As we transition into the new role of NPs, our scope of practice expands. Moreover, as our responsibilities increase, we later become policy makers, and develop autonomy and decision–making skills. NPs are responsible for providing safe nursing care with more specialized knowledge and advanced education. We are also responsible for pursuing continuing education and advanced knowledge to remain competent quality providers, and meet the needs of the community. With our acquired repertoire of skills, it is essential that we utilize them to make informed decisions and collaborate with our community to promote wellness and healthy living. As advanced practice nurses (APN), we work to deliver and provide family-focused, culturally competent, and …show more content…
350). Due to the increase in accountability of FNPs to provide safe, quality, and cost-effective health care, it is imperative that the nurse is fully prepared for practice as a nurse practitioner (NP). The outcome of the NP’s role transition can be inhibited or promoted by different transition conditions, such as the environment, availability of resources, support, and nursing experience. All of which fall into the lines of Meleis’s types of transition, making the process complex and multidimensional (Meleis, et al., 2000, p. 18). The role of nurse practitioners has extended in practice to provide comprehensive care. However, as the nurse transitions he or she must adapt to new ways of thinking, and change behavior patterns to facilitate the transition (Meleis, 2010, p. 431). The nurse must work collaboratively with physicians to solve patient problems and care for the patient effectively due to the rise in complex patient …show more content…
Meleis and Schumacher (1994) stated that “nurse-client encounters often occurs during transitional periods of instability precipitated by developmental, situational, or health illness change” (p. 119) which may alter the lifestyle of individuals and their family members (p. 119). Therefore, with NPs being the front line providers in support of holistic and family–centered care, they are significant in meeting the needs of such a vulnerable population. To address this issue, Meleis has published a framework that addresses role insufficiency and role supplementation. Role insufficiency is self defined and perceived as the inability to adequately perform one’s role (Meleis, 2010, p.16). It may entail, “anxiety, depression, apathy, frustrations, grief, powerlessness, unhappiness, and/or aggression, and hostility” (Meleis, 2010, p.17). Role supplementation is defined when role insufficiency is identified. It is comprised of role clarification and role taking which may be preventative and therapeutic (Meleis, 2010, p. 17). Therefore, as sole providers it is imperative for professional nurses to understand the behavior of clients to diagnose and intervene appropriately (Meleis, 2010, p.
Advanced practice nurses (APN) have a vital role in the future of health care, especially since the enactment of the Affordable Health Care Act. With more citizens having health insurance coverage they will be seeking health care providers, and there are not enough physicians to care for them all. According to Letiziam (2014), advance practice nurses are licensed autonomous health care providers that have been trained to evaluate, diagnose, and treat patients and their conditions. Advanced practice nursing is an umbrella that covers four separate roles of nurses, this includes: the certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), certified nurse practitioner (CNP), and certified nurse specialist (CNS).
As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice.
Reflection on Learning Weeks 1-8 Henny Heiman Chamberlain University: Nurse Practitioner Track NR501NP Theoretical Basis for Advanced Nursing Practice Instructor Dr. Thompson Spring 2023 Reflection on Learning Weeks 1-8 Throughout this course, I have gained a deeper understanding of various theoretical frameworks that guide nursing practice and gained skills and knowledge necessary to provide evidence-based, patient-centered care in the advanced practice nursing role. I explored some foundational theories and concepts that underpin advanced nursing practice, such as nursing theories, philosophy, ethics, and research methods. In this essay, I reflect on what I have learned throughout the course, how this new knowledge has impacted
My knowledge in the Doctor of Nursing Practice (DNP) continues to expand as I progress through the DNP program. The knowledge I have attained while in the study of the DNP I and DNP II is priceless. For example, recognizing stakeholders and utilizing networking has helped me to progress on my DNP project (Gokenbach, 2012). I also have a better understanding as well as the purpose of a DNP project. My mentors have been great in directing me in remaining on the right track.
The transition from an Associate Degree (AD) nurse to a Bachelor’s of Science in Nursing (BSN) is a rewarding time during a nurse’s career. There are many reasons why nurses return to college to get their BSN degree. Some return to meet a personal goal others return for professional advancement or are mandated by their employer to do so. Over the past few years many organizations stopped hiring AD nurses or drastically reduced the number they hire. Many AD nurses who delayed returning to school regret not doing so sooner when they realize the wealth of knowledge gained from getting their BSN degree.
Discussion Board: Unit 9/Topic 1 Britton Lerch Due Date: October 17, 2015 Kaplan University MN502: Theoretical Foundations of Advanced Nursing Dr. Phelps My personal values and beliefs on nursing, health, environment, and patient care delivery is that they all affect each other. It is great that within our technology advanced society we have the ability to communicate globally and to develop theoretical works among many nursing scholars from around the globe to collaborate about the development of nursing science (Alligood, 2014). A big part of nursing involves education and transitions by guiding patients and family members with ongoing supports.
Practice Policy Appropriate health care continues to be one of the major challenges throughout the nation. Financial and educational hindrances can produce negative health effects on individuals and communities. Advanced practice nurses can implement their evidence based knowledge and skills within any environment to increase the knowledge and health of the surrounding populations. However, nurse practitioners must comply with the protocols and laws mandated by the board of nursing. This paper will discuss the setting in which nurse practitioners practice in, along with the laws and limitations that they must adhere to at all times.
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
The health industry we are in today, demands that health professionals retool the way they practice. To support our patients health needs and to meet the needs of regulatory bodies, we must as nurse work collaboratively to provide total patient care. A multi-disciplinary approach does not support the need the complex needs of many clients, no one health discipline can provide all the care that is need for our patients. We must therefore work collaboratively to accomplish good, quality outcomes for our patients and our organizations.
A standard of nursing practice is developing treatment plans that are individualized to a specific individual. This requires a partnership built on trust in which the nurse considers the person’s values, beliefs, spiritual and health practices, preferences, choices, culture and environment as part of treating the whole person (ANA, 2010). Nurses must also collaborate with other healthcare consumers, and family to effect change and produce positive outcomes. They should educate others as needed and create an atmosphere of tolerance and
According to Edelman (2014), “specific tasks arise as growth responsibilities during family development. Failure to accomplish a developmental task leads to negative consequences” (p.152). Therefore, the nurse should be able to help the family to overcome this transition, providing them with the necessary tools such as community resources information, social worker consult, family education, strategies to make decisions,
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
According to the American Nurses’ Association (2010), standard 5A of “Standards of Professional Nursing Practice”, registered nurses are responsible for communication with the patient, family and care providers during transitions of
INTRODUCTION Within this document, I shall be discussing the professional values that underpin nursing practice, I shall be demonstrating my knowledge of the role of nursing during physically being within that environment and be explaining the importance of family centered care. I will be using the department of health 6c’s and applying them to the care I saw that was provided by myself, and provided by my mentor and evaluating us both and other professionals that I was around whilst caring for the children in my specific case. The 6c’s include, care, compassion, competence, communication, courage and commitment.