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Advanced Practice Nursing, 2005.
This paper defines advanced practice nursing, its core competencies and scope of practice.
845 words (approx. 3.4 pages), 5 sources, MLA, £ 20.95
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Abstract
This paper explains that advanced practice nurse are registered nurses including nurse practitioners, nurse-midwifes, nurse anesthetists and clinical nurse specialists, who hold authorization from a board to practice, based on the completion of a recognized advanced educational program. The author points out that core competency of advanced practice nurses include the application and adaptation of advanced skills in unstable and complex environments, the ability to apply advanced clinical reasoning including the use of advanced complete assessment, the acceptance of referrals and consultation from other health care professionals and team work with other health care providers. The paper relates that an advanced practice nurse is supposed to diagnose a patient and recognize the underlying problem and then provide adequate treatment, which includes the prescription of medicines as well as administering anesthetics.
Table of Contents
Introduction
Definition
Core Competencies
Scope of Practice
From the Paper
"Further, their nature of practice further includes research work and the utilization of research within the scope of their practice. They are allowed to admit patients to hospitals and the authority to refer patients to other healthcare professionals like licensed physicians and dentists. Additionally an advanced practice nurse also gives consulting services to other healthcare providers. They have professional autonomy and independent practice which also includes management. Moreover they are to manage the physical and mental illness status of the patient with regard to nursing care."
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Advanced Practice Nursing in England, 2005.
This paper looks at advanced Practice Nursing in England.
2,760 words (approx. 11.0 pages), 6 sources, APA, £ 66.95
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Abstract
This paper looks at advanced Practice Nursing in England. It looks at the training and requirements, the skills needed, the standards set, and the experience of advanced practice nurses in various settings. It also includes 4 PowerPoint slides.
From the Paper
"In the Health Service Circular HSC specified that irrespective of the field of practice the nurse midwife or health visitor consultant role must be centered around certain interrelated functions including expert practice professional leadership and research..."
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Advanced Practice Nursing Roles, 2005.
A discussion regarding the various roles of an advanced practice nurse and the related problematic issues.
900 words (approx. 3.6 pages), 3 sources, £ 24.95
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Abstract
This paper discusses advanced practice nursing, defining advanced practice nursing, identifying the various specialty areas and comparing and contrasting two of the 6 identified (4 formal, 2 informal). The roles chosen for this paper are Educator and Clinical Nurse Specialist. Ultimately this paper discusses the need for greater recognition and delineation of roles, definitions and legislation on licensure (i.e., 8 states still don't recognize and license the clinical nurse specialist) and the need for insurance reimbursement to allow for greater practice opportunities.
From the Paper
"A cursory literature review of advanced nursing practices seems to vacillate on providing a fixed singular definition of advanced nursing practices; but they do agree on one point, they all encompass the following characteristics, some more than others depending on the role and environment: advanced clinical practice, advanced educational, advanced research, and advanced administrative responsibilities. While advanced education and degree designations often constitute a significant piece of the advanced practice nurse through specific labels, roles and responsibilities are more typically looked at. There are four main advanced practice nurse roles acknowledged in the medical world at large: Clinical Nurse Specialist, Midwife, Nurse Anesthetist and Nurse Practitioner."
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Advanced Practice Nursing, 2007.
This paper explores advanced practice nursing, an elite and sophisticated extension of conventional nursing practice.
1,152 words (approx. 4.6 pages), 5 sources, MLA, £ 27.95
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Abstract
The paper discusses how advanced practice nurses are medical professionals with specific core competencies and are expected to provide more specialized care than their less skilled counterparts. The paper explains that this new branch has certain expectations of its practitioners whereby they are required to fulfill the growing need for better and more effective healthcare. The paper explains that their core competencies are grouped under five categories: clinical, research, leadership, collaboration and change agent. The paper details the need to carry out ethical practice, the need to be up-to-date with the new technological and scientific advancements in their field and the need for them to have enhanced cultural competency.
From the Paper
"The main job responsibilities of ANPs include the application and adaptation of advanced skills in unpredictable, complex and unusual settings. They are expected to apply advanced clinical reasoning and decision making to guide, inform and teach patients and others who are under their direct care. ANPs are also required to do advanced assessment of the patient along with their diagnosis, treatment planning, and its implementation and evaluation skills. It is important that they are capable of prescribing and administering treatments within their scope of practice."
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Advanced Practice Nursing, 2007.
A discussion of how advanced practice nursing is a key element in the provision of health care today.
1,193 words (approx. 4.8 pages), 4 sources, MLA, £ 27.95
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Abstract
The paper discusses how in the last decade, the United States' health care costs have grown faster than any other aspect of the economy. The paper looks at the advanced practice nurse (APN), an umbrella name or term identified to a registered nurse who has attained advanced educational and clinical practice requirements. The paper examines how the provision of health care by the government includes the distinction of new roles of registered nurses in society, who may be equal or superior to physicians. The paper shows how the challenges they encounter regarding ethical, economic and other issues are still part of their development as health workers moving forward to new times.
Outline:
APN- Ethical Issues Vs Medical Practitioner
APNs in Health Care Delivery
Economics and Cost Issues
Summary
From the Paper
"The Pew Health Professions Commission (1995) analyzed the importance of cost containment in the American health care system as a priority that is rapidly changing. It has envisage a greater role for nurse practitioners (NPs) in the delivery of primary care in the not so distant future.
"The role of the RNs (APNs) has been seen with their specific expansion in the delivery of health care. The functions of RNs in the system are designed to facilitate healthcare institutions in meeting the demands for serving patients with increasingly complex needs, as well as cost-containment goals."
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Advanced Practice Nursing, 2005.
A comparison between the role of the Advanced Practice Nurse, the Nursing Practitioner and the Certified Nurse Specialist.
675 words (approx. 2.7 pages), 4 sources, £ 18.95
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Abstract
This paper discusses Advanced Practice Nursing in relation to modern health care. The paper further discusses Nurse Practitioners, as well as Certified Nurse Specialists and compare their roles within the health are industry. Additionally, the paper examines legal issues surrounding ANPs in today's health care, and issues that are at the forefront of the nursing profession. These issues include legislation, the ability to practice freely, and educational advancements in nursing.
From the Paper
"Advanced Practice Nursing (APN) is a term that refers to registered nurses that have progressed in their nursing studies beyond the basics of the nursing field. APNs often must have a Master's Degree, or Doctorate, and are often the lead health care giver in preventative and primary care. This is especially true for APNs in the cases of rural health care, clinics for the poor, and for people without health insurance ("Advanced Practice"). APNs have the ability to provide the majority of health care services that the traditional physician would because their expertise through training is extensive. There are, however, restrictions placed on APNs with regard to prescriptions, and their range of ability to give medical care through government regulations ("Advanced Practice", 2005)."
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The Roles of the Advanced Practice Nurse, 2008.
An analysis of the roles of the advanced practice nurse and an interview with a nurse practitioner regarding two particular competencies of the profession.
2,160 words (approx. 8.6 pages), 11 sources, APA, £ 46.95
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Abstract
This paper examines the term 'advanced practice nurse' and four distinct roles involved in being such a nurse. The paper points out that all of these roles are based on six core competencies besides the central competency of direct care. The paper includes an interview with a nurse practitioner, focusing on two of those competencies which are derived from Ann Hamric's "Model of Advanced Practice Nursing". The paper concludes that the most important core competency on the basis of this interview is collaboration.
Outline:
Introduction
Advanced Practice Nurse: Four Roles
Interview
Analysis
Conclusion
From the Paper
"The nurse practitioner acts as a primary care or specialty care provider and also as a consultant to individual patients, families, and communities (AANP, 2002). The nurse practitioner is concerned with medical as well as nursing issues, health promotion and maintenance, prevention of disease and acute and chronic disease diagnosis and management (AANP, 2002). Advanced practice nurses work in a variety of settings such as neonatal, pediatric, gerontology, women's health, school and occupational health, adult critical care or family care, and specialize in illnesses such as AIDS (Becker & Kaplow, 2006; AANP, 2002). The advanced practice nurse is not only a skilled nursing clinician but a practice leader who is able to create a significant impact on care across a wide range of settings. Advanced practice nurses work to optimize outcomes for patients, the family, health care providers, and the health organization/system (Becker & Kaplow)."
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Advanced Practice Nurses, 2006.
Examines the impact that clinical experience has on advanced practice nurses.
900 words (approx. 3.6 pages), 6 sources, £ 24.95
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Abstract
For many years, such traditional health care roles as physician and nurse have been regarded as unopposed professionals. With the rapid expansion of knowledge and the raising of standard of care based on evidence-based clinical practice, the health care system in recent years has expanded its ranks to support and expand the physician and nurse roles. Specialist and sub-specialist training are fast making the role of the jack-of-all-trades health professional less and less valuable due to the sheer volume of knowledge required to match the standard of care demanded by consumers and the industry. Nursing roles in specialties were recognized to have a possibly large impact on providing care, which paved the way for the advanced practice nurse. This paper discusses the challenging situation that advanced practice nurses face within the present health care system.
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Advance Practice Nursing in Psychiatry, 2005.
An analysis of Calkin's theory of advanced practice nursing in the field of psychiatry.
1,125 words (approx. 4.5 pages), 1 source, £ 30.95
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Abstract
The assignment discusses Calkin's theory of advanced practice nursing in the field of psychiatry. The paper identifies the model and three core competencies and elaborated on them with respect to psychiatric nursing. In addition, the paper examines other core competencies with respect to cultural diversity and patient response.
From the Paper
"One of the most critical strategic challenges currently facing hospitals now and for the foreseeable future is the national nursing shortage. (Corning, 2002). The current nursing shortage is causing great concern and is expected to peak between the years 2010, and 2015 (Woods, & Cardin, 2002). According to Woods and Cardin 2002, "Unlike prior shortages, this one is not cyclical in nature and the solutions will require different and innovative approaches to avert a national public health crisis" (p.326). A great deal of attention has been paid to the root causes of the current and future nursing shortage; aging baby boomers, alternative professional opportunities for women (Woods, & Cardin, 2002), intense assignments, extra shifts, burn out, and little job satisfaction (Inglis, 2004)."
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Advanced Practice Nurses: Defending Their Role, 2008.
This paper looks at collective action for advanced practice nurses (APN)today.
1,040 words (approx. 4.2 pages), 7 sources, APA, £ 25.95
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Abstract
The paper explores the reasons for advanced practice nurses' (APN) increasing power in the workplace. The paper looks at their response to collective action and the outlook for collective action in the future within the universe of APN professions. The paper also discusses how at a time when the number of skilled nurses is not keeping pace with demand, it's a good time for nurses to bargain with increasingly powerful insurance, physicians and hospital institutions.
From the Paper
"The APN mirrors the physician population in its trends towards specialization, which accelerated in the 1990's years (as cited by Brown, 1996, p.1). As APN's took on increasing responsibility and health care systems pushed primary care responsibilities to nurses, the need for nurses has increased. At the same time, the low number of nursing graduates has crimped supply. The result is a high number of jobs available for qualified APN's (as cited by Nevidjon and Erickson, 2001, p.1)"
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The Advance Practice Nurse (APN), 2002.
This paper discusses the role of the advance practice nurse (APN) as consultant and manager in the acute care setting.
2,440 words (approx. 9.8 pages), 11 sources, APA, £ 51.95
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Abstract
This paper explains that the acute care nurse practitioner (APN) performs four roles: educator, researcher, clinician, and consultant/manager. The APN's role as consultant/manager is perhaps one of the most important of the four because this role helps to improve the use of existing scarce resources. The author points out that, in the acute care setting, the APN management role includes taking histories, conducting physical examinations, ordering, performing and interpreting appropriate diagnostic and laboratory tests, prescribing pharmacological agents, treatments, and non-pharmacological therapies for the management of the conditions, which they diagnose. The paper stresses that the structure of the acute care APN's role will depend upon the collaborative agreement with physicians and other members of the acute care team and organizational setting.
Table of Contents
Introduction
The Role as Consultant/Manager in an Acute Care Setting Implementation of APNs in Acute Care Settings
Summary and Conclusion
From the Paper
"The research also shows that once an APN has started the implementation process, it is vitally important to continue to solicit timely feedback from other staff members, patients and management. This feedback will help solidify productive interpersonal relationships and the overall health of the acute care operation. The experts on organizational change say that staff members must feel comfortable in providing feedback to their managers, and likewise, supervisors must learn how to share their perceptions of individual job performance in an accurate, clear and honest manner. Managers at all levels can facilitate the communication process in their organizations by ensuring that the process is one in which people are able to provide and receive feedback in an open, honest and constructive manner."
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Advanced Practice RNs in the Home Health Care Arena, 2004.
This paper discusses that there is an urgent need for APRN services in the home health care environment and suggests ways of meeting this need.
3,890 words (approx. 15.6 pages), 10 sources, APA, £ 73.95
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Abstract
This paper explains that there is an urgent need for quality home care that exceeds the minimum expectations of patients and their families. The author points out that there is a dearth of data relating to the specific training, planning, and placing advanced practice nursing talent in home health care situations. The paper suggests that the medical staff train the advanced practice nurses in home care, and they, in turn, will teach families how to give good care to their loved ones.
Table of Contents
Introduction
Identification of the Phenomenon.
Review of Literature
Relevant Literature Appropriate for The Qualitative Study Planned
Integrating Advanced Practices Nurses into Home Care Environments
Effects of a Relationship-Enhancing Program of Care on Outcomes
Validity and Community-Health Nursing Sensitivity of Six Outcomes for Community Health Nursing with Older Clients
Review: Prenatal Home Visitation by Nurses through Infancy
Effect of Prenatal and Infancy Home Visitation
Home Health Care: Improving Quality, Tightening Standards
A Case Study in Care: APRN Home Nursing Service
A Practical Guide to Caring for Caregivers
From the Paper
"After all, NPs have a ?proven efficacy in health promotion, early identification and prevention of complications,? as well as patient compliance and education ? so, it is a logical argument to bring advanced practice nurses into the home care environment, and in order to plan for the future, more specifically targeted nursing teaching programs are proposed as a solid strategy for integrating primary care by NPs into the home care genre. The growth of home care services was tremendous between 1988 and 1995, as the number of Medicare home health visits jumped from 37 million to 252 million. Money spend through Medicare home health care visits also leaped during that period ? from $2.1 billion to about $16 billion, which is the fastest-growing budget item in Medicare."
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Advanced Nursing Practice (ANP), 2004.
This paper discusses issues relevant to Advanced Nursing Practice (ANP).
3,842 words (approx. 15.4 pages), 22 sources, APA, £ 93.95
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Abstract
This paper discusses the evolution of the role of advanced nursing practitioner. The author presents issues of the political perspective, health care reform, historical development of the nurse practitioner role and role implementation. The paper assumes that ANP will have a larger role in the future.
From the Paper
"This paper covers several important issues of relevance to advanced practice nursing. The major discussions address the issues in relation to the political perspective, health care reform, historical development of the nurse practitioner role and role implementation. The investigation of the political perspective focuses on the issue of health care reform in the United States. The first aspect of the issue investigated is the need, if any, for health care reform. The second aspect of the issue ..."
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The Doctorate of Nursing Practice, 2008.
A discussion of the upcoming addition of doctoral studies to nursing education.
2,435 words (approx. 9.7 pages), 10 sources, APA, £ 51.95
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Abstract
This paper takes a look at the implementation of the Practice Doctorate in nursing by the year 2015. The paper asserts that this degree in nursing education is presently in a position to facilitate an extraordinary vision in advanced practice nursing. It holds that due to an increase in service demand, a growth in the complexity of care, ongoing incongruities in health care and changing demographics, there is a charge for health care reformation. The paper refers to several journal writings and commentaries that articulate the importance of health care workers who have better preparation both clinically and educationally. In conclusion, the paper claims that the Doctor of Nursing Practice will provide an elevated bridge between advanced practice nursing and research-based practice and will allow the graduates who matriculate to become empowered and armed with the knowledge base to implement change toward an evolving health care system.
From the Paper
"The growing intricacies of health care, an exuberant growth in scientific knowledge, and increasing advancements in technology have necessitated master's degree programs that prepare advanced practice nurses to expand the number of academic and clinical clock hours significantly. From 1995 to 2000, the average quantity of semester credit hours required for the Nurse Practitioner master's degree remained constant, however, the academic and supervised clinical practice hours increased by 72 and 36 clock hours. Many Nurse Practitioner master's programs now exceed 60 credit hours. Most are not capable of being completed in less than three years time. Based on this information, two challenges are evident. "Master's prepared advanced practice nurses have identified additional knowledge that is required for a higher level of advanced and the time spent in master's level nursing education is not congruent with the degree earned"(Position Statement on the Practice Doctorate in Nursing, 2004 p. 7-8)."
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