Advanced Practice Nurse: Professional Development Plan Paper Ramonna Hernandez, BSN, RN, CNN Chamberlain College of Nursing NR510 – Leadership and Role of the APN February 11, 2018
ADVANCED PRACTICE NURSE: PROFESSIONAL DEVELOPMENT PAPER Introduction Advanced practice registered nurses (APRN) plays an important role in the healthcare world of the United States. These APRNs are licensed registered nurses who finished their graduate studies in Masters of Science in certain specialty. APRNs gained their knowledge and skills by going to school and passing certifications to be able to evaluate and detect certain patient issues. They are also licensed to diagnose and control problems of patients, order examinations, and if they have prescriptive privileges they can prescribe medications. APRNs can be certified nurse midwives, clinical nurse specialists, nurse practitioners, and nurse anesthetists. They all perform an imperative part towards the future of progressing health care system. They can help in the increasing shortage of primary care providers in some states and help lower the health care cost for patients. APRNs are mostly used as initial care providers and are at the frontline of delivering preventative care to the patients. APRNs are relied upon by organizations to provide leadership in the delivery of high-quality, cost-effective health care while improving access and eliminating preventable morbidities (Eliot & Walden, 2015). A Professional develop plan (PDP) can help APRNs bring more to the community than just exceptional health care. A PDP can help maximize develop their abilities and further the capability of APRNs to provide impact in their profession, communities, and global health. This paper will include the following: APRN state of practice; APRN personal assessment; Networking and Marketing Strategies; and my Curriculum Vitae. Advanced Nurse Practitioner Scope of Practice – State of Wisconsin It is necessary to determine if what you practice is inside your scope of practice and understand what the American Nurses Association (ANA) is undertaking to guard that 2
ADVANCED PRACTICE NURSE: PROFESSIONAL DEVELOPMENT PAPER scope. The scope of practice for an APRN exemplifies accountabilities and requirements for the state. It is an essential part of nursing since it summarizes regulations and directions for the APRN certifying that morals and professionalism is practiced in all skills delivered. Being a licensed APRN, their practice is grounded and constructed on scientific evidence that can be applied safely in any healthcare setting. Nursing education implemented within an academic clinical partnership becomes relevant to the needs and demands of the healthcare system (Bvumbwe, 2016).
NR510 WEEK 1
There are four types of Advanced Practice Nurses. Menella & Heering discuss that the Advanced practice nurses are registered nurses who have been educated at a master’s, post- master’s, or doctoral level. APNs include the four roles: clinical nurse specialists (CNSs), certified nurse-midwives (CNMs), certified registered nurse anesthetists (CRNAs), and nurse practitioners (NPs) (2014). The CNM deals with childbirth and women’s health. They deal with patients throughout pregnancy and provide education and support. The CNS deals with a particular specialty such as geriatrics, pediatrics, forensic nursing and so forth. They may also choose to not work in direct patient care. The CRNA deals with surgical patients only and manages anesthesia. The CNP deals with diagnosis and management of illnesses, they also deal with the three levels of preventive care, such as primary, secondary, and tertiary, In the table below, I will discuss the Pros and Cons of each field
Week 8 Reflection
Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #5, the MSN Essential IX, and the NP Core Competencies #2. Program Outcome #5 Develop a plan for lifelong personal and professional growth that integrates professional values regarding scholarship, service and global engagement. MSN Essential IX: Master’s-Level Nursing Practice Recognizes that nursing practice, at the master’s level, is broadly defined as any form of nursing intervention that influences healthcare outcomes for individuals, populations, or systems. Master’s-level nursing graduates must have an advanced level of understanding of nursing and relevant sciences as well as the ability to integrate this knowledge into practice. Nursing practice interventions include both direct and indirect care components. 1. Assumes complex and advanced leadership roles to initiate and guide change.
Data Collection, Analysis, Evaluation, Dissemination of Results, and Conclusion Health professionals in all areas of practice can be expected to use the best available evidence to make decisions on how to best care for patients. An evidence-based practice (EBP) project is an approach that requires the clinician to understand and integrate research, along with knowledge and skills, to improve clinical experiences for both the clinician and the patient. The purpose of this paper is to explore the last steps in an EBP proposal. To understand how to make sense of the research, this paper will review data collection, analysis, evaluation, dissemination of research results, and a conclusion. Data Collection Data collection is an important part of the research process. It is the process of gathering relevant information to answer the PICOT question “ For post-partum mothers who choose to breastfeed, does the use of an APN providing an educational and support program, result in a 25% increase of successful exclusive breastfeeding (EBF) within a 6 month period?” The research approach to the inquiry for my EBP proposal is quantitative, using numerical data that can be measured, evaluated, explained, concluded, and duplicated to answer this question (Barnum, 2015). Data will be collected from mothers who have just given birth to a healthy baby. This population will have single, uncomplicated pregnancies that are free from the management of chronic diseases. The sample of 200 will have been randomly divided into an intervention or control group. Trained assistants will be present at all times in the chosen antenatal office for initial data collection from face to face interviews. Baseline data will come from structured questionnaires to include demographics of the mother including attitude and intention to breastfeed as well as infants age 0-6 months old. Beginning on the day of birth, lactating
DATA COLLECTION, ANALYSIS, EVALUATION, 3 mothers will be visited by assistants to collect data regarding the health of each participant, first feedings, breast and breastmilk status, and infant feeding pattern. Each mother enrolled will be visited once while in the hospital and be asked to start a feeding diary for easier recall. EBF will be defined as infants being fed at the mother’s breast and breastmilk from a bottle with no commercial formula supplementation (Noel-Weiss, Taljaard, & Kujawa-Myles, 2014). Data will be recorded on a feeding chart with categories relating to what and how the infant was fed. The recording will start within the first 24 hours; mothers will be then contacted weekly for a total of six months post-partum. Data collection points will be every mother in the.
Leadership Week 1 – Assignment help – Discussion 1 Advanced practice nursing is a designation that allows nurses to make greater contributions to their healthcare environments. The core values of advanced practice nursing, is that the nurse’s commitments remains first to nursing, then to their specializations. To become an advanced practice nurse, current nurses must undergo training to gain advanced skills, knowledge, and integrative and assessment skills, to better serve their patients in their chosen specialties. Following the trend of modern healthcare, advanced practice nurses require adequate philosophical and theoretical foundations within their training, to better adapt to more advanced situations. The four roles of advanced practice nursing include: Certified Nurse Midwives, Certified Nurse Practitioners, Clinical Nurse Specialists, and Certified Nurse Anesthetists. The following chart is a pro/con list to better help individuals decide which specialty most suits them. [OGr12] Certified Nurse Midwife PRO CON Educated in nursing and midwifery Competing with physicians for attendance of births Provide care to women of childbearing age, including prenatal, labor, post-birth, gynecology, newborn care, family planning, preconception, management of menopause, counselling Alternative maternity care On-call hours for labor and delivery Nurse Anesthetist PRO CON Can administer anesthetics Not working as much with patients, but with doctors and other health care professionals Practice in every setting where anesthesia is available Practice all anesthetics and provide care during all types of procedures Clinical Nurse Specialist PRO CON Specialist in a chosen area of nursing practice.
A nursing theory is made up of a set of definitions, concepts, assumptions and relationships, which are derived from various models in the nursing field, as well as other disciplines. Detailed ideas are also derived from a project that is purposive in nature to draw a systematic view of the certain phenomenon. As a result, specific inter-relationships are designed for the purposes of explaining, describing, prescribing or predicting. I will discusses reasons as to why Mary is not supposed to complain about taking nursing theory classes, which she had taken 15 years ago. In today’s world, technology has changed the level of education. The information that was available a decade ago is not the same information that people are using today in the nursing field. Due to the provision of reliable technology, scholars have come up with more theories to support the former ones in the area of nursing (DeNisco, 2013). Therefore, it would be challenging for Mary to go straight to practice without going through these classes.
APN Professional Development Plan The road to success is paved with many detours, therefore it is important to be adequately prepared to deal with all obstacles presented along the way. The purpose of a professional development plan is to guide an individual to the successful achievement of specific career goals. Today, more and more nurses are choosing to further develop their professional career by becoming Advance Practice Nurses (APN). The following professional development plan is focused on this writer’s transition from Registered Nurse to Advanced Practice Nurse. To begin, we must complete several different tasks in order to establish the optimal path to take to achieve the defined goal. First, it is important to determine the job description and requirements for the career with special consideration to education and licensure. For the purpose of this plan, we will also focus on governing requirements specific to the State of Florida. Once we have familiarized ourselves with the details of the career, we must then begin to assess the skills required for this role. A personal appraisal will need to be completed as well. For the personal appraisal to be meaningful, it is essential that the individual is completely honest and thorough. The last bit of data that needs to be collected is information regarding self-networking and marketing strategies including local and national professional organizations that provide employment assistance for APNs. Finally, a Curriculum Vitae (CV) will be constructed as a professional, organized way of presenting the APN’s skills, accomplishments and qualifications. APN Scope of Practice The role of the nurse practitioner consists of direct patient care/contact, wellness and health promotion, diagnosing, prescribing and treating illness/injury in a primary or acute setting (McClelland, 2014). Scope of practice refers the services that a healthcare professional is presumed competent to perform. Nationwide there is no uniform standard scope of practice for 2
Running Head: PROFESSIONAL DEVELOPMENT APNs. Unfortunately, each state has their own set of regulations and standards, some of which do not allow the APN to practice to the full extent of their ability. There are only 24 states in the United States that allow the APN to practice to full extent of their ability[Kei17]. While there are several different APN roles, this professional development plan will focus on the Certified Nurse Practitioner (CNP) role. To practice as a CNP in Florida, one must hold a valid registered nursing license, obtain a master’s or post master’s degree, and earn a certification as an APN. In regards to licensure, it is important to mention renewal and continuing education. The CNP in Florida must complete all of the required CEU for the RN
NR 510 Week 5 TD PART 1: You are a Family Nurse Practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff have heated arguments with each other, sometimes in patient areas. Today, one of the back office assistants didn’t come to work. Unfortunately, this pattern of behavior is not unusual in this practice. Your clinical schedule is especially busy. Working without appropriate office staff will negatively influence your ability to spend time with patients, impede the flow of patients through the office, and could impact patient safety. Assignment help – Discussion Question: How should you logically respond in this situation? Provide rationales and evidence to support your decisions. Every work environment requires teamwork and effective communication however, this is especially true for healthcare settings. Conflict with co-workers in the healthcare setting affects teamwork, which can ultimately lead to ineffective care and compromised patient safety (Klinkhamer, 2015). Teamwork and commitment to patient care are essential to providing high-quality care. All medical professionals must realize this, arguing in patient care areas and not showing up to work do not reflect this commitment. There are multiple possibilities for conflict, including cultural diversity, one’s position, workload, poor communication or miscommunication, and lack of teamwork (Klinkhamer, 2015). Miscommunication is often times the root of the problem because it involves what someone says as well as how the words are interpreted by others (Klinkhamer, 2015). Cultural diversity should be considered as a source of conflict because of differing beliefs, values, and work ethics (Klinkhamer, 2015). In practices where employees have worked together for many years, outside factors could be the issue as well. Before conflict can be resolved, the root of the problem must be identified. The ability to manage conflicts effectively is vital to a business being successful (Porter- O’Grady & Malloch, 2015). A well-run office should have policies and procedures in
place that deal with employee conflict, inappropriate behavior, and call outs or excessive absences. In this instance, it would be wise to discuss your concerns with the owner of the practice. Employees arguing in front of patients could severely affect the practices reputation, not to mention the altered workflow that comes from frequent call outs. The owner might want to consider addressing employees privately and/or having a team meeting to discuss the morale in the office. Team building conferences or exercises could also be considered. It would be a good idea to inquire about the practices policy and procedures regarding the issues at hand. If no policy and procedure exists, suggesting they be created and offering to help create them would greatly help the situation.
Most of the healthcare institutes do not have proper quality management strategies that ensure the patients and staffs are safe. This is clearly expressed in this case study in which Stephanie decides to make an early prescription for the patient. This is as a result of the hospital lacking the adequate measure or an outline that provides guidance on how the medicines can be given or prescribed. The objective of this paper is to explore the different strategies that can improve the safety of the patients within the hospital. The first strategy is to implement an evidence-based practice, which ensures that all the NPs conform to the legal and ethical standards. As part of the evidence-based practice, all nurses and other healthcare providers will be supposed to observe all the required rules when prescribing or providing treatment to the patients. Provision of high-quality health care should be encompassed in the evidence-based practice. To achieve this, there should be a formulation of policies that ensures only qualified personnel prescribe the drugs (Buppert, 2011). Currently, the hospital does not have the basi
