Feb 23, 2024 Different advanced practice roles and scope of practice in nursing
Different advanced practice roles and scope of practice in nursing Different advanced practice roles and scope of practice in nursing Advanced practice nurses (APNs) are nurses with advanced training and certification, usually a master’s degree or a DNP. They provide patient care with more autonomy than registered nurses (RNs) and have more responsibility, including assessing patients, diagnosing, and prescribing treatments (Schober et al., 2020). Although the transition to APN is exciting for RNs, they often face various challenges due to the expansion in the scope of practice and increased responsibilities. Thus, identifying a mentor will be crucial for a smooth transition to the APN role. The purpose of this paper is to discuss APN roles, explain the reason for choosing the nurse practitioner role, and describe the RN to APN transition. Four APN Roles The four APN certifications and roles include certified nurse practitioner (CNP), clinical nurse specialist (CNS), certified nurse anesthetist (CRNA), and certified nurse midwife. This section will discuss in depth the role, educational preparation, and work environment of each APN certification. CNP CNPs are autonomous clinicians mandated to diagnose and manage conditions founded on evidence-based guidelines. Although they work autonomously, they collaborate with other healthcare providers. They apply nursing principles that center on treating the patient as a whole individual instead of only the condition. The roles of NPs include carrying out comprehensive assessments and employing diagnostics reasoning to identify patients’ health needs and diagnoses (Schober et al., 2020). CNPs prescribe pharmacological and non-pharmacologic treatments, refer patients, and provide health education and counseling on health promotion, disease prevention, and health restoration. They initiate and engage in activities that foster safety in care, community partnership, and improved population health (Ko et al., 2019). CNPs must be holders of a master’s or doctor of nursing practice (DNP) degree, and one must have a valid RN before enrolling in an NP program. CNPs practice in various settings, including general hospitals, private practices, medical centers, and physician offices. Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Different advanced practice roles and scope of practice in nursing CNS CNSs are expert clinicians obligated to provide clinical care in specialized areas of nursing practice to patients and families, including diagnosis and treatment of diseases. They lead and support nurses in providing scientifically-based, evidence-based care, influencing outcomes in nursing practice. CNSs have an indirect role in executing improvements in the healthcare delivery system and implementing high-quality evidence into clinical practice to enhance clinical outcomes (Schober et al., 2020). Furthermore, CNSs are tasked with researching to generate knowledge that guides practice. Educational requirements for a CNS include a master’s or DNP degree in a CNS program from a recognized institution. A BSN degree and active RN license are a requirement for a CNS education program. CNSs work in general hospitals, physician offices, medical centers, and private practices. Struggling to Meet Your Deadline? Get your assignment on Different advanced practice roles and scope of practice in nursing done on time by medical experts. Don’t wait – ORDER NOW! Meet my deadline CRNA CRNAs plan and administer anesthesia, pain management, and associated care to patients with a wide range of health conditions across. They provide anesthesia-related care for diagnostic, surgical, and therapeutic procedures in specialties. CNSs also prescribe and administer post-anesthetic medications, conduct post-anesthesia assessments, provide advanced pain management, and provide patient education on recovery (Tamura et al., 2021). Furthermore, CRNAs take other roles as clinicians, leaders, educators, researchers, patient advocates, and administrators. CRNAs must have graduate training in anesthesia and must be licensed RNs. CRNAs practice in Hospitals, ambulatory surgery centers, pain clinics, critical access hospitals, and offices of dentists, ophthalmologists, and plastic surgeons CNM CNMs provide lifelong gynecological and reproductive healthcare services to women in preconception, pregnancy, childbirth, postpartum, and through to menopause. They monitor maternal health and fetal growth during the prenatal period and manage pregnancy-related conditions. They carry out low-intervention techniques during childbirth to induce labor and alleviate pain (Schober et al., 2020). In addition, they conduct physical exams, order and interpret lab results, develop treatment plans for patients, and prescribe treatment. They also provide health education on family planning and breastfeeding. CNMs must have at least a master’s degree from a recognized degree program and be licensed RN. They practice in hospitals, physicians’ offices, community healthcare clinics, outpatient care centers, and private birth centers. The Rationale for Choosing CNP Role The CNP was my APN role of choice because NPs practice autonomously. I chose to pursue a CNP program because I will be trained to integrate clinical skills in nursing and medicine to assess, diagnose, and develop treatment plans for patients in primary healthcare settings. Besides, I chose CNP because NPs are considered primary care providers (PCPs), and I will thus be providing care to patients with acute and chronic conditions. CNPs, as PCPs, are in high demand due to the shortage of physicians, which makes this role more attractive due to high job opportunities (Ko et al., 2019). The CNP role was preferred over the CNS role because NPs work generically in various practices and settings, while CNSs are limited within a specialist field of practice. NPs are autonomous and take full clinical responsibility for managing patients, whereas CNSs often share clinical responsibility with other health professionals (Ko et al., 2019). Furthermore, NPs in most states have prescribing authority, while CNSs have a limited level of prescribing authority. As a CNP, I will work with a diverse patient population, whereas a CNS will be defined by the practice populations like cardiology or oncology. Plans for Clinical Practice After graduating from the NP program, I plan to continue working in my current organization (a general hospital) but at a higher level of practice. I plan to work in the current hospital because it has an orientation program for new-graduate NPs where experienced NPs guide them in the role transition. I will request to be allocated to the inpatient unit, where I will work with other healthcare professionals in managing patients with complex conditions. I believe this will adequately prepare me to independently assess, diagnose, and prescribe treatments in the outpatient setting. I will also ensure that I am a healthcare team member since I will learn more about treatment interventions for various conditions from specialists and contribute to patients’ management. I have gained more insight from the research on ANP roles since I have learned that a CNP is answerable and responsible for advanced levels of clinical decision-making. I have also realized that CNPs are unique since they provide direct care to patients with undiagnosed conditions and continuous care for patients with established diseases (Ko et al., 2019). Thus, I will be expected to work collaboratively with other healthcare professionals to optimize patient outcomes. Role Transition The transition from RN to NP will come with many changes since my responsibilities will significantly increase as my scope of practice expands. Unlike when I was an RN, I will be required to take full responsibility for patient management and will be accountable for the clinical interventions I make. Factors that might impact my transition include the NP orientation program in our organization and my vast RN experience. The orientation program will assist me in navigating elements of the NP role that may not have been articulated in the NP program (Murphy & Mortimore, 2020). I will be assigned a preceptor to supervise me and provide feedback to ensure I am in line with my expected output. My vast RN experience makes me understand the difference between the RN and NP scope of practice. Thus, I will not have challenges in identifying my roles concerning patient care and implementing them. The approaches I will take to promote a successful role transition include finding a mentor. I will identify a mentor who has experienced the role transition to give personal insight into the details of the new NP role (Murphy & Mortimore, 2020). Although I have vast RN experience, I will set practical expectations and anticipate facing a transition back to a novice APN despite years of being an expert RN. I plan to embrace new knowledge from other providers and embrace challenges when learning. Conclusion APNs have expanded roles and responsibilities in assessing and managing patients owing to their advanced training. A master’s degree and RN license are prerequisites for any APN master’s degree program. CNPs practice autonomously and are PCPs since they assess, diagnose, order tests, and prepare treatment plans. The NP orientation program will impact my transition to an NP in our organization as well as my RN experience. However, I plan to find a mentor and set practical expectations when transitioning. Different advanced practice roles and scope of practice in nursing References Ko, A., Burson, R., & Mianecki, T. (2019). Advanced nursing practice roles: closing the knowledge gap. Nursing Management, 50(3), 26-36. doi: 10.1097/01.NUMA.0000553494.24977.2d Murphy, K., & Mortimore, G. (2020). Overcoming the challenges of role transition for trainee advanced clinical practitioners. Gastrointestinal Nursing, 18(5), 35–41. doi:10.12968/gasn.2020.18.5.35 Schober, M., Lehwaldt, D., Rogers, M., Steinke, M., Turale, S., Pulcini, J., … & Stewart, D. (2020). Guidelines on advanced practice nursing. Tamura, T., Sakai, T., Henker, R., & O’Donnell, J. M. (2021). Certified registered nurse anesthetist and anesthesiologist assistant education programs in the United States. Nagoya Journal of Medical Science, 83(3), 609–626. https://doi.org/10.18999/nagjms.83.3.609 The final assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: NP, nurse educator, nurse informaticist, and nurse administrator. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations. Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 10–12 pages excluding the title and reference, and APA format is required. Criteria: Advanced Practice Roles in Nursing: Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and research. Selected Advanced Practice Role: Examine regulatory and legal requirements for the state in which you plan to practice. Describe the professional organizations available for membership based on your selected role. Identify required competencies, including certification requirements for your selected role. Predict the organization and setting, population, and colleagues with whom you plan to work. Leadership Attributes of the Advanced Practice Role: Determine your leadership style (http://psychology.about.com/library/quiz/bl-leadershipquiz.htm). Identify leadership attributes you currently possess, and attributes you may need to develop. Determine how to attain and evaluate those missing attributes. Health Policy and the Advanced Practice Role Visit the Robert Wood Johnson Foundation (http://www.rwjf.org/en/about-rwjf/newsroom/features-and-articles/health-policy.html) and identify a health policy issue. Conduct a review of literature and address the following: Describe the current policy and what needs to change; justify your conclusions with citations from the literature. Provide the process required to make the change with key players and parties of interest. Explain how you could lead the effort to make or influence the change in policy. Predict the effect on healthcare quality if the change in policy is implemented.
Order a similar assignment, and have writers from our team of experts write it for you, guaranteeing you an A
