NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
NUR 513 Topic 1 DQ 1
Describe how the role of advanced registered nurse transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?
Re: Topic 1 DQ 1
Historically, when one spoke of advanced practice nursing, they meant one of four roles; certified registered nurse anesthetist (CRNA), certified nurse mid-wife (CNM), clinical nurse specialist (CNS), or certified nurse practitioner (CNP). In 2004, the American Association of Colleges of Nursing (AACN) defined advanced practice nursing as “Any form of nursing intervention that influences health care outcomes for individuals or populations, including direct care of individual patients, management of care for individuals and populations, administration of nursing and health care organizations, and the development and implementation of health policy” (Denisco & Barker, 2016). Since this definition came out many other nursing roles, such as nurse administrators and public health nurses have also been thought of as advanced practice nursing roles.
Whereas advanced practice nursing used to be mainly reserved for clinical practice, it is now branching out into non-clinical roles. With the ever-expanding role of nurses coupled with the push to expand access to and decrease costs of health care there will likely be many new roles developed for nursing practice. These roles will require advanced degrees even if they are not in clinical areas, therefore, they too should be thought of as advanced practice nursing.
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Denisco, S.M. and Barker, A.M. (2016). Advanced Practice Nursing: Essential Knowledge for the Profession. Jones and Bartlett Learning. https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursingessential-knowledge-for-the-profession3e.php
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
RESPOND HERE
Hello,
I agree with you that nursing practice is any form of nursing intervention that is meant to influence the care outcomes. The nurse practice has been evolving overtime especially with the transformation of the healthcare systems and healthcare policies. In the current healthcare industry where the focus is on the patient, what is commonly referred to as patient centered approach has ensured that the patient is given autonomy to choose on the best care practice that is appropriate and improves the patient’s health condition (American Association of Nurse Practitioners, 2019).
This has called upon the nurse training institutions to shift and adapt to the new and emerging trends in healthcare. The advanced nursing role has been the significant part that the Affordable Care Act aims to enhance health promotion measures among the aging US population (Woo et al., 2017). The research findings reveal that the advanced nursing role would be one of the professions at a highest demand by the year 2022.
References
American Association of Nurse Practitioners. (2019). Scope of Practice for Nurse Practitioners. American Association of Nurse Practitioners; AANP Website. https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners
Woo, B. F. Y., Lee, J. X. Y., & Tam, W. W. S. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Human Resources for Health, 15(1). https://doi.org/10.1186/s12960-017-0237-9
Re: Topic 1 DQ 1
The advanced practice registered nurse (APRN) has seemed to evolve based on shortages and demands of the population within our healthcare system. Deficits have expanded many nursing roles, leading to the need to define the nursing scope of practice and educational requirements. The traditional four roles of APRN, nurse practitioner (NP), certified nurse-midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS); have all grown exponentially since the 20th century (DeNisco & Baker, 2016).
These four roles all seemed to have stemmed from disparities in our healthcare system, whether it be a shortage of physicians, under-severed rural areas, vulnerable populations, or times of war. A great example of this is the advancements within the CRNA field. CRNAs were initially brought about during World War I due to a physician shortage during wartimes (DeNisco & Baker, 2016).
The continuation of wars through United States history gave the CRNA field a strong foothold as a chief provider of anesthetics to the frontline. This expansion of the nursing scope of practice in anesthetics eventually led to credentialing and the American Association of Nurse Anesthetists (AANA) to monitor and regulate this growing field (DeNisco & Baker, 2016). Similarly, the growth and expansion of the other original APRN roles through the end of the 20th and 21st century required the nursing field to define graduate-level educational requirements and each specialty’s nursing role. The transformation of traditional APRN roles has now begun to open doorways for other nontraditional advanced practice nursing areas like public health nursing, clinical nurse leaders, nurse administrators, nursing research, and nurse educators.
DeNisco and Baker do a great job of laying out the ongoing evolution and need of the APRN role in the American healthcare system and the need for more advanced practice educators to sustain the APRN field’s continuous growth (2016). With a growing and aging population and a continuing shortage of physicians, the APRN roles offer a cost-effective solution that can also improve patient satisfaction (DeNisco & Baker, 2016). I will say that this week’s reading has made the decision to continue my education in nursing even more appealing and necessary.
References
DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284072570
RESPOND HERE
Hello,
I agree with your statement that the advanced nurse practice numbers have soared high in the 21st century compared by the 20th century. The current Covid-19 pandemic has however, proved that health and wellness is a collective responsibility (Kovac, 2020). In this context both the patient and the nurse are at risk of contracting the disease regardless of age, gender or religious underpinnings hence adequate precautionary measures should be taken. The advanced nursing role has taken up active role in preventive measures of the disease by offering the routine guidelines of hygiene the emerging trends in the spread and severity of the disease.
The concept of preventive care is one of the key pillars in the patient protection and well-being. The advanced nurse role requires the nurses to carry out educational programs, seminars and workshops that are meant to help the public on the need of maintaining our bodies for optimal health and reduced chances of hospitalization. The one situation where the advanced nurses’ practitioners have shown resilience is the tackling of the covid-19 pandemic. Countries that embraced strict, firm and taken early hard precautionary measures have known to be safer with very low reported cases in the country (Trnka et al., 2021)
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References
Kovac, M. (2020). The Covid-19 pandemic: collective action and European public policy under stress. Central European Journal of Public Policy, 0(0). https://doi.org/10.2478/cejpp-2020-0005
Trnka, S., Long, N. J., Aikman, P. J., Appleton, N. S., Davies, S. G., Deckert, A., Fehoko, E., Holroyd, E., Jivraj, N., Laws, M., Martin-Anatias, N., Roguski, M., Simpson, N., Sterling, R., & Tunufa’i, L. (2021). Negotiating risks and responsibilities during lockdown: ethical reasoning and affective experience in Aotearoa New Zealand. Journal of the Royal Society of New Zealand, 1–20. https://doi.org/10.1080/03036758.2020.1865417
This week : CAT (150 WORDS)
This week : We will discuss how the role of advanced registered nurse transformed over time, considering various shifts in scope and expectations in the 20th and 21st centuries. We will also discuss different ways that will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes. Here is a CAT ( classroom assessment technique question for you to get additional participation points). Please respond in addition to your 2 main dbqs dq1 and dq2.
CAT #1
Explore the 4 APRN roles ? of your personal interest.
RESPOND HERE TO THE CAT
The APRN roles which are the advanced roles include; certified registered nurse anesthetist (CRNA), certified nurse midwife (CNM), clinical nurse specialist (CNS) and certified nurse practitioner CNP). The advanced nurse roles have been traditionally entailing focus on the clinical procedures, advocating for better patient care, being case managers (Hu & Forgeron, 2018). Additionally, ADP is also expected to work in consultation and collaboration with other healthcare professionals.
The roles entail a wide scope of practice and ideally, the learning is meant for advancement on the already available information. However, in the current situation the healthcare industry is approaching a new era as emphasized in the affordable care act which we still don’t know what will happen. The affordable care act insists on offering medical care that built on patient centeredness and care that is preventive rather than curative (Courtemanche et al., 2018). This is meant to tackle the rising number of the elderly population that is battling serious chronic illnesses that are associated with old age
References
Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2018). Effects of the Affordable Care Act on Health Care Access and Self-Assessed Health After 3 Years. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 004695801879636. https://doi.org/10.1177/0046958018796361
Hu, J., & Forgeron, P. (2018). Thinking, educating, acting: Developing advanced practice nursing. International Journal of Nursing Sciences, 5(2), 99–100. https://doi.org/10.1016/j.ijnss.2018.04.006
The scope of nursing back in the early centuries are limited to bedside nursing such as during Florence Nightingale’s time. As time evolves so does the needs for healthcare and expectations has been changing. More responsibilities had been added to nursing. Rendering the importance of a safe and quality nursing measures to meet standards of care being created to protect the health of every individual. Thus, quality measures were set -up related to medical errors and incidents. These create pathways to develop or create Standardized Quality Measures and encouraging nurses for roles to evolve and develop.
The role of advanced Registered Nurse has transformed related to shortages of a vast of medical roles so they evolved as to fill in the gaps. There was a severe shortage of primary care provider in the United States in the 1970s. To address this issue, federal government funding was provided to establish more advanced registered nurses to fill positions for diagnosis and treatment in both urban and rural areas, thereby preventing shortages (DeNisco and Barker,2016). Not only physicians but also midwives, case managers and anesthetists are having shortages thus nursing in the 20th and 21st centuries are shifting to fill in the healthcare manpower.
Nurses who just graduated from their Bachelor’s as Registered Nurses are already enrolled for their master’s and NPs as to cater the needs of the American Healthcare. Other role shifting for ANPs are educators, quality management, leadership, and administration. There is also a shift when it comes to nursing dependability and the different safety and quality management that American Healthcare is aiming thus requiring nurses for continuing education and development. The nursing community continues to provide the role of nursing as being resourceful, informative and solution oriented in order to provide the highest quality of care.
Albeit whatever role the advanced registered nurses are pursuing, they all need the same set of essential knowledge. I believe that Advanced Registered Nurses will continue to grow and evolve into leaders, educators and clinicians but will cause more shortages at bedside. (339 word count)
Reference:
DeNisco, S. M.(2019). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning
The medical sector has always been and will continue to evolve in response to a seemingly limitless number of obstacles. As a result, the precise functions of medical professionals have evolved dramatically and will certainly continue to do so. It is believed that the position of the advanced practice nurse began in the 1960s (Weberg et al., 2018). Initially, the advanced practice nurse was responsible for providing care to patient populations with limited access to healthcare (DeNisco, 2019). In essence, advanced practice nurses were utilized as a less expensive alternative to conventional healthcare at the time.
In the 1960s, when the role of the advanced practice nurse was originally introduced, the process did not always involve university study; rather, the majority of these individuals became advanced registered nurses through continuing education, often lasting between three and twelve months. In the 1980s and 1990s, obtaining a master’s degree became a prerequisite for becoming an advanced registered nurse, as the role and scope of practice grew with time (DeNisco, 2019).
Currently, the phrase advanced practice is utilized. Clinical nurse specialists, nurse practitioners, certified nurse midwives, certified registered nurse anesthetists, and registered nurses are all examples of registered nurses. Beyond this, numerous new responsibilities have been established for registered nurses, the most of which require additional education. Nurse administrators, public health nurses, policymakers, clinical nurse leaders, and nurse educators are a few of these roles (DeNisco, 2019).
It is difficult to fully forecast how the position of the advanced practice nurse will evolve in the future, but it is certain that the responsibilities and scope of practice will continue to evolve to meet the ever-changing requirements of the global patient population. The endeavor to expand access to high-quality healthcare without rising costs will undoubtedly have a significant impact on the evolution of the advanced practice nurse. It is anticipated that numerous new nursing professions will be established to help manage care for an aging population, chronic diseases, gender-specific healthcare, etc (DeNisco, 2019). Although the future of advanced practice nursing is unknown, imagining how the role will change is really exciting.
References
DeNisco, S.M. (2019). Advanced nursing practice: knowledge essential to the profession. Jones & Bartlett Learning.
Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2018). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Jones & Bartlett Learning.
Topic 1 DQ 1
Nurses are the backbone of the healthcare sector and considered the frontline care providers. The shift in healthcare provision, especially the increased focus on patient-centered approaches means that nurses have advanced based on their specialties and diverse healthcare needs. The role of advanced registered nurses has transformed because of this shift meaning that they specialize in four areas that include certified registered nurse anesthetist (CRNA), certified nurse midwife (CNM), clinical nurse specialist (CNS) and certified nurse practitioner (CNP) (Courtemanche et al., 2019).
Based on their specialties, advanced registered nurses offer case to the specific patient populations with these roles changing due to a host of issues like advancement in technology, professional and governmental changes (AANP, 2019). Patient expectations and shifts in their scope have also let to changes among advanced practice nurses. The initial provider-based and free-care delivery has transitioned to team-based and increased patient-centered care. Earlier, nurses offered independent and episodic care. However, changes in the industry have led to increased focus on patient-centered interventions and preferences. Because of these changes, nurses are increasingly working through collaborations and inter-professional teams to deliver quality patient care.
The shifts in scope and expectations in the last century and this century have been tremendous with nurses assuming more roles and responsibilities based on their specialty. The shifts mean that nurses can offer advanced care as primary care providers and practice alongside physicians (Hu & Forgeron, 2018). The expectations include attainment of higher or advanced education, more focus on deployment of innovative approaches like evidence-based practice (EBP) and patient-centered care through holistic model.
The roles and responsibilities of the advanced registered nurses will evolve in different ways to meet patient needs and diversity. This implies that more nurses will specialize to offer patient-centered care interventions. The changes in the health care system means that nurses will remain a critical component of the delivery of quality care.
References
American Association of Nurse Practitioners. (AANP) (2019). Scope of Practice for Nurse
Practitioners. American Association of Nurse Practitioners. https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners
Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2018). Effects of the
Affordable Care Act on Health Care Access and Self-Assessed Health After 3 Years. Inquiry: The Journal of Health Care Organization, Provision, and Financing, 55, 004695801879636. https://doi.org/10.1177/0046958018796361
Hu, J., & Forgeron, P. (2018). Thinking, educating, acting: Developing advanced practice
nursing. International Journal of Nursing Sciences, 5(2), 99–100. https://doi.org/10.1016/j.ijnss.2018.04.006
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