NR500NP Week 2 Assignment: Roles in Advance Practice Nursing
NR500NP Week 2 Assignment: Roles in Advance Practice Nursing
American Association of Colleges of Nursing. (2011). The essentials of master’s education in nursing. https://www.aacnnursing.org/Portals/42/Publications/MastersEssentials11.pdf
DeNisco, S.M. & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.
- Chapter 2: The Nurse Practitioner: Historical Perspectives on the Art and Science of Nurse Practitionering
- Chapter 30: Introduction, Transitioning Roles, and Strategies for a Successful Transition sections. p. 763-766
National Council of State Boards of Nursing. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification, & education. https://ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf
[elementor-template id="165244"]ORDER A CUSTOMIZED, PLAGIARISM-FREE NR500NP Week 2 Assignment: Roles in Advance Practice Nursing HERE
Good News For Our New customers . We can write this assignment for you and pay after Delivery. Our Top -rated medical writers will comprehensively review instructions , synthesis external evidence sources(Scholarly) and customize a quality assignment for you. We will also attach a copy of plagiarism report alongside and AI report. Feel free to chat Us
- 7-13
National Organization of Nurse Practitioner Faculties. (2017). Nurse practitioner core competencies content. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.pdf
Historical Development of Advanced Practice Nursing
The road to advanced practice for nurses in the United States has required patience, dedication, and advocacy. The historical development of the role dates back to 1965 when nurse Loretta Ford and physician Henry Silver, from the University of Colorado, suggested that a nurse practitioner (NP) could best alleviate the primary care shortage (especially in the area of pediatrics) and developed a pediatric nurse practitioner plan of study. Their efforts were met with much resistance from both the nursing and medical communities (Hain & Fleck, 2014). Nurses thought such a role was “playing doctor,” whereas physicians thought such a role was “practicing medicine without a license.” However, the early work by Ford and Silva paved the way for advanced practice nursing. Eventually, four advanced practice nursing (APN) roles emerged: Certified Nurse Midwife/CNM, Certified Nurse Practitioner/CNP, Clinical Nurse Specialist/CNS and Certified Nurse Anesthetist/CRNA. ANPs can further specialize within the CNP role to include expertise in mental health, geriatrics, acute care, and palliative care (Hain & Fleck, 2014).
Click to view Transcript Links to an external site.
Initially, many APNs received education through hospital-based certificate programs that prepared them to function as nurse clinicians or nurse anesthetists. As nurse clinician programs grew in popularity, education moved away from hospital-based programs towards university-based education. Specialized education at the graduate level became required in order to obtain advanced practice credentials.
Some important professional organizations that contributed to early role development include the American Association of Nurse Anesthetists (AANA) and the American Association of Nurse Practitioners (AANP), both with a largely clinical focus; the American College of Nurse Practitioners (ACNP), with a largely legislative focus; and the National Organization of Nurse Practitioner Faculty (NONPF), with a largely educative focus.
With the emergence of new APN roles, healthcare delivery by APNs has progressed past simply augmenting care in traditional MD/DO practices. As noted above, APNs now practice a wide variety of ways in diverse settings. Some even own their own practices where the delivery of care is independent of physician oversight. One concern with the expansion of the APN role is that state governance of APN continuing education continues to differ widely with regard to professional preparation requirements, scope and standards of practice, level of autonomy, and individual certification requirements, which has led to confusion among APNs, legislators, payers, other healthcare professionals, and laypersons (IOM, 2011).
Education and Specialization
Advanced practice nursing provides the nurse with the opportunity to make a larger contribution to person, environment, health, and nursing. The advanced practice nurse builds on advanced pathophysiology, pharmacology, and health assessment skills, knowledge, and integrative abilities to intervene on behalf of the person to restore, maintain, and/or promote health at a higher level than the generalist nurse. The advanced practice nurse is a specialist in healthcare delivery.
As noted above, graduate education is now required for entry into APN practice. Graduate education helps students learn to utilize advanced skills, knowledge, and integrative abilities in assessment, planning, diagnosis, implementation, and evaluation of healthc are, which includes preparation for role specialization, and possibly sub-specialization. Initially, the role of the NP was limited to primary care (Goroll & Mulley, 2014). Role specialization may now include other areas, including acute care, geriatric care, palliative care , and mental health care. The American Association of Colleges of Nursing (2004) has recommended that the practice doctorate (DNP) be the required degree for entry into NP APRN practice.
There are still some challenges related to APN specialization. State definitions of the roles of CNM, CNP, CNS, and CRNA vary, which has led to confusion with regard to role separation, competency, emphasis, approach, and variation. This confusion extends to nurse educators, providers, reimbursement, and even the public. In addition, a lack of clarity regarding initial role preparation versus current certification serves to further frustrate accreditors, consumers, and employers alike. More recent attempts to designate direct care versus indirect care roles have only heightened this frustration.
Credentialing
There are a variety of credentialing methods for health professions regulation. Types of regulation include licensure, registration, certification, recognition, and self-regulation (DeNisco & Barker, 2015) . The APN and public alike continue to suffer from role confusion, partly due to the lack of standardization in credentialing form for APNs. Eunice Cole, past president of the American Nurses Association, recommended that nurses should only list the highest earned degree in a given discipline, followed by licensure, state designations, national board certifications, and concluding with honorary awards . The degrees earned appear first (these are credentials such as MSN or PhD that can never be taken away). Next, licensure information appears (these are credentials such as RN or ARNP that are regulated by the state). Certification credentials follow (these are credentials that aren’t necessarily regulated, like APRN, BC from the American Nurses’ Credentialing Center [ANCC], which is earned through testing and renewal, or NP-C from the American Academy of Nurse Practitioners [AANP], which is likewise earned through testing and renewal). Finally, come honorary credentials, such as FAANP .
References
American Association of Colleges of Nursing. (2011). The essentials of master’s education in nursing. https://www.aacnnursing.org/Portals/42/Publications/MastersEssentials11.pdf
American Association of Colleges of Nursing. (2004). AACN position statement on the practice doctorate in nursing. https://www.aacnnursing.org/Portals/42/News/Position-Statements/DNP.pdf
Conard, P. L., & Pape, T. (2014). Roles and responsibilities of the nursing scholar. Pediatric Nursing, volume 40(2), 87-90. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=tfh&AN=95718119&site=eds-live&scope=site
DeNisco, S.M. & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.
Goroll, A. H. & Mulley, A. G. (2014). Primary care medicine: Office evaluation and management of the adult patient (7th ed.). Lippincott Williams & Wilkins.
Hain, D. & Fleck, L. M. (2014). Barriers to NP practice that impact healthcare redesign. Online Journal of Issues in Nursing, 19, Manuscript 2. https://doi.org/10.3912/OJIN.Vol19No02Man02
Health Resources and Services Administration. (2002). Nurse practitioner primary care competencies in specialty areas. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/populationfocusnpcomps2013.pdf
Institute of Medicine. (2011). The future of nursing: Leading the change, advancing health. The National Academies Press. https://www.ic4n.org/wp-content/uploads/2018/03/The-Future-of-Nursing-Report-2010.pdf
John Hopkins Nursing Evidence-Based Practice Model. (2017). Johns Hopkins Medicine. John Hopkins – link is wrong, searched in library and can’t find 2017 version, but did find 2018. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsebk&AN=1625431&site=eds-live&scope=site
eek 2: Roles in Advanced Practice Nursing
Start Assignment
- Due Nov 6 by 11:59pm
- Points 150
- Submitting a file upload
Purpose
The purpose of this assignment is to provide the student an opportunity to explore the roles and competencies of the advanced practice nurse (APN).
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
- Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1)
- Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (CO4)
Due Date
Assignment should be submitted to the Week 2 Roles in Advanced Practice Nursing dropbox by Sunday 11:59 p.m. MST at the end of Week 2. When the assignment is placed in the dropbox, it will automatically be submitted to Turnitin. You may submit the assignment one additional time before the due date to lower the Turnitin score. If you choose to resubmit, the second submission will be considered final and subject to grading. Once the due date for the assignment passes, you may not resubmit to lower a Turnitin score.
This assignment will follow the late assignment policy specified in the course syllabus.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
In the event of a situation that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Total Points Possible: 150
Requirements
- A Week 2 Paper TemplateLinks to an external site.to be used for your assignment is required for this assignment.
- The Roles in Advanced Nursing Practice paper is worth 150 points and will be graded on the quality of the content, 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 the paper as a Microsoft Word Document, which is the required format at Chamberlain University. You are encouraged to use the APA Academic Writer and Grammarly tools when creating your assignment.
- Follow the directions below and the grading criteria located in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
- The length of the paper should be 3-6 pages, excluding title page and reference page(s).
- 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.
- Current APA format is required with both a title page and reference page(s). Use the following as Level 1 headings to denote the sections of your paper (Level 1 headings use upper- and lower-case letters and are bold and centered):
-
- Roles in Advanced Practice Nursing (This is the paper introduction. In APA format, a restatement of the paper title, centered and bolded serves as the heading of the introduction section)
- Four APN Roles
- Rationale for Choosing CNP Role
- Plans for Clinical Practice
- Role Transition
- Conclusion
Directions
- Introduction: Provide an overview of what will be covered in the paper. Introduction should include general statements on advanced practice nursing roles, general statements on the role transition from RN to APN, and identification of the purpose of the paper.
- Four APN Roles: Describe the role, educational preparation, and work environment for the four APN roles (CNP, CNS, CRNA & CNM). Provide support from at least one scholarly source.
- Rationale for Choosing CNP Role: Describe your rationale for choosing the CNP advanced practice role versus one of the other roles.
- Plans for Clinical Practice: Discuss your plans for clinical practice after graduation. Explain how your understanding of NP practice has changed after researching the four ANP roles.
- Role Transition: 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 your NP role. Provide reference support from at least one scholarly source. The textbook is not a scholarly source.
- Conclusion: Provide a conclusion, including a brief summary of what you discussed in the paper.
| ASSIGNMENT CONTENT | |||
| Category | Points | % | Description |
| Introduction | 12 | 8% | Provides an overview of what will be covered in the paper. Introduction should include:
1. general statements on advanced practice nursing roles 2. general statements on the role transition from RN to APN 3. identification of the purpose of the paper. |
| Four APN Roles | 40 | 27% | Describes the role, educational preparation, and work environment for the four APN roles
1. CNP 2. CNS 3. CRNA 4. CNM Provides support from at least one scholarly source. |
| Rationale for Choosing CNP Role | 15 | 10% | Describes the student’s rationale for choosing the CNP advanced practice role versus one of the other roles. |
| Plans for Clinical Practice | 15 | 10% | Discusses the student’s plans for clinical practice after graduation. Explains how student’s understanding of NP practice has changed after researching ANP roles.
|
| Role Transition | 40 | 27% | Discusses the student’s transition from the RN role to the NP role.
1. Describes two factors that may impact the transition. 2. Discusses two strategies student will use to support a successful transition from the RN to your NP role. Provides reference support from at least one scholarly source. The textbook is not a scholarly source. |
| Conclusion | 12 | 8% | Provides a conclusion, including a brief summary of what was discussed in the paper. |
| 134 | 90% | Total CONTENT Points= 134 points | |
| ASSIGNMENT FORMAT | |||
| Category | Points | % | Description |
| APA Formatting | 8 | 5% | Formatting follows APA Manual (current edition) guidelines for
1. title page 2. body of paper (including citations and headings) 3. reference page |
| Writing Mechanics | 8 | 5% | Writing mechanics Follow the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the current edition of the APA manual. The length of the paper is at least 3 pages but no more than 6 pages. |
| 16 | 10% | Total FORMAT Points= 16 points | |
| 150 | 90% | ASSIGNMENT TOTAL=150 points | |
Rubric
NR500NP_Week 2_ Roles in APN_Sept 19
| NR500NP_Week 2_ Roles in APN_Sept 19 | |||||||
| Criteria | Ratings | Pts | |||||
| This criterion is linked to a Learning OutcomeIntroduction
Provides an overview of what will be covered in the paper. Introduction should include 1) general statements on advanced practice nursing roles; 2) general statements on the role transition from RN to APN; and 3) identification of the purpose of the paper. |
|
12 pts | |||||
| This criterion is linked to a Learning OutcomeFour APN Roles
Describes the role, educational preparation, and work environment for the four APN roles |
|
40 pts | |||||
| This criterion is linked to a Learning OutcomeRationale for Choosing CNP Role
Describes the student’s rationale for choosing the CNP advanced practice role versus one of the other roles. |
|
15 pts | |||||
| This criterion is linked to a Learning OutcomePlans for Clinical Practice
1) Discusses the student’s plans for clinical practice after graduation. |
|
15 pts | |||||
| This criterion is linked to a Learning OutcomeRole Transition
Discusses the student’s transition from the RN role to the NP role. |
|
40 pts | |||||
| This criterion is linked to a Learning OutcomeConclusion
Provides a conclusion, including a brief summary of what was discussed in the paper. |
|
12 pts | |||||
| This criterion is linked to a Learning OutcomeAPA Formatting
Formatting follows current edition APA Manual guidelines for |
|
8 pts | |||||
| This criterion is linked to a Learning OutcomeWriting Mechanics
Writing mechanics Follow the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the current edition of the APA manual |
|
8 pts | |||||
| This criterion is linked to a Learning OutcomeLate penalty deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. |
|
0 pts | |||||
| Total Points: 150 | |||||||
A Sample Of This Assignment Written By One Of Our Top-rated Writers
Roles in Advance 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 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 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
[elementor-template id="165244"]