Sample Answer for NUR 513 Describe how the role of advanced registered nurse transformed over time Included After Question<\/strong><\/em><\/span><\/h2>\nTopic 1 DQ 1<\/h2>\n
Describe how the role of advanced registered nurse<\/a> 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<\/a> changes?<\/p>\nA Sample Answer For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nThe American Association of Colleges of Nursing (AACN) defines \u00a0Advanced Practice Registered Nurse (APRN) as master\u2019s-prepared nurses who provide direct clinical care. This includes the nurse practitioner (NP), certified nurse\u2013midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS). \u00a0According to DeNisco, the advanced registered nurse is a nurse with a master’s or doctoral degree recognized by the AACN.<\/p>\n
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\u00a0provide 45 million anesthetics annually.<\/p>\n
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, \u00a0childbirth, the postpartum phase, newborn care, family planning, and gynecological care.
\nThe nurse midwife has prescriptive authority in all 50 states and territories and mandatory Medicaid reimbursement status.<\/p>\n
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.\u00a0As the NP’s scope and\u00a0responsibilities changed, the master’s degree became entry level of education required. Today, the \u00a0AACN recommends a doctoral of nursing practice for NPs.\u00a0Currently,\u00a0NPs are the largest group of advanced practice nurses.<\/p>\n
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.<\/p>\n
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\u00a0population 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\u00a0and fill the gap to meet the demands of the patients.<\/p>\n
Reference:<\/h2>\n
Advanced Practice Nursing: Essential Knowledge for the Profession<\/p>\n
DeNisco, S. M. (Ed.). (2024).\u00a0Advanced practice nursing: Essential knowledge for the profession\u00a0(5th ed.). Jones & Bartlett Learning. ISBN-13: 978128426466<\/p>\n
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<\/p>\n![\"NUR](\"http:\/\/nursingassignmentcrackers.com\/wp-content\/uploads\/2023\/02\/NUR-513-Describe-how-the-role-of-advanced-registered-nurse-transformed-over-time-300x134.png\")
NUR 513 Describe how the role of advanced registered nurse transformed over time<\/figcaption><\/figure>\n <\/p>\n
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A Sample Answer 2 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nHistorically, 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 \u201cAny 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\u201d (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.<\/span>\u00a0<\/span><\/p>\nDenisco, 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><\/span>\u00a0<\/span><\/p>\nA Sample Answer 3 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nI 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\u2019s 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.<\/span>\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nAmerican Association of Nurse Practitioners. (2019). <\/span>Scope of Practice for Nurse Practitioners<\/span><\/i>. American Association of Nurse Practitioners; AANP Website. <\/span>https:\/\/www.aanp.org\/advocacy\/advocacy-resource\/position-statements\/scope-of-practice-for-nurse-practitioners<\/span><\/a>\u00a0<\/span><\/p>\nWoo, 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. <\/span>Human Resources for Health<\/span><\/i>, <\/span>15<\/span><\/i>(1). <\/span>https:\/\/doi.org\/10.1186\/s12960-017-0237-9<\/span><\/a>\u00a0<\/span><\/p>\nA Sample Answer 4 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nThe 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.<\/span>\u00a0<\/span><\/p>\nDeNisco 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.\u202f<\/span>\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nDeNisco, S. M., & Barker, A. M. (2016).\u202f<\/span>Advanced practice nursing: Essential knowledge for the profession\u202f<\/span><\/i>(3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284072570<\/span>\u00a0<\/span><\/p>\nA Sample Answer 5 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nI agree with your statement that the advanced nurse practice numbers have soared high in the 21<\/span>st<\/span> century compared by the 20<\/span>th<\/span> 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\u2019 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)<\/span>\u00a0<\/span><\/p>\n\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nKovac, M. (2020). The Covid-19 pandemic: collective action and European public policy under stress. <\/span>Central European Journal of Public Policy<\/span><\/i>, <\/span>0<\/span><\/i>(0). <\/span>https:\/\/doi.org\/10.2478\/cejpp-2020-0005<\/span><\/a>\u00a0<\/span><\/p>\nTrnka, 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\u2019i, L. (2021). Negotiating risks and responsibilities during lockdown: ethical reasoning and affective experience in Aotearoa New Zealand. <\/span>Journal of the Royal Society of New Zealand<\/span><\/i>, 1\u201320. <\/span>https:\/\/doi.org\/10.1080\/03036758.2020.1865417<\/span><\/a>\u00a0<\/span><\/p>\nA Sample Answer 6 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nThis 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.<\/span>\u00a0<\/span><\/p>\nCAT #1<\/span>\u00a0<\/span><\/p>\nExplore the 4 APRN roles \ud83d\ude42 of your personal interest.<\/span>\u00a0<\/span><\/p>\nThe 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\u2019t 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\u00a0<\/span>\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nCourtemanche, 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. <\/span>INQUIRY: The Journal of Health Care Organization, Provision, and Financing<\/span><\/i>, <\/span>55<\/span><\/i>, 004695801879636. <\/span>https:\/\/doi.org\/10.1177\/0046958018796361<\/span><\/a>\u00a0<\/span><\/p>\nHu, J., & Forgeron, P. (2018). Thinking, educating, acting: Developing advanced practice nursing. <\/span>International Journal of Nursing Sciences<\/span><\/i>, <\/span>5<\/span><\/i>(2), 99\u2013100. <\/span>https:\/\/doi.org\/10.1016\/j.ijnss.2018.04.006<\/span><\/a>\u00a0<\/span><\/p>\nA Sample Answer 7 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nThroughout 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.<\/p>\n
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).<\/p>\n
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).<\/p>\n
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References<\/h2>\n
DeNisco, S. M. (Ed.). (2024).\u00a0Advanced practice nursing: Essential knowledge for the profession<\/em>\u00a0(5th ed.). Jones & Bartlett Learning. ISBN-13: 9781284264661<\/p>\nTransforming practice – The future of nursing – NCBI bookshelf. (2011). Retrieved from\u00a0https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK209871\/#ddd00120<\/a><\/p>\nClick here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/a><\/span><\/em><\/h3>\n\n\n\nPerformance Category<\/strong><\/td>\n10<\/strong><\/td>\n9<\/strong><\/td>\n8<\/strong><\/td>\n4<\/strong><\/td>\n0<\/strong><\/td>\n<\/tr>\n<\/thead>\n\n\nScholarliness<\/strong><\/p>\nDemonstrates achievement of scholarly inquiry for professional and academic decisions.<\/strong><\/td>\n\n\n- Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions<\/li>\n
- Evaluates literature resources to develop a comprehensive analysis or synthesis.<\/li>\n
- Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion<\/li>\n<\/ul>\n<\/td>\n
\n\n- Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.<\/li>\n
- Evaluates information from source(s) to develop a coherent analysis or synthesis.<\/li>\n
- Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.<\/li>\n<\/ul>\n<\/td>\n
\n\n- Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.<\/li>\n
- Information is taken from source(s) with some interpretation\/evaluation, but not enough to develop a coherent analysis or synthesis.<\/li>\n
- Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.<\/li>\n
- Demonstrates little or no understanding of the topic.<\/li>\n<\/ul>\n<\/td>\n
\n\n- Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.<\/li>\n
- Information is taken from source(s) without any interpretation\/evaluation.<\/li>\n
- The posting uses information that is not valid, relevant, or reliable<\/li>\n<\/ul>\n<\/td>\n
\n\n- No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.<\/li>\n
- Information is not valid, relevant, or reliable<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\nPerformance Category<\/strong><\/td>\n\u00a010<\/strong><\/td>\n9 <\/strong><\/td>\n8 <\/strong><\/td>\n4<\/strong><\/td>\n0<\/strong><\/td>\n<\/tr>\n\nApplication of Course Knowledge –<\/strong><\/p>\nDemonstrate the ability to analyze, synthesize, and\/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations<\/strong><\/td>\n\n\n- Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;<\/li>\n
- Applies concepts to personal experience in the professional setting and or relevant application to real life.<\/li>\n<\/ul>\n<\/td>\n
\n\n- Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.<\/li>\n
- Applies concepts to personal experience in their professional setting and or relevant application to real life<\/li>\n
- Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content<\/li>\n<\/ul>\n<\/td>\n
\n\n- Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.<\/li>\n
- Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life<\/li>\n
- Does not demonstrate a solid understanding of the principles and concepts presented in the lesson<\/li>\n<\/ul>\n<\/td>\n
\n\n- Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.<\/li>\n
- Posts are superficial and do not reflect an understanding of the lesson content<\/li>\n
- Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life<\/li>\n<\/ul>\n<\/td>\n
\n\n- Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored<\/li>\n
- No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\nPerformance Category <\/strong><\/td>\n\u00a05<\/strong><\/td>\n4 <\/strong><\/td>\n3 <\/strong><\/td>\n2<\/strong><\/td>\n0<\/strong><\/td>\n<\/tr>\n\nInteractive Dialogue<\/strong><\/p>\n
A Sample Answer For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nThe American Association of Colleges of Nursing (AACN) defines \u00a0Advanced Practice Registered Nurse (APRN) as master\u2019s-prepared nurses who provide direct clinical care. This includes the nurse practitioner (NP), certified nurse\u2013midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS). \u00a0According to DeNisco, the advanced registered nurse is a nurse with a master’s or doctoral degree recognized by the AACN.<\/p>\n
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\u00a0provide 45 million anesthetics annually.<\/p>\n
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, \u00a0childbirth, the postpartum phase, newborn care, family planning, and gynecological care.
\nThe nurse midwife has prescriptive authority in all 50 states and territories and mandatory Medicaid reimbursement status.<\/p>\n
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.\u00a0As the NP’s scope and\u00a0responsibilities changed, the master’s degree became entry level of education required. Today, the \u00a0AACN recommends a doctoral of nursing practice for NPs.\u00a0Currently,\u00a0NPs are the largest group of advanced practice nurses.<\/p>\n
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.<\/p>\n
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\u00a0population 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\u00a0and fill the gap to meet the demands of the patients.<\/p>\n
Reference:<\/h2>\n
Advanced Practice Nursing: Essential Knowledge for the Profession<\/p>\n
DeNisco, S. M. (Ed.). (2024).\u00a0Advanced practice nursing: Essential knowledge for the profession\u00a0(5th ed.). Jones & Bartlett Learning. ISBN-13: 978128426466<\/p>\n
<\/p>\n
<\/p>\nNUR 513 Describe how the role of advanced registered nurse transformed over time<\/figcaption><\/figure>\n <\/p>\n
<\/p>\n
A Sample Answer 2 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nHistorically, 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 \u201cAny 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\u201d (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.<\/span>\u00a0<\/span><\/p>\nDenisco, 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><\/span>\u00a0<\/span><\/p>\nA Sample Answer 3 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nI 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\u2019s 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.<\/span>\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nAmerican Association of Nurse Practitioners. (2019). <\/span>Scope of Practice for Nurse Practitioners<\/span><\/i>. American Association of Nurse Practitioners; AANP Website. <\/span>https:\/\/www.aanp.org\/advocacy\/advocacy-resource\/position-statements\/scope-of-practice-for-nurse-practitioners<\/span><\/a>\u00a0<\/span><\/p>\nWoo, 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. <\/span>Human Resources for Health<\/span><\/i>, <\/span>15<\/span><\/i>(1). <\/span>https:\/\/doi.org\/10.1186\/s12960-017-0237-9<\/span><\/a>\u00a0<\/span><\/p>\nA Sample Answer 4 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nThe 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.<\/span>\u00a0<\/span><\/p>\nDeNisco 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.\u202f<\/span>\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nDeNisco, S. M., & Barker, A. M. (2016).\u202f<\/span>Advanced practice nursing: Essential knowledge for the profession\u202f<\/span><\/i>(3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284072570<\/span>\u00a0<\/span><\/p>\nA Sample Answer 5 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nI agree with your statement that the advanced nurse practice numbers have soared high in the 21<\/span>st<\/span> century compared by the 20<\/span>th<\/span> 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\u2019 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)<\/span>\u00a0<\/span><\/p>\n\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nKovac, M. (2020). The Covid-19 pandemic: collective action and European public policy under stress. <\/span>Central European Journal of Public Policy<\/span><\/i>, <\/span>0<\/span><\/i>(0). <\/span>https:\/\/doi.org\/10.2478\/cejpp-2020-0005<\/span><\/a>\u00a0<\/span><\/p>\nTrnka, 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\u2019i, L. (2021). Negotiating risks and responsibilities during lockdown: ethical reasoning and affective experience in Aotearoa New Zealand. <\/span>Journal of the Royal Society of New Zealand<\/span><\/i>, 1\u201320. <\/span>https:\/\/doi.org\/10.1080\/03036758.2020.1865417<\/span><\/a>\u00a0<\/span><\/p>\nA Sample Answer 6 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nThis 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.<\/span>\u00a0<\/span><\/p>\nCAT #1<\/span>\u00a0<\/span><\/p>\nExplore the 4 APRN roles \ud83d\ude42 of your personal interest.<\/span>\u00a0<\/span><\/p>\nThe 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\u2019t 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\u00a0<\/span>\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nCourtemanche, 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. <\/span>INQUIRY: The Journal of Health Care Organization, Provision, and Financing<\/span><\/i>, <\/span>55<\/span><\/i>, 004695801879636. <\/span>https:\/\/doi.org\/10.1177\/0046958018796361<\/span><\/a>\u00a0<\/span><\/p>\nHu, J., & Forgeron, P. (2018). Thinking, educating, acting: Developing advanced practice nursing. <\/span>International Journal of Nursing Sciences<\/span><\/i>, <\/span>5<\/span><\/i>(2), 99\u2013100. <\/span>https:\/\/doi.org\/10.1016\/j.ijnss.2018.04.006<\/span><\/a>\u00a0<\/span><\/p>\nA Sample Answer 7 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\nTitle: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\nThroughout 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.<\/p>\n
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).<\/p>\n
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).<\/p>\n
<\/p>\n
References<\/h2>\n
DeNisco, S. M. (Ed.). (2024).\u00a0Advanced practice nursing: Essential knowledge for the profession<\/em>\u00a0(5th ed.). Jones & Bartlett Learning. ISBN-13: 9781284264661<\/p>\nTransforming practice – The future of nursing – NCBI bookshelf. (2011). Retrieved from\u00a0https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK209871\/#ddd00120<\/a><\/p>\nClick here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/a><\/span><\/em><\/h3>\n\n\n\nPerformance Category<\/strong><\/td>\n10<\/strong><\/td>\n9<\/strong><\/td>\n8<\/strong><\/td>\n4<\/strong><\/td>\n0<\/strong><\/td>\n<\/tr>\n<\/thead>\n\n\nScholarliness<\/strong><\/p>\nDemonstrates achievement of scholarly inquiry for professional and academic decisions.<\/strong><\/td>\n\n\n- Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions<\/li>\n
- Evaluates literature resources to develop a comprehensive analysis or synthesis.<\/li>\n
- Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion<\/li>\n<\/ul>\n<\/td>\n
\n\n- Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.<\/li>\n
- Evaluates information from source(s) to develop a coherent analysis or synthesis.<\/li>\n
- Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.<\/li>\n<\/ul>\n<\/td>\n
\n\n- Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.<\/li>\n
- Information is taken from source(s) with some interpretation\/evaluation, but not enough to develop a coherent analysis or synthesis.<\/li>\n
- Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.<\/li>\n
- Demonstrates little or no understanding of the topic.<\/li>\n<\/ul>\n<\/td>\n
\n\n- Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.<\/li>\n
- Information is taken from source(s) without any interpretation\/evaluation.<\/li>\n
- The posting uses information that is not valid, relevant, or reliable<\/li>\n<\/ul>\n<\/td>\n
\n\n- No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.<\/li>\n
- Information is not valid, relevant, or reliable<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\nPerformance Category<\/strong><\/td>\n\u00a010<\/strong><\/td>\n9 <\/strong><\/td>\n8 <\/strong><\/td>\n4<\/strong><\/td>\n0<\/strong><\/td>\n<\/tr>\n\nApplication of Course Knowledge –<\/strong><\/p>\nDemonstrate the ability to analyze, synthesize, and\/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations<\/strong><\/td>\n\n\n- Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;<\/li>\n
- Applies concepts to personal experience in the professional setting and or relevant application to real life.<\/li>\n<\/ul>\n<\/td>\n
\n\n- Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.<\/li>\n
- Applies concepts to personal experience in their professional setting and or relevant application to real life<\/li>\n
- Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content<\/li>\n<\/ul>\n<\/td>\n
\n\n- Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.<\/li>\n
- Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life<\/li>\n
- Does not demonstrate a solid understanding of the principles and concepts presented in the lesson<\/li>\n<\/ul>\n<\/td>\n
\n\n- Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.<\/li>\n
- Posts are superficial and do not reflect an understanding of the lesson content<\/li>\n
- Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life<\/li>\n<\/ul>\n<\/td>\n
\n\n- Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored<\/li>\n
- No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\nPerformance Category <\/strong><\/td>\n\u00a05<\/strong><\/td>\n4 <\/strong><\/td>\n3 <\/strong><\/td>\n2<\/strong><\/td>\n0<\/strong><\/td>\n<\/tr>\n\nInteractive Dialogue<\/strong><\/p>\n
The American Association of Colleges of Nursing (AACN) defines \u00a0Advanced Practice Registered Nurse (APRN) as master\u2019s-prepared nurses who provide direct clinical care. This includes the nurse practitioner (NP), certified nurse\u2013midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS). \u00a0According to DeNisco, the advanced registered nurse is a nurse with a master’s or doctoral degree recognized by the AACN.<\/p>\n
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\u00a0provide 45 million anesthetics annually.<\/p>\n
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, \u00a0childbirth, the postpartum phase, newborn care, family planning, and gynecological care.
\nThe nurse midwife has prescriptive authority in all 50 states and territories and mandatory Medicaid reimbursement status.<\/p>\n
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.\u00a0As the NP’s scope and\u00a0responsibilities changed, the master’s degree became entry level of education required. Today, the \u00a0AACN recommends a doctoral of nursing practice for NPs.\u00a0Currently,\u00a0NPs are the largest group of advanced practice nurses.<\/p>\n
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.<\/p>\n
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\u00a0population 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\u00a0and fill the gap to meet the demands of the patients.<\/p>\n
Reference:<\/h2>\n
Advanced Practice Nursing: Essential Knowledge for the Profession<\/p>\n
DeNisco, S. M. (Ed.). (2024).\u00a0Advanced practice nursing: Essential knowledge for the profession\u00a0(5th ed.). Jones & Bartlett Learning. ISBN-13: 978128426466<\/p>\n
<\/p>\n
<\/p>\n <\/p>\n <\/p>\n 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 \u201cAny 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\u201d (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.<\/span>\u00a0<\/span><\/p>\n 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><\/span>\u00a0<\/span><\/p>\n 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\u2019s 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.<\/span>\u00a0<\/span><\/p>\n American Association of Nurse Practitioners. (2019). <\/span>Scope of Practice for Nurse Practitioners<\/span><\/i>. American Association of Nurse Practitioners; AANP Website. <\/span>https:\/\/www.aanp.org\/advocacy\/advocacy-resource\/position-statements\/scope-of-practice-for-nurse-practitioners<\/span><\/a>\u00a0<\/span><\/p>\n 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. <\/span>Human Resources for Health<\/span><\/i>, <\/span>15<\/span><\/i>(1). <\/span>https:\/\/doi.org\/10.1186\/s12960-017-0237-9<\/span><\/a>\u00a0<\/span><\/p>\n 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.<\/span>\u00a0<\/span><\/p>\n 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.\u202f<\/span>\u00a0<\/span><\/p>\n DeNisco, S. M., & Barker, A. M. (2016).\u202f<\/span>Advanced practice nursing: Essential knowledge for the profession\u202f<\/span><\/i>(3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284072570<\/span>\u00a0<\/span><\/p>\n I agree with your statement that the advanced nurse practice numbers have soared high in the 21<\/span>st<\/span> century compared by the 20<\/span>th<\/span> 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\u2019 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)<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Kovac, M. (2020). The Covid-19 pandemic: collective action and European public policy under stress. <\/span>Central European Journal of Public Policy<\/span><\/i>, <\/span>0<\/span><\/i>(0). <\/span>https:\/\/doi.org\/10.2478\/cejpp-2020-0005<\/span><\/a>\u00a0<\/span><\/p>\n 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\u2019i, L. (2021). Negotiating risks and responsibilities during lockdown: ethical reasoning and affective experience in Aotearoa New Zealand. <\/span>Journal of the Royal Society of New Zealand<\/span><\/i>, 1\u201320. <\/span>https:\/\/doi.org\/10.1080\/03036758.2020.1865417<\/span><\/a>\u00a0<\/span><\/p>\n 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.<\/span>\u00a0<\/span><\/p>\n CAT #1<\/span>\u00a0<\/span><\/p>\n Explore the 4 APRN roles \ud83d\ude42 of your personal interest.<\/span>\u00a0<\/span><\/p>\n 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\u2019t 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\u00a0<\/span>\u00a0<\/span><\/p>\n 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. <\/span>INQUIRY: The Journal of Health Care Organization, Provision, and Financing<\/span><\/i>, <\/span>55<\/span><\/i>, 004695801879636. <\/span>https:\/\/doi.org\/10.1177\/0046958018796361<\/span><\/a>\u00a0<\/span><\/p>\n Hu, J., & Forgeron, P. (2018). Thinking, educating, acting: Developing advanced practice nursing. <\/span>International Journal of Nursing Sciences<\/span><\/i>, <\/span>5<\/span><\/i>(2), 99\u2013100. <\/span>https:\/\/doi.org\/10.1016\/j.ijnss.2018.04.006<\/span><\/a>\u00a0<\/span><\/p>\n 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.<\/p>\n 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).<\/p>\n 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).<\/p>\n <\/p>\n DeNisco, S. M. (Ed.). (2024).\u00a0Advanced practice nursing: Essential knowledge for the profession<\/em>\u00a0(5th ed.). Jones & Bartlett Learning. ISBN-13: 9781284264661<\/p>\n Transforming practice – The future of nursing – NCBI bookshelf. (2011). Retrieved from\u00a0https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK209871\/#ddd00120<\/a><\/p>\n Demonstrates achievement of scholarly inquiry for professional and academic decisions.<\/strong><\/td>\n Demonstrate the ability to analyze, synthesize, and\/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations<\/strong><\/td>\nA Sample Answer 2 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\n
Title: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\n
A Sample Answer 3 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\n
Title: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\n
References<\/span>\u00a0<\/span><\/h2>\n
A Sample Answer 4 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\n
Title: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\n
References<\/span>\u00a0<\/span><\/h2>\n
A Sample Answer 5 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\n
Title: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\n
References<\/span>\u00a0<\/span><\/h2>\n
A Sample Answer 6 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\n
Title: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\n
References<\/span>\u00a0<\/span><\/h2>\n
A Sample Answer 7 For the Assignment: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong><\/h2>\n
Title: NUR 513 Describe how the role of advanced registered nurse transformed over time<\/strong>\u00a0<\/strong><\/h2>\n
References<\/h2>\n
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\n Performance Category<\/strong><\/td>\n 10<\/strong><\/td>\n 9<\/strong><\/td>\n 8<\/strong><\/td>\n 4<\/strong><\/td>\n 0<\/strong><\/td>\n<\/tr>\n<\/thead>\n\n \n Scholarliness<\/strong><\/p>\n \n \n
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\n Performance Category<\/strong><\/td>\n \u00a010<\/strong><\/td>\n 9 <\/strong><\/td>\n 8 <\/strong><\/td>\n 4<\/strong><\/td>\n 0<\/strong><\/td>\n<\/tr>\n \n Application of Course Knowledge –<\/strong><\/p>\n \n \n
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\n Performance Category <\/strong><\/td>\n \u00a05<\/strong><\/td>\n 4 <\/strong><\/td>\n 3 <\/strong><\/td>\n 2<\/strong><\/td>\n 0<\/strong><\/td>\n<\/tr>\n \n Interactive Dialogue<\/strong><\/p>\n