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Advanced Practice Roles in Nursing

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Advanced Practice Roles in Nursing
07.06.2019
Category: Nursing

Introduction

Nursing entails a combination of all activities that leads to promotion, protection, rectification, and optimization of health. The above goals are attained via diagnosis that aids in alleviating human pain and suffering. The above goals form the backbone of guidelines that serves to ensure that nursing engagements demonstrate the expected criteria for enhancing public health welfare. Besides, to meet these goals, there are different core competencies that form differentiated branches in nursing that play key roles in health promotion.

Advanced Practice Roles in Nursing

There is an increment in the level of complexity in terms of health demands. In response, advanced practice nurses are working towards improving the healthcare industry via availing cost-effective health services for many families in the USA (American Association of Colleges of Nursing, 2015). They are able to meet this goal through clinical practice, primary care, education, administration, and research.

Comparison of the Roles of the NP, Nurse Informaticist, Nurse Educator, and Nurse Administrator in Advanced Practice

Clinical Practice

A nurse practitioner (NP) is a registered nurse who is expected to provide healthcare to patients throughout their life. They are able to provide their services via examination, diagnosis, and treatment. On the other hand, a nurse educator’s role is in the context of preparing nurses to meet the dynamic and challenging demands of patients. Nurse educators ensure that training nurses get the best form of preparation before engaging in healthcare provision services. When it comes to a nurse informaticist, he or she is responsible for coming up with a system/program that enhances the basis under which patients get high-quality health services (Bahouth, Blum, & Simone, 2013). They also play a vital role in realigning the services delivered to meet the desired and necessary criteria in order to meet the ever-changing demands of the healthcare industry. The key role of a nurse informaticist is to come up with a suitable platform under which nursing services can be best delivered. Moreover, to ensure there is the proper coordination in nursing, the services of nurse administrator becomes a necessity. Their role is to ensure there is upholding of effectiveness and efficiency in delivering nursing services. Besides, they are a key variable to enhancing and maintaining healthy coordination between the various departments as phenomenon vital in delivering comprehensive and effective healthcare services.

Primary Care

NPs are the most active parties when it comes to the provision of primary care; this is because they both provide the preliminary actions vital in treatment before a patient meets specialized attention. The NPs provides direct care to patients, making them essential players when it comes to promotion and protection of public health (Bahouth, Blum, & Simone, 2013).  Nurse educators’ role under this goal is to ensure patients are in good hands in the healthcare facilities. Ensuring the training nurses get all the required information and practice to ensure they are fully conversant with the realities in the health industry. On the other hand, a nurse informaticist provides a platform under which patients can get the best primary care. The research they do, utilization of the information technology and the resultant program they formulate provide an avenue through which patients can get the safest and most comprehensive healthcare. In the provision of primary care, nurse administrators ensure that all nurses in a healthcare facility are playing their respective roles diligently.

It is through nurses’ well-coordinated undertakings that patients are able to experience the best primary care in these facilities. In addition, it is the role of nurse administrators to all pool together the necessary resources vital in promoting primary care to patients.

Education

A NP plays an educating role for patients in terms of best preventive measures to exercise when it comes to sensitizing patients on health promotion matters. They are also at the epicenter of educating the public on rooming epidemics. An informaticist, on the other hand, conducts research aimed at forming a curriculum to nursing educators. They also provide a system that is useful in terms of informing the nursing front of the best approach in terms of facing challenges in their line of work. It is also through the research they do that they are able to identify what is needed in terms of specialties to face the new demands of the industry. Nurse educators are the most prominent players under this goal; this is manifested in terms of the training they offer to new nurses. Nurse administrators are also involved in coming up with the best methods and approaches vital to sensitizing the public on healthcare issues (Bahouth, Blum, & Simone, 2013). They are responsible for coordinating these education engagements making sure all the players involved are aware of their responsibilities.

Administration

NPs are responsible for the quotas allocated to and responsible for health promotion engagements. For an FNP, the quota at hand is a family unit, and the relevant FNP is responsible for the actions taken by on behalf of the family involved in terms of their health welfare (Bahouth, Blum, & Simone, 2013). A NP can also be involved in administrative undertaking as a head of her or his team. This is where an NP is responsible for coordinating the undertakings of her or his colleagues. On the other hand, a nurse informaticist plays administrative roles when it comes to the implementation of a new system in the healthcare facility. They are the best fit team who are conversant with the human and non-human resources needed to see the implementation flourish.

Moreover, in the context of nurse educators, they play a huge role in ensuring that the right administrative techniques are passed to nurse administrators. In the same spirit, they are responsible for coming up with the right curriculum to meet the same goal. However, nurse administrators are the most prominent in this undertaking; they are responsible for the coordination of relevant players in the healthcare provision. Besides, it is also the role of a nurse administrator to ensure that the productivity of the nursing front is well-centered towards improving patients’ safety and quality in terms of healthcare.

Research

At the heart of healthcare services improvement is a research-based action on the nursing front. It is via comprehensive research that nurses are able to identify and realign with the demands in the healthcare industry. NPs are responsible for gathering the necessary information from the direct contact they have with patients. Most of the time, it is NPs who are used to get direct response information from patients they come into contact with. FNPs are also used to come up with family cultural practices data vital in coming up with the best approach in terms of helping the community deal with a health issue. A nurse informaticist plays a major role in research as this is their core undertaking in the nursing activities. They are responsible for coming up with vital information on the new industry realities helpful not only in coming up with a relevant curriculum for the trainees but also for new service delivery (Bahouth, Blum, & Simone, 2013).

For the nurse educators’ perspective, research is very vital when it comes to preparing nurse trainees on how to deal with the demands of the health industry. The training must be correlating with the demands in the industry. This requires a lot of research be done by nurse educators front in line of coming up with the right curriculum. Moreover, nurse administrators are responsible for coordinating the players conducting the research. In addition, they are responsible for setting the goals in terms of the required data, time frame, and the variables at hand.

Individual Advanced Practice Role

Family Nurse Practitioner

Family nurse practitioners (FNP) assume the responsibility for the provision of healthcare services to a family throughout their life. The variable of interest for an FNP is a family unit where the intention is to provide healthcare services for all the family members throughout their life.

FNP’s Regulatory and Legal Requirements in the State of Florida

Florida recognizes three areas of specialty in advanced nursing profession namely: nurse practitioner (NP), certified registered nurse anesthetist (CRNA), and certified nurse-midwife (CNM) (Graduatenursingedu.org, 2015). ‘The Florida Board of Nursing’ (850-488-0595) is the one which handles registration of ARNPs. It is also expected that a prospective nurse should have a current RN license before being considered for licensure as ARNPs. The nursing activities are guided by the Florida Nursing Act Chapter 464 (the State of Florida, 2012). It sets the rules on licensure and laws on board on nursing, as well as stipulates the different ways in which a nurse can be licensed.

Professional Organizations Available

In Florida, the most active nurse organization is the Florida Association of Nurse Practitioners (FLANP). It was formerly known as the Florida Council of Advanced Practice Nurses (CAP-PAC). It is an organization that is aimed at improving healthcare delivery through the removal of legal barriers that get in the way of Advanced Nurse Practice. It is also aimed at ensuring that there is mutual respect among nurses (FLANP, 2015). Its core mandate is guaranteeing that the Floridians can access affordable and comprehensive medical care.

FNP Core Competencies and Certification in Florida

As a Family Nurse Practitioner (FNP), the core competencies are those that promote health, treatment, protection, and disease prevention. In the state of Florida, they are supposed to show competencies in undertakings leading to assessment, diagnosis, planning care, and treatment. Above all, it is also expected of FNPs to have competencies aimed at enhancing the patient-practitioner relationship. In the spirit of enhancing access to quality of healthcare services, the state is very keen on academic qualifications matters. When one wants to be given the go-ahead to practice advanced nursing in the state of Florida, then he or she must fulfill the following quality assurance expectations. The first one is to get a graduate degree. If a person wants to be involved in the advanced practice, he or she is expected to get a Master of Science in nursing where they can specialize in various branches of advanced nursing practice FNP being one of them. Then, the next step is to get national certification. This certification is required for the ARNP three general areas of specialization as recognized by The Florida Board of Nursing namely: nurse practitioner (NP), certified registered nurse anesthetist (CRNA) and certified nurse midwife (CNM) (Graduatenursingedu.org, 2015). Certification is done via independent agencies that set their own criteria in terms of examination, education, and experience. After certification, a prospective advanced nurse practitioner in Florida is then expected to apply for an ARNP license. This is the final stage whereby nurses are, in addition, expected to be renewing their licenses once every two years.

Prediction

It is the main aim at hand to join an organization that has set a high level of expectation for patients leading to a high level of demand to ARNP. Florida Hospital avails an environment where all FNP competencies will be put to great use. According to the U.S. News & World Report, Florida Hospital was ranked number one in terms of quality service delivery in the state of Florida (Florida Hospital, 2015). It also came through as one of the best hospitals in nine areas of specialty in the USA. Being a FNP, the primary setting of the practice will be concentrated in the family setting where the intention is to provide the preventive and curative measure in the line of promoting the families’ health welfare. The population at hand will be all Floridians families who will be seeking healthcare services. This target is in line with the intentions and obligations of the Florida Hospital. Teamwork is essential as a matter of healthcare services delivery is concerned. In respect to this demand, it is the intention at hand to ensure that there is a full collaboration with all relevant players in the Florida Hospital in staying true to the call of the hospital mission, that of “The Skill To Heal, The Spirit To Care” (Florida Hospital, 2015).

Leadership Attributes of the Advanced Practice Role

Delegative Leadership

This leadership style is very useful where the group is made up of experts who are fully aware of their responsibilities. Group members are free to make decisions without the interference of their leader (Wittmann-Price & Cornelius, 2013). The intention is to cultivate the culture of problem-solving among employees. In the context of ARNP, members are highly qualified, and utilizing this form of leadership will be very helpful in enhancing their productivity in terms of service delivery.

Leadership Attributes

Strengths and Weaknesses

The most prominent present self-aware strengths are honesty and commitment. Being honest is vital in the healthcare industry, because it allows the right information to reach the relevant parties in good time. It is, therefore, possible to make the right decision in terms of a patient’s demands thus increasing the chances of patients making a full recovery. On the other hand, commitment is vital in ensuring one’s dedication to seeing that the task at hand is handled in a comprehensive and in a diligent manner.

Ways to Attain and Evaluate the Missing Attributes

Lack of patience in terms of meeting the set goals forms the greatest drawback. This is because it makes it harder to be an effective team member. It becomes difficult to understand why some of the team members take longer to meet the same individual goals set. Communication is also an evident self-conscious drawback present. The main problem is making the right approach in terms of the communication perspective taken. To attain these missing traits, it is enough to appreciate the different approaches used by different people engaging in the same task. On the other hand, effective communication techniques can be attained via well-intentioned practices of being a good listener. The most relevant self-evaluation method will be improved teamwork engagement and healthy exchange with the colleagues.

Health Policy and the Advanced Practice Role

Medicare’s Hospital-Acquired Condition Reduction Program

This is a program championed by Congress and the ‘Centers for Medicare and Medicaid Services (CMS)’. The aim of the policy is to cut the budget allocations to hospitals that are ranked lowest in terms of the health status of patients during their stay in a hospital (Cassidy, 2015). The intention is very noble because it entails enhancing quality services to patients in hospitals. However, at the heart of improved healthcare delivery in the healthcare facilities is the availability of all relevant resources both human and non-human (Dunham-Taylor & Pinczuk, 2010). It is, therefore, irresponsible to come up with the program to cut budget allocation to a healthcare facility. There is a need to come up with another form of ‘punishment’ rather than budget cuts.

Process Required in Making the Change with Key Players and Parties of Interest

The intention of the program should be upheld at all cost. This is in the line of ensuring that the healthcare facilities work towards making patients’ experience better. However, budget cuts are not the way forward. Congress, the CMs, and the practitioners’ representatives need to come together and formulate a more progress oriented evaluation process. The best mode of enhancing service delivery is via having personal-oriented disciplinary actions. In this way, a nurse practitioner/ team involved will be responsible for the health status of patient/s they are responsible for making it easier to the personnel change required. Utilizing this approach will enhance the productivity of individuals/teams working in a healthcare facility.

Leading the Effort to Make or Influence the Change in Policy

The best approach to enacting the change in the policy is through comprehensive consultation. Utilizing this approach will be helpful in the formulation of disciplinary measures that are acceptable to all the relevant players in the healthcare industry. Allowing the input of all the key players will make it easier for them to own up the policy making it more effective.

Effect on Healthcare Quality If the Change in Policy Is Implemented

When a policy is owned up by the key players, it is easier to meet the objective at hand. In addition, this reduces unnecessary resistance making it possible to meet the objective in a timely manner. Appreciating this, coming up with a policy that is targeting the players within the organization and not the organization itself will be more effective in improving the welfare of the patients under the care of the institution. At the end of the day, patients are not served by the institution itself but rather individual practitioners within it. In the same spirit, the healthcare quality will be much more improved targeting individuals involved rather than the institution itself.

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