Concept Map

from  Week 2: Advanced Practice Nursing (Orig Post due Wednesday, Responses due Sunday)

Jul 17, 2019 10:48PM

Raven Jinks

APNs have different roles in healthcare which includes; Certified Nurse Practitioner (CNP), Clinical Nurse Specialists (CNS), Certified Registered Nurse Anesthetist (CRNA) and Certified Nurse Midwife (CNM). In Florida State, each of the four roles differs in their functionality. CNPs work in clinic and hospitals for primary care such as performing diagnosis and prescribing medication (Lois, 2018). They account for patient needs, treatment plans and disease prevention, earning a salary ranging from $98,190 to $108,643. CNPs are restricted to one domain of practice which they specialize in. CNSs work in hospitals to improve patient outcomes and nursing care. Their practice involves the delivery of evidence-based nursing interventions earning a salary of $87,229.

CRNAs work in hospitals, ambulance surgery centers and outpatient surgery centers to administer anesthesia in medical procedures earning a salary between $105,400 to $242,000 they account only for the provision of anesthesia without supervision. CNM work in hospitals caring for women before, during and after pregnancy (Parker, 2017). Their practice is focused on women’s sexual health, and they earn a salary of $102,390. Each of the roles of APNs has its pros and cons, depending on the type of institution the nurse works in.

	CNP	CNS	CRNA	CNM
Pros	Interesting and diverse job.	Allows specialization in a specific field.	High paying job.	Enhances a holistic philosophy of care.
	Provides opportunities outside direct care	Study can be done online.	Autonomy	Provision of comprehensive woman care (Lois, 2018).
	Bonding experience with other nurses	Have numerous job opportunities.	The job has professional respect	Spend more one-on-one interaction with patients (Lois, 2018).
Cons	High exposure to viruses and germs (Lois, 2018).	Time consuming in the learning process.	It is a very competitive field.	Cannot perform C-section on a pregnant woman.
	Sad situations are inevitable	Expensive cost of an advanced degree	Surgical procedures are long.	Cannot handle high-risk pregnancies.
	Experiences with impolite patients		Requires a high level of responsibility (Lois, 2018).	Some health insurance plans do not reimburse for midwife services (Lois, 2018).

 

I chose the CNP role because of its scope of practice. My rationale was that specializing in one domain, allows me to provide the best healthcare in the domain due to continuous learning in practice (Shigeko, 2017). Besides, a CNP has numerous opportunities in practice that would provide a great platform for me to improve my practice. After graduation, I plan to specialize as a CNP. My idea of nursing practice has changed because I have learned new insights in the four roles of an advanced practice nurse. I have improved my knowledge on APNs and the different roles they play in nursing practice.

From the discussion above, there are several learning points especially for a practicing nurse who seeks to specialize in either roles of an Advanced Practice Nurse. Considering the pros and cons and the job descriptions of each of the roles, an individual can match their needs to the ideal role. Although each role is unique, they are all aimed at improving patient outcomes.

 

References

Lois, G. (2018). Understanding the nurse’s roles. Nursing, 48(4), 55-58.

Parker, J. (2017). A review of advanced practice nursing in the United States. International Journal of Nursing Sciences, 4(2), 196-204

Shigeko, I. (2017). Advanced care planning.American Journal of Nursing, 117(6), 56-61.

 

from  Week 2: Advanced Practice Nursing (Orig Post due Wednesday, Responses due Sunday)

Jul 21, 2019 10:35PM

Raven Jinks

Hi Professor, my biggest fear following graduation and becoming a FNP is the transition. My transition becoming a RN was everything but great, it was difficult coming straight out of nursing school into a specialty. I didn’t have that solid foundation as a med/surg nurse like my fellow colleagues, so at times it was a bit challenging. I believe that once there is an understanding of the difference between each scope of practice and acknowledging it, this is the first step in transitioning from RN to NP. Also taking into consideration Benner’s self-examination Novice to the Expert Model,which outlines that a nurse begins as a novice and transitions into an expert. I also agree with Terica, that having a great mentor can make such a huge difference and it is a major component in the transition process. With the help of a great mentor NP students can develop the confidence and capability in performing the new skills required.

from  Week 2: Advanced Practice Nursing (Orig Post due Wednesday, Responses due Sunday)

Jul 21, 2019 11:40PM

Raven Jinks

Hi Rachel I also, went back and fourth about going the FNP route or CNM route. I still feel like I want to become a CNM, but doing my FNP first felt like it was a better decision. As you stated, FNP is a great base to build upon if I decide to do a post-licensure certification in the further. I believe that salary is important, but choosing a career path that you have a passion for is way more important. At the end of the day you want to love what you do! My main concern is the restrictions on NPs in certain states. Expanding advanced nursing practice can benefit many people. In the end, when NP practice is restricted, the patients are the ones who suffer because of this. According to Kurtzman et al. (2017)a growing body of evidence has found NP and PCMD delivered primary care to be equivalent on most outcomes…Because of their overlapping roles, similar outcomes, and growing availability, NPs are seen as one solution to meeting the nation’s growing demand for primary care. Between 1995 and 2005, the per capita supply of NPs rose an average of 9 percent annually while the per capita supply of PCMDs rose considerably more slowly—an average of 1 percent annually (Kurtzman et al. 2017). The evidence vastly speaks for itself as in relation to NPs providing more primary care in part due to a shortage of primary care physicians (PCMDs) and the fact that the method of care mirrors that of the PCMDs. So why restrict NPs?

 

Reference

Kurtzman, E. T., Barnow, B. S., Johnson, J. E., Simmens, S. J., Infeld, D. L., & Mullan, F. (2017). Does the regulatory environment affect Nurse Practitioners' patterns of practice or quality of care in health centers?. Health Services Research, 52 Suppl 1437-458. doi:10.1111/1475-6773.12643