Runningdhead:dADVANCEDdPRACTICEdNURSEd1
DiscoveringdthedAdvanceddPracticedNursedBaile
ydBarrineau
NSG5000dRoledofdthedAdvanceddPracticedNursed
Septemberd20,d2019
KellydFisherdSout
hdUniversity
, DiscoveringdthedAdvanceddPracticedNurse
IndthisdpaperdIdwillddiscussdwhatdIdhaveddiscovereddregardingdadvanceddpracticednursingdt
hroughdthisdcourse.dIdwilldfocusdmainlydondthedroledofdthedFamilydNursedPractitionerd(FNP),dbecau
sedFNPdisdwhatdIdamdenrolleddindschooldfor.dIdwilldalsodtelldwhatdhasdinspireddmedtodbecomedadFNPd
anddwhatdinfluenceddmyddecision.dDuringdthisdcoursedIdalsodintervieweddadfrienddofdminedwhodisd
adFNP,dChristinadHughes.dIdwilldsummarizedthatdinterviewdwithdherdandddescribedthedstatedrequire
mentsdfordSouthdCarolinadwheredIdlivedanddplandtodwork.dIdwilldthendtalkdaboutdthedleadershipdsty
ledthatdIdpossessdanddhowditdcontributesdtodbeingdadtransformationaldleader.dIdwilldalsoddiscussdan
ddtakedadpositiondondMedicaredreimbursement
fordFNPsdcompareddtodmedicalddoctors.
AdvanceddPracticedRolesdindNursing
ThedFamilydNursedPractitionerd(FNP)dcandbeddefineddasd“advanceddpracticedregistereddnur
sesdwhodworkdautonomouslydordindcollaborationdwithdotherdhealthcaredprofessionalsdtoddeliverdfa
mily-
focuseddcare.”d(GraduateNursingEDU.org,d2017)dFNPsdhavedadgraduatedlevelddegreedasdwelldasdex
periencedindthedfamilydcaredsettingd(GraduateNursingEDU.org,d2017).dGivendthisdtheydaredqualifie
ddtoddiagnosedanddtreatdadwidedrangedofdhealthdproblems.dGivendthisdFNPsdaredabledtodworkdindadn
umberdofdsettingsdanddnotdlimiteddtodadcertaindspecialty.dTheydaredabledtodworkdinddoctor’sdoffices,
clinics,dhospitals,dschools,danddevendthedhomedsettingd(GraduateNursingEDU.org,d2017).dThedhall
d
markdofdthed(NursedPractitioner)dNPdisdthedbreadthdofdhealthdissuesdthatdtheydencounterd(Hamric,d
2013).
ThedFNPdhasdseveraldcoredcompetencies.dOnedofdthosedcompetenciesdisdindepend
entdpractice.dThisdcompetencydimpliesdthatdeverydNPdisdresponsibledfordthedcaredthatdtheydprovid
edtodindividualsd(Hamric,d2013).dScientificdfoundationdisdadcoredcompetencydthatdadNPsdmustdposs
ess.d“ThedNPdshoulddhavedadscientificdfoundationdderiveddfromdthednaturaldand
DiscoveringdthedAdvanceddPracticedNursedBaile
ydBarrineau
NSG5000dRoledofdthedAdvanceddPracticedNursed
Septemberd20,d2019
KellydFisherdSout
hdUniversity
, DiscoveringdthedAdvanceddPracticedNurse
IndthisdpaperdIdwillddiscussdwhatdIdhaveddiscovereddregardingdadvanceddpracticednursingdt
hroughdthisdcourse.dIdwilldfocusdmainlydondthedroledofdthedFamilydNursedPractitionerd(FNP),dbecau
sedFNPdisdwhatdIdamdenrolleddindschooldfor.dIdwilldalsodtelldwhatdhasdinspireddmedtodbecomedadFNPd
anddwhatdinfluenceddmyddecision.dDuringdthisdcoursedIdalsodintervieweddadfrienddofdminedwhodisd
adFNP,dChristinadHughes.dIdwilldsummarizedthatdinterviewdwithdherdandddescribedthedstatedrequire
mentsdfordSouthdCarolinadwheredIdlivedanddplandtodwork.dIdwilldthendtalkdaboutdthedleadershipdsty
ledthatdIdpossessdanddhowditdcontributesdtodbeingdadtransformationaldleader.dIdwilldalsoddiscussdan
ddtakedadpositiondondMedicaredreimbursement
fordFNPsdcompareddtodmedicalddoctors.
AdvanceddPracticedRolesdindNursing
ThedFamilydNursedPractitionerd(FNP)dcandbeddefineddasd“advanceddpracticedregistereddnur
sesdwhodworkdautonomouslydordindcollaborationdwithdotherdhealthcaredprofessionalsdtoddeliverdfa
mily-
focuseddcare.”d(GraduateNursingEDU.org,d2017)dFNPsdhavedadgraduatedlevelddegreedasdwelldasdex
periencedindthedfamilydcaredsettingd(GraduateNursingEDU.org,d2017).dGivendthisdtheydaredqualifie
ddtoddiagnosedanddtreatdadwidedrangedofdhealthdproblems.dGivendthisdFNPsdaredabledtodworkdindadn
umberdofdsettingsdanddnotdlimiteddtodadcertaindspecialty.dTheydaredabledtodworkdinddoctor’sdoffices,
clinics,dhospitals,dschools,danddevendthedhomedsettingd(GraduateNursingEDU.org,d2017).dThedhall
d
markdofdthed(NursedPractitioner)dNPdisdthedbreadthdofdhealthdissuesdthatdtheydencounterd(Hamric,d
2013).
ThedFNPdhasdseveraldcoredcompetencies.dOnedofdthosedcompetenciesdisdindepend
entdpractice.dThisdcompetencydimpliesdthatdeverydNPdisdresponsibledfordthedcaredthatdtheydprovid
edtodindividualsd(Hamric,d2013).dScientificdfoundationdisdadcoredcompetencydthatdadNPsdmustdposs
ess.d“ThedNPdshoulddhavedadscientificdfoundationdderiveddfromdthednaturaldand
