NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion

Chamberlain University NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion                  

Whether one passes or fails an academic assignment such as the Chamberlain University NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion                  

The introduction for the Chamberlain University NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion                  

After the introduction, move into the main part of the NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion                  

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion                  

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion Included After Question

NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion

NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion

Jessica’s colleague is not correct. No matter if your state allows for full practice, reduced practice, or restricted practice, NPs just as RNs are accountable for providing care according to their scope of practice. Mennella and Heering (2017) state “accountability is the primary outcome of all levels of professional nurse autonomy” (p. 1). According to Park, Athey, Pericak, Pulcini, and Greene (2018), 21 states and the District of Columbia allow NPs to practice independently and have full practice authority. In NJ NPs have reduced practice authority and must have physician’s sign off on certain care decisions. I worked in LTC in NJ, we had an NP that came in weekly and did wound rounds. She was able to make care recommendations, but we had to call the primary physician to write the order for the needed treatment.

CNP (Certified Nurse Practitioner)

• Provide primary health care services to pediatrics, families, and geriatrics. These NPs can diagnose and treat illness and injuries. They can prescribe medications and diagnostic tests. Depending on the state that the NP is employed they may have to work with a physician on certain aspects of patient care. (www.nursejournal.org)

CRNA (Certified Registered Nurse Anesthetist)

• Administer anesthesia care to patients. These duties include administering anesthesia during medical and dental procedures, follow-up care, pain management and inserting PICC lines. This is a highly skilled position and requires licensing from the American Association of Nurse Anesthetists. (www.anaa.com)

CNS (Clinical Nurse Specialist)

• Work in many areas of health care including acute care, home health, and community health settings. There knowledge and skills are used to apply theory and research to practice improving patient outcomes. In my hospital the CNS works with stroke and palliative care patients. They manage care of these patients and have the ability to prescribe care based on organizational protocols. (www.graduatenursingedu.org)

CNM (Certified Nurse Midwife)

• These NPs specialize in women’s reproductive health and childbirth. They provide preventative and health maintenance, family planning, and all aspects of childbirth. They provide holistic care to the women in their care. This NP position can be stressful, emotional, and include long hours. (www.registerednursing.org).

APN Role     Median Salary
CNP                 $98,000 
CRNA             $154,000 
CNS                 $80,000 
CNM                $91,000

A nurse pracitioner master’s degree program may not be practical for Jessica to complete if she is only given 2 years to complete the degree. Also, if she accepts the administrative position she may find it difficult to complete the intensive practicum required by most programs. However, if she chooses to enroll in a program, she would probably be most suited for a clinical nurse specialist program. In this position she can still have direct patient interaction and can make a positive impact on patient care and outcomes.

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Resources:

Certified registered nurse anesthetist fact sheet. (2017, October 10). Retrieved from https://www.aana.com/patients/certified-registered-nurse-anesthetists-fact-sheet.

Certified nurse midwife. (2017). Retrieved from https://www.registerednursing.org/nurse-midwife/.

Clinical nurse specialist (CNS). (2018). Retrieved from https://www.graduatenursingedu.org/clinical-nurse-specialist/.

How to become a CNP certified nurse practitioner. (2017). Retrieved from https://nursejournal.org/nurse-practitioner/how-to-become-a-certified-nurse-practitioner/.

Mennella, H. & Heering, H. (2017). Professional autonomy and advanced nursing practice. Cinahl Information Systems.

Nurse practitioner career guide. (2018). Retrieved from https://nurse.org/resources/nurse-practitioner/. Park, J., Athey, G., Pericak, A., Pulcini, J., & Greene, J. (2018). To what extent are state scope of practice laws related to nurse practitioners’ day-to-day practice autonomy. Medical Care Research and Review, 75(1), 66-87.

A Sample Answer 2 For the Assignment: NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion

Title: NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion

I enjoyed reading your post. I also learned a great deal about the various advanced nursing degrees during the past week. I as well did not know much about the CNS role.  Clinical nurse specialists (CNS) tend to be one of the more misunderstood APRN roles. Their responsibilities may also include diagnosis and treatment, health promotion, disease management, prevention, and risk reduction. Clinical nurse specialists are registered nurses with a graduate degree in nursing at the Master’s or Doctorate level and must complete formal education in Pharmacology, Physiology, and Physical Assessment.  Very similar to our chosen FNP track. However, CNS scope of practice varies state by state but CNS’s are licensed in 28 present states. The FNP role is licensed to practice in all 50 states and has as of 2017, 22 states and Washington D.C. have granted NPs full practice authority. This is a major difference in acceptability nationwide.  I am confident that we will receive the appropriate knowledge as a foundation prior to our clinical’s to meet the needs of the AACN and board of nursing for licensure. I feel like these are safe guards that are in place to protect ourselves and the public to produce solid pracitioner’s.

Reference:

American Association of Colleges of Nursing (AACN). (2014). AACN position statement on the practice docture in nursing. Retrieved from http://www.aacn.nche.edu/DNP/pdf/DNP.pdf (Links to an external site.)Links to an external site.

A Sample Answer 3 For the Assignment: NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion

Title: NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion

I enjoyed reading your post.  Your initial sentence is absolutely correct – as nurses education and scope increased, so does the responsibility and liability for performing the correct actions on behalf of a patient.As health care delivery has continued to evolve, many Americans are using NPs for much of their health care needs, making nurse practitioners a critical component of the modern system. This growth in demand and responsibility has also increased and evolved the many risks NPs face in their work environments.As future nurse practitioners, the need to purchase our own professional liability insurance policy is a reality. 

A recent review of NP claim report insights show that the majority of claims against NPs developed from a failure involving competencies, such as diagnosis, medication prescribing, or treatment and care management. Allegations related to failure to diagnose and improper prescribing/managing of controlled drugs were found most frequently. This reality displays that nurse practitioners are responsible for reviewing, following up on, and documenting the results of appropriate tests and consultations in a timely manner, as well as properly evaluating each patient prior to prescribing medications. As always, remaining current regarding clinical practice, the need to document al medical treatment, including the care plan, laboratory and diagnostic testing, procedures performed, and medication provided in a timely and objective manner, and engage in an informed consent discussion are some ways to prevent errors and create liability.  Increased liability has increased with our soon to be scope of practice. Knowing this in advance can help us prepare appropriately. 

Reference:

Stanik-Hutt J, Newhouse RP, White KM, et al., (2013). The Quality and Effectiveness of Care Provided by Nurse Practitioners. J Nurse Practice;9(8):492–500.

A Sample Answer 3 For the Assignment: NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion

Title: NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion

The question posted discussed the ability of an NP to diagnose and prescribe while the accountability will fall on the physician.  The statements made about accountability are false because even when practicing in a state with restricted APN privileges the accountability does not “fall” onto the collaborating physician.  As a prescribing provider an APN will face accountability for their actions and a physician as the collaborating physician may be held accountable if they were involved in the care of the patient, but rarely if they were only acting as a collaborating physician.

I will compare and contrast the roles of a CNP, CRNA, CNS, and CNM, as discussed by Susan & Anne (2016), but the choice of specialty within all of these advanced practice nursing degrees is very personal to the nurse choosing their track of advancement. 

The following APN roles are described in our textbook (Susan & Anne, 2016).  The CNS has provided direct patient care and shown positive patient outcomes, but hospital administrators have not been able to show a decrease in hospital costs and are unable to bill for CNS services.  There is talk that the CNS role may not be recognized as an advanced practice degree and concerns on grandfathering the position in and differences within states.

The role of a CNP (or FNP family nurse practitioner in many areas) is the largest group of APN’s and practice in all 50 states.  The demand for primary care practitioners can be met by FNP’s and as time goes on the projection for nurses holding this degree will continue to increase.  By obtaining a FNP, the APN is certified to care for all ages which makes the degree very versatile.

The Certified Nurse Midwife (CNM) is an APN who came into practice by fulfilling the role of an obstetrician but also as primary care practitioners.  Our text states that “53.3% of CNM’s identify reproductive care and 33.1% identify primary care as their main responsibilities” (Susan & Anne, 2016, p. 12). 

The role of a CRNA began during the Civil War when anesthesia was needed and provided by nurses due to physician shortages.  Eventually they became accredited and today CRNA’s provide anesthetics in millions of cases.  They are typically paid more than other APN roles but the entry into programs is considered more difficult and the program of study is also known to be much more difficult than other APN roles.

References

Susan, D. M., & Anne, B. M. (2016). Advanced Practice Nursing Essential Knowledge For The Profession (3rd ed.). [Bookshelf Online]. Retrieved from https://online.vitalsource.com/#/books/9781284099133/https://online.vitalsource.c