power, but the ability to improve and make sustaintials changes to our health care system, Excellent

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345 Words | 2 Pages

In Arizona, NP’s do not have to work with a physician, but can manage patients independently (Buppert, 2015). This author’s understanding of NP’s scope of practice was changed. It is confusing to try to learn

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242 Words | 1 Pages

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.

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83 Words | 1 Pages

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

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214 Words | 1 Pages

Cockerham and Keeling define APN as specialist in nursing (2014). Each definition is very different, but they are all important concepts that make up the role of an APN. The ANA and APRN definations are very similar because they both put focus on the importance of evidenced based practice

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1035 Words | 5 Pages

Even nurse practitioners themselves can be perplexed about what they are legally allowed to do in their state. Much of the confusion revolves around the differences between physicians, physician assistants and nurse practitioners. In order to start to diffuse the confusion regarding the role of the NP, Buppert (2015) offers many definitions but one that is succinct and understandable is the one offered by a national NP organization relaying “Nurse practitioners are registered nurses who are prepared, through advanced education and clinical training, to provide a wide range of preventive and acute healthcare services to individuals of all ages”

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619 Words | 3 Pages

APNs are also having the opportunity to support domestic violence laws by advocating for

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849 Words | 4 Pages

Yet, there are many barriers exist with respect to APRNs being able to practice to the full extent of their capabilities, which includes, variation among the fifty states with respect to scope of practice, prescriptive authority, and collaborative practice requirements. Efforts to standardize the APRN role is taking place since the endorsement of the APRN consensus model which recommends uniformity in licensure, accreditation, certification and education in all 50 states by the year 2015. Several ongoing initiatives are taking place to address the barriers of APRN practice include active campaigns to bring public awareness and impact policy to remove restrictions to practice. Federal and State laws and regulations as well as individual organization and practice site bylaws and policies can also influence APRN practice requirements. It is important to address the practice restrictions to promote uniformity in APRN practice among the fifty states.

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815 Words | 4 Pages

A Nurse anesthetist, or a CRNA, is a registered nurse who specializes in anesthesia care. They work alongside Anesthesiologists, Surgeons, and other medical professionals to administer anesthesia to patients during medical or surgical procedures. Nurse anesthetists stay with their patients through the entire process of surgery to ensure the safe delivery of anesthesia. They constantly monitor and modify

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1363 Words | 6 Pages

Public Health In community health setting, Advanced Practice Nurses serve as clinicians, nurse educators or administrators. They provide services in schools, day care centers, community health clinics, group homes as well as in skilled nursing facilities. They are involved in the health of new mothers and babies through pre-and post-natal care, preventing domestic violence and child abuse through education and awareness

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1874 Words | 8 Pages

While some barriers exist in order to keep patients safe there are others that lead to the physician shortages that the United States is facing today. In order to address the problem head on it

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834 Words | 4 Pages

In the U.S. (and increasingly the United Kingdom), advanced practice nurses, such as clinical nurse specialists and nurse practitioners, diagnose health problems and prescribe

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