Adult-Gerontology Job Analysis

Advance practice registered nurse who provides care to patient through their life span from premature birth to the elderly , their focus is physical examination diagnose and treatment (ect)

Advanced practice nurses have core competencies that are similar or are specific to each specialization defined as an advanced practice. The profession of nursing presents favorable circumstances for nurses to specialize in roles with distinct responsibilities and opportunities to contribute to the function of a health care industry with growing demands and complexity. The profession of nursing continues to debate to whom the title advanced practice nurse applies to. Examination of the core concept frame works described by nurse leaders and professional organizations tend to either support or refute the argument related to the use of the term, advanced practice nurse for nursing administrators and educators. For the purpose of this paper the author will explore the core competency similarities and differences of a nurse practitioner and a nurse educator. Nurse educators and nurse practitioners are registered nurses that possess advanced education, skills, and experience. Each specialty nurse has defined scopes of practice with distinct sets of responsibilities, requirements, and skills. Each role represents distinct educational requirements and activities that contribute to the complex and diverse health care industry.

-I will be able to identify the differences of working as NP in acute care setting vs. primary care setting. -I will be familiar with the NP job description from the hospital. -I will be familiar with hospital policies in regarding to NP’s role and responsibility. -I will review practice standards and regulations from CNO, RNAO, NPAO in regarding to NP’s roles and responsibility. -I will observe my preceptors daily routine.

Nurse practitioners have been practicing and providing care to patients for decades. They are often at the forefront of providing care alongside physicians. They are quickly becoming the primary provider choice for many patients in a world where there is a shortage of good and accessible primary care providers. As health care providers, they have prescriptive authority to diagnose, treat, and evaluate patients. Besides being health care providers, nurse practitioners are mentors, educators, administrators and

A set of nine core competencies was developed by the National Organization of Nurse Practitioner Faculties (NONPF) in 2011, outlining the skills that doctorally prepared NPs are

These organizations developed the Consensus Model document in 2008 to unify practice, identify APRN clinical roles, identify the acceptable titles to for NPs, and define the requirements for general practice and licensure. Note to mention that laws and regulations statute on the APN scope of practice may vary by states, whereas some adhere to full scope of practice, other to reduced practice, or restricted practice. For instance, the state of Florida defines advanced registered nurse practitioner as a licensed person with ability to practice professional nursing and certified to in advanced or specialized nursing practice (Buppert, 2011). The four advanced clinical specialized roles include certified registered nurse anesthetists, certified nurse midwives, clinical nurse specialist, and nurse practitioners (Buppert, 2011). In terms of licensure, 46 states out of 50 require nurse practitioners to pass a certification exam. The Florida Board of Nursing requires certification by an appropriate specialty board and graduation from a program leading to a master’s degree (Buppert,

While uncertainty about the role of an Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) persists, what research has found about the role is that AG-ACNP’s provide advanced nursing care to those who are acutely, critically or chronically ill in both traditional and nontraditional healthcare settings (Kleinpell et al., 2012). Standard of scope differs between all types of scopes and nurse practitioners alike. The scope of practice (SOP) for an Acute Care Nurse Practitioner (ACNP) is not based on practice setting, but rather what type of care the patient will need, for example, someone who needs ventilator management in either the home or hospital environment (Kleinpell et al., 2012).

The knowledge of and experience of and Advanced Practice Registered Nurse (APRN) can be of value when examining core competencies. This paper will discuss the nine core competencies stated by The National Organization of Nurse Practitioner Faculties (NONPF). To gain a more complete understanding of how the core competencies integrate into practice an interview of an APRN was conducted. Additionally, an analysis of selected NONPF core competencies will be discussed and how they apply to the roles of the APRN. The paper will end with a conclusion of key points and benefits from interviewing an APRN.

NPs are not only moving into increased roles within the acute care hospital setting, but also into roles in the community as Primary Care Providers (PCPs). The anticipated shortage of physicians to handle an increased number of aging patients already affects my position as a staff nurse at a hospital. A career in nursing offers countless paths to further your education, whether it is to become a specialist in a field of practice, foray into research or to pursue a position as a nurse practitioner. I was interested to learn more information about how expanding the role of Advanced Care Nurse Practitioners (ACNP) may relieve shortages of physicians and lessen the burden on our current healthcare system. Increasing the roles of ACNP would only be feasible if patients are still receiving quality care while decreasing the cost of healthcare. As a nurse returning to school to further my education, I would like to know if pursuing a career as an ACNP would be a viable option for me to continue to interact with patients in an acute care setting in a more specialized role.

Hamric explains, advanced practice nursing as patient centered and skillful activities provided to improve population outcomes. Hamric focuses on educational and clinical practice, criteria and competencies. The baseline criteria include graduate education, certification and patient/family focused. The education of an APN is graduate level with specialized knowledge of an advanced practice role and supervised practice. Professional certification is required for advanced practice with a focus on a certain population. The competencies include: direct clinical practice, holistic perspective, therapeutic partnerships, expert clinical performance, reflective practice, use of evidence, and diverse approaches to health (Hamric et al., 2014, p. 76).

While attending the Jewish Home Lifecare program called The Geriatric Career Development, I have become a senior leader. While being a senior leader to the rising juniors I aided them in issues that may occur within a health care setting. For instance, occasionally my elder mentor forgot about me, but I continued to interact with her and be attentive of her feelings and what she was experiencing. Oftentimes in the Jewish Home, the elders are released to their homes, and sometimes due to their faded short term memories, they fail to remember you.

para. 1). Registered Nurses should be emotionally stable, so they can help the families through rough times (“Registered Nurses” U.S. para. 47). An RN also needs to be organized, and to make sure the patient gets what they need when needed (“Registered Nurses” U.S. para. 48). All RN’s will need to have the patients medical issues, and problems handy and to give the patients, and their medicines when the patients need it (“Registered Nurses” U.S. para. 8). An RN will usually records what the patient is doing, sometimes work with medical machinery, talk to doctors about the patient, and help the patient and the patient’s family on how to deal with their medical problems (“Registered Nurses” U.S. para. 8). Another important thing that an RN will need is to have the physical stamina and to be ready to lift or transfer patients (“Registered Nurses” U.S. para. 49). An RN will have to be able to lift at least 10 pounds, maybe even 20 pounds (“Registered Nurse” para. 4). A person in this career should have an energy level that is somewhat high, has a skill that is interpersonal, and a knowledge that is a little scientific (“Career” para. 6). If you happen to be an RN in a nursing home, an RN will watch over the LPN’s and CNA’s, may start fluids for the patient, make plans for treatments, and manage the patients health

Credentialing from advanced practice registered nurses (APRNs) perspective is defined as “furnishing the documentation necessary to be authorized by a regulatory body or institution to engage in certain activities and use a certain title” (Hanson, 2014). Credentialing is also define from a local institutional process that consider specific documentations for APRN before they assume the practice role as APRN within their facility. In health care system, credentialing ensures individuals meet required standards of practice and is prepared to perform those duties implied by the credentials. National certification and education are considered as part of credentialing for APRN to acquire basic level of competence to practice. (Hanson, 2014)

The helping role domain contains proficiencies associated with starting a healing bond, offering comfort, and including patient in the management of care. The teaching-coaching domain involves education and goal setting at the appropriate time during patient care. The diagnostic and patient monitoring domain concerns competencies of continuous assessment and patient goal setting (Brykczynski, 2014). The effective management of rapidly changing situations domain contains competencies involving rapid response with resources during emergency conditions. The administering and monitoring therapeutic interventions domain concerns competencies associated with avoiding difficulties associated with hospital admissions, wound management, and medicine treatment (Alligood, 2014). Monitoring and ensuring the quality of health care practices domain concerns competencies involving safety, quality, technology, and partnership with physicians (Brykczynski, 2014). The organizational and work-role competencies domain involves competencies in important situations, group development, organizing and delivering care (Brykczynski, 2014). The domains describe competencies that are utilized and intersect during the nursing care for a

The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and