Advanced practice nursing roles and the specialty of APRN
This paper discusses the various numerous advanced practice nursing roles and examines the specialty of APRN mentioning the scope of practice for the specific position and identifying the environment and population I intend to work with as well as colleagues and peers. Also, we elaborate the future leadership roles and participation in professional institutions. Below are some of the functions defined.
APRNs- Advanced practice registered nurses are composed of nurse practitioners, clinical nurse specialists, anesthetists, and certified nurse-midwives. They play a significant role in providing health care by offering preventive care services to individuals (“Scope and Standards of Advanced Practice Registered Nursing,” 2017).
Nurse educators- These are registered nurses who train students in nursing skills by combining their clinical experience and academic prowess. They decide the curriculum and standards to be used to adequately prepare the students and empower them towards succeeding in the nursing profession. Nurse educators cannot only work in schools and universities or hospital-based programs but also as administrators and consultants, among others.
Nurse informaticist- Nurse informaticists are in charge of delivering quality care by managing data and technical systems of patients effectively. This information can then be used to monitor any errors or analyze trends in the health environment.
Nurse administrator/executive- They can perform a wide range of nursing tasks such as managing staff, completing performance reviews, conducting training, and attending meetings. They do not interact directly with patients in the hospital.
There are roles in advanced practice nursing concerning clinical practice, education, health information, primary care, and administration. APRNs are trained to treat and diagnose illnesses and also offer advice to health issues that arise. They are also known to manage chronic diseases and keep up to date with technological and methodological trends in the health field. For one to become an APRN, they are required to hold a master’s degree and be licensed as well. Advanced practice nurses have the chance to work in the clinical area and can make a clinical diagnosis, which will aid in making significant medical decisions. Under the APRN are other roles such as nurse practitioners, anesthetists, midwives, and nurse practitioners (“Scope and Standards of Advanced Practice Registered Nursing,” 2017). All these roles play a part in educating, primary care, administration, clinical practice, as well as offering health information.
For instance, a nurse practitioner is in charge of seeing patients in the outpatient for regular checkups and preventive care. Nurse practitioners offer primary care to patients and help them maintain any conditions that arise from time to time. Nurse anesthetists provide patient care in the surgical units and provide post-operative care after surgery. Certifies midwives offer primary healthcare to women who are childbearing while looking into other gynecological conditions as well. All the above APRN roles reveal the existence of the clinical practice, primary care, educating the patient on the necessary actions to take, and administration as well (“Scope and Standards of Advanced Practice Registered Nursing,” 2017).
DIFFERENCE BETWEEN APN AND ANP
An adult nurse practitioner (ANP) is a nurse who is specialized in offering primary care to adults ages twelve and above. They focus on delivering preventive care. Preventive care entails the promotion of health, prevention of diseases, and managing patients who have mild or chronic illnesses. They can diagnose and also educate their patients on the various strategies to maintain wellness and prevent infections. Advanced practice nurses (APN), on the other hand, are similar to APRNs who treat and diagnose illnesses and also offer advice to health issues that arise. They are also known to manage chronic diseases and keep up to date with technological and methodological trends in the health field (“Scope and Standards of Advanced Practice Registered Nursing,” 2017). For one to become an APRN, they are required to hold a master’s degree and be licensed as well. APRNs can handle patients of any age, unlike ANPs, who are specified to control only these above twelve years.
Qualities that motivate me to want this role.
The advanced nursing practice role I aspire to be is the APRN and, in particular, a nurse practitioner. The general tasks of this type of nurse include; making decisions on the allocation of staff and resources, Development of treatment plans, Taking part in the analysis of patient information and outcomes, Educating patients on how to best manage their conditions, and Taking part in research with colleagues. Some of the qualities have influenced my decision to want to become an advanced practice registered nurse. One of the primary reasons is the exceptional skills I have acquired over the years. I possess the necessary nursing skills and also hold some personal attributes, such as critical thinking and problem-solving skills, which will help me successfully become a nurse practitioner.
Often, I have been in charge of teams and consultations in the nursing field; hence I have acquired leadership skills, which will help me effectively communicate with my colleagues and my patient as well. Being compassionate and caring is essential for an APRN since one deals with patients and their families directly. I am therefore necessary to practice the art of empathy and compassion to create a suitable and comfortable environment for your patients. Finally, I possess excellent mentoring and listening skills, which will help me as a clinical specialist nurse as I orient team members to work with.
Legal and regulatory requirements for APRNs (NP)
To be an advanced practice nurse, one is required to meet some qualifications. To begin with, they must be registered nurses and have an education qualification of a master’s degree from accredited institutions. The master’s program takes about two to three years, where after one will take a national certification exam for the chosen specialty. For the United States, one needs the certification by reviews to obtain that title. NPs are APRNs who can work with diverse patients from various populations (Hartigan, 2017). The body that offers the examination for this particular APRN is the American Nurses Credentialing Center (ANCC)
Professional organizations
The NP has professional organizations present for membership based on the specific role chosen. For NPS, the only body available is the National Association of Nurse practitioners. Members of this professional body are advanced practice registered nurses and work in various specialties such as pain management or acute care. They ensure high quality, patient-centered, and evidence-based care. The AANP helps the nursing practitioner to advance their knowledge without certification or regulatory barriers and assure public access to services (“Scope and Standards of Advanced Practice Registered Nursing,” 2017).
Competencies (domains), and certification requirements APRN.
The APRN consensus model states that nurse practitioners need to possess certification on the basis of the population area. The certification examination currently inexistence based on population includes adult/ gerontology, neonatal, and pediatrics. Below are some of the competencies for APRNs (NPS).
On the clinical roles, they require the can appraise, diagnose, and use the correct actions to treat the patient with complex illness and requiring specialist clinical knowledge. Also, they are required to maintain the safety and wellness of the patient in both acute and complex situations. They record, interpret, and monitor advance medical data and used their advanced technical skills to support patients with complex conditions. Secondly, on patient relationships, they should have the capacity to show a collaborative, personal, and evidence-based therapeutic approach. This, in turn, increases the effectiveness of holistic patient care as well as self-care. APRNs should also have the capacity to educate by using evidence-based knowledge to ensure self-care for the patient. Mentoring should also be provided using expert knowledge and skills to other nurses who may require information on critically ill patients (“Scope and Standards of Advanced Practice Registered Nursing,” 2017). APRNs should have communication and teamwork skills where they hold the capacity to acknowledge their professional roles and obligations among other nurses and possess confidence and competency to practice cooperatively with other team members.
Additionally, on ethics and decision making, they should be able to issue care and make decisions regarding the patients’ culture, beliefs, and human rights. The nurse should observe other factors such as patient disclosure, autonomy, confidentiality, and safety, as well as health legal aspects.
Organization and, population, setting, and colleagues with whom you plan to work.
In this section, we discuss the organization, population, setting, and colleagues I may work with as an advanced practice registered nurse. Having specialized in the nurse practitioner section, I can work in various types of health facilities, some of which include hospitals, clinics, and home health care institutions as well as outpatient facilities. Also, I can work in the offices of doctors who specialized in a particular area. As a nurse practitioner, who is a type of advanced practice nurse, I am required to possess some qualifications which are a master’s degree or doctorate in the specialized field of nursing (“Scope and Standards of Advanced Practice Registered Nursing,” 2017). My area of specialty in clinical nursing may be in specialized settings such as the emergency room or department and critical care unit, specific diseases such as cancer or diabetes, specific population such as geriatrics or women health, particular type of care such as rehab or psychiatry or health condition such as pain, stress or wounds and burns. In this role, much time will be spent devoted to assisting patients in sorting out numerous kinds of illnesses. Also, I will take part in treating and diagnosing patients with disabilities, diseases, and injuries as well. High-level direct patient care will be done as well as offering advice to other practicing nurses and making better care levels of your nursing staff (“Scope and Standards of Advanced Practice Registered Nursing,” 2017).
Leadership Attributes of the APRN
As an advanced practice registered nurse, one is needed to possess some leadership attributes to be successful. The chosen role requires that I mentor and educate and also communicate effectively both with other nursing staff and my patients as well. One of the attributes I need is emotional intelligence (CASIDA & PARKER, 2011). With this attribute, as a leader, I can work closely with my team and aid them in developing means with which they can deal with stress that are present during practice. I can also assist my trainees in managing issues concerning emotional exhaustion and poor team cooperation. Secondly, as an advanced practice nurse, I need to have integrity, which will help me in making the right decisions during practice and especially when dealing with critical junctures in treatment plans.
Also, to be effective in leadership, I am required to adapt to using and educating ethical practices to inexperienced nurses so they can make safe and effective decisions concerning care. Another leadership attribute has excellent communication skills, which one can use to enhance cohesiveness in health care provider settings. This can be done by having trainees take part in rounds in the diverse medical professions. Retentions teams can also be used to engage in these rounds with trainees. Finally, advanced practice nurses need critical thinking skills which they use to enhance their decision making skills. This skill is essential in the health care setting, primarily due to the increase in trends of autonomy for nurses (CASIDA & PARKER, 2011).
Leadership styles
As an APRN, I will use the transformational leadership style. This style has nurses dedicated to their organizations and with high-level morale, performance, and job satisfaction as well (CASIDA & PARKER, 2011).
Transformational Leadership and its relation to the identified leadership attributes
Transformational leadership style is one that entails encouraging the employees to produce their best at work and offers motivation to maintain positive while doing their tasks. This can be achieved using the mission and vision statements of the organization. With transformational leadership, the teams get involved and productive. For this style to be beneficial to the organization at large, the leader has to be smart and inspiring (CASIDA & PARKER, 2011). Failure to this, then the organization may fall in a despicable manner. Concerning the attribute mentioned above, I need to develop positivity and motivate my team at all times to ensure we produce the best from the organization. With this type of leadership, we need inspiration and collaboration as well, which can be achieved with effective communication.
Health Policy and the Advanced Practice Role
Medicare reimbursement for NPs is 85%for the same health care that MDs receive at 100% reimbursement.
Nurse practitioners and medics share job specifications, for instance, treating and diagnosing patients. However, when it comes to Medicare and Medicaid reimbursement, the rates for nurses are lower than those for physicians. This policy is decided as per the fee schedule and may vary depending on the state (Sullivan, 2016). I think this policy needs to be changed because NPs do perform the same procedures as MDs despite not have been certified to perform some procedures. In some states where NPs are allowed to practice independently, they end up doing all the doctor’s tasks assuming all the patient risks, or even under normal circumstances, the NPs can perform almost all that the MD does. For this, I think it is just fair that they receive similar reimbursement as MDs (Sullivan, 2016).
Making policy changes is a crucial process yet achievable. To make a change in the policy, one may need to understand the policy fully first then plan strategically on how to change the system. It is essential to establish contact with those who make policies such as legislators, locally elected leaders, professional nurse bodies, and even the media (“Chapter 25. Changing Policies | Section 1. Changing Policies: An Overview | Main Section | Community Tool Box,” 2020). Have the support of the community as well and involves as many individuals as possible. To lead the effort and influence this change as a nurse practitioner, I can be part of coalitions or professional groups and organizations working towards resolving the issue. Persistence and positivism are also needed to ensure the success of the change.
Conclusion
From this paper, we realize the various roles of advanced practice as well as the legal requirements and competencies required to manage the task successfully. As an advanced training registered, nurse one is required to have specific education qualifications as well as certifications, which are renewed on a three-year term basis to maintain the title. They can work in various environments and provide a wide range of skills to assist not only the patient but the team members as well through the evidence-based knowledge and expertise in the field. Policies have been implemented concerning the reimbursement of nurse practitioners with which I disagree and opt for a change. To lead the effort and influence this change as a nurse practitioner, I can be part of coalitions or professional groups and organizations working towards resolving the issue.
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