Feb 23, 2024 NR 500 WEEK 2: Roles in Advanced Practice Nursing
Sample Answer for NR 500 WEEK 2: Roles in Advanced Practice Nursing Included After Question
The Roles in Advanced Nursing Practice paper is worth 150 points and will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
Submit your manuscript as a Microsoft Word Document, which is the required format at Chamberlain University. You are encouraged to use APA Academic Writer and Grammarly when creating your assignment.
Follow the directions and grading criteria closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
The length of the paper is to be 3-6 pages, excluding title page and reference pages. Support ideas with a minimum of 2 scholarly resources. Scholarly resources do not include your textbook. You may need to use more than 2 scholarly resources to fully support your ideas. You may use first person voice when describing your rationale for choosing the CNP role and your plans for clinical practice.
Struggling to Meet Your Deadline?
Get your assignment on NR 500 WEEK 2: Roles in Advanced Practice Nursing done on time by medical experts. Don’t wait – ORDER NOW!
Meet my deadline
APA (2010) format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, bold, centered):
Roles in Advanced Practice Nursing (introduction)
Four APN Roles
Rationale for Choosing CNP Role
Plans for Clinical Practice
Role Transition
Conclusion
Preparing the paper:
The following are best practices for preparing this paper:
Review Chapter 1: Introduction to the Role of Advanced Practice Nursing in DeNisco and Barker (2015).
Review DeNisco and Barker (2015) Chapter 30: Introduction, Transitioning Roles, and Strategies for a
Successful Transition sections
Introduce the topic of the paper. Describe what you will be covering.
Explore the four APN roles (CNP, CNS, CRNA & CNM). Describe each role, educational preparation, and work environment. Provide support from at least one scholarly source.
Describe your rationale for choosing the CNP advanced practice role versus one of the other roles.
Discuss your plans for clinical practice after graduation. How has your idea of NP practice changed after
researching these roles?
Review DeNisco and Barker (2015) Chapter 30: Introduction, Transitioning Roles, and Strategies for a Successful Transition sections addressing the transition from the registered nurse (RN) to the nurse
practitioner (NP) role, describe two factors that may impact your transition. Discuss two strategies you will use to support a successful transition from the RN to your NP role. Provide reference support from at least two scholarly sources. The textbook is not a scholarly source.
Provide a conclusion, including a brief summary of what you discussed in the paper.
A Sample Answer For the Assignment: NR 500 WEEK 2: Roles in Advanced Practice Nursing
Title: NR 500 WEEK 2: Roles in Advanced Practice Nursing
NR 500 WEEK 2: Roles in Advanced Practice 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 NR 500 WEEK 2: Roles in Advanced Practice Nursing 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.
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.
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
NR 500 WEEK 2 Roles in Advanced Practice Nursing
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.
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
(No Running head needed per 7th edition for student papers)
All pages must have a page number as on the template.
Title of Paper
Student Name
Chamberlain University: Nurse Practitioner Track
NR00NP Foundational Concepts and Advanced Practice Roles
Instructor
Date (e.g. July 1, 2022)
Do not change font size. Font size stays the same throughout the APA paper
Double space only throughout the entire APA paper, including references
Visit the writing center for help with your paper. Can locate in course resources as well:
https://mychamberlain.sharepoint.com/sites/StudentResourceCenter/WC
Title of Paper
(Centered and Bolded – should be the same as title on page 1 – title page)
Four APN Roles
(Level 1 Heading: Centered, Bold, Title Case Heading)
Discuss in detail the four APN roles (CNP, CNS, CRNA & CNM). Use at least one scholarly source and include an intext citation for that source. Paraphrase the content you are using from your resource and cite correctly. Include a description, the education preparedness and work environment of each role.
CNP (Level 2 heading: Flush left, Bold, Uppercase and Lowercase Heading, no other punctuation)
Start paragraph under heading and indented. Description, educational preparedness, and work environment
CNS (Level 2 heading: Flush left, Bold, Uppercase and Lowercase Heading)
CRNA (Level 2 heading: Flush left, Bold, Uppercase and Lowercase Heading)
CNM (Level 2 heading: Flush left, Bold, Uppercase and Lowercase Heading)
Rationale for Choosing CNP Role (Level 1 Heading)
Discuss in detail your rationale for choosing the CNP advanced practice role versus one of the other roles.
Plans for Clinical Practice (Level 1 Heading)
Discuss in detail your plans for clinical practice after graduation. Explain how your understanding of NP practice has changed after researching the four ANP roles.
Role Transition (Level 1 Heading)
Discuss your transition from the RN role to the NP role. Describe two factors that may impact your transition. Discuss two strategies you will use to support a successful transition from the RN to NP role. Provide reference support from at least one scholarly source. The textbook is not a scholarly source.
NR 500 WEEK 2: Roles in Advanced Practice Nursing Conclusion (Level 1 Heading)
Provide a conclusion, including a brief summary of what you discussed in the paper. Do not introduce new information into your conclusion paper. A good rule of thumb is to have a sentence for each main idea/criteria you discussed in the paper.
NR 500 WEEK 2: Roles in Advanced Practice Nursing References
Please make sure you to review the 7th edition APA book to cite your references here. Please note: you do not list a reference unless you cited the reference in your paper.
References are double spaced. References have a hanging indent and are in alphabetical order.
NR 500 WEEK 2: Roles in Advanced Practice Nursing Resource:
https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_basic_rules.html
Roles in Advanced Nursing Practice
The four categories of Advanced Practice Registered Nurses (APRNs) include Certified Nurse Practitioners (CNPs), Clinical Nurse Specialists (CNS), Certified Registered Nurse Anesthetists (CRNAs), and Certified Nurse Midwives (CNMs). APRNs are mostly primary care providers and are usually at the forefront of offering preventive care services to the general population (Urbanowicz, 2019). They treat and diagnose health conditions, manage chronic illnesses, educate the public on health issues, and take part in continuous education to remain up-to-date with advancements in healthcare. This paper describes the APRN roles and discusses my chosen APRN role, plans for clinical practice, and role transition.
APN Roles
The four APRN practice specialties are CNP, CNS, CRNA, and CNM. The roles of CNPs include: Assessing and diagnosing patients, ordering and interpreting diagnostic tests, developing treatment plans, prescribing and administering pharmacological and non-pharmacological treatments, providing patient education, and keeping patient health records (Parker & Hill, 2017). A CNP is a master or DNP-prepared nurse. A Bachelor’s degree in Nursing (BSN) is required before enrolling in an NP program. NPs work in hospitals, medical centers, doctors’ offices, and private practice and are certified to work with certain populations based on the sub-specialty.
CNSs drive practice changes in their care settings and ensure the implementation of best practices and evidence-based care to attain the best possible patient outcomes. CNSs take part in: Diagnosing patients, developing patient treatment plans, ordering and interpreting tests, guiding other nurses, providing nursing leadership, and researching and executing new patient care policies (Fukuda et al., 2020). The education requirements for a CNS include at least a master’s in nursing, and BSN is a prerequisite for a CNS program. CNS work in hospitals, large health systems, and private practice.
CRNAs assess patients and their medical history to determine the suitable course of anesthesia, make plans for anesthesia delivery, and administer anesthesia. CRNs also monitor patients during and after anesthesia and conduct additional treatments, including epidurals (Boyd, 2017). They educate patients and their families about anesthesia and its effects and respond to emergencies. The educational requirements include a minimum of an MSN, and a BSN is required to join a CRNA program. CRNAs work in hospitals and medical centers.
CNMs are tasked with providing primary, gynecological, and reproductive health care services. The roles of CNMs include: Educating clients on pregnancy, breastfeeding, and infant care topics, testing for STDs, providing care and administering pain medication in the intrapartum period, providing postpartum care, and providing primary care to women (Parker & Hill, 2017). An MSN is the minimum educational requirement to become a CNM, and a BSN or bridged ADN is required to enroll in a CNM program. CNMs practice in hospitals, medical centers, birthing centers, and private practice.
The Rationale for Choosing CNP Role
I chose the NP role because NPs play a vital role in the health care landscape by offering wellness guidance and crucial care services to patients. NPs are valuable in managing patient caseloads at clinics, hospitals, and medical practices, since they work along with physicians and specialists in providing patient care (Parker & Hill, 2017). Besides, the role of NPs is increasingly becoming essential since many individuals struggle to access care resources in some areas, especially rural and remote areas. NPs have greater autonomy, career growth, and personal satisfaction since they are not limited to the bedside (Parker & Hill, 2017). I also chose the CNP because of its high job prospects. With the anticipated shortage of primary care physicians, NPs are in high demand to close the gap and provide primary care to patients with increased healthcare needs (Parker & Hill, 2017). Besides, there will be an increased need for healthcare with the aging population, especially among patients with chronic illnesses. As a result, NPs will be in high demand to help meet the population’s healthcare needs.
The CRNA role was not a career path of choice because CRNAs have a narrow range of care than NPs. Unlike NPs who can establish their private practice, CRNAs are limited to hospitals and medical centers since they do not offer assessment, diagnosis, and treatment services (Boyd, 2017). Besides, CRNAs have lower job prospects than NPs since their practice settings are limited to settings where anesthesia is delivered. For instance, the expected job growth of NPs is 36% from 2016 to 2026, which is higher than the average for all professions (Parker & Hill, 2017). On the other hand, CRNA has an expected job growth of 16% from 2016 to 2026.
Plans for Clinical Practice
After graduating from the NP program, the Family Nurse Practitioner (FNP) specialty is my plan for clinical practice. As an FNP, I will be tasked with providing primary care services to patients across the lifespan ranging from infants to older adults. My roles will include conducting well exams, performing physical exams, screening for disease symptoms, prescribing treatments, and ordering tests to enhance patients’ overall well-being (Parker & Hill, 2017). In addition, I will take part in promoting healthy nutrition, exercise, and lifestyle habits through patient education. I will also communicate with families, coordinate with patients’ caregivers, and refer patients with complex conditions to specialists.
From the research on FNP roles, I have learned that NPs stand out from other APRNs by viewing a patient’s health and well-being from a holistic perspective. One of NPs’ main roles in the healthcare field is to address the shortage of physicians and reduce healthcare costs. NPs thus have a crucial role in helping to solve the increasing primary care shortage, reducing healthcare costs, and improving patient satisfaction (Parker & Hill, 2017). I have also learned, that NPs unlike other APRN roles, can specialize in several areas, including neonatal nursing, pediatrics, adult-gerontology acute care, adult-gerontology primary care, psychiatric mental health, women’s health, and family nursing (Parker & Hill, 2017). Furthermore, I have learned that NPs’ scope of work differs based on their area of specialization, the patient population they manage, and the state of practice.
Role Transition
As I transit from the RN to NP role, I expect to enjoy increased career autonomy and a wider range of clinical responsibilities from my scope. My new scope of practice will allow me to carry out clinical duties beyond the RN scope of practice. For instance, I will have the autonomy to evaluate and diagnose patients, order and interpret diagnostic tests, initiate and manage treatment plans, and prescribe medications (Urbanowicz, 2019). I will provide these services to individuals across the lifespan, including healthy and sick clients, to promote better health outcomes
Factors that may impact the transition to the NP role include my previous experience as an RN and a supportive work environment. As an RN, I worked alongside physicians and specialists, where I gained immense knowledge and skills on taking history, conducting physical exams, making differential diagnoses, and developing treatment plans. The knowledge and skills a nurse acquires as an RN create a firm foundation that helps the new NP carry out the new clinical duties (Urbanowicz, 2019). Besides, having a supportive work environment with experienced NPs that I can consult will significantly help in the transition process (Urbanowicz, 2019). A supportive environment helps to promote a sense of self-confidence, competence, and satisfaction.
Strategies that will support a successful transition include getting a mentor to guide me through the role transition. The mentor will be an experienced FNP and will provide formal orientation to my new NP roles. Mentorship is essential for a successful transition from RN to NP (Mounayar & Cox, 2020). Besides, I will ask for a formal orientation in my first FNP job, which will support me during the transitional period (Mounayar & Cox, 2020). During the orientation, I will set weekly objectives and request that my supervisor assesses and offers feedback on my achievement and progression.
Conclusion
APRNs are primary care providers and provide preventive, curative, and rehabilitative care services to patients. CNPs provide primary, acute, and specialty health
Order a similar assignment, and have writers from our team of experts write it for you, guaranteeing you an A
