NUR 513 Describe how the role of advanced registered nurse transformed over time

Sample Answer for NUR 513 Describe how the role of advanced registered nurse transformed over time Included After Question

Topic 1 DQ 1

Describe how the role of advanced registered nurse 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 Describe how the role of advanced registered nurse transformed over time

Title: NUR 513 Describe how the role of advanced registered nurse transformed over time 

The American Association of Colleges of Nursing (AACN) defines  Advanced Practice Registered Nurse (APRN) as master’s-prepared nurses who provide direct clinical care. This includes the nurse practitioner (NP), certified nurse–midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS).  According to DeNisco, the advanced registered nurse is a nurse with a master’s or doctoral degree recognized by the AACN.

Nurse Anesthetists have practiced for more than 150 years as the main providers of anesthesia care for the military on the front lines during wartime. In 1952, the American Association of Nurse Anesthesiology established the certified registered nurse anesthetist credential to monitor the quality and consistency of nurse anesthetist education. Today, nurse anesthetists autonomously and in collaboration with physicians provide 45 million anesthetics annually.

The first nurse-midwife school was established in 1925 to provide family health, childbearing, and delivery care to women in the Appalachian Mountains due to high maternal and child death rates. Currently, all nurse-midwifery programs are in colleges and universities. Nurse midwives now provide autonomous primary care focusing on pregnancy,  childbirth, the postpartum phase, newborn care, family planning, and gynecological care.
The nurse midwife has prescriptive authority in all 50 states and territories and mandatory Medicaid reimbursement status.

The nurse practitioner (NP) role was created in the 1960s to address the shortage of pediatric primary care providers in rural areas. Initially, the training program ranged from 3-12 months. As the NP’s scope and responsibilities changed, the master’s degree became entry level of education required. Today, the  AACN recommends a doctoral of nursing practice for NPs. Currently, NPs are the largest group of advanced practice nurses.

The role of the clinical nurse specialist was created in the 1960s to provide advanced care to psychiatric patients. Today, the clinical nurse specialist is able to practice without physician supervision, prescribe medications and durable medical equipment, and order diagnostic tests in some states.

The level of education and training for entry as an advanced practice nurse continues to increase as the scope of practice and responsibilities also increases. The population is aging with more co-morbidities. The predicted physician shortage signals an impending lack of care for patients with complex care needs. Advanced practice nurses must be educated, supported, and empowered to continue to step in and fill the gap to meet the demands of the patients.

Reference:

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

 

 

NUR 513 Describe how the role of advanced registered nurse transformed over time
NUR 513 Describe how the role of advanced registered nurse transformed over time

 

 

A Sample Answer 2 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time

Title: NUR 513 Describe how the role of advanced registered nurse transformed over time

Historically, when one spoke of advanced practice nursing, they meant one of four roles; certified registered nurse anesthetist (CRNA), certified nurse mid-wife (CNM), clinical nurse specialist (CNS), or certified nurse practitioner (CNP). In 2004, the American Association of Colleges of Nursing (AACN) defined advanced practice nursing as “Any form of nursing intervention that influences health care outcomes for individuals or populations, including direct care of individual patients, management of care for individuals and populations, administration of nursing and health care organizations, and the development and implementation of health policy” (Denisco & Barker, 2016). Since this definition came out many other nursing roles, such as nurse administrators and public health nurses have also been thought of as advanced practice nursing roles. Whereas advanced practice nursing used to be mainly reserved for clinical practice, it is now branching out into non-clinical roles. With the ever-expanding role of nurses coupled with the push to expand access to and decrease costs of health care there will likely be many new roles developed for nursing practice. These roles will require advanced degrees even if they are not in clinical areas, therefore, they too should be thought of as advanced practice nursing. 

Denisco, S.M. and Barker, A.M. (2016). Advanced Practice Nursing: Essential Knowledge for the Profession. Jones and Bartlett Learning. https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php 

A Sample Answer 3 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time

Title: NUR 513 Describe how the role of advanced registered nurse transformed over time 

I agree with you that nursing practice is any form of nursing intervention that is meant to influence the care outcomes. The nurse practice has been evolving overtime especially with the transformation of the healthcare systems and healthcare policies. In the current healthcare industry where the focus is on the patient, what is commonly referred to as patient centered approach has ensured that the patient is given autonomy to choose on the best care practice that is appropriate and improves the patient’s health condition (American Association of Nurse Practitioners, 2019). This has called upon the nurse training institutions to shift and adapt to the new and emerging trends in healthcare. The advanced nursing role has been the significant part that the Affordable Care Act aims to enhance health promotion measures among the aging US population (Woo et al., 2017). The research findings reveal that the advanced nursing role would be one of the professions at a highest demand by the year 2022. 

References 

American Association of Nurse Practitioners. (2019). Scope of Practice for Nurse Practitioners. American Association of Nurse Practitioners; AANP Website. https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners 

Woo, B. F. Y., Lee, J. X. Y., & Tam, W. W. S. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Human Resources for Health, 15(1). https://doi.org/10.1186/s12960-017-0237-9 

A Sample Answer 4 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time

Title: NUR 513 Describe how the role of advanced registered nurse transformed over time 

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. 

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.  

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 

A Sample Answer 5 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time

Title: NUR 513 Describe how the role of advanced registered nurse transformed over time 

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) 

 

References 

Kovac, M. (2020). The Covid-19 pandemic: collective action and European public policy under stress. Central European Journal of Public Policy, 0(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 

A Sample Answer 6 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time

Title: NUR 513 Describe how the role of advanced registered nurse transformed over time 

This week : We will discuss how the role of advanced registered nurse transformed over time, considering various shifts in scope and expectations in the 20th and 21st centuries. We will also discuss different ways that will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes. Here is a CAT ( classroom assessment technique question for you to get additional participation points). Please respond in addition to your 2 main dbqs dq1 and dq2. 

CAT #1 

Explore the 4 APRN roles 🙂 of your personal interest. 

The APRN roles which are the advanced roles include; certified registered nurse anesthetist (CRNA), certified nurse midwife (CNM), clinical nurse specialist (CNS) and certified nurse practitioner CNP). The advanced nurse roles have been traditionally entailing focus on the clinical procedures, advocating for better patient care, being case managers (Hu & Forgeron, 2018). Additionally, ADP is also expected to work in consultation and collaboration with other healthcare professionals. The roles entail a wide scope of practice and ideally, the learning is meant for advancement on the already available information. However, in the current situation the healthcare industry is approaching a new era as emphasized in the affordable care act which we still don’t know what will happen. The affordable care act insists on offering medical care that built on patient centeredness and care that is preventive rather than curative (Courtemanche et al., 2018). This is meant to tackle the rising number of the elderly population that is battling serious chronic illnesses that are associated with old age  

References 

Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2018). Effects of the Affordable Care Act on Health Care Access and Self-Assessed Health After 3 Years. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 004695801879636. https://doi.org/10.1177/0046958018796361 

Hu, J., & Forgeron, P. (2018). Thinking, educating, acting: Developing advanced practice nursing. International Journal of Nursing Sciences, 5(2), 99–100. https://doi.org/10.1016/j.ijnss.2018.04.006 

A Sample Answer 7 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time

Title: NUR 513 Describe how the role of advanced registered nurse transformed over time 

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

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