Advance Practice Nurses ( Apns )

Among older adults aged 65 years and older are found to have difficulty in reading and to comprehend discharge instructions. This has been found to be a concern regarding continuing care and re-admission concerns throughout urban and rural hospitals. Does the integration of Advanced Practice Nurse (APN) guiding discharge education, along with a follow-up contact with the patient after discharge effect compliance and readmission rates, more than not having an APN guiding discharge teaching to help decrease readmission rates?

This paper explores the perception of clinical practitioners to the change in policy related to the advanced practice registered nurse (APRN) full practice authority. The author conducts a one-on-one, open-ended interview of 5 nurse practitioners and 5 physicians licensed to practice in Maryland on their perceptions of the recent passage of the Advanced Practice Registered Nurse Full Practice Authority. A literature review was conducted in a policy report by the professional nursing organization, and discussion within the peer-reviewed article supported an overview, regulatory differences among 50 states, including the District of Columbia. Their policy implication for enhancing APRNs role nationally. The author discusses a critical component

Advance Practice Registered Nurse (APRN) is a broad term that is used to define the masters prepared nurse that participates directly in patient care. This definition includes four different facets of nursing: certified nurse-midwives, nurse anesthetists, clinical nurse specialists and nurse practitioners (Joel, 2009). Of these four professions that are included in the APRN definition, Western Carolina University offers two: nurse anesthetist and nurse practitioner. Nurse educator and nurse leader, which are also offered at Western Carolina University, are not currently included in this definition.

According to the American Association of Colleges of Nursing (2015) the traditional roles of the advanced practice nurses include nurse practitioners, clinical nurse specialists, nurse midwives and nurse anesthetists. Therefore, the impact of the research on the practice of the preparation of DNP nurse educator requires education in evidence-based practice, quality improvement, leadership, policy advocacy, informatics, and systems theory. Furthermore, transitioning to the DNP as a nurse educator does not change the current scope of practice of the Advance Practice Registered Nurses (APRNs) for their current roles. The transition of the DNP better prepares APRNs by utilizing new models of the care delivery system and growing complexity of health

Each member of the team brings a different specialty to the table. Knowledge of each individual’s strengths and limitations can help to improve patient care and multi-disciplinary collaboration. Nurse Practioner (NP) and advance practice nurse (APN) are working to redefine roles in scopes of practice. According to research by Andregård and Jangland (2015), the introduction of the NP as a part of the healthcare team had mixed results, they ranged from “threat to professional boundaries” to “a resource for the team.” The physicians and nurses had opposing opinions on the ideology, medical or holistic the NP should align with. This can cause stress in multi-disciplinary situations and impede patient care. It is the responsibility of all health care team members to work together to define roles and provide stable care to the patient no matter the

In 2008, the coalition of members from the Alliance for Advanced Practice Credentialing and the National Council of State Boards of Nursing (NCSBN) created the Consensus Model for Advanced Practicing Registered Nurses (APRN’s). This model creates a framework for APRN’s in licensing, accreditation, certification, and education in the United States (Alleman & Houle, 2013). The establishment of this Consensus Model has developed a bases for the ARNP’s comprehensive knowledge base, ability for clinical reasoning, cultural, and ethical competencies, establishing a model of practice for ARNPs in which to follow. These concepts will be further discussed in this paper.

The competencies are essential behaviors of all NPs. “These competencies are demonstrated upon graduation regardless of the population focus of the program and are necessary for NPs to meet the complex challenges of translating rapidly expanding knowledge into practice and function in a challenging health care environment” (NONPF, 2014, para. 7). Nurse practitioner graduates have the knowledge, skills and abilities that are essential to independent clinical practice. The NP core competencies are acquired through mentored patient care experiences with emphasis on independent and inter professional practice; analytical skills for evaluating and providing evidence-based, patient centered care across settings; and advanced knowledge of the health care delivery system. The nine core competencies include scientific foundation competencies, leadership competencies, quality competencies, practice inquiry competencies, technology and information literacy competencies, policy competencies, health delivery system competencies, ethics competencies and independent practice competencies (NONPF,

The Gerontology Primary Care Nurse Practitioner competencies entail a combination of acute gerontology and primary care. In order to gain entry into this field, there is need to meet the requirements for an adult-gerontology care nurse practitioner. The competencies of this field are based on the APRN along with NP core competencies. Their scope of practice is based on patient healthcare needs. Their healthcare obligations tend to reflect the work of a national Expert Panel that entails a host of adults related to gerontology and acute care (Geetter, et al., 2013).

There have been concerns regarding the identification and credentialing of advanced practiced registered nurses (APRNs). A APRN is a registered nurse who has successfully completed an accredited graduate-level education program, in which the individual is well prepared and successfully passed the nationwide certification examination (APRN Consensus Model, 2008). However, there are still debating issues of who would fall under the APRN category. The National Council of State Boards of Nursing (NCSBN) has identified four APRNs who are deem fit to be called ARPNs; however, only two will be named. They would be certified registered nurse anesthetists (CRNAs) and certified nurse practitioners (CNPs). Whereas, the nurse informatics and the nurse administrations are not considered to be APRNs; although, they are still license registered nurses but they do not provide direct patient care and are not required to take the national certification examination (ARPN Consensus Model, 2008).

Reflecting over the last eight weeks has really opened my eyes to how much I have learned. Until this class, I thought that each state required the same things to become an Advanced Practice Nurse (APN). I just assumed each state had a board, like the Mississippi board of Nursing. It was really interesting that each state requires different things. I also was not aware that some states allow independent nursing without a collaborator. The state of Mississippi requires that the APN be in collaboration with a physician. I never really thought that this would ever be an option for the state of Mississippi. With that being said, I can understand why physicians would feel threatened with job security. I reside in a rural

AACN-Definition of Advanced Practice Registered Nurse Characteristics of the advanced practice registered nurse (APRN) were identified and several definitions of an APRN were considered, including the NCSBN and the American Nurses Association (ANA) definitions, as well as others. The characteristics identified aligned closely with these existing definitions. The definition of an APRN, delineated in this document, includes language that addresses responsibility and accountability for health promotion and the assessment, diagnosis, and management of patient problems, which includes

The advanced practice nurse is on the front lines of care being received or falling short within their community. By having direct asses to the success and failures of health care in the community, the advanced practice nurse (APN) can be the voice of patient to the officials having an impact on health care accessibility. The purpose of this paper is to address a current problem by evaluating multiple influencing factors and investigate a policy capable of changing and providing a more positive outcome.

The roles of the advance practice nurse (APN) in health policy today, are vast. APNs tend to have a deeper understanding of how current health policies directly effects their role in healthcare and their patients. In a research article by Primomo and Björling (2013), it was found that education is a key factor in influencing nurses to become politically involved in healthcare politics. Due to differences in curriculum, nurses without an advanced degrees have less exposure to the political involvement of healthcare workers.

The role of the Advanced Practice Nurse (APN) is expanding internationally throughout the healthcare system. Since the initiation of the Patient Protection and Affordable Care Act in 2010, there has been an increased need for APNs due to the growing demand for primary care services and increased population that have gained healthcare coverage (Lanthrop & Hodnicki, 2014). The purpose of this paper is to explore the role of APN and develop a professional development plan for my future career.

As the young and rapidly-aging population continues to increase, the demands of primary, acute and chronic disease management will also increase. As a result, more health care professionals who provide primary care will be needed to meet these demands. Thus, the emergence of Advanced Practice Registered Nurse (APRN) evolve. APRN is a nurse who has completed a graduate degree and has acquired advanced knowledge and skills. APRNs are grounded with theory, concepts and principles that enable them to assess, diagnose, treat and manage their patients. APRNs can work in conjunction with other health care professionals or independently. APRNs improve access to health care by providing care in the rural and underserved areas. APRNs also reduce the cost to health care (Joel, 2013).