Advanced Practice Registered Nurses

Improved Essays
Introduction There are four types of Advanced Practice Registered Nurses or APRNs that have developed over time. Advanced Practice Registered Nurses include Clinical Nurse Specialists (CNS), Certified Registered Nurse Anesthetists (CRNA), Certified Nurse Midwives (CNM), and Nurse Practitioners (NP). These roles are registered nurses with expert training in their specific field. According to Detroit Free Press (2013), “APRNs provide high-quality, cost-effective primary care with positive clinical outcomes and high levels of patient satisfaction” (Detroit Free Press, 2013). This paper will evaluate the most common advanced practice registered nurse (NP) and least common (CNM) roles in the United States.
Keywords: Advanced Practice Registered
…show more content…
According to this study, “residents and families perceived the NP as improving availability and timeliness of care and helping to prevent unnecessary hospitalizations” (Ploeg, Kaasalainen, McAiney, Martin-Misener, Donald, Wickson-Griffiths, Carter, Sangster-Gormley, Martin, Brazil &Taniguchi, 2013, p. 8). In addition, “NPs were seen as providing resident and family-centered care and as providing enhanced quality of care. NPs established caring relationships with residents and families, providing both informational and emotional support, as well as facilitating their participation in decision making” (Ploeg, Kaasalainen, McAiney, Martin-Misener, Donald, Wickson-Griffiths, Carter, Sangster-Gormley, Martin, Brazil &Taniguchi, 2013, p. 9). Sharlann Trussell, APRN, MSN, BC, NP-C gave a personal description on her role and career as a Family Nurse Practitioner. Trussell (2014), describes the role of a family nurse practitioner as a “privilege” and as a “challenge” (p. 1494). Trussel describes her career in a rural, underserved area in Albany, Ga as “her calling.” She notes the importance of “educating patients regarding their medical conditions and ways to improve their health” in effort to “improve their health outcomes and decrease the risk of complications” (Trussell, 2014, p.

Related Documents

  • Improved Essays

    I have been called to testify in front of a regulatory committee that is reviewing the credentialing and clinical privilege rules for Advance Nurse Practitioners. APN credentialing refers to a process whereby an advanced practice nurse is granted the authority to offer patient care especially in hospital settings after establishing that he/she has met all the established standards in relation to education, licensure, skills as well as training and is qualified to execute the task (Hamric et al., 2013). Notably, the Advance Nurse Practitioners can order, administer or dispense drugs under the delegated authority of the physician and as dictated by the agreement or protocol. However, in the state of Georgia, they have no authority to issue written…

    • 205 Words
    • 1 Pages
    Improved Essays
  • Superior Essays

    THE FAMILY NURSE PRACTITIONER The role of the Family nurse practitioner (FNP) began in the 1960’s as a result of a shortage of primary care providers. (Kennedy, 2014) That however, does not conclude that family nurse practitioners are only a secondary option to fill the void of primary care physicians in underserved areas. Instead, the FNP role has evolved in response to the recognition that nurses with advanced education and training are fully capable of providing primary care and significantly enhancing access to high-quality and cost-effective health care.…

    • 1176 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    they found that the ACNP is equally resourceful and effective as a medical doctor (MD) in the acute care setting. ISSUES AND TRENDS 5 There were no significant different patient outcomes and only more utilization of home health by the ACNP in the health system outcomes. Second Study…

    • 1256 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Nurse Interface

    • 1045 Words
    • 5 Pages

    The referral pattern is in relation to the care a specialist is able to provide. For cost factors, some clinics and/or patients will seek the care of an NP; the utilization of NP’s is beneficial as NP’s have the capability of providing care in an effective, quality, and equal care as that of an MD. However, advanced nurses can be scrutinized, the critique is whether an NP can measure in quality and effectiveness as MD’s. Studies have shown that the savings in cost are present, the problem lies in insufficient studies that cannot conclude whether the NP can be recognized as a Primary Care Physician. According to (Cole, Mackey & Veeser) “the need for more sophisticated and detailed studies related to referral patterns of NPs is apparent.…

    • 1045 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Education and Training: Family Physicians and Nurse Practitioners. Retrieved from http://www.aafp.org/dam/AAFP/documents/news/NP-Kit-FP-NP-UPDATED.pdf American Nurses Association. (2014). Barriers to NP Practice that Impact Healthcare Redesign. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html#AMA American Nurses Association.…

    • 902 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Introduction Advanced practice registered nurses (APRN) are a vital part of the health system of the United States. APRNS are Master and post Masters level nurses providing care in specific roles for the patient population. APRNS are prepared by education and certification to assess, diagnose, and manage patient problems, order test, and prescribe medications. (National Council of State Boards of Nursing, n.d). Lyder (2012) discussed the growing need for an increased number of primary healthcare providers due to the shortage of primary care providers.…

    • 1074 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Susan Apold Summary

    • 361 Words
    • 2 Pages

    The video of Susan Apold, PhD addressing question about the Nurse Practitioner profession was not just informative, but really makes one think about how unfortunate it is that after over 50 years, and the numerous research data documenting safe patient outcomes and satisfaction, that Dr. Apold had to address some of the questions and comments presented to her. With the increase in the number of states that afford complete autonomy to NPs, there seems to be some professional tension with the expanded role of the NP. The caller Dr. Richard who identified himself as an OBGYN who complained that NPs made a lot of misdiagnosis and were not qualified to adequately treat patients after only 2 years of advanced education. As in all professions, there will always be those who practice at different levels of strengths and weaknesses.…

    • 361 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    They are prepared in many aspects such as management, research and scholastically. The APRN must advocate and become involved in improving the profession. They must educate entry level nurses, the public and policy makers to truly make a change in the way policy is driven. The MSN and DNP nurse can bring research and best evidence based practices to the table, which certainly affects the way care is provided. Hain and Feck (2014) state that the NP must take a “outcome driven approach to care” by presenting innovating NP models of care, and showing that those models lead to improved outcomes in patient populations (Hain and Feck, 2014).…

    • 1390 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    Rn Scope Of Practice

    • 896 Words
    • 4 Pages

    The scope of practice for APRNs consists of “parameters within which advanced practice nurses may legally practice”, defining “what they can do for and with patients, what they can delegate, and when collaboration with others is required.” 1 This scope of practices varies not only across APRN roles – CNS, CRNA, NP, CNM – but also across individual states.1 For the FNP specialty, scope of practice entails diagnosis and management of illnesses in the primary care setting for individuals across the lifespan. The three benchmarks of APRN practice and education are advanced practice nurse competencies, professional advanced practice registered nurse competencies, and Master’s and Doctor of Nursing Practice Essentials.2 APN competencies, which distinguish…

    • 896 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    Nurses have an inherent sense of impacting outcomes and inspiring others. Nurses comprise the nation’s largest healthcare profession (AACN 2016). The influences of nurses are felt from Capitol Hill all the way down to the Alabama Board of Nursing as evidenced by the passage of the Nurse Reinvestment Act and the Alabama Board of Nursing loan repayment program. The advanced practice nurse can serve as a mentor for other midlevel providers by exemplifying excellence in treating patients by minimizing errors and staying abreast of the latest medical information. When APRNs are informed of the current treatment modalities, they are able to provide the best possible service to their patients effecting positive outcomes and apprising about optimal health.…

    • 1722 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Seven Core Competencies

    • 251 Words
    • 2 Pages

    (Hagedorn & Quinn, 2004, p. 2). According to Hagedorn (2004), “Health promotion, knowledge of disease prevention, teaching and counseling functions, and patient advocacy” are necessary skills described by the American Academy of Nurse Practitioners; however, there is no mention of the NP-patient relationship in their statement (p. 2). The NP uses seven core competencies to provide care to their patients; these competencies are established by the National Organization of Nurse Practitioner Faculties (NONPF) (Hagedorn & Quinn, 2004). The NONPF states that these competencies are the “gold standard” for creating NP programs that focus on caring in the provider-patient relationship and further establish that NPs treat patients holistically and not…

    • 251 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Np Role

    • 486 Words
    • 2 Pages

    “On January 1, 2013, the American Academy of Nurse Practitioners and the American College of Nurse Practitioners came together to form the American Association of Nurse Practitioners (AANP). They are the largest full-service national professional membership organization for NPs of all specialties”, (Annual Report, AANP, 2016) “In 1985, a small group of visionaries convened under an apple tree in Pennsylvania to address the growing need for NPs of all specialties to have a unified voice. They established AANP to fill that need and become The Voice of the Nurse Practitioner. These perceptive leaders recognized that national action was essential to securing the relevance and durability of the NP role.…

    • 486 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    A physician typically has a residency program that gives them additional training, while an APRN does not. I initially felt that APRNs were not as educated as physicians, but I do not necessarily agree with that notion now. I feel that advanced practice nurses have a specialized training that is more patient centered and holistic care focused. This is mainly due…

    • 725 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    The Importance Of Nursing Values In Nursing

    • 1436 Words
    • 6 Pages
    • 13 Works Cited

    Nurses are champions in adapting to change and identifying creative measures to help modify their practice, so it is not surprising that they are eager to meet these challenges head on. The assumption has been made that the delegation of physician care to FNPs will lead to better use of resources, however nurses must continue to be mindful of the possible risks and implications that may accompany these demands. Sacrificing nursing values cannot be tolerated. It continues to be a slippery slope as nurses cross the line into a medical role while maintaining a nursing framework. Having a concrete understanding of nursing theory and nursing values will help preserve the nursing identity during the newest healthcare…

    • 1436 Words
    • 6 Pages
    • 13 Works Cited
    Great Essays
  • Improved Essays

    Cost Effectiveness, Quality of Care, Sample Calculation The purpose of this paper is to present the references supporting the cost effectiveness, and quality of care provided by nurse practitioners (NPs). The paper will also provide sample calculation of NPs proposed cost effectiveness in comparison to primary care physicians. A systemic review of 27 studies comparing the effectiveness, quality, and safety of care provided by NPs to that of physicians concluded that similar or better health outcomes were achieved in patients cared for by NPs compared to the patients cared for by physicians in primary care settings (Stanik-Hutt, Newhouse, White, Johantgen, Bass, Zangaro, Wilson, Fountain, Steinwachs, Heindel, & Weiner, 2013). Another systemic…

    • 357 Words
    • 2 Pages
    Improved Essays