The Roles in Advance Nursing Practices.

The Roles in Advanced Nursing Practice paper is worth 150 points and will be graded on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric. The Roles in Advance Nursing Practices. Submit the paper as a Microsoft Word Document, which is the required format at Chamberlain University.

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You are encouraged to use the APA Academic Writer and Grammarly tools when creating your assignment. Follow the directions below and the grading criteria located in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty. The length of the paper should be 3-6 pages, excluding title page and reference page(s). Support ideas with a minimum of 2 scholarly resources. Scholarly resources do not include your textbook. You may need to use more than 2 scholarly resources to fully support your ideas. The Roles in Advance Nursing Practices. You may use first person voice when describing your rationale for choosing the CNP role and your plans for clinical practice. Current APA format is required with both a title page and reference page(s). Use the following as Level 1 headings to denote the sections of your paper (Level 1 headings use upper- and lower-case letters and are bold and centered): Roles in Advanced Practice Nursing (This is the paper introduction. In APA format, a restatement of the paper title, centered and not bold serves as the heading of the introduction section) Four APN Roles Rationale for Choosing CNP Role Plans for Clinical Practice Role Transition Conclusion Directions: Introduction: Provide an overview of what will be covered in the paper. Introduction should include general statements on advanced practice nursing roles, general statements on the role transition from RN to APN, and identification of the purpose of the paper. Four APN Roles: Describe the role, educational preparation, and work environment for the four APN roles (CNP, CNS, CRNA & CNM). Provide support from at least one scholarly source. The Roles in Advance Nursing Practices. Rationale for Choosing CNP Role: Describe your rationale for choosing the CNP advanced practice role versus one of the other roles. Plans for Clinical Practice: Discuss your plans for clinical practice after graduation. Explain how your understanding of NP practice has changed after researching the four ANP roles. Role Transition: Discuss your transition from the RN role to the NP role. Describe two factors that may impact your transition. Discuss two strategies you will use to support a successful transition from the RN to your NP role. Provide reference support from at least one scholarly source. The textbook is not a scholarly source. Conclusion: Provide a conclusion, including a brief summary of what you discussed in the pap. The Roles in Advance Nursing Practices.

Roles in Advanced Practice Nursing

Advanced practice registered nurses or APRNs are specialized nurses who have studied for a postgraduate degree in their discipline or specialty. They have the highest level of training and education, with the recommended and desired level of entry into practice being a doctorate degree or Doctor of Nursing Practice (DNP). Four main roles from which different specialties/ subspecialties can be drawn were recommended in the APRN Consensus Model (Sabo et al., 2017). The Roles in Advance Nursing Practices. This is the document that was meant to standardize the definition of APRN roles in the nursing education system and among the regulatory and professional stakeholders like certification organizations and state boards of nursing. This consensus document exposes nurses who want to transition in roles from being merely registered nurses (RNs) to APRNs to the same educational, professional, and regulatory standards across the United States. This paper discusses the four APRN roles in the Consensus Model, the author’s rationale for choosing the CNP role, their plans for clinical practice, and the role transition from RN to APRN. The Roles in Advance Nursing Practices.

The Four APRN Roles

The four APRN roles in the APRN Consensus Model are certified nurse practitioner (CNP), certified nurse midwife (CNM), clinical nurse specialist (CNS), and certified registered nurse anesthetists or CRNA (Sabo et al., 2017). The Consensus Model for APRN Regulation was put together by the National Council of State Boards of Nursing APRN Advisory Committee and the APRN Consensus Work Group. These four roles have become especially important with regard to the provision of primary health care services at the community level and in the rural areas where there is a scarcity of healthcare providers. The Roles in Advance Nursing Practices. Particularly, marginalized and socioeconomically deprived populations experience a great lack of sufficient numbers of healthcare providers compared to the need. These are the minority communities in the US such as Blacks and Hispanics. Actually, this issue became even more prominent after the enactment of the Patient Protection and Affordable Care Act (ACA) of 2010 (“Obamacare”). The ACA 2010 brought within the healthcare coverage bracket an estimated additional 22 million Americans who could previously not access healthcare due to lack of coverage. Most of these people are almost exclusively from low income families, are either Black or Hispanic, have pre-existing conditions, and have a negative profile of the social determinants of health (SDOH). These SDOH include access to clean water for drinking and environmental sanitation, access to healthcare services, access to educational opportunities, and socio-economic status (Kominski et al., 2017). Having more APRNs in all the four roles therefore fills this need for primary healthcare providers at the community level and enables this extra number of insured Americans to access healthcare services in their community setting.

The history of the four APRN roles dates as far back as the American Civil War of 1861-1865. This is when Catholic nuns who were nurses began to help surgeons in the battlefield by administering chloroform during surgery on the war injured. The certified registered nurse anesthetist role was born at this time (Hamric et al., 2009). It is also in the late 1800s that hospital deliveries by pregnant mothers began to gain acceptance in the wider American population compared to the hitherto common practice of home deliveries by untrained midwives. This is the time that the certified nurse midwife role began to take shape (Hamric et al., 2009). The beginnings of the clinical nurse specialist (CNS) role can be traced back to the 1950s while that of the certified nurse practitioner (CNP) began in the 1960s. The Roles in Advance Nursing Practices. It is the emergence of the CNP role that started to define the role of specialist nurses in the provision of primary healthcare services where the number of physicians was not sufficient to cater for the needs of the population (Hamric et al., 2009). APRNs must have a postgraduate degree in their specialty (MSN, DNP, or PhD), must be certified, must get state licensure to practice, and must undergo continuous education (CE) to qualify for recertification and renewal of state licensure for practice (Sabo et al., 2017). Certification for APRNs is given by different bodies, including the American Nurses Credentialing Center or ANCC. The Roles in Advance Nursing Practices.

The Rationale for Choosing the CNP Role

The CNP role is one of the most fulfilling among the four APRN roles. This is because as the primary care provider, the CNP is highly educated and trained to diagnose illness, order diagnostic tests and investigations including complex ones such as magnetic resonance imaging (MRI), interpret these investigations, prescribe appropriate treatment, and follow up patients in all the population foci. One of the reasons why I chose this role is that it has a wide range of population foci from which I can choose a specialty. The Roles in Advance Nursing Practices. According to the American Association of Nurse Practitioners or AANP, the family nurse practitioner or FNP (family focus) is the most common type of CNP at 49.2% of the entire population of 172,800 actively practicing CNPs. The other population foci are adult, gerontological, acute care, pediatric, neonatal, oncology, women’s health, and psychiatric/ mental health (AANP, 2020). The Roles in Advance Nursing Practices.

I also chose the CNP role because it defines the primary care function of APRNs. Because of this, the demand for CNPs is very high and therefore job opportunities are plenty. According to the AANP, 89% of CNPs in population foci such as family, women’s health, pediatric, or gerontological are professionally prepared for primary care (AANP, 2020). The CNP is also versatile and can practice in almost any setting. This is the other reason why I chose the CNP role as practice options are diverse. The Roles in Advance Nursing Practices. Lastly but not least, I chose the CNP role because it has the greatest potential of enabling me to give back to my community that is suffering a lack of sufficient healthcare providers. For instance, mental health problems in my community are rampant. This includes depression and suicidality, drug and substance abuse disorders, and attention-deficit hyperactivity disorder or ADHD. If I took up the psychiatric/ mental health specialty or focus, for instance, I will be in a position to make a significant contribution in the reduction of mental health illnesses in my community. Psychiatric-mental health nurse practitioners or PMHNPs are instrumental in not only diagnosing and treating the above mental health problems present in my community, but they are also crucial in providing health promotion and counseling with regard to mental health problems in minority and marginalized communities (Phoenix et al., 2016). The Roles in Advance Nursing Practices.

Plans for Clinical Practice as a CNP

My plans for future clinical practice after graduation are already clearly laid out. I intend to have a smooth transition to clinical practice by adhering to all the regulatory requirements imposed by the state board of nursing in the state I intend to practice in, as well as the federal government. To begin with, I will immediately apply for board certification (BC) so that I may find it easy to acquire state licensure for practice. This is will mean that I register online and pay the required fees before sitting for the computerized examination for certification. This examination will test my competencies as a potential CNP in the specialty that I will have graduated in. After successful certification I intend to apply for state licensure to practice in one of the states with a policy of full practice authority (FPA) for nurse practitioners. FPA grants the CNP autonomy of practice and full prescriptive authority. The Roles in Advance Nursing Practices. It exempts the CNP from the requirement of a collaborative agreement with a practicing physician who needs to supervise the work of the CNP. For this reason, I plan to avoid states such as North Carolina that have a restricted practice policy for CNPs. I will therefore apply for licensure to practice in one of the 28 states that allow FPA for nurse practitioners to autonomously practice to the fullest extent of their training, education, and knowledge. These states include Arizona, Idaho, New Hampshire, North Dakota, New Mexico, Alaska, Hawaii, Oregon, Wyoming, Rhode Island, Iowa, Washington, Montana, and Utah (Rappleye, 2019). The Roles in Advance Nursing Practices.

After certification and licensure, I intend to set up private practice in my FPA state that of choice. To share start-up costs and to improve my chances of success, I intend to partner with a fellow CNP in the private practice venture. Preferably, this will be someone who has been in practice for a while but working in organizations such as a hospital or a Health Maintenance Organization (HMO). I will also immediately upgrade my membership of the American Association of nurse Practitioners (AANP) from student to practicing practitioner status. This will facilitate for me networking with colleagues with whom I will be able to share and discuss the latest evidence-based practice (EBP) guidelines as well as research. The Roles in Advance Nursing Practices.Qualified practitioner membership status in this professional organization for nurse practitioners will also see me get opportunities for continuous professional development relevant to my status. The Roles in Advance Nursing Practices.

After carefully researching the four APRN roles, my understanding of NP practice has changed in that I now know and understand that CNPs can practice even in schools and Health Maintenance Organizations or HMOs (MGH Institute of Professions, 2020). HMOs are private healthcare insurance providers, which are an alternative to Medicare and Medicaid. I have also learnt that the CNP in practice is the pillar of primary health care in the US, with his/ her emphasis being on providing preventive healthcare services and health promotion (primary prevention) in the community they serve (Phoenix et al., 2016). The Roles in Advance Nursing Practices.

Role Transition from RN to CNP Role

My transition to the NP role from the RN role will be smooth. This is because my training as a registered nurse has already prepared me for the possibility of higher responsibilities with regard to prevention of illness and its treatment when it occurs. For instance, the RN is a clinical nurse leader who is able to take charge of the management of all patients in a unit and plan for their care as well as delegate. The RN is therefore an effective communicator, a critical thinker, and possesses the required leadership competencies for success as a CNP. The Roles in Advance Nursing Practices.

Two factors that may impact my transition from RN to NP are experience and formal orientation. As an experienced RN, I am aware that when I finally graduate as a CNP and begin practice i will do so as a novice. This will be a shock of sorts because it will be like teaching a toddler how to walk again. The reason for this is that I am an expert RN but I have no experience as a CNP. Therefore I will need to start from the bottom and begin accumulating experience slowly. I am also aware that if I do not get a proper and formal orientation on the CNP role, it may be difficult to transition easily from the RN to the CNP role (Barnes, 2015). To strategies that I will use to enable me have a successful transition from the RN to the NP role are (i) to be open to my nurse managers and faculty members about my concerns and worries on the transition to the CNP role. This will enable them to successfully plan for my orientation, and (ii) to adopt a realistic stance with regard to the amount of experience required to reach expert status as a CNP. This way, I will not be embarrassed to be a novice CNP after being an expert or proficient RN for quite a while (Barnes, 2015). The Roles in Advance Nursing Practices.

Conclusion

There are four roles of the APRN, according to the APRN Consensus Model. These roles are CNP, CNM, CRNA, and CNS. Of these four roles, the CNP role stands out as the cornerstone of primary health care provision in line with the Affordable Care Act of 2010. It is for this reason that the author has chosen the role to become a nurse specialist. The author intends to meet all the regulatory requirements and to set up practice as a private practitioner after graduating. To mitigate the factors that may make the role transition difficult, the author intends to be open about concerns and to adopt realistic stance to the transition. The Roles in Advance Nursing Practices.