Feb 23, 2024 NUR 513 Week 8 Benchmark – Future Scope, Role, and Professional Obligations Paper
There is no shortage of nursing organizations that set standards in nursing care, fund research, enhance education and provide opportunities for leadership through training and certification. The National League for Nursing (NLN) is one such organization whose purpose is the advancement for nurse educators through networking, research grants and skill development (National League for Nursing, 2024). The core values of NLN (2024) include caring, integrity, diversity and inclusion and excellence align with my philosophy of care which focuses on nursing and educator advancement locally within communities as well as worldwide. The NLN also offers certification in three different areas which distinguishes nurse educators as specialty nurses in the field (NLN, 2024). Membership for the NLN is $165 per year or $305 for two years, however graduate nurses in a program only pay $80 for a year which includes access to publications, resources, and discounts at meetings (NLN, 2024).
The American Nurses Association (ANA) is an organization that promotes professional training and support to enhance health care for patients and nurses alike (American Nurses Association, n.d.). Member benefits include discounts for continuing education and certification, nurse advocation at the state and federal levels through policy making and lobbying, creating connections with other nurses online and in meetings, to name a few (ANA, n.d.). The cost of membership is dependent on your role, and for me this would be $174 annually. Currently, I have an account with the ANA and often receive informative newsletters and may increase my membership as this organization is highly regarded and beneficial to the nursing community at large.
The American Association of Colleges of Nursing (AACN) works to create benchmarks of nursing education, implementation of these within nursing schools, support for the profession through research and education and increasing health care advancement (Association of Colleges of Nursing, 2024). This organization is meant for those in higher education and nursing programs which aligns with my purpose and goal of becoming a credentialed nurse educator and hopefully one day a tenured professor at a university. As a student currently enrolled in a graduate program, I have access to newsletters and scholarship offerings.
NUR 513 Week 8 Benchmark – Future Scope, Role, and Professional Obligations Paper
NUR 513 Week 8 Benchmark – Future Scope, Role, and Professional Obligations Paper
Advanced practice registered nurses (APRNs) are specialty nurses who enter the profession with specialized roles and practice scope based on the reforms occurring to improve access and quality of care. APRNs have an essential role in shaping the direction of care delivery based on their expertise and involvement in professional nursing organizations like the American Nurses Association (ANA). The scope and roles of nurse leaders continues to widen due to dynamic health environment and the need to serve diverse patient population (Stamps et al., 2021). The purpose of this paper is to discuss the scope nurse leadership specialty and three professional organizations that are most influential in advancing this scope and influence of advanced nursing. The paper also discusses a controversial issue that may impact nurse leadership’s scope of practice and role.
Future Scope, Role, Regulatory, Certification & Accreditation
My future role is being a nurse leader. Leadership is intrinsic to nursing as nurses at different levels and specialties make decisions and perform duties aimed at saving lives. The nursing professional hold more opportunities for APRNs who excel at guiding and inspiring others. The COVID-19 pandemic highlighted more than expected the critical role that strong leadership plays in nursing profession (Walker et al., 2018). The pandemic was a catalyst for change and innovation as nurse leaders from all levels of the profession responded to new challenges by creating new care models and new workflows through leveraging technology like telemedicine to communicate not just with patients but also other healthcare workers.
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There are several types of nurse leadership roles with some focusing on direct patient care, while others focus on managerial and administrative functions. Nursing leadership in clinical settings focus on patient care which entails performance of different functions associated with other medical professional. The APRNs in leadership roles can diagnose, treat, and prescribe medications to patients. The expertise of nurse leaders enables them to assess nursing practices and innovate care programs. Nurse leaders in these settings encourage reflective practices in the teams and evaluate successes and areas that require improvement to inform future practice. Their scope also includes serving as knowledge sources in specialty areas and even general medicine where they deal with both the delivery and assessment of treatment outcomes. Brunt and Bogdan (2022) assert that nurse leaders have seven roles based on the “Nursing Professional Development (NPD): Scope and Standards of Practice” framework. These include facilitators of learning, agents of change, mentor, leader, a champions for scientific investigation, advocates for specialties and partners for practice transitions.
There are four types of advanced practice registered nurses (APRNs) whose scope include diagnosing and managing patient problems as well as ordering tests and prescribing medications. These include certified nurse practitioner (CNP), clinical nurse specialist (CNS), certified registered nurse anesthetist (CRNA) and certified nurse-midwife (CNM). Aside from roles based on their specialized scope, they also promote health education, and disease prevention. Chief nursing officers (CNOs) and chief nursing executive (CNEs) are leadership roles that develop and assess practices to enhance patient safety and nursing care. Clinical nurse leaders (CNLs) oversee the care of patient groups although they may offer direct patient care. CNLs scope include implementation of evidence-based practice, evaluation of patient outcomes, and carrying out risk assessments (Turale & Kunaviktikul, 2019). The CNL also coordinates care with other healthcare professional like physicians, pharmacists, social workers, nurse practitioners and clinical nurse specialist.
Accreditation, Regulation and Certification
The accreditation, regulation and certification of nurse leaders depend on the specialty. Recognition and certification of any advanced practice registered nurse (APRN) happens when one enrolls and acquires a post graduate nursing education from accredited courses and institutions in the country. Accreditation of APRN courses happens either nationally or regionally. For instance, certified registered nurse anesthetist (CRNA) are accredited by the Council on Accreditation of Nurse Anesthesia Education Program. The body accredits all CRNA programs across the United States.
Regulatory framework for the practice of nurse leaders as APRN specialist rests in the state board of nursing for every state, including New York. The board is governed by the existing legislation, in this case, the Nursing Practice Act, that spells out the scope of practice for all APRNs, including clinical nurse leaders. For instance, New York’s Nursing Practice Act allows nurses to practice to full authority. Imperatively, as a nurse leader, one can practice independently without supervision by a physician to their fullest level of their training and education.
Certification of nurse leaders happens once they pass special certification examinations based on their specialty and scope of practice. The National Certification Examination (NCE) is offered by the National Board of Certification based on the specialty that one chooses. The implication is that nurse leaders must be specialized APRNs based on their expertise before they assume leadership roles. As such, nurse leaders must possess requisite competencies, irrespective of their specialty.
Three Professional Organizations
Professional nursing organizations are critical not only to APRNs but also to all other nurses since they allow networking, facilitate continuous professional development through conferences and research participation as well as publications. These organizations help nurses, especially nurse leaders to engage in advocacy and policymaking for the benefit of the members and other stakeholders in a unified and collective manner. The three professional associations include the American Nurses Association, the American Organization for Nursing Leadership, and the American Association of Nurse Practitioners (AANP).
The American Nurses Association (ANA) is an umbrella professional organization for all nurses, irrespective of their specialties. ANA engages in advocacy and professional development of its members. The association’s mission is using leadership to shape the future of the profession and healthcare. Founded in 1896, the association boasts of over 4 million members in the U.S. and its territories like Guam and Puerto Rico.
The American Organization for Nursing Leadership (AONL) is a professional national organization whose mission is to transform healthcare through expertise and influential nursing leadership. Previously known as the American Organization for Nurse Executives, the association altered its name to align with its mission and vision. American Association of Nurse Practitioners (AANP) is the biggest and only full-service national professional organization for all NPs in different specialties. AANP was established in 2013 after a merger between the American Academy of Nurse Practitioners and the American College of Nurse Practitioners to offer nurse practitioners from different specialties with a unified approach to network and advocate for their issues.
Of these three professional organizations, the one that I will most likely join is the American Organizational for Nurse Leadership (AONL) since I am already a member of the other two. The mission and goals of the organization align with worldview on nursing and philosophy as a nurse leader. AONL promotes and advocates the professional development of nurse leaders through innovative and competency-based learning. The organization is also keen on advocacy for positive change and a collective voice to impact the transformation in healthcare delivery. The organization also builds a community of nurses based on their diversity and embracing of new ideas and care models across the care continuum.
Membership in the organization will enhance my practice as a leader because of the benefits that I will accrue like increased opportunities to improve my competencies and networking with fellow leaders. Through these interactions, one builds credibility and evidence to offer the best care interventions for their diverse patients and motivate their teams to deliver the best care (Turale & Kunaviktikul, 2019). Membership in this organization is essential to improving overall perspective and understanding of emerging issues in nursing and care provision.
Evolving Issue Likely to Impact Nurse Leadership Practice
The changing and transformation of healthcare in the United States presents a host of issues that impact and will continue to impact nurse leaders and implore them to develop requisite competencies to address them. Key among these issues is nursing shortage (Haddad et al., 2022). The reforms and new legislations like the Affordable Care Act and associated laws like Healthcare Affordability Act of 2021 continue to expand access to health for millions of Americans. Innovative models like value-based care and increased deployment of technologies like telemedicine all demonstrate a need for more nurses, especially in different specialties to meet the diverse needs of the population. An aging population of both patients and nurses means more demand for diverse care and increased competence levels for all nurses. The implication is that nursing shortage is a critical issue that nurse leaders must deal with as they contemplate their scope of practice.
Nursing shortage influences the nursing profession and other stakeholders in significant ways. Firstly, nurse leaders and nurses must develop innovative ways to address the issue and this may compromise their competence and performance as they strain to meet diverse patient needs. Secondly, nursing shortage influences nurse leaders as they have to deal with increased turnover rates and create schedules that are not friendly to nurses (Haddad et al., 2022). Thirdly, stakeholders like patients have limited access to care due to the shortage while hospitals and their management are mandated to develop innovative ways to deal with the issue. Nursing shortage matters to the advanced registered nurses as they must seek best approaches to address it and improve the level of care for patients and health populations.
Conclusion
Nurse leaders are important as APRNs based on their roles and competencies in care provision. Nurses across different specialties offer care to diverse patient populations to enhance outcomes. Nurse leadership demonstrates the need for nurses to develop competencies that will allow them offer quality care in a dynamic environment to meet diverse patient needs and requirements.
NUR 513 Week 8 Benchmark – Future Scope, Role, and Professional Obligations Paper References
American Association of Nurse Practitioners (AANP). (2022). About the American Association
of Nurse Practitioners (AANP). https://www.aanp.org/about/about-the-american-association-of-nurse-practitioners-aanp
American Nurses Association (ANA). (2022). Advanced Practice Registered Nurse (APRN).
https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/
American Organization for Nursing Leadership (AONL) (2022). American Organization for
Nursing Leadership. https://www.aonl.org/about/overview
Brunt, B. A. & Bogdan, B. A. (2022). Nursing Professional Development Leadership.
https://www.ncbi.nlm.nih.gov/books/NBK519064/
Haddad, L. M., Annamaraju, P. & Toney-Butler, T. J. (2022). Nursing Shortage.
https://www.ncbi.nlm.nih.gov/books/NBK493175/
Stamps, D. C., Foley, S. M., Gales, J., Lovetro, C., Alley, R., Opett, K., … & Faggiano, S.
(2021). Nurse leaders advocate for nurses across a health care system: COVID-19. Nurse Leader, 19(2), 159-164. DOI: 10.1016/j.mnl.2020.07.011
Turale, S., & Kunaviktikul, W. (2019). The contribution of nurses to health policy and advocacy
requires leaders to provide training and mentorship. International Nursing Review, 66(3):302-304. DOI: 10.1111/inr.12550.
Walker, D. K., Barton-Burke, M., Saria, M. G., Gosselin, T., Ireland, A., Norton, V., & Newton,
(2018). Everyday advocates: Nursing advocacy is a full-time job. AJN The American Journal of Nursing, 115(8), 66-70. DOI: 10.1097/01.NAJ.0000470409.04919.0f
Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.
For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:
A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
NUR 513 Week 8 Benchmark – Future Scope, Role, and Professional Obligations Paper Rubric Criteria
Total220 points
Criterion
1. Unsatisfactory
2. Insufficient
3. Approaching
4. Acceptable
5. Target
Three Influential Professional Nursing Organizations
Three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing.
0 points
A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is not included.
26.4 points
A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is present, but it lacks detail or is incomplete.
29.04 points
A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is present.
30.36 points
A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is clearly provided and well developed.
33 points
A comprehensive discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is thoroughly developed with supporting details.
Appendix
Appendix
0 points
The Appendix and APA Writing Checklist are omitted.
3.52 points
The APA Writing Checklist is attached, but an Appendix has not been created. The paper does not reflect the use of the use of the APA Writing Checklist during development.
3.87 points
The APA Writing Checklist is complete and attached in the Appendix. The APA Writing Checklist was generally used in development of the paper, but some aspects are inconsistent with the paper format or quality.
4.05 points
The APA Writing Checklist is complete and attached in the Appendix. It is apparent that the APA Writing Checklist was used in development of the paper.
4.4 points
The APA Writing Checklist is complete and attached in the Appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was used in development.
Development, Structure, and Conclusion
Advances position or purpose throughout writing; conclusion aligns to and evolves from development.
0 points
No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.
14.08 points
Limited advancement of thesis, position, or purpose of discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.
15.49 points
The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.
16.19 points
The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose.
17.6 points
The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose.
Thesis, Position, or Purpose
Communicates reason for writing and demonstrates awareness of audience.
0 points
The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.
12.32 points
The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.
13.55 points
The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated.
14.17 points
The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.
15.4 points
The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience.
Evidence
Selects and integrates evidence to support and advance position/purpose; considers other perspectives.
0 points
Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.
8.8 points
Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.
9.68 points
Relevant evidence that includes other perspectives is used.
10.12 points
Specific and appropriate evidence is included. Other perspect
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