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Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.
For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following: …
Solution
Future Roles as an Advanced Registered Nurse
Introduction
Legislation and policies coupled with evolving needs of the healthcare system have led to drastic changes in the scope and roles of advanced registered nurses. As a conduits of care and primary care providers, the shift in scope underlines the pivotal role APRNs play in the future of healthcare. As more legislation and policies address issues within healthcare such as costs, access and availability, the expansion of the scope of APRNs is poised as a viable solution to the evolving needs of the healthcare system. The expansion will be defined through regulations, certification and accreditation by professional nursing organizations, which guide and ultimately safeguard the quality of care.
The healthcare environment is rapidly evolving; this facilitates the growing prevalence of chronicle illnesses among the old part of the population in a community. Also, the rise of in demand for critical care and emergency care services, therefore, APNs play an essential role in the provision and coordination of services in the community. Also, the task of making sure that their patients are fully satisfied, clinical outcomes are accurate and reliable. By Ensuring that their patients receive quality healthcare services APNs have a full clinical knowledge to provide the patients direct clinical care and immediate medical attention to patients in the cases of doctors’ absence they help save the day, but their key roles are management and administration in a healthcare environment (LoBiondo-Wood, & Haber, 2017).
The expanded scope of practice and roles of APN will facilitate improved access, add value, and potentially strengthen the healthcare system. However, there are issues concerning the clinical outcomes and the safety of the patients when considering the expansion of autonomy and the role of nurses. The narrative from the factual information and evidence shows that the nurses in advanced practice develop comparable clinical outcomes same as those of the doctors in the critical and emergency settings. There will be a positive and more considerable change for the various healthcare setting, including the ICU if the APN gets involved in critically managing the ill. The role of the APN is more significant compared to that of the physicians who typically are on rotation as the APN gains familiarity with the patient demands and the environment.
In most states, the current scope of practice allows the APRN to provide primary, acute, and specialty health care across the lifespan through assessment, diagnosis, and treatment of illnesses and injuries. As of 2019, over 22 states, permit APRNs to fully practice including prescribing medications and controlled substances. The licensure, as recommended by National Academy of Medicine (NAM), and the National Council of State Boards of Nursing (NCSBN), is highly likely to be adopted by other states and necessitate a full change in roles of APRNs. To support the changes, professional nursing organizations play the crucial role of providing guidelines to practice and nursing education in a bid to support the new specialties.
NCSBN provides a consensus model for APRNs that enhances uniformity in the regulation of APRN roles and has been endorsed by 48 nursing organizations. The regulatory framework, adopted within different capacities by states, defines and outlines regulatory requirements in licensure, accreditation, certification and education that should be adopted by every state. The consensus model, defines the scope of practice and roles and sets the bar for regulation and licensure. Even though certification varies with the APRN specialty, professional nursing organizations such as American Nurses Credentialing Center (ANCC), the American Academy of Nurse Practitioners Certification Board (AANPCB), the American Association of Critical Care Nurses (AACN), the Pediatric Nursing Certification Board (PNCB), or the National Certification Corporation (NCC), offer certification to individuals that meet the requirements, consistent with the APRN consensus model.
Influential three professional nursing organizations
American Academy of Nurse Practitioners (AANP), American Association of Critical-Care Nurses (AACN), and National Association of Nurse Practitioners in Women’s Health (NPWH) stand out as some of the most influential in advancing the scope and influence of advanced nursing. The AANP, brings together APRNs from all over the country and maintains an active political action committee (PAC) that supports legislative efforts at the state and national level. Through the PAC, and progressive advancement of laws and guidelines, the body plays an essential in passing laws that support the nurse practitioner role in modern healthcare. AACN is also on the forefront in advocating to ensure that nurses can practice to the full extent of their education and license. The organization defines its advocacy mandate to be to ensure that nurses can practice to the full extent of their education and license. NPWH has been influential through provision of education and resources to increase clinical competencies, advocating healthcare policies that support women and APRNs, and collaborating with interprofessional strategic partners in advancing the scope of practice of APRNs in women’s health through evidence based research.
Based on the contributions the organizations have made to advanced nursing and the unique opportunities they offer, I will join the American Academy of Nurse Practitioners (AANP). By joining this organization, I will be deciding to broaden my scope of understanding the health-care industry while also taking steps towards career progression. I believe AANP is a valuable addition as it provides education, certification, networking, and advocacy, most specifically for advanced practice nurses (Mellor, Gregoric & Gillham, 2017). Besides, one of my key goals is to attain certifications as a Family NP which will certify my knowledge in family/individual across the life span care. The organization offers the opportunity to attain the certification and also brings together like-minded individuals within advanced nursing. The organization also provides a platform to learn more workshops, meet experts, and participate through advocacy, which I will use to improve my skills and competencies while also building my professional portfolio.
One of the evolving issues in advanced nursing is reduced practice. Presently, only 22 states allow advance nurses to have a full scope of practice, underlining the existing variation with respect to scope of practice, prescriptive authority, and collaborative practice requirements. Even though the consensus model pushes for uniformity, the variations continue to undermine the scope of practice of advanced nurses (Institute of Medicine, 2011). Reduced practice and restricted practice, however, limits the ability of advanced nurses to serve as qualified providers and to keep costs down with safe, effective healthcare services.
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To address the issue, it is imperative to seek ways of establishing uniformity and general regulatory acceptance of NPs. The outcome of the involvement of the advanced nurses will reduce the amount of stay for the patient and increased the satisfaction for both the facility management and that of the patient as well. Through the assigned responsibilities and duties of a particular section of the patients, the nurses can develop expertise for that specific group of patients. They will also be able to deliver quality and efficient care to their patients. By adding the number of APN in the emergency section, gave the doctors ample time to concentrate on the patients of higher acuity and complexity, thereby allowing for access to emergency care.
References
LoBiondo-Wood, G., & Haber, J. (2017). Nursing research: Methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.
Mellor, P., Gregoric, C., & Gillham, D. (2017). Strategies new graduate registered nurses require to care and advocate for themselves: A literature review. Contemporary nurse, 53(3), 390-405.
Institute of Medicine (US) (2011). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. Washington (DC): National Academies Press (US); 2011. 3, Transforming Practice. Available from: https://www.ncbi.nlm.nih.gov/books/NBK209871/
Question/Paper Details
Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.
For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:
- A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
- A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
- A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
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