Week 2: The Role of the Advanced Practice Nurse Study Guide

Week 2: The Role of the Advanced Practice Nurse © 2017 South University In this Week one review module, all of the course content in NSG 5000 will be outlined. The remediation plan will cover 5 themes relative to Advance Practice Roles: History & Evolution (HE) Competencies(C) AP Roles (AP) Professional Issues (PI) and Health Policy (HP). 1. History and Developmental Aspects of Advanced Practice Nursing a. Definition of advanced practice nurse (APN) 1. The definition proposed in Hamric’s first chapter builds on and extends the understanding of advanced practice nursing. Important assertions of this discussion are as follows: a. “Advanced practice nursing is the patient-focused application of an expanded range of competencies to improve health outcomes for patients and populations within a specialized clinical area of the larger discipline of nursing” (Hamric 134) b. Advanced practice nursing is a CONCEPT; a function of educational and practice preparation and a constellation of primary criteria and core competencies. c. Direct clinical practice is the central competency of any APN role and informs all the other competencies. d. All APNs share the same core criteria and competencies, although the actual clinical skill set varies, depending on the needs of the APN's specialty patient population. (Hamric 70) e. The development of a common language and conceptual framework for communication, guidance, and evaluation is common to sound progress in any practice discipline f. Conceptual models offering a systemic approach to nursing research, education, administration, and practice g. Globally, some notable similarities exist among definitions, particularly in acknowledging competencies, expanded practice, and recommending graduate education. The ICN definition is general and recognizes that the terms nurse practitioner and advanced practice nurse are used interchangeably in some parts of the world. (Hamric 134) Hamric, Ann, Charlene Hanson, Mary Tracy, Eileen O'Grady. Advanced Practice Nursing: An Integrative Approach, 5th Edition. Saunders, 07/2013. VitalBook file. b. Distinguishing Between Advanced Nursing Practice and Advanced Practice Nursing 1. The terms advanced practice nursing and advanced nursing practice have distinct definitions and cannot be seen as interchangeable. In particular, recent definitions of advanced nursing practice do not clarify the clinically focused nature of advanced practice nursing. (Hamric 69) 2. The term advanced nursing practice as “characterized by the integration and application of a broad range of theoretical and evidence-based knowledge that occurs as part of graduate nursing education.” This broad definition has evolved from the American Association of Colleges of Nursing's “Position Statement on the Practice Doctorate in Nursing” (AACN, 2004), which recommended doctoral-level educational preparation for individuals at the most advanced level of nursing practice. The Doctor of Nursing Practice (DNP) position statement (AACN, 2004) advanced a broad definition of advanced nursing practice as the following: ....................................CONTINUED...............................................