Advance Prac ce Nursing Chapters 1-6 z z z z
Advanced prac ce registered nurse (APRN) - masters prepared nurse who provides direct clinical care
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types of APRN - NP, CNM, CRNA, CNS
z z z z z z z
APRN roles that require addi onal licensure - NP, CNM, CRNA
z z z z z z z z z
Advance prac ce nursing (APN) - z z z z
any form of nursing interven on that influences health care outcomes for individuals or popula ons, includi
z z z z z z z z z z z z z z z
ng direct care of individual pa ents, management care for individuals and popula ons, administra on of nur
z z z z z z z z z z z z z z
sing and health care organiza ons, and the development and implementa on of health policy.
z z z z z z z z z z z z
Consensus Model for APRN REgula on - z z z z z
*done by APRN consensus work group and Na onal Council of State Boards of Nursing APRN advisory Commi
z z z z z z z z z z z z z z z z z
ee
*address the irregulari es in regula on of APRN across states
z z z z z z z z
APN examples - * CNL, CNS, Nurse Educators (direct pt care)
z z z z z z z z z z
* Nurse Administrators, Public Health Nurses, Policy Makers (no direct pt care)
z z z z z z z z z z z
Clinical Nurse Specialist - *conducts a comprehensive health assessment
z z z z z z z z
*leads and par cipates in the process of selec ng, integra ng, managing, and evalua on technology
z z z z z z z z z z z z
*leads and facilitates coordinated care and transi ons in collabora on w pt and team
z z z z z z z z z z z z
*provides educa on and coaching to pt with complex needs z z z z z z z z
*consults with healthcare teams to integrate needs, preferences, strengths of a popula on into the healthcar
z z z z z z z z z z z z z z
e plan to op mize outcomes and pt experience
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*analyzes the ethical impact of scien fic advances, cost, clinical effec veness on pt family values, preference
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s
,Clinical Nurse Leader - z z z
*conducts a holis c assessment and comprehensive physical exam of individuals across the lifespan
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*uses it, analy c and evalua on methods
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*facilitates collaborate approaches in the design, coordina on and evalua on of pa ent-centered care
z z z z z z z z z z z
*demonstrates coaching skills to support new idt members in exploring opportuni es for improving care pro
z z z z z z z z z z z z z z
cesses and outcomes z z
*engages in partnerships at mul ple levels of the health systems to ensure effec ve coordina on, delivery, a
z z z z z z z z z z z z z z z
nd evalua on of clinical preven on and health promo on interven ons and services across care environmen
z z z z z z z z z z z z z
ts
*uses evidence to design and direct system improvements that address trends in safety and quality
z z z z z z z z z z z z z z
*advocates for policies that leverage social changed, promote wellness, improve care outcomes, and reduce
z z z z z z z z z z z z z z
cost
Nurse Educator - requires specialized prepara on
z z z z z
must be competent clinician
z z z
exper se in the 3 ps-phatho, pharm, phys assessment
z z z z z z z
Nurse Prac oner - *started in 1960s due to shortage of pcp's for the pediatric popula on
z z z z z z z z z z z z z z
*1990s masters level educa on
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*2004 AACN recognized DNP for entry-level
z z z z z
*prescrip ve authority in all 50 states and DC z z z z z z z
Nurse-Midwife - *first school in 1925 by Mary Breckenridge (founded Fron er Nursing Serice)
z z z z z z z z z z z z
*FAmily health services as well as childbirth/women's health
z z z z z z z
*prescrip ve auth in 50 states, DC, American Samoa, Guam and Puerto Rico
z z z z z z z z z z z
Nurse Anesthe st -
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A nurse who completes a course of study in an anesthesia school; carries out preopera ve visits and assessm
z z z z z z z z z z z z z z z z z z
ents; administers and monitors anesthesia during surgery; and evaluates postopera ve status of pa ents
z z z z z z z z z z z z
Nurse Administrator -
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Nurse who supervises the organiza on of nursing care to ensure overall safety and quality
z z z z z z z z z z z z z z
, No masters degree needed for basic cer fica on
z z z z z z
Master's or higher for Advanced Cert. z z z z z
History of NP - z z z
*Lilian Wald's nurses provided primary care for common illness and emergencies that didn't require a referra
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l
*1965-NP formally developed by Lore a Ford and Henry Siler
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*1970s-federal funding helped establish NP programs z z z z z
*NP programs doubled 1992-1997
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*more than 330 NP programs now
z z z z z
Master's Essen als - I. background for prac ce from sciences and humani es
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II.organiza onal and systems leadership z z z
III.Quality improvement and safety z z z
Iv.transla ng and integra ng scholarship into prac ce z z z z z
v.Informa cs and healthcare technologies z z z
VI. health policy and adocacy
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vii. inter-professional collabora on for improving pa ent and popula on health outcomes
z z z z z z z z z
vIII. clinical preven on and popula on health for improving health.
z z z z z z z z
IX. Master's level nursing prac ce
z z z z
NP Core Competencies-Scien fic Founda on -
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1. cri cally analyzes data and evidence for improving advanced nursing prac ce.
z z z z z z z z z z z
2. Integrates knowledge from the humani es and sciences within the context of nursing science.
z z z z z z z z z z z z z
3. translates research and other forms of knowledge to mproe prac ce process and outcomes.
z z z z z z z z z z z z z
4. deVelops new prac ce approaches based on the integra on of research, theory, and prac ce knowledge.
z z z z z z z z z z z z z z
NP Core Competencies-Leadership -
z z z
1. Assumes complex and advanced leadership roles to imitated ad guide change.
z z z z z z z z z z z z
Advanced prac ce registered nurse (APRN) - masters prepared nurse who provides direct clinical care
z z z z z z z z z z z z z
types of APRN - NP, CNM, CRNA, CNS
z z z z z z z
APRN roles that require addi onal licensure - NP, CNM, CRNA
z z z z z z z z z
Advance prac ce nursing (APN) - z z z z
any form of nursing interven on that influences health care outcomes for individuals or popula ons, includi
z z z z z z z z z z z z z z z
ng direct care of individual pa ents, management care for individuals and popula ons, administra on of nur
z z z z z z z z z z z z z z
sing and health care organiza ons, and the development and implementa on of health policy.
z z z z z z z z z z z z
Consensus Model for APRN REgula on - z z z z z
*done by APRN consensus work group and Na onal Council of State Boards of Nursing APRN advisory Commi
z z z z z z z z z z z z z z z z z
ee
*address the irregulari es in regula on of APRN across states
z z z z z z z z
APN examples - * CNL, CNS, Nurse Educators (direct pt care)
z z z z z z z z z z
* Nurse Administrators, Public Health Nurses, Policy Makers (no direct pt care)
z z z z z z z z z z z
Clinical Nurse Specialist - *conducts a comprehensive health assessment
z z z z z z z z
*leads and par cipates in the process of selec ng, integra ng, managing, and evalua on technology
z z z z z z z z z z z z
*leads and facilitates coordinated care and transi ons in collabora on w pt and team
z z z z z z z z z z z z
*provides educa on and coaching to pt with complex needs z z z z z z z z
*consults with healthcare teams to integrate needs, preferences, strengths of a popula on into the healthcar
z z z z z z z z z z z z z z
e plan to op mize outcomes and pt experience
z z z z z z z
*analyzes the ethical impact of scien fic advances, cost, clinical effec veness on pt family values, preference
z z z z z z z z z z z z z z
s
,Clinical Nurse Leader - z z z
*conducts a holis c assessment and comprehensive physical exam of individuals across the lifespan
z z z z z z z z z z z z z
*uses it, analy c and evalua on methods
z z z z z
*facilitates collaborate approaches in the design, coordina on and evalua on of pa ent-centered care
z z z z z z z z z z z
*demonstrates coaching skills to support new idt members in exploring opportuni es for improving care pro
z z z z z z z z z z z z z z
cesses and outcomes z z
*engages in partnerships at mul ple levels of the health systems to ensure effec ve coordina on, delivery, a
z z z z z z z z z z z z z z z
nd evalua on of clinical preven on and health promo on interven ons and services across care environmen
z z z z z z z z z z z z z
ts
*uses evidence to design and direct system improvements that address trends in safety and quality
z z z z z z z z z z z z z z
*advocates for policies that leverage social changed, promote wellness, improve care outcomes, and reduce
z z z z z z z z z z z z z z
cost
Nurse Educator - requires specialized prepara on
z z z z z
must be competent clinician
z z z
exper se in the 3 ps-phatho, pharm, phys assessment
z z z z z z z
Nurse Prac oner - *started in 1960s due to shortage of pcp's for the pediatric popula on
z z z z z z z z z z z z z z
*1990s masters level educa on
z z z
*2004 AACN recognized DNP for entry-level
z z z z z
*prescrip ve authority in all 50 states and DC z z z z z z z
Nurse-Midwife - *first school in 1925 by Mary Breckenridge (founded Fron er Nursing Serice)
z z z z z z z z z z z z
*FAmily health services as well as childbirth/women's health
z z z z z z z
*prescrip ve auth in 50 states, DC, American Samoa, Guam and Puerto Rico
z z z z z z z z z z z
Nurse Anesthe st -
z z
A nurse who completes a course of study in an anesthesia school; carries out preopera ve visits and assessm
z z z z z z z z z z z z z z z z z z
ents; administers and monitors anesthesia during surgery; and evaluates postopera ve status of pa ents
z z z z z z z z z z z z
Nurse Administrator -
z z
Nurse who supervises the organiza on of nursing care to ensure overall safety and quality
z z z z z z z z z z z z z z
, No masters degree needed for basic cer fica on
z z z z z z
Master's or higher for Advanced Cert. z z z z z
History of NP - z z z
*Lilian Wald's nurses provided primary care for common illness and emergencies that didn't require a referra
z z z z z z z z z z z z z z z z
l
*1965-NP formally developed by Lore a Ford and Henry Siler
z z z z z z z z
*1970s-federal funding helped establish NP programs z z z z z
*NP programs doubled 1992-1997
z z z
*more than 330 NP programs now
z z z z z
Master's Essen als - I. background for prac ce from sciences and humani es
z z z z z z z z z z
II.organiza onal and systems leadership z z z
III.Quality improvement and safety z z z
Iv.transla ng and integra ng scholarship into prac ce z z z z z
v.Informa cs and healthcare technologies z z z
VI. health policy and adocacy
z z z z
vii. inter-professional collabora on for improving pa ent and popula on health outcomes
z z z z z z z z z
vIII. clinical preven on and popula on health for improving health.
z z z z z z z z
IX. Master's level nursing prac ce
z z z z
NP Core Competencies-Scien fic Founda on -
z z z z
1. cri cally analyzes data and evidence for improving advanced nursing prac ce.
z z z z z z z z z z z
2. Integrates knowledge from the humani es and sciences within the context of nursing science.
z z z z z z z z z z z z z
3. translates research and other forms of knowledge to mproe prac ce process and outcomes.
z z z z z z z z z z z z z
4. deVelops new prac ce approaches based on the integra on of research, theory, and prac ce knowledge.
z z z z z z z z z z z z z z
NP Core Competencies-Leadership -
z z z
1. Assumes complex and advanced leadership roles to imitated ad guide change.
z z z z z z z z z z z z
