Advanced Practice Nursing Framework Analysis

Introduction Framework plays a major role in all aspects of nursing; it offers organization, success, and consistency. Framework can be defined as “the basic structure of something: a set of ideas or facts that provide support for something” (Framework, n.d.). Advanced practice nursing (APN) uses framework to define scope of practice and provide strategies for governing APN. As stated in Neuman and Fawcett (2011) conceptual framework is defined as:
[A] set of relatively abstract and general concepts that address the phenomena of central interest to a discipline, the propositions that broadly describe those concepts, and the propositions that state relatively abstract and general relations between two or more of the concepts.
Hamric, et al.

Environment is considered to be all of the influences that affect the system. The client’s wellness can be disrupted by intrapersonal, interpersonal, and extrapersonal environmental changes. The internal environment is what exists inside the person and is only affected by intrapersonal influences. According to Neuman & Fawcett (2011), the intrapersonal factors are reflected in the body’s autoimmune system. The external environment is what is outside of the person’s body system and it involves interpersonal and extrapersonal stressors. Interpersonal stressors take place outside of the client’s system boundaries, they are closely related and greatly influence the system. Extrapersonal stressors happen out of the client’s system boundaries, such as financial or social inconveniences. “The created environment is dynamic and represents the client’s unconscious mobilization of all system variables, including the basic structure, energy factors towards system integration, stability, and integrity” (Neuman & Fawcett, 2011). The created environment is to provide optimal health and it can only be affected by the combination of intrapersonal, interpersonal, and extrapersonal stressors (Neuman & Fawcett,

There are four types of APNs: nurse practitioners, certified nurse midwives, certified registered nurse anesthetist, and clinical nurse specialists. A nurse practitioner is someone who possesses graduate-level qualifications and is able to diagnose and treat clients without the supervision of a medical doctor (American Association of Nurse Practitioners, 2013). “NPs are quickly becoming the health partner of choice for millions of Americans. As clinicians that blend clinical expertise in diagnosing and treating health conditions with an added emphasis on disease prevention and health management, NPs bring a comprehensive perspective to health care” (What’s a NP, 2016). More specific, family nurse practitioners (FNP) care for a large variety of people to provide family-centered care. FNPs see patients of all ages and all backgrounds; they work in all types of settings, such as hospitals, schools, and clinics. They are able to educate, perform tests, develop plans, perform exams, and prescribe medications (Hamric et al.,