Advance Health Care Practices
What are Advance Practices
Advanced practice nursing is described as the application of an expanded range of practical, theoretical, and research-based therapeutics to phenomena experienced by patients within a specialized clinical area of the larger discipline of nursing (Hamric, Spross, & Hanson, 1996).
The history and evolution of advanced practice nursing is a tapestry of patient care provided by expert nurses who have expanded the boundaries and scope of the practice of nursing.
Requirements of APNs
Advanced practice nurses (APNs) need basic core competencies to fulfill the advanced practice nursing role. These competencies include skills in expert clinical practice, consultation, teaching and coaching, research, leadership, collaboration, change agency, and ethical decision making.
Zion making. APNs offer high levels of autonomous decision making in the assessment, diagnoses , and management of patients. Conceptually , the practice is nursing-based, with emphasis on health promotion, disease prevention, and education of patients and families.
Advanced practice nurses must have a graduate degree in nursing in a chosen specialty and are differentiated by the ability to carry out direct, expert clinical practice.
advanced practice nursing is an evolving field, currently the role of the APN is limited to nurse practitioners, clinical nurse specialists, certified nurse midwives, and certified registered nurse anesthetists, who provide direct clinical care for patients.
Collaborative Concepts APN
One of the hallmarks of advanced practice nursing is the commitment to collaboration with other disciplines. Advanced practice nurses work within the designated scope of practice and collaborate with or refer to other professional colleagues those patients and problems that fall beyond the expertise of APNs.
Issues and Roles APN
Advanced practice nursing and the practice roles, issues, and evaluation of the four groups of APNS (nurse practitioners, certified nurse midwives, certified registered nurse anesthetists, and clinical nurse specialists) serve as a rich and comprehensive base for nursing research.
Patient-centered outcomes research that explores outcomes of patients served by APNs is central to the health care system that is unfolding in the United States.
The overused Office of Technology Assessment study of 1986, which evidenced the safety and satisfaction of using APNs to improve access to health care, can no longer be cited as the only research support for the education and practice of APNs.
Health policy-based nursing research that explores workforce demographics, cost, reimbursement, and privileging, as well as the credentialing and regulation of APNs , is an undisputed data need.
Nursing research focused on the realm of managed care and interdisciplinary, collaborative approaches to care is a highly sought after commodity. Research into the education and evaluation of APNs is critical to health policy forecasting and workforce planning.
Nursing Research and APN
Advanced practice nurse researchers who engage in clinical practice are the key to most of the research topics outlined above. Clinically based research networks that allow for data generation on patient outcomes are the single most important research agenda for the decade.
Advanced nursing practice research, as a part of nursing as a whole, offers researchers the ability to explore new and expanding areas that support the use of expert nurses as competent, sought-after providers of primary and specialty care for the American people.
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