NUR 513 Topic 1: Roles for Advanced Registered Nursing Specialties

Sample Answer for NUR 513 Topic 1: Roles for Advanced Registered Nursing Specialties Included After Question

Topic 1 DQ 1

 Description:

 Describe how the role of advanced registered nurses transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?

A Sample Answer For the Assignment: NUR 513 Topic 1: Roles for Advanced Registered Nursing Specialties

Title: NUR 513 Topic 1: Roles for Advanced Registered Nursing Specialties

The definition of an Advanced Practice Registered Nurse (APRN) according to the American Association of Colleges of Nursing (AACN) indicate master’s-prepared nurses who provide direct clinical care (DeNisco, 2024). This term encompasses the roles of nurse practitioner (NP), certified nurse–midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS) (DeNisco, 2024).

 

The advanced practice role has existed in nursing for over 40 years (Lewis, 2022). This role initiated in the 1960s in the United States and Canada as an effort to provide and expand high quality healthcare. During the 1970s, the Advanced Practice Nurse title and jobs started to expand to other countries. As a result, the advanced practice nurse (APN) title became more apparent in the nursing literature.

Currently, the largest group of advanced practice nurses are the nurse practitioners. This group includes over 355,000 licensed and with some level of prescriptive authority in all 50 states and the District of Columbia (DeNisco, 2024). Nurse practitioners have been providing care to vulnerable populations in rural and urban areas since the 1960s (DeNisco, 2024). The role was born out of the shortage of primary care physicians able to serve pediatric populations (DeNisco, 2024). Initially, there was a 3 to 12 months of educational requirement to prepare for the nurse practitioner role. The role of nurse practitioners increased and so did the educational requirements. By the 1990s, the master’s degree was endorsed as entry-level education for NP specialties (DeNisco, 2024).  Currently, nurse practitioners are not only educated and working, they are also board certified in different specialty areas such as pediatrics, family and adult-gerontology.

 In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes? 

In my 20 years working as a nurse, I have seen nursing roles evolve along with health care system changes. One of the health care system changes is to improve access to high quality healthcare while reducing costs of which is part of a certified nurse specialist’s (CNS) role. These health care system changes are developing new roles including nurse navigators and health care coaches which in the future may require advanced degrees and certifications (DeNisco, 2024).

References:

Advanced Practice Nursing: Essential Knowledge for the Profession

DeNisco, S. M. (Ed.). (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning. ISBN-13: 978128426466

Lewis R. The evolution of advanced nursing practice: Gender, identity, power and patriarchy. Nurs Inq. 2022 Oct;29(4):e12489. doi: 10.1111/nin.12489. Epub 2022 Mar 13. PMID: 35279899; PMCID: PMC9787357.

A Sample Answer 2 For the Assignment: NUR 513 Topic 1: Roles for Advanced Registered Nursing Specialties

Title: NUR 513 Topic 1: Roles for Advanced Registered Nursing Specialties

Throughout history, advanced registered nurses in healthcare have been essential for ensuring patient safety and care. However, their roles have changed over time due to various technological, professional, and government changes. Undoubtedly, the responsibilities of advanced registered nurses have evolved as the dynamic healthcare industry necessitates swift adaptation and decision-making based on sound reasoning. The caring approaches of these nurses will continue to evolve, driven by the changing dynamics of the American healthcare system.

 

A national plan aims to enhance healthcare access and reduce costs, leading to the creation of new, unforeseen nursing jobs. Recently introduced roles like care coordinators (such as nurse navigators and healthcare coaches) may require additional degrees and certifications in the future. With an aging population, there will be increased demand for nurses specializing in chronic illness and wellness coaching. Specialized roles like population health, gender-specific healthcare, and global health specialists are expected to become more common. Efforts are underway to expand and clarify the definition and standards for advanced practice nursing (DeNisco, 2024).

 

The Affordable Care Act of 2010 (ACA) will bring both challenges and chances for health professionals to build a more patient-centered system. This law marks the start of a gradual shift in the U.S. healthcare system away from acute and specialty care. The urgency for this change is heightened, especially in addressing chronic conditions, primary care, including coordination and transitional care, prevention and wellness, and preventing adverse events like hospital-acquired infections. As the population ages, the demand for long-term and palliative care will also increase in the future (Transforming Practice, 2011).

 

References

DeNisco, S. M. (Ed.). (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning. ISBN-13: 9781284264661

Transforming practice – The future of nursing – NCBI bookshelf. (2011). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK209871/#ddd00120

Description

Objectives:

  1. Describe the history of advanced registered nursing, including shifts in scope, role, and
  2. Discuss emerging roles for the advanced registered
  3. Discuss the Institute of Medicine’s recommendations for nursing education and the role of the advanced practice registered nurse in the evolving health care

Advanced Practice Nursing: Essential Knowledge for the Profession

 Description:

 Read Chapters 1, 2, and 5 in Advanced Practice Nursing: Essential Knowledge for the Profession.

 Leadership in Nursing Practice: Changing the Landscape of Health Care

 Description:

 Read Chapter 2 in Leadership in Nursing Practice: Changing the Landscape of Health Care.

 LoudCloud Walk to Class Tutorial

 Description:

 Review the tutorial. This tutorial will be used to prepare for the Topic 1 assignment.

NUR 513 Topic 1 Roles for Advanced Registered Nursing Specialties
NUR 513 Topic 1 Roles for Advanced Registered Nursing Specialties

 The Future of Nursing: Leading Change, Advancing Health

 Description:

Read The Future of Nursing: Leading Change, Advancing Health, by the Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing (2011). Download the free PDF from the National Academy of Sciences website.This resource will be used to answer Topic 1 DQ 2. 

APA Resources

Description: 

Review the American Psychological Association (APA) writing style guidelines and resources located in the Student Success Center. APA format is required for most assignments, so students should become familiar with these resources to facilitate the successful completion of course assignments. 

Discussion Forum Guidelines and Example 

Description:

 Review the “Discussion Forum Guidelines and Example”.

 Initial Course Survey

 Description:

 In an effort for continuous improvement, Grand Canyon University would like you to take this opportunity to provide feedback about your experience with the university. Your participation is appreciated. Click on the link to begin the survey.

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 Topic 1 DQ 2

 Description:

 Access The Future of Nursing: Leading Change, Advancing Health. Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Provide rationale based on your experience in practice. Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving. Why or why not?

 Navigating the Online Environment Scavenger Hunt

 Description:

 Learning how to navigate the online classroom environment is essential to your academic success.

 

  1. Review “Navigating the Online Scavenger Hunt” and search LoudCloud to find the answers.
  2. Complete the scavenger hunt while navigating LoudCloud.You are not required to submit this assignment to LopesWrite.
  3. Note: Please do not submit assignments as PDF files.Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:

    ASSIGNMENT RUBRIC

    Grading Rubric

    Performance Category 100% or highest level of performance

    100%

    16 points

    		 Very good or high level of performance

    88%

    14 points

    		 Acceptable level of performance

    81%

    13 points

    		 Inadequate demonstration of expectations

    68%

    11 points

    		 Deficient level of performance

    56%

    9 points

     

    		 Failing level

    of performance

    55% or less

    0 points
     Total Points Possible= 50           16 Points    14 Points 13 Points        11 Points           9 Points          0 Points
    Scholarliness

    Demonstrates achievement of scholarly inquiry for professional and academic topics.

    		 Presentation of information was exceptional and included all of the following elements:

    • Provides evidence of scholarly inquiry relevant to required TD topic(s).
    • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
    • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
    • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
    		 Presentation of information was good, but was superficial in places and included all of the following elements:

    • Provides evidence of scholarly inquiry relevant to required TD topic(s).
    • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
    • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
    • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
    		 Presentation of information was minimally demonstrated in all of the following elements:

    • Provides evidence of scholarly inquiry relevant to required TD topic(s).
    • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
    • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
    • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
    		  

    Presentation of information is unsatisfactory in one of the following elements:

    • Provides evidence of scholarly inquiry relevant to required TD topic(s).
    • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
    • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
    • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
    		  

    Presentation of information is unsatisfactory in two of the following elements:

    • Provides evidence of scholarly inquiry relevant to required TD topic(s).
    • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
    • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
    • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
    		 Presentation of information is unsatisfactory in three or more of the following elements

    • Provides evidence of scholarly inquiry relevant to required TD topic(s).
    • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
    • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
    • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
     16 Points  14 Points  13 Points 11 Points 9 Points  0 Points
    Application of Course Knowledge

    Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations

    		 Presentation of information was exceptional and included all of the following elements:

    • Applies principles, knowledge and information from scholarly resources to the required topic.
    • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
    • Application of information is comprehensive and specific to the required topic.
    		 Presentation of information was good, but was superficial in places and included all of the following elements:

    • Applies principles, knowledge and information from scholarly resources to the required topic.
    • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
    • Application of information is comprehensive and specific to the required topic.
    		 Presentation of information was minimally demonstrated in the all of the following elements:

    • Applies principles, knowledge and information from scholarly resources to the required topic.
    • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
    • Application of information is comprehensive and specific to the required topic.
    		 Presentation of information is unsatisfactory in one of the following elements:

    • Applies principles, knowledge and information from scholarly resources to the required topic.
    • Applies facts, principles or concepts learned from and scholarly resources to a professional experience.
    • Application of information is comprehensive and specific to the required topic.
    		 Presentation of information is unsatisfactory in two of the following elements:

    • Applies principles, knowledge and information from scholarly resources to the required topic.
    • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
    • Application of information is comprehensive and specific to the required topic.
    		 Presentation of information is unsatisfactory in three of the following elements

    • Applies principles, knowledge and information and scholarly resources to the required topic.
    • Applies facts, principles or concepts learned scholarly resources to a professional experience.
    • Application of information is comprehensive and specific to the required topic.
       10 Points 9 Points  6 Points  0 Points
    Interactive Dialogue

    Initial post should be a minimum of 300 words (references do not count toward word count)

    The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count)

    Responses are substantive and relate to the topic.

    		 Demonstrated all of the following:

    • Initial post must be a minimum of 300 words.
    • The peer and instructor responses must be a minimum of 150 words each.
    • Responses are substantive
    • Responses are related to the topic of discussion.
    		 Demonstrated 3 of the following:

    • Initial post must be a minimum of 300 words.
    • The peer and instructor responses must be a minimum of 150 words each.
    • Responses are substantive
    • Responses are related to the topic of discussion.
    		 Demonstrated 2 of the following:

    • Initial post must be a minimum of 300 words.
    • The peer and instructor responses must be a minimum of 150 words each.
    • Responses are substantive
    • Responses are related to the topic of discussion.
    		 Demonstrated 1 or less of the following:

    • Initial post must be a minimum of 300 words.
    • The peer and instructor responses must be a minimum of 150 words each.
    • Responses are substantive
    • Responses are related to the topic of discussion.
      8 Points 7 Points  6 Points         5 Points          4 Points  0 Points
    Grammar, Syntax, APA

    Points deducted for improper grammar, syntax and APA style of writing.

    The source of information is the APA Manual 6th Edition

    Error is defined to be a unique APA error. Same type of error is only counted as one error.

    		 The following was present:

    • 0-3 errors in APA format

    AND

    • Responses have 0-3 grammatical, spelling or punctuation errors

    AND

    • Writing style is generally clear, focused on topic,and facilitates communication.
    		 The following was present:

    • 4-6 errors in APA format.

    AND/OR

    • Responses have 4-5 grammatical, spelling or punctuation errors

    AND/OR

    • Writing style is somewhat focused on topic.
    		 The following was present:

    • 7-9 errors in APA format.

    AND/OR

    • Responses have 6-7 grammatical, spelling or punctuation errors

    AND/OR

    • Writing style is slightly focused on topic making discussion difficult to understand.
    		  

    The following was present:

    • 10- 12 errors in APA format

    AND/OR

    • Responses have 8-9 grammatical, spelling and punctuation errors

    AND/OR

    • Writing style is not focused on topic, making discussion difficult to understand.
    		  

    The following was present:

    • 13 – 15 errors in APA format

    AND/OR

    • Responses have 8-10 grammatical, spelling or punctuation errors

    AND/OR

    • Writing style is not focused on topic, making discussion difficult to understand.

    AND/OR

    • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.
    		 The following was present:

    • 16 to greater errors in APA format.

    AND/OR

    • Responses have more than 10 grammatical, spelling or punctuation errors.

    AND/OR

    • Writing style does not facilitate communication
      0 Points Deducted 5 Points Lost
    Participation

    Requirements

    		Demonstrated the following:

    • Initial, peer, and faculty postings were made on 3 separate days
    		 Failed to demonstrate the following:

    • Initial, peer, and faculty postings were made on 3 separate days
      0 Points Lost 5 Points Lost
    Due Date Requirements Demonstrated all of the following:

    • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

    A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.

    		Demonstrates one or less of the following.

    • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

    A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.