Competency is Central for an FNP Career As an aspiring family nurse practitioners (FNP), it is important to gain insight into the role, responsibilities, and experience of the daily duties. FNPs are able to diagnosis and treat illnesses in collaboration with physicians. While it is an exciting role, it is necessary to get a full understanding of the profession. For this reason, an interview was conducted with a FNP. In order to fully prepare for the experience, it was necessary to carefully identify questions that capture the heart of the experience. These questions were combined with the questions provided for the assignment. To this end, a comprehensive interview was conducted that revealed a case study like approach of the FNP experience. …show more content…
For this reason, the National Organization of Nurse Practitioner Facilities (NONPF) (n.d), here are competencies set forth standards for NPs in the areas of scientific foundation, leadership, quality, practice inquiry, technology and information literacy, policy, health delivery system, and According to I-Wen,Yea-Ing, Pei-Kwei, and Woung-Ru (2012), a national survey found that nurse practitioners have a higher perception of competencies than the actual use of them. For this reason, it is necessary to have the perception and usage of competencies to be in alignment. This is accomplished by delineating the competencies along with the application.
Scientific Foundation NPs must know, embrace, and practice the scientific merit of research. This is the bases for having an evidence based practice to provide optimal health services for community members. According to Facchiano and Snyder (2013), it takes critical evaluations of studies to determine the credibility of studies to establish a sound evidenced-based practice. The application of the knowledge of evidence is vital to advancing the profession of nursing. As NPs, the scientific foundation must be an intricate part of providing daily care.
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Beginning her career in nurse as a state test nurse assistant 35 years ago, Nurse Trina appreciates all aspects of the nursing experience. As a young adult, she wanted to work in a hospital setting to establish her nursing interest. Over the years, she went back to school to become a licensed practical nurse (LPN), a registered nurse (RN), and finally a FNP. She is currently working in an office with an internist. Her most noteworthy experience is in pediatrics. Although she does not treat children often, there was a situation that required Nurse Trina to evaluate the extent of using her license. There was a child that came into the urgent care. She had to give the child a tetanus vaccination. The child was restraint even with the help of two other nurses. In the end, she had to use hemostats to remove the needle which had broken inside of the child. This experience led her to realize that pediatric nursing was definitely not an area of interest. There were several other experiences that led the FNP to conclude that her skills were best used in
For this assignment, I had the opportunity to interview Samantha Hage De Reyes, family nurse practitioner, currently working at the University of California, Riverside (UCR) Health Center in Riverside, CA. Family nurse practitioners are described as health professionals with analytic skills for evaluating and providing evidence-based, patient-centered care across settings, and advanced knowledge of the health care delivery system (Hamric, Hanson, Tracy & O’Grady, 2014). My objective was to ask a series of questions pertaining to the role of a family nurse practitioner, challenges concerning this nursing role, opinions regarding the future of family nurse practitioners, and more. This interview was conducted over the phone, and it was a valuable opportunity to learn more about what it means to be a family nurse practitioner and to start thinking about what I want to achieve in my own
Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.
Nurse Practitioner Core Competencies are a set of competencies that guides and regulates the scope of practice for Certified Nurse Practitioners (CNP). Patients and organizations benefit highly from nurses working at the top of the education in their profession. As a license Advance Professional, education will help innovate and govern our needs related to patient care, safety, evidence-base practice, and improvement of positive patient outcomes. Nurse Practitioner Core Competencies consist of Leadership, Quality, Practice Inquiry, Technology/Information Literacy, Policy, Health Delivery System, Ethics, and Independent Practice Competencies.
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
The success of NPs depends on practicing evidence-based care with competency in assessment, diagnosing, managing patients, and maintaining a caring practice. The nursing component of the NP role continues to be challenged from within nursing, as well as by large national physician organizations. NPs are extensions of nursing practice who are guided by nursing theory. The transformation from nurse to the advanced practice role of NP involves development of advanced knowledge and skills for listening, knowing, being with patients, connecting patients to their communities, promoting health,
The Nurse of the Future Nursing Core Competencies (NOF Core Competencies) were selected to show the correlation of competency based education and practice partnership. This is being done nationwide so new student nurses would be more prepared with critical thinking and competent learned skills during clinicals. It encourages many nurses to continue their education with some becoming Doctors of Nursing, Nurse Practitioners’, Educators, Managers, and many more specialties.
BSN is expected to also use research studies for a basis for their decision making. ADN analyzes assessment data, where BSN synthesizes comprehensive assessment data to solve problems. ADN’s evaluate and report outcomes and plan interventions from evidence based practice, where BSN nurses compare these interventions and outcomes to benchmarks in research and evidence-based practice and plans follow-up nursing care. They both create teaching plans to promote healthy outcomes, although BSN’s go on to assess population risk (BON,
The Nurse Practitioner Core Competencies (NP Core Competencies) forms and builds upon ongoing Master’s and DNP core competencies and these are the channels and background for all graduating NP students. The NP Core Competencies can input their full scope of practice as an independent licensed practitioner. These essential competencies of an NP is fully developed by graduation, no matter what the NPs preferred speciality is. The core competencies are an essential part to face the multispecialty challenges of the changing health care system. By adding knowledge, skill, and ability to independently handle different
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.
Although the American Association of Colleges of Nursing clearly defined the role of Doctor of Nursing Practice (DNP) degree in 2004, some confusion about the academic programs still exist. The role of both the DNP and PhD-prepared individuals is to improve the quality of health care and the health of population through the use of the best evidence when assisting them in making decisions about treatment options. Melnyk, B. M. (2013). According to the national leaders in major healthcare fields, mentioned a gap between research and practice and the importance to apply research findings and engage in evidence-based practice. In order to translate this knowledge, the clinician must understand the healthcare delivery in order to help narrow the research-to-practice gap and transform health care. DNP-prepared nurses are trained to reduce the research-to-practice gap. Because most nurse lack knowledge to critically appraise research studies and the skills to effectively implement evidence-based practice (EBP) in their clinical settings.
I’m sure your perception of NP’s competencies is based on your professional and personal experiences. I have worked with multiple NPs in the adult ICU who provided exceptional care for our patients. I work with NPs who provide competent care, and an NP has been my PCP in the past. I’ve been inspired by their professionalism and that’s motivated me to pursue my degree. I have to agree with you that the training we receive is not equivalent to physicians. I understand your discomfort with NPs having broader responsibility, but we’re still required to practice within our educational preparation and scope of practice. I believe APRNs play a vital role as team members and leaders for a patient-centered health care system.
The five core competencies identified by IOM and the sixth added by QSEN, safety, are believed to be necessary to improve both quality and safety of the healthcare system within which nurses work (Multimethod teaching). The six core competencies outlined are patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics, and safety (Diffusing Qsen). While all competencies are significant to the healthcare system, patient centered care is vital to positive patient outcomes and focuses on the patient’s perspective within the healthcare system.
Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.
Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).
Ever since I began nursing school in 2012 at the University of Texas At El Paso Texas, I dreamt of furthering my education to become a Family Nurse Practitioner. During my clinical rotations I received many exposures that showed me insight into the invaluable job Nurse Practitioners offered to their patients. Through my own personal experience having received care by nurse Practitioners has left me no doubt about my desire to become a Family Nurse Practitioner.