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

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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.

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

Re: Topic 1 DQ 1

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Objectives:

1. Describe the history of advanced registered nursing, including shifts in scope, role, and expectations.
2. Discuss emerging roles for the advanced registered nurse.
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 system.
Study Materials

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

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.

Click here to ORDER NOW FOR AN ORIGINAL PAPER ON NUR 513 Describe how the role of advanced registered nurse transformed over time

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 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

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 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

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.

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 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 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

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?

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

The Institute of Medicine (IOM) recommends that, in order for the healthcare industry to meet the rising demand for quality and affordable care, there is need to redefine and redesign the nurse training framework to march with the emerging trends in healthcare. Among the recommendations for nursing education to promote effectiveness include expanding the nursing faculty and improve the capacity of the available nursing schools. Additionally, there is need to reframe the nurse training program to expand the scope of training and ensure that the nurses graduating with the BSN are well trained on incorporation of technology, research methods, basic statistical data analysis and interpretation and above all they are well equipped to provide education to the patients and emphasize the current role of nursing profession. According to the ACA, the nurses are not only supposed to offer intervention measures in terms of treatment and taking care of the sick but they should also put the preventive measures on the forefront of their care services. It is imperative that the nurse training institutions help the student nurses sharped their communication skills and instill some pedagogical skills to help them deliver the message of health promotion measures as a way of improving healthcare and promoting quality life (Cleveland et al., 2019). I do agree with the IOM on about the evolving role of the advanced nursing practice. The recommendations remove the restrictions on the scope of practice of the APRN and allows them to practice to the full extend of their education and training (Salmond & Echevarria, 2017).

References

Cleveland, K., Motter, T., & Smith, Y. (2019, May). Affordable Care: Harnessing the Power of Nurses. Ojin.nursingworld.org. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-24-2019/No2-May-2019/Affordable-Care.html

Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopaedic Nursing, 36(1), 12–25. https://doi.org/10.1097/nor.0000000000000308

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

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.

A Sample Answer 8 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 role of Advanced Practice Nursing started during the 1960s. Loretta Ford EdD (nurse educator) and Henry Silver, MD formally developed the nurse practitioner role. Nurse Practitioners are viewed to be a cost-effective way to be providers for the underserved. (DeNisco, 2019) Through the years the NP programs increased, and more than 30% of NPs were working with vulnerable populations including the homeless, indigent, chronically ill, and elderly. (DeNisco, 2019) At present, numerous programs of NP education across the United States are offered.

Advanced registered nurse’s specializations have grown in time to assist the needs of the healthcare system. I believe that increasing specialization in roles such as CRNAs, Pediatric, psychiatric, adult NP’s, Clinical nurse specialists, Clinical educators, and Certified Nurse Midwives will evolve in the future. With the implementation of a new evidence-based practice and current innovation creates new ideas and practices in developing roles and responsibilities of advanced practice nursing. In addition to that Standardizing graduate education also helps in evolving the roles and responsibilities of the advanced practice nurse. Compared to the early years it was introduced as a certificate-level program and transformed into graduate-level education. (DeNisco, 2019)

References

DeNisco, S. M. (2019). Advanced practice nursing (4th ed.). Jones & Bartlett Learning.

Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2018). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Jones & Bartlett Learning.

A Sample Answer 9 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 arose in the middle of the 20th century to help patients who were otherwise unable to seek medical care; the nurse practitioner was a cost-effective solution for clinicians in underserved and rural areas (DeNisco, 2021). The 1965 program was also intended to promote the nursing profession (DeNisco, 2021). Throughout the remainder of the 20th century, nurse practitioners gained autonomy and educational opportunities as more NP programs were funded by the federal government and states gradually recognized diagnosis and treatment as part of the NPs’ scope of practice (DeNisco, 2021). The APRN role has expanded to include additional categories of clinical nurse leaders, which were introduced in 2003, clinical nurse specialists who have provided care since the 1960s, and nurse educators whose graduate-level experience provides a deeper understanding of the foundations of nursing education (DeNisco, 2021).

Throughout the last several decades, the healthcare industry has worked to shift its emphasis and goals towards delivering primary and preventative care to patients, with a particular emphasis on underserved and socioeconomically disadvantaged communities. This increases the demand for primary care providers, a role that NPs can fulfill. Additional jobs such as certified registered nurse anesthetist, certified nurse midwife, and nurse administrator continue to expand to meet the demands of surgical services, women’s health, nursing, and healthcare administration. As the healthcare landscape continues to evolve, more states will need to recognize the autonomy of these roles and let APRNs to diagnose and treat patients without physician oversight (DeNisco, 2021). In order to fulfill the rising need for RNs in hospital and clinical settings as the American population ages and more healthcare demands arise, it will be necessary to increase the number of nursing faculty and educational programs.

References

DeNisco, S. M. (2021). Advanced Practice Nursing: Essential professional knowledge (4^th ed.). Jones & Bartlett Learning.

A Sample Answer 10 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 Advance Practice Registered Nurse (APRN) role is an umbrella term to include roles of Nurse Practitioners, Certified Nurse Midwives, Certifies Nurse Anesthetist and the Clinical Nurse Specialist. The largest group among them being the Nurse Practitioners to this date. The APRN regulatory model regulates the roles of the CRNA, CNM & CRNP across the states. Other advance practice nursing roles include CNL, CNS & Nurse Educators. Currently the supply and demand for advance practice nurses continues to rise to impart advanced knowledge in evidence-based practice, quality improvement, leadership, policy advocacy, informatics and health care systems. Since 1960, the role of the nurse practitioner has evolved from providing care to the rural & urban population to having the Doctor of Nursing Practice as the entry level degree for advanced practice nursing (AACN, 2004). The demand for nurse practitioners is estimated to increase 36% between 2016 to 2026(U.S. Bureau of Labor Statistics, 2018). This demand is a direct correlation to the predicted shortage of more than 20,000 primary care physicians by 2025, the aging & the diverse population. The role of the Nurse Midwife has also evolved from providing family health services from 3 – 6-month training to the nurse midwifery program initiating in colleges & universities.

Today most midwives graduate at the master’s level degree with some obtaining their DNP degree. Since 1925, when the first midwifery school was established, the nurse midwifery program has grown such that today, the programs must be accredited by the American College of Nurse Midwives (ACNM). The graduates can then be eligible to take the national certification exam by the AMCB. The role of the Nurse Anesthetist has also evolved tremendously for about 150 years now in the United States. The role emerging during the Civil War, onto the Vietnam War. Nurse Anesthetist have legal authority to practice independently without anesthesiologist supervision in all 50 states. The role of Nurse Administrators has yet to be defined specifically as the knowledge and skills needed for this role are not taught in the nursing baccalaureate programs. Some of the valid reasons that nurse administrators are not prepared well for the role are that they are not assessed for their leadership abilities, the lack of need for an advanced degree and ineffective orientation to the position.

The role of the APRN is every evolving with new roles emerging in the 21 St century within the health continuum requiring an inclusion of understanding of the healthcare delivery system in the nursing curriculum.

REFERENCE

U.S. Bureau of Labor Statistics, U.S. Department of Labor. (2018). Occupational outlook handbook: Nurse anesthetists, nurse midwives, and nurse practitioners. Retrieved from https://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm

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Include in-text citations in your response
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Here are some helpful links
Student paper example
Citing Sources
The Writing Center is a great resource

According to DeNisco and Baker (2021), nursing education has transitioned from an apprentice style of education to one that involves an education built in liberal arts requiring the development of critical thinking abilities. Even the term advanced nursing practice has been shrouded in considerable uncertainty until a watershed seems to have been reached for a definition that indicates master’s-prepared nurses who provide direct clinical care and to include the roles of nurse practitioner (NP), certified nurse–midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS) (DeNisco & Baker, 2021). The 2010 report by the Institute of Medicine (IOM) that identified the need for nurses to be positioned as vanguards of health care and strongly advocating for allowing advanced practice registered nurses to practice to the full scope of their skills and the removal of barriers to enable forward movement of nurses and the nursing profession paved the way for the advancement of nursing (Stewart, 2021).

The nurse practitioner practice is thought to have emerged in the 1960s taking cue from Lilian Wald’s nurses of the 1800s and was developed to provide primary care underserved population (Stewart, 2021). In 1965, Loretta Ford and Henry Silver formally developed the role of nurse practitioner to advance the nursing profession and to respond to the need for providers in rural, underserved areas (Stewart, 2021). DeNisco and Baker (2021) affirmed that the role evolved out of the unavailability of primary care physicians to take care of pediatric populations with educational preparation changing from the initial 3 to 12 months to the present-day master’s degree as the entry-level education for nurse practitioner specialties.

Formal midwifery training was also necessitated to solve an urgent need to curb high maternal and infant mortality rates which led to the establishment of the first nurse–midwifery school in 1925 by Mary Breckenridge. Today, all nurse–midwifery trainings are college and university level programs which culminate in the DNP degree. The practice of midwifery requires licensed and independent certified nurse–midwives and certified midwives (CMs) who are autonomous primary care providers with prescriptive authority to manage women’s health, that concentrate on pregnancy, childbirth, the postpartum period, care of the newborn, family planning, and gynecologic needs of women (DeNisco & Baker, 2021).

Having evolved more than 150 years ago, nurse anesthetists are another licensed independent practitioners who autonomously deliver care in collaboration with surgeons, dentists, podiatrists, anesthesiologists and other healthcare professionals (DeNisco & Baker, 2021).

DeNisco and Baker (2021) averred that there is a national initiative to improve access to high-quality but cos-effective health care. This directive is bound to necessitate the advent of many new and yet to be conceived roles for nurses. Newly identified nursing roles such as nurse navigators and healthcare coaches, have been instituted and may require advanced degrees and certification. There are thriving care coordination opportunities for nurses throughout the continuum of care (DeNisco & Baker, 2021).