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How the role of advanced registered nurse transformed over time NUR 513

How the role of advanced registered nurse transformed over time NUR 513

 

Re: Topic 1 DQ 1

The advanced practice registered nurse (APRN) has seemed to evolve based on shortages and demands of the population within our healthcare system. Deficits have expanded many nursing roles, leading to the need to define the nursing scope of practice and educational requirements. The traditional four roles of APRN, nurse practitioner (NP), certified nurse-midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS); have all grown exponentially since the 20th century (DeNisco & Baker, 2016). These four roles all seemed to have stemmed from disparities in our healthcare system, whether it be a shortage of physicians, under-severed rural areas, vulnerable populations, or times of war. A great example of this is the advancements within the CRNA field. CRNAs were initially brought about during World War I due to a physician shortage during wartimes (DeNisco & Baker, 2016). The continuation of wars through United States history gave the CRNA field a strong foothold as a chief provider of anesthetics to the frontline. This expansion of the nursing scope of practice in anesthetics eventually led to credentialing and the American Association of Nurse Anesthetists (AANA) to monitor and regulate this growing field (DeNisco & Baker, 2016). Similarly, the growth and expansion of the other original APRN roles through the end of the 20th and 21st century required the nursing field to define graduate-level educational requirements and each specialty’s nursing role. The transformation of traditional APRN roles has now begun to open doorways for other nontraditional advanced practice nursing areas like public health nursing, clinical nurse leaders, nurse administrators, nursing research, and nurse educators

How the role of advanced registered nurse transformed over time NUR 513

How the role of advanced registered nurse transformed over time NUR 513

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DeNisco and Baker do a great job of laying out the ongoing evolution and need of the APRN role in the American healthcare system

and the need for more advanced practice educators to sustain the APRN field’s continuous growth (2016). With a growing and aging population and a continuing shortage of physicians, the APRN roles offer a cost-effective solution that can also improve patient satisfaction (DeNisco & Baker, 2016). I will say that this week’s reading has made the decision to continue my education in nursing even more appealing and necessary. how the role of advanced registered nurse transformed over time NUR 513

References

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284072570

Re: Topic 1 DQ 1

Hello G…,

I agree with your statement that the advanced nurse practice numbers have soared high in the 21st century compared by the 20th century. The current Covid-19 pandemic has however, proved that health and wellness is a collective responsibility (Kovac, 2020). In this context both the patient and the nurse are at risk of contracting the disease regardless of age, gender or religious underpinnings hence adequate precautionary measures should be taken. The advanced nursing role has taken up active role in preventive measures of the disease by offering the routine guidelines of hygiene the emerging trends in the spread and severity of the disease. The concept of preventive care is one of the key pillars in the patient protection and well-being. The advanced nurse role requires the nurses to carry out educational programs, seminars and workshops that are meant to help the public on the need of maintaining our bodies for optimal health and reduced chances of hospitalization. The one situation where the advanced nurses’ practitioners have shown resilience is the tackling of the covid-19 pandemic. Countries that embraced strict, firm and taken early hard precautionary measures have known to be safer with very low reported cases in the country (Trnka et al., 2021). how the role of advanced registered nurse transformed over time NUR 513

References

Kovac, M. (2020). The Covid-19 pandemic: collective action and European public policy under stress. Central European Journal of Public Policy0(0). https://doi.org/10.2478/cejpp-2020-0005

Trnka, S., Long, N. J., Aikman, P. J., Appleton, N. S., Davies, S. G., Deckert, A., Fehoko, E., Holroyd, E., Jivraj, N., Laws, M., Martin-Anatias, N., Roguski, M., Simpson, N., Sterling, R., & Tunufa’i, L. (2021). Negotiating risks and responsibilities during lockdown: ethical reasoning and affective experience in Aotearoa New Zealand. Journal of the Royal Society of New Zealand, 1–20. https://doi.org/10.1080/03036758.2020.1865417

Re: Topic 1 DQ 1

Hi G..,

I think you bring up a great point in regards to your comment stating, “With a growing and aging population and a continuing shortage of physicians, the APRN roles offer a cost-effective solution that can also improve patient satisfaction (DeNisco & Baker, 2016).” According to the American Association of Nurse Practitioners (2013), schooling for nurse practitioners cost 20-25 percent less than that of an MD or DO. Could that potentially be why we are seeing a shortage of physicians? Not only that, but the cost of a physician NP team working at a long-term care facility was 42 percent lower than a team of physicians only. In addition to the cost-effectiveness, the physician NP teams also had lower rates of emergency room transfers and hospital stays were also decreased. I definitely believe that the future of healthcare will be nurse practitioners. My sister-in-law worked as a pediatrician in Tennessee but unfortunately was phased out due to the growing need for NPs and how cost-effective they are. Great post!

Nurse Practitioner Cost Effectiveness. American Association of Nurse Practitioners. https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-cost-effectiveness.

Re: Topic 1 DQ 1

The transformation of advanced registered nurse scope of practice has greatly evolved over time. Expectations have also expanded as well as the educational preparation in each nursing specialty. The role of nurse practitioners in the 20th century was born out of shortage of primary care physicians able to serve pediatric population (DeNisco & Barker, 2016). In contrast with the 21st century, the versatility of the role along with strong roots in health promotion, patient education and interprofessional (team) practice, allow nurse practitioners to successfully function in a wide variety of practice settings that care for individuals across the lifespan (Granger, 2017). This indicates how over time the role has greatly evolved from catering to just the younger population to a now diverse group of patients, that covers pediatric and gerontology, along with another specialty focusing on mental health.

Emergence of new nursing roles will arise considering the changes that are unprecedented in today’s health care system in the United States. In the past, the focus was mainly on the disease process itself, which mainly deals the curative aspect of care. Today, preventive measures have been greatly emphasized with greater accessibility to primary care services, such as telemedicine and e-visits, with the convenience of accessing through your mobile device. As the health care system advances through the use of technology (e.g., online messaging systems, electronic medical records) so does the roles of nursing will continue to adapt to these changes. Recently, new roles to serve as coordinators of care, such as nurse navigators and healthcare coaches may require advanced degrees and certification in the future (DeNisco & Barker, 2016).

References

DeNisco, S.M. & Barker, A.M. (2016). Advanced practice nursingEssential knowledge for the profession

(3rd ed.). Jones & Bartlett Learning. https://www.gcumedia.com/digital-resources/jones-and-bartlett

/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

Granger, T. (2017). Nurse practitioners: A look back and moving forward. USC Suzanne Dworak- Peck School of Social

Work. https://dworakpeck.usc.edu/news/nurse-practitioners-look- back-and-moving-forward

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