Advanced Nursing Roles Advanced practice nursing can be described as the future of nursing practice. Nurses who are trained to take on advanced nursing roles bring their creativity, intuition, and dedication to affect and change the healthcare system (Blais & Hayes, 2011). The number and demand of advanced practice nurses dramatically increased in the last decade. Despite the need for the higher level of nursing practice, there are many challenges that advanced practice nurses face every day. The purpose of this paper is to discuss opportunities, challenges, and practice requirements that Adult Gerontological Acute Care Nurse Practitioner has to overcome in order to address the needs and demands of the healthcare system in the state of New Mexico.
Bringing together education and healing was a life-changing experience that made me realize that nursing is my true calling. Traditionally, nurses were viewed as caregivers. In today’s world, image of nursing profession changes as nurses play many other roles such as patient’s advocates, educators, managers, team members, facilitators, and experts. (Zerwekh, 2006). As I read the entries from my reflective journal, I could see how my focus shifted from assisting patient with his basic needs at the beginning of the nursing school to more comprehensive nursing care today.
Nursing education with its multiple routes for entry level licensure make it one of the most distinctive in the United States today. From colleges to hospitals, nursing education needs to change to fit how health care is delivered today in the 21st century, meeting the needs of patients with increased complexity. The Future in Nursing report discusses available research on improved patient outcomes when comparing a BSN prepared nurse to an AND prepared nurse. This enforces the IOM”s message of “lifelong learning”. Nurses should always be striving for higher level of education.
Running head: CURRICULUM DEVELOPMENT FOR SPECIALTY INTERNSHIP Curriculum Development for Specialty Internship Joyce Ivie The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5302 Curriculum Development and Education Sharon Judkins, RN, PhD, NEA-BC March 17, 2014 Curriculum Development for Specialty Internship Many nursing internship programs allow interns to choose a specialty, which would ultimately be the specialty they select for their careers. Both the ongoing changes in the delivery of health care and the specialized and technical nature of the dialysis setting demand that new graduates and experienced nurses who choose nephrology nursing as their specialty receive comprehensive training (Singer, 2006). Specialized programs give nurse interns maximum exposure to the field that interests them the most. Specialized education programs for nurses require extensive human and facility resources to be successful (Hall, 2006). This specialty internship program will also assist with retention of nursing staff.
Professional Development of Nursing Professionals Jeanette Deutschmann Grand Canyon University/NRS-430V September 27th, 2015 Professional Development of Nursing Professionals Comprising of more than three million members, the nursing profession makes up largest portion of the healthcare workforce. Being at the forefront of patient care, nurses play a crucial role in assisting to understand the objectives that are set forth in the Affordable Care Act (Battie, 2013). This legislation provides insurance coverage for thirty two million more Americans, and the healthcare needs to continue to adapt to meet this new demand (Battie, 2013). The Institute of Medicine (IOM) and the Robert Wood Johnson Foundation in 2008 (RWJF) set forth a two-year initiative to respond to the need to assess and transform the nursing profession. “The Future of Nursing: Leading Change, Advancing Health” is an evidence based report developed in 2010 that evaluates the capability of nursing to meet the anticipated demands the health care reform will create.
Impact of IOM Report Milena Ramos Grand Canyon University Professional Dynamics NRS-430V Ms. Yvone Johnson April 11, 2013 Impact of IOM Report According to the IOM report nursing should continue with the same important aspects of nursing education .The requirement of nurses should be ready to meet wide range of patients needs; function as leaders; and cutting edge science for the betterment of patients and the ability of health professionals to provide safe, quality patient care. ("The Future of Nursing: Leading Change, Advancing Health," 2011) However, nursing education must be transformed in multiple ways to make sure nursing graduates work together and effectively with other health professionals in a ever changing health care system in different settings . As of result of the passage in 2010 by US congress the Affordable Care Act it is believed that American Government should look forward to improved its health care system to provide high quality, safe , more less expensive and readily available care. Research indicates that in the 21st century the nation challenges are expected to increase dramatically the need for highly educated nurses. The American population is 65 and older will represent at least 20% of the total population by the year 2030.
Nurses can also build partnerships with doctors and collaborate with health care workers, to help improve the health care system in the United States. The IOM sees the nurse as a great leader, but they are not being used to their full potential due to challenges like policy regulation, high turnover of nurses, the aging workforce and the difficulty to find a job coming out of school. The ANA in a press release, agreed with the IOM report and acknowledged the need for nurses to step up and meet the challenges of the changing and advancements in the health care system, (McNamara, 2010). IOM Recommendations The Institute of Medicine report recommended that leaders in nursing should work together to help improve the number of nurses with a BSN degrees from 50 percent to 80 percent by the year 2020.
Running Head: APNs AND ALTERNATIVE DISPUTE RESOLUTION The role of Advanced Practice Nurses in alternative dispute resolution: Improving the workplace The idea of the Advanced Practice Nurse (APN), specifically the Nurse Practitioner (NP), was first documented in the late 1950’s. Their roles have emerged and grown immensely over time. The significance of the APN is largely due to the changes in healthcare, patient needs and expectations, and governmental pressures on reimbursement and managed care issues. Furthermore, the APN has grown within the United States healthcare system due to the shift from hospital delivered care to community delivered care, the increase demand in patient advocacy, and the global change in attitudes about the competence of a nurse. The occurrence of these events gives the APN more opportunities for growth and involvement in the healthcare organization.
Transforming Nurses Practice, Education, and Leadership to Meet Advancing Healthcare Grace Wood Today’s nursing lacks smooth transformation to higher education in order for nurses to advance their practice. Research completed in 2010 by the Institute of Medicine, (IOM) who provide policy makers, health professionals, private sector and the public with an independent, objective, evidence –based comprehensive report to assist in addressing needs to meet the advancing healthcare, (Tanner, 2012, pp. 347). The major concern cited by the IOM is the stumbling block found existing for nurses transferring forward from associate degree nursing (ADN) to baccalaureate; then going on to obtain their doctoral level in nursing, (IOM, 2010). The IOM’s goal is to have 80 percent baccalaureate degree nurses (BSN) in the workforce by 2020 and have double the number of doctoral level nurses from the current number, (IOM, 2010).
The Institute of Medicine: The Future of Nursing Report discusses so many positive key messages to improve nursing care; but three seem to have the greatest impact in my mind, in regards to the future of nursing, the transformation of the: nursing practice, nursing education and nurse’s role. Nursing Practice According to the IOM’s report, nurses should practice to the full extent of their education and training; however due to state regulations and licensing, scope-of-practice is faced with many limitations. Gennaro (2012) states, “A number of different initiatives are underway to en-sure that nurses are able to practice to their full ability... The goal of these endeavors is to ensure that advanced practice nurses are able to practice to the full scope of their education.” I constantly ask myself, is the juice worth the squeeze? Meaning is the end result worth the hardship I’m about to