The Practice Of A Nurse Practitioner

As stated above, individuals must already have a state license as a registered nurse to study to become a nurse practitioner. Upon completion of a graduate-level nursing program, most nurse practitioners take national certification exams in their areas of specialty.

There are nine essentials of professional nursing practice that will ensure the professional nurse will be able to practice in complex healthcare systems. The nine essentials are liberal education, basic organizational and systems leadership for quality care and patient safety, scholarship for evidence based practice, information management, health care policy, interprofessional communication and collaboration, clinical prevention, professionalism and baccalaureate generalist nursing practice. These aspects of the baccalaureate education are “essential” for creating a well-rounded nurse able to practice in a variety of settings and provide care for people from “all walks of life.”

The nursing practise has continually evolved and can be described as autonomous due to the significant involvement of nurses in patient care. This then necessitates critical reflection as a way to continually develop and improve the nursing practise. The Gibbs' model, one of the reflection models, assists nurses in complying to the codes and guidelines of nursing practice. For example, developing action plans, evaluating patient outcomes, and thinking critically. This essay will describe an event involving nurses and explain the feelings it evoked. It will also provide an evaluation of the positives and negatives, analysis and enhancement of learning, and an action plan.

This essay will discuss and reflect on one of the Principles of Nursing Practice and I will relate this to my practice experience. It will focus on Principle of Nursing Practice A: Dignity, humanity and equality and I will demonstrate knowledge of the Principle of Nursing Practice in my essay and investigate the professional, legal and ethical frameworks that guide nursing practice and discuss and link what I have experienced in practice to my chosen Principle.

First, the state licensure regulates NP practice and it has been a big issue since NPs are not able to practice to the fullest extent despite of their education and training. NPs practice is regulated by state licensure and only about one-third of the nation has adopted full practice authority licensure and practice laws for NPs (Hain & Fleck, 2014). The American Association of Nurse Practitioners (AANP) reports that, under a full practice authority model, NPs are still required to meet

For example the application process in California is a simple as all documentation being submitted for Nurse Practitioner (NP) certification straight to the Board of Registered Nursing. The state of California requirements are a completed application including applicable fee, official transcripts verification of NP academic program form, followed by a completed verification of NP

The APRN Consensus Model was released in July of 2008 to define advanced practice registered nurse, identify the titles to be used by APRNs, and define specialty area of practice. The Consensus Model also describes population foci, suggests a process for recognition of new APRN roles, and recommends requirements for implementation (American Nurses Association [ANA], 2010). The APRN regulatory model helps uniform scope of practice of APRN across the United States, which benefit individual APRN, enhance patient outcomes, and improve the quality of care. Consensus Model consists of Licensure, Accreditation, Certification, and Education. The Education criteria in LACE Consensus Model relate to all APRN programs regardless of master’s or doctoral

2. Hold a current license to practice as a registered nurse (RN) or be in Ohio University’s AND Capstone course.

The Nurse Practice Act of Illinois State is 225 ILCS 65. IL offers an APN to diagnose, interpret labs and order diagnostic tests. APNs is able to provide counseling and education for prevention of illness and promotion of health. They can provide palliative and end of life care, and can supervise and delegate to task to LPNs and RNs. APNs have prescriptive authority if they have a written collaborative agreement with a physician and are limited to 30 days (IGA, 2014). In order to practice as an APN in IL one must have a current unrestricted RN license, have a masters degree approved by the State Board of Nursing in the specialty of choice and a national certification. State Board of nursing is the regulatory authority of IL APN practice, and they accept certification from ANCC or AANP or certification from specialty agencies. APNs in IL requires 50 hours of continuing education in a 2-year license renewal period. IL is one of the States that offers versatile certification opportunities for APN in addition to advocating for the full practice authority of APNs. A systemic review done by Kuethe (2013) finds it is better for an NP to manage chronic diseases such as asthma and diabetes for their better control and healthcare cost reduction as physicians do not have enough time to provide comprehensive care (p. 5).

Since the inception of the Nurse Practitioner (NP) role in the 1960s, NPs have thrived in the delivery of primary healthcare and nurse case management. Despite patient satisfaction with NPs ' style of care, nurses have been critical of NPs, while physicians have been threatened by NP encroachment on MD practice. Balancing assessment, diagnosis, and treatment with caring defines NPs ' success as primary care providers. Understand the role and Scope of Practice of NPs is sometimes difficult for some to understand. The purpose of this paper is to define the role and history of NP, compare and contrast licensure versus certifications, understand NP Scope Of Practice and Standards of Care, discuss how the State Practice Acts regulate FNP practice, discuss credentialing and privileging, and differentiate between legislative and regulatory processes.

For my Clinical experience, I was referred to one of community clinics run by nurse practitioners - yes, NPs- in Suffolk County in Long Island by my coworker. It is called “Nightingale Preventative Care.” I am working in the ER and at first, I thought this clinic would be a type of urgent care office which is a similar setting to the ER. I was totally wrong. For the past two weeks, this place has surprised me many ways and I learned about what the community clinic is alike to its neighbors. Patients can be seen by NPs by the appointment. However, it is located inside of K-mart and has many walk-in patients as well. Many patients who come to visit for their check-up have no medical insurance. Every Wednesday, a representative from Fidelis Care insurance company comes and provides information about Medicaid and Medicare service the company has. I really like to sit down with patients and assess about their medical histories and family histories which I cannot do often in the ER. I had a patient who was Hepatitis A Ab, Total positive Abnormal first day I work at the clinic. He didn’t understand what the test result meant and neither did I. I printed out an article from National Library of Medicine and went over with him. Patient’s education in the ER rarely happens from nurses. I felt great to listen what patients tried to lose their weight or quit smoking. I like to continue on developing skills on patient’s education and preventative care measure for patients.

The funding of the Indiana State Board of Nursing is through the licensure of qualifying nurses (Indiana State Nurses Association).

Advanced Practice Nursing (APN) covers four types: Certified Nurse Practitioners, Certified Nurse Midwives, Certified Registered Nurse Anesthetists, and Clinical Nurse Specialists.

The Board of Nursing in California provides specific guidelines by which a registered nurse can become a nurse practitioner (NP) by means of acquiring advanced practice education. The additional preparation will help the NP in assessing and managing the healthcare needs of their patient population. In 2008 there were an estimated 145,000 NPs nationwide and 13,649 in California (Christian, S., & Dower, J.D., 2008). Although there are federal mandates for the NP role in primary care, the majority of the educational guidelines and scope of practice rules fall to individual states. This creates disparities between states that are evident by the differences in the outlined scope of practice for an NP.

The educational requirement for advanced nursing practice is a master’s level education in a program or track leading to APN licensure, including graduate degree-granting and post-graduate certificate programs with established educational standards and attainment of the APN core, role core and population core competencies (National Council of State Boards, 2012). APN’s acquire increased knowledge in the sciences of anatomy, physiology, microbiology, chemistry, pathophysiology, and pharmacology. The core curriculum for the advanced practice role includes priorities in