Feb 23, 2024 NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion 2
NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion 2
NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion 2
It honestly all depends on how you look at the statement to determine if her colleague is right or not. Yes, being an NP is going to be great because I will get to diagnose and write prescriptions. This is how I intend on furthering my education to be able to care for patients. Ultimately, the accountability will not fall on the physician that I am working with. Those decisions are made by me using my license, so I don’t agree. In all reality, I’m sure that if it were to go to court, the physician who does oversee the practice may also get in a form of discipline as well. I don’t believe this is a reason to go back to get my NP though.
After exploring the four APN roles, I actually learned more about the different types of nurse practitioners than I thought I knew. I was most familiar with the CNP and CRNA. Learning that the CNS was clinically very close to that of the CNP. The CNS will provide clinical expertise and leadership in many areas including hospitals, communities, outpatient settings, and long-term settings (Devine, 2017). The responsibilities are essentially very close in nature, providing diagnosis and treatment, health promotion, disease management, prevention, and risk reduction. (Devine, 2017). The CRNA is what I believe to be the best option for Jessica. This role will utilize the experience that she has in surgery, emergency, and pediatrics. She will have autonomy with this role. Being a CRNA comes with tremendous responsibility and a great deal of accountability (Wojciechowski, 2017). The CNM is a NP that specializes in women’s reproductive health and childbirth. Jessica has no experience in OB/GYN, or Labor and Delivery, so this would not be the area of choice that I would choose if I was in Jessica’s situation.
Devine, A. (2017). Clinical Nurse Specialist (CNS) or Certified Nurse Practitioner (CNP)? Industry. Retrieved from https://nurse.orgLinks to an external site. Wojciechowski, M. (2017, January 26). Behind the scenes with a CRNA. [Web log post]. Retrieved from https://dailynurse.comLinks to an external site.
Struggling to Meet Your Deadline?
Get your assignment on NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion 2 done on time by medical experts. Don’t wait – ORDER NOW!
Meet my deadline
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion 2:
Jessica, a baccalaureate prepared registered nurse, has been practicing for 8 years. Throughout her nursing career, she has worked in pediatric, surgical, and emergency departments. She worked as a floor nurse, a charge nurse, and she was recently offered a position in Nursing Administration. A stipulation for becoming a nurse administrator is that Jessica must attain a Master of Science in Nursing degree within 2 years of accepting the position. The offer prompted Jessica to contemplate her career. She is interested in returning to college, and wants to have greater impact on patient care but isn’t sure she will find that in an Administrative role, nor is she sure is ready for the responsibility of becoming a Nurse Practitioner. Jessica has decided to explore the advance practice roles available in nursing in order to determine the best MSN track for her. Jessica must choose one role (CNP, CRNA, CNS, CNM) and apply to a program, but she is unsure about the different roles and their individual scopes of practice. One colleague states, “You know, Jessica, working as an NP is great because you can diagnose and write prescriptions, and the accountability will fall on the physician you are working with.”
Discussion questions:
Is Jessica’s colleague right? Why or why not?
Explore the four APN roles, and compare and contrast the pros and cons of each role against each other in order to determine the best choice for Jessica. Consider issues such as work environment, level of accountability, patient population, salary, and scope of practice. Include each role of the APN on the list, and be certain to provide appropriate rationales and citations.
ORDER NOW FOR INSTRUCTIONS-COMPLIANT, ORIGINAL PAPER NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion 2
As their scope of practice and autonomy increases, NPs are being held legally accountable for their actions (Iglehart, 2013). Nurse practitioners must pass classes and certification requirements regarding understanding the legal obligations of prescribing medications (Iglehart, 2013). Regardless of an NPs scope of prescriptive authority, the standard of practice and care is to ensure that any medication prescribed is compatible with other medications a patient is taking and that the correct medication is prescribed. The $525,000 settlement awarded to Sherry Huelskamp (Huelskamp v.Patients First Health Care, LLC) in 2014 against nurse practitioner Barbara King for prescribing the wrong medication emphasizes these standards.
The four APN roles currently defined in practice are Nurse Practitioners (NP), Clinical Nurse Specialists (CNS), Certified Nurse-midwives (CNM), Certified Nurse Anesthetists (CNA). A CNS typically works in a specialized area of nursing practice defined by parameters, such as disease, setting, population (Judge-Ellis & Wilson, 2017). The CNA is restricted to administering pre- and post-anesthesia care to patients for surgery and other procedures. The CNM provides healthcare services to women, such as gynecological services, pregnancy and childbirth care, postpartum services, etc. Jessica will do well in the NP role because of her nursing background and the ability of the NP to serve the same patient populations as the other APN roles. Furthermore, the CNM, CNS, and CNA roles are too restrictive in that nurses who work in these specialized areas of the nursing practice provide distinct services. According to the U.S. Department of Health and Human Services, the most common type of APN is the nurse practitioner (Judge-Ellis & Wilson, 2017). NPs are trained to provide a wide range of primary and acute health care services. NPs diagnose and treat medical conditions, as the scope of practice has expanded to allow NPs to perform many of the same medical services as a physician to include writing prescriptions in approximately 20 states (Judge-Ellis & Wilson, 2017). The median annual salary for NPs is $103,000 (Judge-Ellis & Wilson, 2017). In the other APN roles, Jessica would have to obtain further training if she wanted to expand her scope of practice.
NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion 2 References:
Iglehart, J. K. (2013). Expanding the role of advanced nurse practitioners, risks and rewards. New England Journal of Medicine, 368(1935). Retrieved from DOI: 10.1056/NEJMhpr1301084
Judge-Ellis, T., & Wilson, T. R. (2017). Time and NP practice: Naming, claiming, and explaining the role of nurse practitioners. The Journal for Nurse Practitioners, 139(9), 583-589. Retrieved from DOI: https://doi.org/10.1016/j.nurpra.2017.06.024
I appreciate your honesty. I also feel that most NPs are not fully aware of the regulations governing practice in their respective states, nor are NPs fully aware of the liabilities associated with the various APN roles. Even if current and future NPs feel they are knowledgeable about both topics, regulations governing practice and liabilities, they should constantly educate themselves on these matters. In nursing, laws and acceptable practices change all the time. NPs must know the current laws guiding practice at all times. We already know that most physicians view NPs as a threat and that most insurance companies and state/federal policies regarding NPs scope of practice are slow to change; therefore, we must protect ourselves and our profession. The Oregon Nurses Association (2018) has re-posted an article by the Journal for Nurse Practitioners that discusses/gives an overview of APN/NP liability claims. The article contends since the NPs role in healthcare has broadened, it is important that NPs review liability claims to develop “useful risk-management strategies” (Oregon Nurses Association, 2018).
References
Oregon Nurses Association. (2018). The journal for nurse practitioners’ article: “NP professional liability: A synopsis of the CNA heal. Retrieved from http://www.oregonrn.org/?389
I enjoyed reading your post. Your initial sentence is absolutely correct – as nurses education and scope increased, so does the responsibility and liability for performing the correct actions on behalf of a patient.As health care delivery has continued to evolve, many Americans are using NPs for much of their health care needs, making nurse practitioners a critical component of the modern system. This growth in demand and responsibility has also increased and evolved the many risks NPs face in their work environments.As future nurse practitioners, the need to purchase our own professional liability insurance policy is a reality.
A recent review of NP claim report insights show that the majority of claims against NPs developed from a failure involving competencies, such as diagnosis, medication prescribing, or treatment and care management. Allegations related to failure to diagnose and improper prescribing/managing of controlled drugs were found most frequently. This reality displays that nurse practitioners are responsible for reviewing, following up on, and documenting the results of appropriate tests and consultations in a timely manner, as well as properly evaluating each patient prior to prescribing medications. As always, remaining current regarding clinical practice, the need to document al medical treatment, including the care plan, laboratory and diagnostic testing, procedures performed, and medication provided in a timely and objective manner, and engage in an informed consent discussion are some ways to prevent errors and create liability. Increased liability has increased with our soon to be scope of practice. Knowing this in advance can help us prepare appropriately.
Reference:
Stanik-Hutt J, Newhouse RP, White KM, et al., (2013). The Quality and Effectiveness of Care Provided by Nurse Practitioners. J Nurse Practice;9(8):492–500.
Order a similar assignment, and have writers from our team of experts write it for you, guaranteeing you an A
