Describe how the role of advanced registered nurse transformed over time NUR 513

As a registered nurse progressing into advanced registered nurse is an exciting upward move that comes with additional roles and responsibilities, some of which are as a leader, an educator, an advocate, and as a provider, I will be collaborating in care policy that increase quality of service rendered, collaborate with nursing programs in evaluating quality of graduating clinicians and means to enhance quality, community Involvement, be an advocate for the people in the community, collaborate with physicians to develop patient care protocols, policies, and procedures, as well as collaborating with other interdisciplinary team members, and on shared decision making,

Participate in the legislative process concerning health care through membership in professional organization and personal contact with public officials, educate patient care team members on the legislative and regulatory processes and methods for influencing both, interpret impact of state and federal legislation on nursing and health care organizations, educate patient and their family, be a quality driven leader to subordinate, incorporate EBP to enhance patient safety practice, gather data, and so much more.

Understanding of the roles and responsibilities of the four types of APRNs and what they do in practice as this is continually increasing due to issues like the Baby Boomer in increasing Medicare and the Affordable Care Act (ACA) and the Patient Protection Act increasing more American seeking health care coverage, demand for my role as a APRN is seeing myself as part of the team of professionals making history and changing the world of the healthcare industry.

Describe how the role of advanced registered nurse transformed over time NUR 513

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?

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Re: Topic 1 DQ 1

 
In the past, the APRN was only considered to NPs, CNMs, CRNAs and CNS who can provide clinical care in the acute setting all of which require master’s degree and licensing beyond the RN license except the CNS. For instance, in the past, a nurse with a baccalaureate degree must have wide extensive clinical experience before they can even be considered to advance their education and must be at the doctoral level to be included in the academia as a faculty. With the global reform in health care where population health is the focus, demands for quality of care in the acute and long-term care settings have been at the forefront. More skillful graduate nurses are required to fill the shortage; more NPs are needed due to shortage of primary care providers. The implementation of these reforms has been entrusted to the care of the nurses and the push for nurses to achieve their highest level of education and training has opened various pathways to meet these projected goals.

ORDER NOW FOR AN ORIGINAL PAPER Describe how the role of advanced registered nurse transformed over time NUR 513

Therefore, AACN expanded the definition of APRN which allows nurses with baccalaureate degree to advance their studies towards mastery of a specific role whether they provide direct or indirect patient care just as long as it can effect healthcare outcomes. Their set curriculum encompasses the AACN Essentials designed to deliver all the core competencies expected of an APRN. Now we see more nurses going for their master’s degree such as but not limited to education to shape competent future nurses; more nurse practitioners who will serve as a primary care provider consistently providing high quality of care; more nurse leaders whose vast knowledge and understanding of health care policies bring us to the forefront; more nurses who are leaders in research and develop efficient model of care based on evidence data and APRNs who are experts in data mining and informatics. Nursing has certainly evolved to a more autonomous role in the healthcare industry in the 21st century (Denisco & Barker, 2016).

Describe how the role of advanced registered nurse transformed over time NUR 513 References

DeNisco, S. M., & Barker, A. M. (2016). Introduction to the role of advanced practice nursing. In Advanced practice nursing: essential knowledge for the profession (3rd ed., pp. 5-16). Retrieved fromhttps://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

Re: Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time NUR 513

Over the years, the role of the nurse has expanded in response to advances in scientific knowledge and changes in health care needs. Integrate nursing science with knowledge from the organizational, biophysical, psychological and analytical science, as well as ethics, as the basics for the highest level of nursing practice. Nowadays as a consequence of the expansion of the role of the nurse within health care, the need for formal education and training become more common. The development of advanced practice nurses become very popular in the nursing profession and the majority of nurses coming from different backgrounds are particularly eager to expand their clinical practice responsibilities. As today nursing continues to be one of the tops trusted professions in the United States( Gallup 2012) and Nurse Practitioners have extremely high patient satisfaction score (Weiland 2008)

As the health care system has expanded over the 40 years, the education and roles of APRNs, in particular, have evolved in such a way that nurses now enter the workplace qualified to provide more services than had been the case previously. Yet while APRNs are educated and trained to do more, some physicians challenge expanding scopes of practice for nurses. The committee stresses that physicians are highly trained and skill providers and that some services clearly should be provided by physicians who have received more extensive and specialized education and training than APRNs. However, given the great need for more affordable health care, nurses should be playing a larger role in the health care system, both in delivering care and in decision making about care.

Today Nurse Practitioners have proven their effectiveness in delivering high quality, lower-cost health care services. Healthcare consumers, recognizing the value of a good service flock to NPS for numerous health care needs. While it remains unclear at this time how health care reform effort will change health care delivery, it is abundantly clear that nurse practitioners will be a vital component of future American health care services. Describe how the role of advanced registered nurse transformed over time NUR 513

Describe how the role of advanced registered nurse transformed over time NUR 513 References

American Association of colleagues of Nursing (AACN) 2004 AACN position statement on the Doctorate in nursing http://www.aacn.nche.edu/DNP/DNPPositionStatement.htm

APRN Consensus Work Group and the National Council of State Boards of Nursing APRN Advisory Committee (May 2008). Consensus Model for APRN Regulation.

American Association of Nurse Practitioners(AACN) 2014 Nurse practitioners fact sheet. http://www.aanp.org/all-about-nps/np-fact-sheet

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.

Describe how the role of advanced registered nurse transformed over time NUR 513 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 TO GINA HERE

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)

Describe how the role of advanced registered nurse transformed over time NUR 513 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

Topic 1 DQ 2

Access The Future of Nursing: Leading Change, Advancing Health. Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Provide rationale based on your experience in practice. Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving? Why or why not?

Re: Topic 1 DQ 2

In the Institute of Medicine (IOM) report title “The Future of Nursing: Leading Change, Advancing Health” (2011), the IOM recommended changes to the nursing profession in order to improve patient outcomes. One of those recommendations is to “ensure that nurses can practice to the full extent of their education and training” (Institute of Medicine, 2011). These is probably the most important aspect of the IOM report because although we are facing a shortage of primary care providers in the country, many regulatory bodies still put boundaries in place for nurses trying live up to this recommendation. There are currently only 20 states in America that allow Nurse Practitioners to practice without a supervising physician (Full Beaker, Inc., 2021).

Another recommendation from the IOM report is that nurses should achieve higher levels of education (IOM, 2011). While I agree wholeheartedly with this recommendation on the surface, I believe that it may help and hurt the profession. Nurses should be expected to achieve higher levels of education and continue their education throughout their career because its just the right thing to do. Health care is changing constantly and nurses should keep up with those changes in order to keep patients safe. However, if the minimum educational level for entry into the nursing profession were to be changed to a baccalaureate degree it would prevent many people from entering the profession in the first place. The time and cost involved may be a deal breaker for many. In addition, with the nursing shortage getting worse every year we should not increase the time it takes nurses to obtain licensure. I know that for me, if I had to go straight through for a bachelor’s of science in nursing, rather than obtaining my associates degree, I would probably have chosen a different profession.

Full Beaker, Inc. (2021). Nurse.org Career Guide Series: Nurse Practitioner. Retrieved from https://nurse.org/resources/nurse-practitioner/#:~:text=Nurse%20practitioners%20have%20full%20practice,on%20certain%20patient%20care%20decisions.

Institute of Medicine (IOM) (2011). The Future of Nursing: Leading Change, Advancing Health. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK209881/

I do agree with you that one of the best recommendations by IOM about the role of the advanced registered nurse practice is to allow the nurses practice to the full extend according to their level of training and education. This has a direct impact on the effect of shortage of primary care providers in the sense that it will relieve the pressure on the already outstretched and overwhelmed primary healthcare providers. Additionally, the same concept was emphasized by the Center for Medicare and Medicaid Services (CMS) which broadened the concept of “medica staff” (Altman et al., 2016).

This is meant to ensure that all healthcare facilities allow other healthcare practitioners like the APRNs to perform a number of roles that is within their area of training, practice and experience. Healthcare organizations that apply these recommendations are bound to be effective in terms of offering timely primary care for the patients and ease the pressure on the physicians. Additionally, this will encourage multidisciplinary health collaborations that are likely to result to high quality services and improved patient outcomes (Leach et al., 2017).

Describe how the role of advanced registered nurse transformed over time NUR 513 References

Altman, S. H., Adrienne Stith Butler, Shern, L., Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health, Institute of Medicine, & National Academies of Sciences, Engineering, and Medicine. (2016, February 22). Removing Barriers to Practice and Care. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK350160/

Leach, B., Morgan, P., Strand de Oliveira, J., Hull, S., Østbye, T., & Everett, C. (2017). Primary care multidisciplinary teams in practice: a qualitative study. BMC Family Practice, 18(1). https://doi.org/10.1186/s12875-017-0701-6

Over the past century, the function of the advanced practice nurse has evolved significantly. Beginning in the 1960s, the major function of the nurse practitioner was to offer primary care in underserved communities (DeNisco, 2021). Over the subsequent decades, NPs pushed to shift the political and socioeconomic perspective of society, opening the path for NPs to be viewed as more than just a cost-effective method of providing healthcare to the underprivileged. In the 1980s and 1990s, NP education migrated to the university environment as a master’s-level program. Realizing that education also leads to credibility, NP education followed the adage “education is power” (DeNisco, 2021).

Nonetheless, misunderstanding regarding the APRN’s role continued into the early 2000s. As a result, a consensus model was developed to define the qualifying roles and education of an advanced practice registered nurse (APRN). As nursing is a profession that requires lifelong learning, it is not surprising that nurses desired to further their education by pursuing PhD degrees. The American Association of Colleges of Nursing (AACN) formally accepted the Doctor of Nursing Practice degree, which is currently recognized as the highest practice degree, in order to reduce misunderstanding regarding the range of available doctoral degrees.

The role of the APRN is presently developing before our eyes. Anesthesia is administered to surgical patients by CRNAs instead of an anesthesiologist. Similarly, ACNPs are replacing internists in intensive care units and emergency departments across the nation. Additionally, nurses are educated to treat patients, not diseases. The cornerstone of nursing enables patients to be active participants in their treatment, hence enhancing patient outcomes and health care compliance. This holistic approach to patient care, combined with the NP’s extensive education and practical experience, will certainly make the NP the preferred primary care practitioner over the MD. As a personal objective for the nursing profession, I want nurses to have a voice in the political arena. Historically, nursing has been administered and perceived as an employee work group; hence, nurses’ engagement and presence in the political and public sector have been insufficient. (Weberg et al., 2019) I’d love to see the day when the public views APRNs and MDs in the same light, when the nurses’ unique perspective, education, and approach to patient care can be a driving force for our local and national public policy.

Describe how the role of advanced registered nurse transformed over time NUR 513 References

DeNisco, S. M. (2021). Advanced Practice Nursing: Essential Knowledge for the Profession (4th Ed.). Jones & Bartlett Learning.

Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2019). Leadership in Nursing Practice: Changing the Landscape of Health Care (3rd ed.). Jones & Bartlett Learning.

The medical field always has been and always will be evolving in order to adapt to seemingly endless challenges that have been faced. Due to this, the specific roles of medical professionals have transformed drastically, and will likely continue to follow the same trend. The role of the advanced practice nurse is thought to have started in the 1960s. Initially, the duty of the advanced practice nurse was to provide care to patient populations who lacked easy access to healthcare (DeNisco, 2019). Essentially, advanced practice nurses were used as a cheaper alternative to standard healthcare at that time.

When the role of the advanced practice nurse was first introduced in the 1960s, the process was not necessarily schooling done through a university; instead, most of these individuals became advanced registered nurses through continuing education, typically ranging from 3 to 12 months. As the role and scope of practice expanded over time, the process of becoming an advanced registered nurse moved to a university driven approach to obtain a master’s degree in the 1980s and 1990s (DeNisco, 2019).

Currently, the term advanced practice registered nurse refers to nurse practitioners, certified nurse midwives, certified registered nurse anesthetists, and clinical nurse specialists. Beyond this, there are various other roles that have been incorporated for registered nurses, most of which require further schooling. Some of these roles include nurse administrators, public health nurses, policy makers, clinical nurse leaders, and nurse educators (DeNisco, 2019).

It is difficult to accurately predict what the role of the advanced practice nurse will evolve into next, but it can be said with confidence that the responsibilities and scope of practice will continue to adapt to the ever-changing needs of the patient population throughout the world. The initiative to provide access to high-quality healthcare without increasing the cost will surely play a strong role in evolving the advanced practice nurse. It is thought that many new roles will be created within nursing to help coordinate care for the aging population, chronic diseases, gender-specific healthcare, and so on (DeNisco, 2019).  Though the future of advanced practice nursing is still unknown, it brings much excitement to envision what the role will evolve into.

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. 

  

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-nursing_essential-knowledge-for-the-profession_3e.php 

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 

    The term advanced registered nurse has traditionally been an all encompassing word to delineate a master’s level educated nurse per the American Association of Colleges of Nursing (AACN) which over time has included nurse practitioner, certified nurse midwives and certified registered nurse anesthetist and clinical nurse specialists (DeNisco,2024).  As our healthcare system evolves, the need not only for direct patient care practitioners continues to grow but the need for nurses in more leadership roles has evolved more recently.  

     Nurse practitioners, the largest group of advanced registered nurses  first emerged in the 1960s due to the shortage of primary care physicians especially in under-served areas.  Initially training was anywhere from 3-12 months but over time the role has grown so the need for education requirement did as well.  Entry level education requirements were masters level at the end of the 20th century but now in the 21st century, entry level for NP’s is now doctorate level as recognized by the AACN (DeNisco, 2024).  The Patent Protection and Affordable Care Act subsequently increased the need for highly trained quality practitioners with an estimated increased need by 52 % between 2020 and 2030 per the Bureau of Labor Statistics-2022 (DeNisco, 2024).

As the need for higher quality health care at a reduced cost grows in our nation, roles for nurses and especially advanced trained nurses will continue to evolve and change.  Advanced RN’s are growing in need and responsibilities and will continue over time to include policy makers, nurse educators, administrators, clinical nurse leaders as well as the evolving new roles of care cordinators.

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 

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) 

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 

 Throughout history, advanced registered nurses in healthcare have been essential for ensuring patient safety and care. However, their roles have changed over time due to various technological, professional, and government changes. Undoubtedly, the responsibilities of advanced registered nurses have evolved as the dynamic healthcare industry necessitates swift adaptation and decision-making based on sound reasoning. The caring approaches of these nurses will continue to evolve, driven by the changing dynamics of the American healthcare system.  

          A national plan aims to enhance healthcare access and reduce costs, leading to the creation of new, unforeseen nursing jobs. Recently introduced roles like care coordinators (such as nurse navigators and healthcare coaches) may require additional degrees and certifications in the future. With an aging population, there will be increased demand for nurses specializing in chronic illness and wellness coaching. Specialized roles like population health, gender-specific healthcare, and global health specialists are expected to become more common. Efforts are underway to expand and clarify the definition and standards for advanced practice nursing (DeNisco, 2024).  

          The Affordable Care Act of 2010 (ACA) will bring both challenges and chances for health professionals to build a more patient-centered system. This law marks the start of a gradual shift in the U.S. healthcare system away from acute and specialty care. The urgency for this change is heightened, especially in addressing chronic conditions, primary care, including coordination and transitional care, prevention and wellness, and preventing adverse events like hospital-acquired infections. As the population ages, the demand for long-term and palliative care will also increase in the future (Transforming Practice, 2011). 

Affordable Care Act (ACA) can also be measured through the promotion of personal well-being. If ACA prevents and relieves pain suffering and disability and minimizes loss of life, then it’s doing what it was designed to do. 

Affordable Care Act can also be measured through its effect on meeting people’s health needs as the disease is usually thought of as an adverse departure from the normal level of functioning. The ACA should therefore help people to maintain or restore normal functioning or to compensate for the inability to function normally. 

Another way ACA is measured is through equitable access. Equitable access could be interpreted as access to whatever an individual needs or benefits from. For instance, if a given level of care is available to one individual, it must be available to all. ACA was designed to ensure that there is equitable access to healthcare for all individuals who enjoy healthcare benefits (Munson & Lague, 2016) 

References 

Milstead, J. A. (2014). Health policy and politics (5th ed.). Jones & Bartlett Learning. 

Munson, R., & Lague, I. (2016). Intervention and reflection: Basic issues in bioethics (10th ed.). Cengage Learning. 

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