NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
Grand Canyon University NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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 NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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 NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
The introduction for the Grand Canyon University NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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.
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How to Write the Body for NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
After the introduction, move into the main part of the NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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 NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
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 NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
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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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.
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
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time
RESPOND HERE
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.
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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.
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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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NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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)
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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.
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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.
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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
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.
NUR 513 Topic 1 DQ 1 Describe how the role of advanced registered nurse transformed over time 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.
I like your discussion about the APN advance in the health care system. As a nurse working in the hospital, I noticed that more APNs were working during the pandemic, even more than physicians. It seems that healthcare has now given more opportunities to advance. I believe that more APNs will be integrated into patient care. Many incidents have occurred in which a patient prefers to talk with a doctor than an APN. But later change their mind when the APNs speak with the patients. I saw a change in patient perspective toward APNs when they realized how well prepared APNs are. The advanced education makes the APNs more knowledgeable about health comorbidities and how to interact with the patient and explain in a way that patient can understand.
REPLY
The role of registered nursing has come a long way since the 19th century when Florence Nightingale revolutionized modern nursing on the front lines of the Crimean war and Lillian Wald’s nurses elevated nursing to provide primary medical care for inner city low income families. Initially education of nurses who provided advanced specialized care was in the form of apprenticeship training, but it is now a requirement to have obtained a master’s degree or higher to qualify as an official Advanced practice Nurse. Currently there are four degrees that meet the criteria to qualify as an advanced practice nurse (APRN).
They are Nurse Midwife, Certified Nurse Practitioner, Certified Registered Nurse Anesthetist, and Clinical Nurse Specialist (DeNisco & Barker, 2019). As the demands and expectations of the healthcare system continue to increase, the number of roles qualifying to be an advanced practice nurse are bound to expand. Two roles that have potential to be included as APRNs are the roles of case managers, and nurse navigators. Along with the expansion of the field of APRNs in the near future, there will also be an increase in the expectations of their education, training and responsibilities.
One example of how the education and training of an Advanced Practice Nurse has changed over time is in the role of nurse practitioner(NP). From the time that the role of nurse practitioner was formally developed in 1965 by Loretta Ford, EdD and Henry Silver, MD, until the 1980s and 1990s, when it moved to the university setting as a master’s level program, most NP training programs were continuing education programs. (DeNisco & Barker, 2019). The goal of the American Association of Colleges of Nursing was to have all entry level Nurse Practitioners be educated at the Doctorate level by 2015, but this has proven “impossible to achieve” (DeNisco & Barker, 2019, p. 30).
Doctorate-level nursing education has become the bar for the role of nurse practitioner because NPs have been proven to be a cost effective way to provide high quality care, and the expectations of nurses in this increasingly complex healthcare system are becoming more demanding. The Institute of Medicine (IOM) has “identified the need for nurses to be placed at the forefront of healthcare” (DeNisco & Barker, 2019, p. 24). Nurse practitioners are currently working alongside other doctorally prepared clinicians such as physicians (MD), pharmacists (PharmD), and physical therapists (DPT) to name a few (DeNisco & Barker, 2019). Requiring nurse practitioners to be doctorally prepared would ideally elevate them to be equal with other doctorally prepared clinicians in their respective fields.
Reference:
DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: Essential knowledge for the profession (4th ed.) Jones & Bartlett Learning.
REPLY
I really enjoyed your post. Pioneers such as Florence Nightingale and Lilian Wald have helped to pave the road toward awareness and acceptance regarding the importance of nurses within the healthcare field. I’ve always thought of these types of influential figures as strong and persevering. Imagine the hardships and backlash they faced, and how they continued forward for the patients and communities.
I found an interesting article that talks about how even at the doctoral level of Nursing, often times the programs have a missing element regarding the conduction of clinical research. This article discusses the key differences between DNP versus PhD programs for Nurses. The importance of research skills lands within the development and testing of interventions to improve patient outcomes (Oermann & Kardon-Edgren, 2018). DNPs would benefit highly from integrating the knowledge base and competencies to conduct research within their programs. This could provide the level of mastery needed to gain expertise and skill in the translation of research and other evidence into clinical practice, measurement of outcomes, and using evidence to improve systems are transferable to evidence-based teaching because all those elements need definitive research to generate evidence-based practice (Oermann & Kardon-Edgren, 2018). Nurses are the ones in the frontline of patient care and to be able to have this added autonomy of actually creating and performing clinical research would help the advancement of evidence-based practice initiatives.
Oermann, M.H. & Kardong-Edgren, S. (2018). Changing the conversation about doctoral education in nursing: Research in nursing education. Nursing Outlook. 66(6), 523-525. DOI:https://doi.org/10.1016/j.outlook.2018.10.001
REPLY
According to The AACN (2004) defined advanced practice nursing as follows: 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, 2019).
The first APN roles were solidified in the 1940s, and included Nurse Anesthetist and Nurse Midwife (Sheer & Kam, 2008). Since then, the variety of specialties the APN has access too has grown tremendously, opening up different interests available to pursue for the RN. Not only has the APNs role significantly grown with different specialty opportunities, but collaborative practice and inclusion of transformational leadership has laid a foundation to challenge and succeed against barriers within the APN profession (Goldsberry, 2018).
Even with this positive shift of increased opportunities within different APN roles, keeping up with the supply and demand of RNs and APNs has been a global challenge. Some factors influencing this include nursing school capacities, population growth, economic conditions, health insurance and healthcare reimbursement (DeNisco & Barker, 2019)
Advancements in scope of practice and autonomy within the APN role has led to significant growth and improvement towards not only direct patient care, but within communities as well. Certain types of disparities within the patient population and communities can be more readily addressed with the help of APNs. This in turn helps with the shortage of primary care physicians in areas with underserved communities (DeNisco & Barker, 2019).
As the American Health System changes, APN roles will continually be assessed and revised. As more RNs decide to pursue their APN, innovation and advancements within the field can be pursued by the APN to help express and govern the significance of the APNs roles and responsibilities. This helps create awareness and implement changes needed to effectively adjust the roles and responsibilities associated with the needs of the patient population and communities’ unique needs (DeNisco & Barker, 2019).
DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284176124
Goldsberry, J.W. (2018). Advanced Practice Nurses Leading the Way: Interprofessional Collaboration. Nurse Education Today. (65). Pg 1-3. https://doi.org/10.1016/j.nedt.2018.02.024.
Sheer, B. & Kam Yuet Wong, F. (2008). The Development of Advanced Nursing Globally. Journal of Nursing Scholarship. (40:3). 204-211.
REPLY
I agree with you about continuing education to be better prepared to provide patients with the best health care possible. The High demand for APNs in our community has increased tremendously in the last three years, and it keeps growing. While at work we are constantly low staff, I noticed this has been happening more than in the previous year
The umbrella term of advanced registered nurse has come to include any registered nurse that has gone on to continue their education in the nursing field. Along with experience, studies in a specific area will allow for professional development of the advanced registered nurse. Society benefits when a registered nurse decides to expand their career into one of these fields. “Advanced practice registered nurses (APRNs) have varied backgrounds in nursing and play diverse roles in research, direct patient care, leadership, and education (Henry & Wogatske, 2022). Being that change is a constant with the world of medicine, there will always be the need for continuous learning in each field. Therefore, in order to remain on the cutting edge of medicine and to be able to deliver the best patient care, nursing must continue to evolve to include new treatments and nursing interventions in order to provide optimal patient care. Technology is an area that will also greatly benefit the nursing field. As technology improves, nursing will also have to follow its advancements. Nursing will need to maintain the pace that technology also sets since it also involves each area when treating delivering whole patient care.
Henry, K., & Wogatske, A. (2022). Role of the Advanced Practice Registered Nurse in Crisis Response. AACN Advanced Critical Care, 33(4), 339–348. https://doi-org.lopes.idm.oclc.org/10.4037/aacnacc2022710
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?
KELLY
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
RESPOND TO KELLY HERE
Hello Kelly,
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
GINA
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
[Text Wrapping Break]RESPOND TO GINA HERE
Hello Gina,
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
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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 role of advanced registered nurse has undergone significant transformation over time. The transformation can be seen in the changes in roles between the 20th and 21st century. The transformation in roles is largely attributed to the influence of factors that include professional, government, legal, and technological changes. The advanced registered nurse did not rely mainly on health technologies in the 20th century. This changed in the 21st century where novel healthcare technologies are largely utilized to provide high quality, safe and efficient care to diverse populations. The 20th century nurse also provided fee-for-service care. The focus of nursing care was largely on the quantity of care given to the patients. Patients also incurred significant expenses in seeking the care that they needed. The focus of nursing care in the 21st century is however different from the above. Advanced registered nurses in the 21st century provide value-based care. The focus of nursing care is on the realization of quality and patient-centered outcomes (Gullatte, 2018). The outcome of this focus include patient-centeredness in case, cost-efficiency and safety in care given to patients.
The roles and responsibilities of the advanced registered nurses will continue to evolve and emerge as the American healthcare system changes in the future. For instance, advanced registered nurses will have to utilize information from the big data to make informed decisions on addressing the current and future needs of the patients. There is also the anticipated changes in the dynamics of the patient population in the future of America. As a result, nurses must be trained to be highly adaptive and responsive to the emerging needs of care for their populations. Technological and legal changes in America will also have a positive impact on the future roles and responsibilities of the advanced registered nurses (Young et al., 2017). Advanced registered nurses will have to ensure that the care that they give is evidence-based, innovative, efficient, and patient-centered to address the emerging needs of care for the diverse populations.
References
Gullatte, M. M. (2018). 21st Century Nursing Leadership. Oncology Nursing Society.
Young, H. M., Bakewell-Sachs, S., & Sarna, L. (2017). Nursing Practice, Research and Education in the West: The Best Is Yet to Come. Nursing Research, 66(3), 262–270. https://doi.org/10.1097/NNR.0000000000000218
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