Nursing Roles Graphic Organizer Template

Ethics involves understanding the moral rules and the system that they are made of such as the nature of purposes and justifications. One of the major challenges that nurses encounter is the ethical dilemmas and it is vital that nurses establish good ethical practices to ensure that there are better patient outcomes. Nurse practitioners are responsible for the provision of primary, acute, and specialized care across the lifespan (Fraze et al., 2020). They perform their role by assessing, diagnosing and treating illnesses and injuries. One of the major ethical issues that nursing practitioners encounter is having to deal with difficult patients and their family members. Behavioral issues and hopelessness can arise because of the complex nature of a patient’s problem which can also result in emotional and psychological problems. Despite the various challenges that may arise, nurse practitioners are responsible for catering to the patients need by fulfilling their ethical standards in their practice.

Psychiatric clinical nurse specialists are responsible for the provision of care to patients suffering from psychiatric issues. These nurses utilize evidence-based practice and standards of best practice in ensuring that they offer the highest quality of care to the patients. Caring for patients in this area may be challenging because of the diagnosis of mental illness (Mohr & Coke, 2018). Nurses need to be patient and empathetic to ensure that they can practice ethically without any form of bias. It is important for these nurses to be objective and contain their emotions when dealing with patients and not allow them to prevent them from effectively caring for the patients. Nurses should attempt to be neutral and provide patients with the highest quality of care.

References

Fraze, T. K., Briggs, A. D. M., Whitcomb, E. K., Peck, K. A., & Meara, E. (2020). Role of nurse practitioners in caring for patients with complex health needs. Medical Care, 58(10), 853–860. https://doi.org/10.1097/mlr.0000000000001364 

Mohr, L. D., & Coke, L. A. (2018). Distinguishing the clinical nurse specialist from other graduate nursing roles. Clinical Nurse Specialist, 32(3), 139–151. https://doi.org/10.1097/nur.0000000000000373

systems and technology in healthcare organizations. This may include designing and coding databases, creating user interfaces, and developing training materials. They work with nurses and other healthcare professionals to identify and meet the needs of patients and caregivers. There are three main Specialty for Family Nurse Practitioner which includes adult-gerontology primary care nurse practitioner, family nurse practitioner, and pediatric nurse practitioner.

Nursing Roles Graphic Organizer Template References

Byrne, M. D. (2021). Nursing Informatics Specialist: Role in the Perianesthesia Environment. Journal of PeriAnesthesia Nursing, 36(1), 90-92. https://doi.org/10.1016/j.jopan.2020.02.012

Dlamini, C. P., Khumalo, T., Nkwanyana, N., Mathunjwa-Dlamini, T. R., Macera, L., Nsibandze, B. S., … & Stuart-Shor, E. M. (2020). Developing and implementing the family nurse practitioner role in Eswatini: implications for education, practice, and policy. Annals of Global Health, 86(1). 10.5334/aogh.2813

Jouparinejad, S., Foroughameri, G., Khajouei, R., & Farokhzadian, J. (2020). Improving the nursing informatics competency of critical care nurses: results of an interventional study. Journal of Health Informatics in Developing Countries, 14(1), 1-20. https://orcid.org/0000-0002-9621-3486

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Use the “Nursing Roles Graphic Organizer Template” to differentiate how advanced registered nurse roles relate to and collaborate with different areas of nursing practice. Compare your future role with one of the following: nurse educator; nurse leader; family nurse practitioner; acute care nurse http://Nursing Roles Graphic Organizer Template NUR 513 Week 2practitioner; graduate nurse with an emphasis/specialty in public health, health care administration, business, or informatics; clinical nurse specialist; doctor of nursing practice. Indicate in the appropriate columns on the template which roles you are comparing. 

Make sure to compare the following areas of practice in your graphic organizer:

• Ethics
• Education
• Leadership
• Public Health
• Health Care Administration
• Informatics
• Business/Finance
• Specialty (e.g., Family, Acute Care)

Include any regulatory bodies or certification agencies that provide guidance or parameters on how these roles incorporate concepts into practice.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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Acute Care Nurse Practitioner and Family Nurse Practitioner
Observations (Similarities/Differences)

Ethics

Ethics is an important component in the practice of acute nurse practitioners. Often, ACNPs work to address the needs of patients and families suffering from life threatening conditions. In doing this, they must observe the professional standards that guide their practice. They must also ensure that their behavior demonstrates the protection of the rights of their clients. They must also ensure that they adhere to the moral standards of their practice. In some cases, ACNPs might experience dilemmas in their practice that influence their decision-making (Hinds & Linder, 2020). As a result, it proves important for them to ensure that the decisions that they make are ethically and morally sound. Therefore, ethics is an important determinant of the decisions that ACNPs make in their practice.

Family nurse practitioners are a group of professionals who are trained to address the needs of families as a whole. They provide health education as well as healthcare to families. As they do this, they must adhere to the ethics and professional standards that guide their practice. This can be seen in their adoption of decisions that not only promote safety and quality of care offered to the families but also continuity and sustainability of the adopted interventions. Ethics are therefore important in ensuring that FNPs provide care that optimizes the health outcomes of the families that they serve. They abide by their professional standards and regulations for practice. They also ensure that the environment of care promotes safety, quality, and optimization of health outcomes (Reeves, 2020). FNPs also promote the professional growth and development of other professionals as well as the families they serve. Consequently, ethics is important for them to achieve these objectives.

It is evident that ethics is important for both ACNPs and FNPs. They must abide by the professional standards that guide their practice. They must also promote safety, quality, and efficiency in the care that they offer. The use of ethics in practice between these professions however differs. For instance, ACNPs are largely interested in utilizing ethics in addressing the health needs of patients with acute conditions. This is different in FNPs where the focus is placed on promoting the health and wellbeing of families. This is irrespective of whether they are suffering from acute or chronic illnesses. There is also a strong emphasis on health education as part of ethics for FNPs than in ACNPs.

Education

One is considered an ACNP after completing a master’s degree or a doctoral degree in nursing. One must specialize as an acute nurse practitioner in these levels of study. It is also a mandatory requirement for one to have a bachelor’s degree in nursing. Additional requirements include accreditation and registration with the state’s professional and regulation bodies (Hinds & Linder, 2020).

One is considered a FNP after acquiring a master’s or doctoral degree in nursing. It is a mandatory requirement that one must specialize in family nurse practice. One must also have a bachelor’s degree in nursing. There is also the requirement to be certified to practice as a FNP.
Both specializations require one to have either a master’s or a doctoral degree in nursing. One must have also specialized in these areas of practice. There is also a similarity in the mandatory requirement of a bachelor’s degree in nursing. The only difference between the two is the area of specialization.

Leadership

Leadership is an important component in the practice of ACNPs. ACNPs lead change programs in their settings. They champion the implementation of projects that will promote quality, safety, and efficiency of care. ACNPs can also lead professional teams in their settings. They lead the adoption of collaborative interventions that promote enhanced clinical outcomes. ACNPs also play the role of leadership in implementing evidence-based practice in their settings. They explore the best available clinical evidence that can be used to optimize the health outcomes of their patients.

Family nurse practitioners should also be effective leaders. They lead the implementation of family-focused interventions that will promote their health and wellbeing. They also lead the adoption of interventions that aim at addressing the identified health needs in at the community levels. Through it, they act as change agents in their communities (Reeves, 2020). FNPs also lead the implementation of change projects and evidence-based practice initiatives in their practice.
Leadership is an important skill in both specializations. Leadership is needed in initiating change programs in practice in both specializations. Leadership is also used to initiate change, implementing evidence-based practice, and enhance professional collaboration. However, there is a difference between the leadership skills in the two specializations. ACNPs utilize their leadership skills to address clinical problems affecting their acutely ill patients while FNPs are largely focused on using it to promote change in the families and communities they serve.

Public Health

ACNPs engage in efforts that promote public health. They collaborate with other healthcare professionals in exploring solutions to the most critical issues affecting the health of the public. They also utilize public health data to determine the most critical public health issues affecting their practice. They also provide care to patients and families experiencing injuries and illnesses, hence, the promotion of public health. ACNPs also advocate the adoption of policies that promote the health and wellbeing of their publics at the local, state, and national levels (Hinds & Linder, 2020).

NPs also focus on the promotion of public health. They provide health education to the families they serve as a way of promoting their lifestyle and behavioral change. NPs also utilize public health data to determine the most pressing health issues affecting their communities. They use the data to come up with initiatives that promote public health. FNPs also provide nursing care to families experiencing illnesses and other health problems. Through it, they promote public health. FNPs also advocate the adoption of policies that promote public health at all levels of government.
Both specializations are interested in the promotion of public health. They utilize public health data to determine the most critical issues affecting their publics and the identification of the needed interventions. However, a difference exists in the focus of the two areas of specializations. FNPs focus more on promoting the health of families and communities while ACNPs are highly focused on addressing health issues affecting their patients and ways of addressing them for their recovery and wellbeing.

Health Care Administration

ACNPs have minimal roles to play in health care administration. They can use their leadership and management knowledge to engage in activities that address the needs of their organizations. However, they can lead their units in the implementation of the desired initiatives that promote the safety and quality of care offered to the diverse populations.

The role of FNPs in healthcare administration is evident in case management in their organizations. They lead the adoption of community and family-level interventions that address the health needs of the diverse populations. They can also play the role of healthcare administrators by leading policy interventions such as formulation, assessment, and implementation. Despite these roles, FNPs have minimal roles to play in health administration due to the existence of specialists in nursing leadership and management.
ACNPs and FNPs have a role to play in healthcare administration. This can be seen in the role they play in influencing the policies made in their organizations. However, their role in healthcare administration is limited due to the existence of other nursing professionals specialized in health care administration and leadership.

Informatics

Knowledge on nursing informatics is important for ACNPs. They utilize it in determining safe healthcare technologies that can be utilized in their practice. ACNPs also need informatics to assess, plan, implement, and monitor the effectiveness of care that is given to their patients. They also need knowledge on informatics to promote privacy and confidentiality of patient data (Sermeus, Procter & Weber, 2016). Lastly, they need the knowledge to collaborate and coordinate the care given to their patients. Through informatics, they can optimize the health outcomes of their patients.

FNPs also require knowledge in nursing informatics. They utilize it to ensure safe practice in addressing the needs of their families and communities. Informatics is also important for FNPs as they use it to monitor the trends of health problems in families and communities. Through it, they develop health solutions to break the identified chain of relationships between health problems McBride & Tietze, 2018).
Knowledge in nursing informatics is important for FNPs and ACNPs. They use this knowledge to promote safe, quality, and efficient care. They also use it to coordinate the care in their settings. However, FNPs utilize informatics to optimize the health outcomes of families and communities while ACNPs use it to optimize the health outcomes of acutely ill patients.

Business/Finance

ACNPs require knowledge in business and finance. They use it in determining the cost-effectiveness of the care that they give to their patients. They also use it in allocating resources to competing demands in healthcare. They also use business and finance knowledge in making investment decisions for their organizations (Stanhope et al., 2019). Therefore, it is important that ACNPs possess the basic knowledge in business and finance.

FNPs also require knowledge in business and finance. They use it in determining the cost implications of disease burden to their communities. They also use it in determining the cost-effectiveness of the care offered to their populations (Stanhope et al., 2019). Similarly, they need business knowledge to make investment decisions for their organizations.
Both professional specializations need business and finance-related knowledge for determining the cost-effectiveness of care, investment decisions, and cost-implications of disease burden on their populations. They also need it for making decisions on allocating scarce resources to competing health needs.
Specialty (e.g., Family, Acute Care)
Acute care nurses might specialize in a number of areas that include pediatrics, neonatology, and geriatrics. One can also specialize according to a condition such as nephrology and cardiology.

Family nurse practitioners can specialize in an area such as pediatric, gynecological, and adult primary care.
Each of the specializations has different areas of specializations that one can major in for practice.

Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice

The American Nurse Credentialing Center certifies acute care nurse practitioners. The ACPNs are licensed by their respective states. The states provide professional standards and regulations that guide the practice of the ACPNs (Stanhope et al., 2019).

American Nurse Credentialing Center certifies family nurse practitioners. Licensing is done by the respective states where the practitioner practices. Renewal of certification and licensing are done regularly to ensure that one abides with the stated regulations (Stanhope et al., 2019). The states provide regulations and standards that guide the practice of FNPs.
The two specializations are certified by similar regulatory body. Licensing is also done based on the regulations of a state where one intends to practice. The states develop regulations and standards that guide the professional practice of ACPNs and FNPs.

Nursing Roles Graphic Organizer Template References

Hinds, P. S., & Linder, L. (Eds.). (2020). Pediatric Oncology Nursing: Defining Care Through Science. Springer Nature.

McBride, S., & Tietze, M. (2018). Nursing informatics for the advanced practice nurse: patient safety, quality, outcomes, and interprofessionalism. Springer Publishing Company.

Reeves, G. C. (Ed.). (2020). Advances in Family Practice Nursing, E-Book (Vol. 2, No. 1). Elsevier Health Sciences.

Sermeus, W., Procter, P. M., & Weber, P. (Eds.). (2016). Nursing informatics 2016: EHealth for all: Every level collaboration–from project to realization (Vol. 225). IOS Press.

Stanhope, M., Faan, R. D., Lancaster, J., & Faan, R. P. (2019). Public Health Nursing E-Book: Population-Centered Health Care in the Community. Mosby.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

NUR-513-RS-NursingRolesGraphicOrganizerTemplate.docx

NUR 513 Topic 2 DQ 2

Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty. Discuss the way these bodies or regulations influence the educational requirements and experiences for your specialty. Advanced practice registered nurses must incorporate the APRN consensus model in their response.

Every nurse understands certification keeps everyone at a general understanding of duties and shapes the hospital’s future by keeping everyone focused. The American Hospital Association Certification Center (AHA, ND) designs and administers Certification Programs to recognize mastery of well-defined bodies of knowledge within healthcare management disciplines. Achieving an American Health Association certification demonstrates to patients, healthcare organizations, and the public, that the healthcare professional has met national performance standards specific to their job role, validated professional experience, committed to lifelong learning, improve patient care and safety among many other benefits.

Preparing for a certification exam, it needs to apply concepts and principles to new situations; recognize relationships among data; apply laws and theories to practical situations; calculate solutions to mathematical problems; interpret charts and translate graphic data; classify items; and interpret information. About two years ago, I applied for the Certified Ambulatory Perianesthesia Nurse (CAPA) nursing certification. 

These national professional certification programs are designed for registered nurses caring for patients who have experienced sedation, analgesia, and anesthesia in a hospital or ambulatory care facility. It demanded a lot of time and money just to register. I paid for test banks for sample questions and studies every day. Upon all the preparations, I did not pass. Do you believe the stresses of taking this exam and my  facility did not reimburse me because I  did not pass the exam? In fact, I lost hope and have decided not to pursue that certification again. 

The four ethical principles of nursing are autonomy, beneficence, justice and nonmaleficence (American Nurses Association, n.d.). Related ethical concepts include fidelity, personal and organizational integrity, health advocacy, and morality, among others (Weberg & Mangold, 2023). All advanced registered nurses must follow the nursing code of ethics as these concepts create the foundation for nurses in all roles to provide safe, competent, and professional care that centers around the patient and promotes best patient outcomes (DeNisco, 2024). These ethical guidelines influence and govern the care that is ultimately provided to the patient. The same code of ethics govern clinical nurse leaders and nurse educators, although they may have different responses to ethical dilemmas that arise in the workplace.

A situation where these roles might respond differently, despite following the same code of ethics (especially that of nonmaleficence), include when a popular employee has been reported for poor work performance or serious errors/actions that put patients at risk. The nurse educator may want to assist the employee with further education on specific topics and a remediation plan that is tailored for the employee to improve their care and patient outcomes. However, a nurse manager or leader will need to evaluate the risk of keeping the nurse on staff if their actions have proven to be significantly dangerous. Both of these options have patient safety at the center and the common goal of improving patient outcomes. The ethical dilemma centers around terminating a popular employee which may hurt morale or taking the time and spending money to implement a remediation plan that does not guarantee improved job performance. This requires a collaborative effort and conversation to determine which path benefits both the organization and patients the most.

American Nurses Association. (n.d.). Why ethics in nursing matters. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/why-ethics-in-nursing-matters/

DeNisco, S. M. (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning.

Weberg, D., and Mangold, K. (2023). Leadership in nursing practice: The intersection of innovation and teamwork in healthcare systems (4^th ed.). Jones & Bartlett Learning.

Re: Topic 2 DQ 1 Sample

The North Carolina Board of Nursing is the state regulatory body tasked with protecting the citizens as it relates to nursing practice. The Board of Nursing (BON) has the authority to regulate the licensure, education, practice, and discipline of licensed nurses and nursing programs within the state (Logic, The NC Board of Nursing). The National Council of State Boards of Nursing is a non-profit organization comprised of members that includes the state boards of nursing or other regulatory body in all 50 states, the District of Columbia, and United States territories that act together to regulate nursing care to protect the public’s health and safety (DeNisco, 2024). Together, these regulatory bodies standardize the education and practice of nursing to ensure safe care for the public.

The North Carolina Nursing Practice Act governs the ” …licensure of all who engage in the practice of nursing is necessary to ensure minimum standards of competency and to provide the public safe nursing care…” (Chapter 90 – Article 9A). 

The NC Nursing Practice Act addresses many areas of nursing including licensure, discipline, and education. The NC Nursing Practice Act governs the approval of continuing education programs for nurses. It allows the NCBON to establish, reverse, or repeal the standards for nursing programs. Interestingly, the NC Nursing Practice Act also has specific language that any graduate of a diploma or associate degree school of nursing that has passed the registered nurse exam shall upon admission to any state-supported institute of higher learning offering a baccalaureate in nursing shall be given credit for previous experience in the diploma or associate degree program  (Chapter 90 – Article 9A). I found this to be interesting because historially not all baccalaureate nursing programs gave diploma nurses credit for previous experience. I believe this will help dipolma and associate degree nurses advance which will also help the public to receive safe care.

A clinical nurse leader (CNL) is a master’s educated nurse that assumes responsibility for patient care outcomes (American Association of Colleges of Nursing [AACN], 2007). It was not until 2003 that the role of CNL was created. Since then the American Association of Colleges of Nursing (AACN) worked to establish specific educational requirements, competencies and regulations associated with the role. It is important for all current and future CNLs to recognize these regulations in order to perform their role effectively.

The AACN developed a set of guidelines regarding competencies, curriculum framework and clinical expectations of a CNL ​​​​​​(AACN, 2007)​​​​​​​. A CNL master’s level program must include educational and clinical tools in order to successfully prepare the student. Although each program determines their own guidelines and policies, it is advised that each student complete a minimum of 400 clinical hours in addition to the educational aspect of the program (AACN, 2007). The clinical experience includes being precepted by a working, experienced CNL in real health care setting so that the student can implement their knowledge and skills in the clinical environment. It is also recommended that these experiences be implemented over a span of 10-15 weeks in order to gain a significant amount of experience in the clinical setting (AACN, 2007).

After completing a CNL master’s education program, you are eligible to take the CNL Certification Exam. This exam is offered by the Commission on Nurse Certification (CNC), which is a part of the AACN. The CNL certification is established to ensure each individual is qualified to practice in health care settings working with the credentials of “CNL”. In order for CNLs to stay up to date on their knowledge of the current health care systems, it is required that one must renew their certification every five years (AACN, 2019). The master’s program combined with the certification exam is an important requirement of becoming a CNL as it recognizes one as holding the necessary tools to provide high quality care.

It is important for a CNL to become familiar with their role and how it differentiates from other similar nursing roles. For example, a CNL is not considered an Advanced Practice Registered Nurse (APRN) at this point in time. APRNs are specialized in a distinct area of practice regarding a specific patient population of their choosing. CNLs are considered “generalists” and they do not need to specialize in a specific area, but rather are able to practice in any type of health care setting working with all types of patient populations (Denisco & Barker, 2016, p. 7)

As a future CNL, I find that it is very important to review and familiarize myself with the regulations of this role. Nursing based regulations are generally defined by the Boards of Nursing. There are currently 59 nursing regulatory boards across the US and their various territories (National council of state boards nursing [NCSBN], 2020). Each board establishes rules and regulations that are intended to ensure that licensed nurses are competent to practice safely. It is important to note that the specific regulations established by each board are regional and can vary depending on location.

Nursing Roles Graphic Organizer Template References

American Association of Colleges of Nursing website. (2007). White paper on the education and role of the clinical nurse leader. Retrieved from https://www.aacnnursing.org/CNL/Education-Practice-Resources

American Association of Colleges of Nursing website. (2019). Clinical nurse leader certification. Retrieved from https://www.aacnnursing.org/CNL-Certification/Renew-Certification

Denisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge of the profession (3rd ed.).

National Council of State Boards Nursing website. (2020). About U.S. nursing regulatory bodies. Retrieved from https://ncsbn.org/about-nursing-regulatory-bodies.htm

The American Nurses Association (ANA) formulates the code of ethics that specify the values and obligation of professional nurses. Ethical guidelines are necessary in ensuring professionals operate within acceptable standards and guide their decision making using critical thinking skills especially when faced by ethical dilemmas (Weberg, & Mangold, 2023). The nurse administrator and the Certified Nurse Practitioner (CNP) have codes of ethics that guide their practice. Most of them are centered on achieving optimal patient’s outcomes while protecting their rights. It is expected that both professionals hold themselves in high regard during their practice. They are expected to always do the right thing even when no one is watching them. As the CNP interacts with patients while providing direct patient care, they are required to maintain professional relationships. Nurse leaders on the other hand must ensure a successful working team while maintaining a high level of professionalism (DeNisco, 2024). As the CNP appreciates the fact that patients have the right to self-determination, the nurse leaders have the role of treating each member of their team with respect and safeguarding their rights. For example, a nurse leader excusing a nurse who does not support abortion from the care of a patient who is procuring one would be respecting the nurse’s rights and at the same time safeguarding the patient’s rights. After analyzing the two APRNs regarding their code of ethics, there are a lot of similarities between the ethical considerations within the roles played by nurse leaders and the CNPs. In conclusion, all APRNs must always strive to adhere to the stipulated code of ethics within their practice.

References

DeNisco, S. M. (Ed.). (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning. ISBN-13: 9781284264661

Weberg, D., & Mangold, K. (2023). Leadership in nursing practice: The intersection of innovation and teamwork in healthcare systems (4th ed.). Jones & Bartlett Learning. ISBN-13: 97812842\48890

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