Running head: ROLE PAPER
Role Paper
Student Name
Course:
Instructor:
Strayer University
May 7, 2018
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Assignment on Thalamus :
Write a three to four (3-4) page paper in which you:
Section 1 (1-2 paragraphs):
Chooseoneof the following areas of your brain and explain what it does:
oThalamus
oReticular formation
oBrain stem (pons and medulla)
oCerebellum
oLimbic system
oOne of the four lobes of the cerebral cortex
Explain how the area you described contributes to a specific activity from your everyday life.
(Example: During horseback riding, the cerebellum integrates information from the motor
systems and balance system.)
Section 2 (1-2 paragraphs):
All of us have been shaped by both nature (biology) and nurture (environment), making us the persons
we are today. In most cases, it is difficult to completely disentangle the separate effects of nature vs.
nurture with much certainty. However, we can make some educated guesses based on our knowledge of
familial tendencies that we may have inherited, as well as knowledge of our environment and
experiences. In this section, we ask for you to make some educated guesses about the roles of nature
and nurture in your life.
Describe the role of nature (biology) in shaping what kind of person you are today. Provide a
specific example of the role of nature.
Describe the role of nurture (environment) in shaping what kind of person you are today. Provide
a specific example of the role of nurture.
Section 3 (1-2 paragraphs):
Describe the influences of culture, your environment, and biology on your gender role behavior.
Use specific examples from your own life to explain your answers.
Section 4 (1-2 paragraphs):
Discuss the fallibility of memory in terms of bias and inaccuracy when you reflect on your past.
Identify specific memory biases that could affect how you remember your past. Include factors
related to cognition.
Use specific examples from your own life.
Section 5 (1 paragraph):
Describe why the science of psychology places more emphasis on results based on scientific
studies than it does on personal experiences and anecdotes.
Your assignment must follow these formatting requirements:
This course requires use ofStrayer Writing Standards (SWS). The format is different than
otherStrayerUniversity courses. Please take a moment to review the SWS documentation for
details.
section 1: I want to choose the Limbic system because it deals with Memory:
Deep inside the medial temporal lobe is the region of the brain known as the limbic
system, which includes the hippocampus, the amygdala, the cingulate gyrus, the
thalamus, the hypothalamus, the epithalamus, the mammillary body and other organs,
many of which are of particular relevance to the processing ofmemory.
I remember the years of sexual abuse by several family members starting
at age 3 or 4 until I was 12. This has affected my life on a daily bases
because .. it affects my relationships with both males and females. It also
affects my relationships with men when being intamate and trusting them.
I suffer from Major depression, anixety disorder, seasonal depression,
suicidal ideation and PTSD.
Section 2: Nature: My mother before she passed away at 25 yrs old she was
diagnosed with depression. My maternal grandmother also suffered from
depression, anixety, parinoa and other mental disorders that I may not
even know about, so I am sure I have inheritited the genes from my
mothers side of the family. I have been like this for as long as I can
remember.
Nurture: I was brought up in a very family oriented hispanic family. Very
close. Did everything with family. Moved around a lot. Went to 15 different
schools. I also lived in youth shelters and group homes from age 14-18. I
ran away a lot because I wanted to be near my family though they weren't
the best people. When my father was out of prison I lived with him
sometimes and I had to do all the cooking and cleaning because I was the
only females in the house and in latin culture the woman does those
chores. I was also physically abused by my father and ended in the hospital
several times. All of this has made me the woman I am today., Strong
determined, family oriented, not as trusting. Hard to keep friends, hard to
stay in commited relationships, and very picky about how things are done
and cleaned. 2
Sections 3:
I am female so in my culture I do all the house work . Cooking, cleaning,
laundry, ect. I began learning to cook at age 9 and by 11 I was cooking full
dinners on my own. I have been doing the dishes since I was like 5 and
laundry since I was 6 or 7. I don't mind doing it still to this day but I get
very tired at the end of the day most days. Since I work full time and have
kids and grandkids I help and go to school now too.
Section 4: I can only remember most of the bad things I experienced. I
remeber the sexual abuse very vividly. I remeber the nightmares I use to
have over and over. I remember the physical abuse. Now... I don't remeber
most friends I made in schools or teachers. I rember my therapist and
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counsolers from the group homes and shelters I was in. I am still very close
to some of the staff and other residents that I 2 was in these facilities with. 2
Sections 5????
Briefly define advance nursing practice and the roles in advanced practice nursing
pertaining to clinical practice, primary care, education, administration, and health
information. Distinguish between ANP and the APN.
The advanced nursing (APN) can be defined as a nursing role that involves highly trained and
educated nurses who manage the complete care for patients in their care. Noteworthy the ANP is
a level of practice rather than a type of specialty of practice. In terms of education, ANPs are
educated to the higher level of learning, typically Masters Level (Hamric, et al, 2013). Regarding
management, ANPs are afforded the freedom and authority to autonomously act and accept
responsibility and accountability for their different actions. In other words, ANPs are empowered
to make decisions autonomously including assessment, diagnosis, and treatment for individuals
with complicated multi-dimensional needs. They employee their advanced skill set and education
to provide high-level expertise knowledge and with the authority to refer.
In the administration role, ANPs perform leadership roles such as identifying the various needs
for change and they develop cases for change. Additionally, they provide leadership to the rest of
teams and individuals in innovating and managing change.
Regarding health information, ANPs play an integral role in research and development. For
instance, they can make conference presentations and publication, they can implement research
findings in healthcare functions such as the development of policies and guidelines (Hamric, et al,
2013).
Advanced Practice Nurses (APNs), on the other hand, perform functions previously reserved for
doctors. In the clinical practice, APNs diagnosis of patients' conditions, ordering and
interpretation of lab tests, and giving of anesthesia. In addition, advanced nursing practitioners
also prescribe medications. These nurses possess either a master's degree or a doctorate in
nursing.
Advanced Nursing Practice (ANP) is an umbrella term that encompasses various roles in nursing
that require a higher level of education, training, and specialization beyond the traditional
registered nurse (RN) level. ANP is characterized by a focus on advanced clinical skills,
independent judgment, and an expanded scope of practice.
Roles in Advanced Practice Nursing:
Clinical Practice: Advanced practice nurses (APNs) often provide direct patient care, including
diagnosis, treatment, and management of acute and chronic conditions. This can involve
prescribing medication and performing procedures.
Primary Care: APNs may work as primary care providers, particularly in underserved or rural
areas. They provide comprehensive care, including preventive care, health promotion, and
disease management.
Education: APNs can serve as educators in academic settings, training future nurses or educating
patients and communities about health and wellness.
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Administration: APNs may take on leadership roles in healthcare organizations, such as
managing departments, developing policies, and improving patient care processes.
Health Information: APNs can work in informatics, using technology to improve patient care,
track health outcomes, and develop evidence-based practices.
Distinguishing between ANP and APN:
Advanced Nursing Practice (ANP): This term is a broad category that includes various
specialized roles in nursing, such as clinical nurse specialists, nurse practitioners, nurse
midwives, and nurse anesthetists. It encompasses both the practice and the scope of work that
APNs engage in.
Advanced Practice Nurse (APN): This term refers specifically to individuals who hold advanced
nursing degrees and certifications, enabling them to practice in specialized roles within the
healthcare system. This includes nurse practitioners, clinical nurse specialists, certified nurse-
midwives, and certified registered nurse anesthetists.
Advanced practice nursing (APN) encompasses specialized roles for nurses who have achieved a
high level of education and training beyond the standard registered nurse (RN) level. This
typically involves obtaining a graduate degree such as a Master of Science in Nursing (MSN) or
a Doctor of Nursing Practice (DNP), and often additional certifications. Advanced practice
nursing includes several key roles:
Clinical Practice:
Nurse Practitioners (NPs): NPs provide primary and specialty care services, such as diagnosing
and treating illnesses, managing chronic conditions, ordering and interpreting diagnostic tests,
prescribing medications, and performing procedures. They often focus on patient-centered,
holistic care.
Clinical Nurse Specialists (CNS): CNSs specialize in a particular area of nursing, such as
cardiology, oncology, or mental health. They provide expert clinical care, consulting with other
healthcare professionals, and contribute to research and evidence-based practice.
Certified Nurse-Midwives (CNMs): CNMs provide care for women, focusing on prenatal,
childbirth, and postpartum care. They also provide gynecological and reproductive health
services, as well as primary care for women.
Certified Registered Nurse Anesthetists (CRNAs): CRNAs administer anesthesia and provide
perioperative care. They work in collaboration with surgeons, anesthesiologists, and other
healthcare providers to ensure patient safety during surgery and other procedures.
Primary Care:
Nurse practitioners are a significant part of the primary care workforce. They provide
comprehensive healthcare services, including health promotion, preventive care, and managing
chronic and acute conditions. NPs often serve as primary care providers, particularly in
underserved and rural areas.
Education:
Advanced practice nurses often play a key role in nursing education, serving as faculty in nursing
schools. They teach and mentor nursing students, conduct research, and contribute to curriculum
development to prepare the next generation of nurses.
Administration:
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APNs can take on leadership roles in healthcare administration, such as department heads, nurse
managers, or executives. They are involved in strategic planning, policy development, quality
improvement, and ensuring that nursing practice aligns with healthcare standards and
regulations.
Health Information and Informatics:
APNs may work in health informatics, utilizing technology to improve patient care and
outcomes. This can include designing and implementing electronic health records (EHR)
systems, analyzing health data, and supporting the use of evidence-based practices.
Distinguishing between ANP and APN:
Advanced Nursing Practice (ANP): This term refers to the broad field that encompasses
advanced roles in nursing, including the scope of practice and various specialized roles (e.g.,
clinical practice, primary care, education, administration, health information). It focuses on the
advanced scope of practice and activities that are undertaken by advanced practice nurses.
Advanced Practice Nurse (APN): APN refers specifically to the individual nurses who have
advanced degrees and certifications, enabling them to practice in these specialized roles. These
roles include NPs, CNSs, CNMs, and CRNAs.
Advanced practice nursing (APN) encompasses various specialized roles for nurses who have
completed advanced education and training, typically at the graduate level (Master of Science in
Nursing, Doctor of Nursing Practice, or Doctor of Philosophy in Nursing). These roles involve a
higher level of autonomy, responsibility, and expertise compared to traditional registered nurses
(RNs). APNs are often involved in clinical practice, primary care, education, administration, and
health information.
Here are the key roles in advanced practice nursing and how they pertain to different areas of
practice:
Clinical Practice:
Nurse Practitioners (NPs): NPs provide a range of healthcare services similar to those offered by
physicians, such as diagnosing and treating acute and chronic conditions, ordering and
interpreting diagnostic tests, prescribing medications, and performing procedures. They may
specialize in areas such as family health, pediatrics, geriatrics, women's health, or mental health.
Clinical Nurse Specialists (CNSs): CNSs focus on a particular patient population or a specific
type of care (e.g., oncology, critical care, or mental health). They provide expert clinical care,
guide nursing practice, and contribute to quality improvement and evidence-based practice in
their specialty area.
Certified Nurse-Midwives (CNMs): CNMs provide care for women throughout their
reproductive years, including prenatal, childbirth, and postpartum care. They also offer
gynecological and well-woman care, as well as primary care services.
Certified Registered Nurse Anesthetists (CRNAs): CRNAs administer anesthesia and provide
perioperative care in collaboration with surgeons and anesthesiologists. They are trained to
deliver anesthesia for surgical, obstetric, and other medical procedures.
Primary Care:
Nurse practitioners often work as primary care providers, offering comprehensive care across a
patient's lifespan. They conduct physical exams, diagnose and treat illnesses, and provide health
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education and preventive care. NPs play a crucial role in increasing access to healthcare,
especially in underserved or rural areas.
Education:
Advanced practice nurses may serve as educators, teaching nursing students in academic
settings, mentoring new nurses, and contributing to the development of nursing curricula. They
can also be involved in patient and community education, promoting health and wellness.
Administration:
In administrative roles, APNs may manage departments, oversee nursing staff, and develop
policies and protocols to improve patient care. They can contribute to strategic planning, quality
improvement initiatives, and organizational leadership.
Health Information and Informatics:
APNs in health informatics use technology to improve patient outcomes and streamline
healthcare processes. They may work on electronic health records (EHR) systems, analyze health
data, and support the integration of evidence-based practices into clinical workflows.
Distinguishing between ANP and APN:
Advanced Nursing Practice (ANP): This term refers to the overall field of advanced roles within
nursing, encompassing the scope of practice and activities undertaken by advanced practice
nurses. It includes clinical practice, primary care, education, administration, and health
informatics.
Advanced Practice Nurse (APN): This term refers specifically to the individual professionals
who hold the qualifications and certifications (such as an MSN or DNP) to work in advanced
practice roles. This includes NPs, CNSs, CNMs, and CRNAs.
In summary, ANP represents the broader domain of advanced nursing roles and practice, while
APN refers to the individuals who are qualified to work in these specialized roles.
Advanced practice nursing (APN) is a specialized and advanced level of nursing that requires a
graduate degree in nursing (usually a Master of Science in Nursing [MSN] or Doctor of Nursing
Practice [DNP]), specialized clinical training, and certification in a specific area of practice.
Advanced practice nurses (APNs) have a greater scope of practice compared to traditional
registered nurses (RNs) and often work in collaboration with other healthcare professionals. The
roles within advanced practice nursing are as follows:
1. Clinical Practice:
Nurse Practitioners (NPs): NPs provide comprehensive healthcare services including diagnosing
and treating illnesses, prescribing medications, ordering and interpreting diagnostic tests, and
promoting preventive care. NPs often specialize in areas such as family practice, pediatrics,
women's health, adult-gerontology, or psychiatric/mental health.
Clinical Nurse Specialists (CNSs): CNSs specialize in a particular area of practice such as
critical care, oncology, pediatrics, or psychiatric/mental health. They provide direct patient care,
conduct research, and act as consultants and educators for other nurses and healthcare
professionals.
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Certified Nurse-Midwives (CNMs): CNMs specialize in women's health, providing care during
pregnancy, childbirth, and the postpartum period. They also provide gynecological and well-
woman care, and often offer primary care services for women.
Certified Registered Nurse Anesthetists (CRNAs): CRNAs are advanced practice nurses who
administer anesthesia and provide perioperative care, including pre-anesthetic assessments,
induction, maintenance, and emergence from anesthesia, as well as post-anesthesia recovery.
2. Primary Care:
Nurse practitioners and certified nurse-midwives are often the primary care providers for their
patients. They conduct physical exams, diagnose and manage acute and chronic conditions,
provide health education, and emphasize preventive care. NPs are increasingly becoming the go-
to providers for primary care, particularly in underserved and rural areas.
3. Education:
Advanced practice nurses often play a key role in nursing education, serving as faculty at nursing
schools. They teach and mentor nursing students, design curricula, and engage in scholarly
activities and research. Additionally, they provide patient and community education on various
health-related topics.
4. Administration:
APNs can hold leadership positions within healthcare organizations such as nurse managers,
clinical directors, or administrators. In these roles, they oversee nursing staff, manage budgets,
develop and implement policies, and contribute to strategic planning and quality improvement.
5. Health Information and Informatics:
Advanced practice nurses involved in health informatics work on the design, implementation,
and optimization of electronic health records (EHRs) and other health information systems. They
analyze data to improve patient outcomes and streamline healthcare delivery.
Distinguishing Between ANP and APN:
Advanced Nursing Practice (ANP): This is a broader term that refers to the field of nursing at an
advanced level, encompassing the roles and scope of practice in clinical practice, primary care,
education, administration, and informatics. ANP includes all roles and functions of advanced
practice nurses.
Advanced Practice Nurse (APN): APN refers to the individual professionals who hold the
qualifications, certifications, and training to practice in one of the specialized roles of advanced
practice nursing. APNs include nurse practitioners, clinical nurse specialists, certified nurse-
midwives, and certified registered nurse anesthetists.
In summary, ANP is the broader field encompassing the various advanced roles within nursing,
while APN refers specifically to the individuals who are qualified to practice in these specialized
roles.
Advanced Practice Nursing (APN):
Advanced practice nursing (APN) refers to a level of nursing practice that requires advanced
education and training beyond that required for registered nurses (RNs). APNs hold at least a
master's degree in nursing, often with a specialized focus, and are certified in one of several APN
roles. Advanced practice nurses have an expanded scope of practice and provide high-quality,
evidence-based care across a variety of settings. The four main roles within advanced practice
nursing are:
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Nurse Practitioners (NPs):
Role: NPs provide a wide range of healthcare services, including diagnosing and treating
illnesses, ordering and interpreting diagnostic tests, prescribing medications, and providing
preventive care and health education. They work in various settings, including primary care,
specialty care, and acute care.
Specializations: NPs can specialize in different areas such as family health, adult-gerontology,
pediatrics, psychiatric/mental health, and women's health.
Scope of Practice: Depending on the state or country, NPs may practice independently or in
collaboration with physicians.
Clinical Nurse Specialists (CNSs):
Role: CNSs focus on a specific area of clinical expertise, such as critical care, oncology,
pediatrics, or geriatrics. They provide expert direct patient care, guide nursing practice, lead
quality improvement initiatives, and contribute to evidence-based practice.
Consulting and Education: CNSs often work as consultants and educators, providing support to
other nurses and healthcare professionals to improve patient care.
Research: CNSs may also be involved in research to advance nursing knowledge and improve
clinical outcomes.
Certified Nurse-Midwives (CNMs):
Role: CNMs specialize in women's health, providing care during pregnancy, childbirth, and the
postpartum period. They offer comprehensive gynecological and reproductive health services, as
well as primary care for women.
Scope of Practice: CNMs practice in hospitals, birthing centers, and private practices, offering
holistic and patient-centered care.
Certified Registered Nurse Anesthetists (CRNAs):
Role: CRNAs administer anesthesia and provide perioperative care in collaboration with
surgeons and other healthcare providers. They manage anesthesia for surgical, obstetric, and
diagnostic procedures, and also play a key role in pain management.
Scope of Practice: CRNAs may work in hospitals, surgery centers, dental offices, and other
healthcare facilities.
Additional Aspects of Advanced Practice Nursing:
Education and Certification: APNs must complete a graduate-level nursing program and obtain
certification in their specialty. Continuing education is essential to maintain certification and stay
current in their field.
Autonomy and Independence: The level of autonomy for APNs varies by jurisdiction. In some
areas, they may practice independently, while in others, they may work in collaboration with or
under the supervision of a physician.
Impact on Healthcare: APNs play a critical role in improving access to healthcare, especially in
underserved and rural areas. Their advanced training allows them to provide high-quality care
and manage complex health issues, contributing to better patient outcomes and overall healthcare
system efficiency.
Professional Organizations: There are various professional organizations supporting APNs, such
as the American Association of Nurse Practitioners (AANP), the National Association of
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Clinical Nurse Specialists (NACNS), the American College of Nurse-Midwives (ACNM), and
the American Association of Nurse Anesthesiology (AANA). These organizations offer
resources, networking opportunities, and advocacy for APNs.
Distinguishing ANP from APN:
Advanced Nursing Practice (ANP): This term refers to the field and scope of nursing practice at
an advanced level, including the work and responsibilities of advanced practice nurses.
Advanced Practice Nurse (APN): APN refers specifically to individuals who have completed the
necessary education and certification to practice as NPs, CNSs, CNMs, or CRNAs.
In summary, advanced practice nursing is a vital and growing field that allows nurses to play a
key role in healthcare delivery, leadership, and education. APNs bring their expertise to a range
of clinical, educational, and administrative settings, contributing to the overall improvement of
patient care and health outcomes.
Describe the advance nursing practice role you aspire and briefly share the experiences
and/or qualities you have that have influenced your decision. Include your personal
philosophy.
Part of my career aspirations is becoming a Family Nurse Practitioner (FNP). My advanced
education and training will impart to me the skillset, information, experience, and expert
knowledge base to enable me to help patients to manage acute and chronic illnesses in both the
context of family practice (Zerwekh, 2016). FNPs provide continuous and comprehensive care to
individuals from across all lifespans ranging from infants to geriatric patients.
I chose this advance nursing practice due to a number of reasons. Firstly there is an improved
responsibility and flexibility when working as FNP and they can work in a variety of settings
such as clinics, learning institutions as well as urgent care centers. Another notable factor that
has influenced me to venture into this profession is the increased autonomy. Many states have
allowed Nurse Practitioners to work without supervising physicians. As a person who highly
values autonomy and freedom to perform my professional's duties with minimal interference.
Thirdly, pursuing thus career will enable to realize my longtime dreams of making difference in
people's lives. As an FNP I will be better positioned to positively contribute to the betterment of
people's lives enabling them to manage acute and chronic illnesses. To me, the choice to become
a nurse is a calling to help those who are in need.
My philosophy is that as an FNP, I have the responsibility to the family and the public at large.
Oher than being there to take care of eth needs of patients, nurses should empower patients by
encouraging be actively involved in their own care. In addition, nurses ought to engage patients
in mutual goal-setting between themselves and patients.
To describe the advanced nursing practice role you aspire to, I would need to know more about your
specific goals and interests. However, in general, there are a few prominent roles within advanced
nursing practice (ANP) you may aspire to:
Nurse Practitioner (NP): As a nurse practitioner, you would provide direct patient care, including
diagnosing and treating illnesses, prescribing medication, and promoting preventive health measures.
You may specialize in areas such as family practice, pediatrics, or adult-gerontology.
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Clinical Nurse Specialist (CNS): In this role, you would focus on a specific area of clinical expertise, such
as critical care, oncology, or mental health. You would provide expert clinical care, guide other
healthcare professionals, and contribute to evidence-based practice.
Certified Nurse-Midwife (CNM): As a CNM, you would provide comprehensive women's health care,
including prenatal, childbirth, and postpartum services. This role also involves gynecological and
reproductive health care.
Certified Registered Nurse Anesthetist (CRNA): In this role, you would administer anesthesia and provide
perioperative care during surgical, obstetric, or diagnostic procedures. CRNAs work in collaboration with
other healthcare professionals to ensure patient safety.
Experiences and Qualities That May Influence Your Decision:
Your decision to pursue a specific advanced practice nursing role may be influenced by various factors,
including:
Clinical Experience: Your experiences in different clinical settings may help you identify which area of
healthcare you are most passionate about and where you feel you can make the most impact.
Educational Background: Your interests and strengths in specific areas of nursing education may guide
your choice of specialization.
Patient-Centered Care: Your desire to provide high-quality, personalized care to patients may steer you
toward a role where you can develop strong relationships and support patients' holistic well-being.
Problem-Solving and Critical Thinking: These skills are essential in advanced practice nursing, as you will
need to assess complex situations and develop tailored care plans for your patients.
Leadership and Collaboration: Advanced practice nurses often take on leadership roles within healthcare
teams, working alongside physicians, other nurses, and healthcare providers.
Personal Philosophy:
Your personal philosophy as an advanced practice nurse may revolve around values such as:
Patient-Centered Care: Prioritizing the needs, values, and preferences of your patients to deliver
individualized care.
Lifelong Learning: Embracing continuous education and professional development to provide the best
possible care.
Advocacy: Being a voice for your patients and advocating for their needs, especially for those who may
face healthcare disparities.
Collaboration: Working closely with other healthcare professionals to ensure comprehensive and
coordinated care.
Empowerment: Supporting patients in understanding their health and involving them in decisions about
their care.
Overall, your choice of advanced practice nursing role will depend on your interests, strengths,
experiences, and personal philosophy. By aligning your goals with your passions and values, you can
make a meaningful impact on the lives of your patients and the healthcare community.
Advanced practice nursing (APN) roles require a higher level of education and training beyond
traditional registered nursing, providing advanced clinical skills, autonomous practice, and expanded
scope of practice. There are four key roles within advanced practice nursing:
Nurse Practitioner (NP):
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Role: NPs are highly trained to provide direct patient care, including diagnosing and treating acute and
chronic conditions, prescribing medications, ordering and interpreting diagnostic tests, and emphasizing
preventive care. They often serve as primary care providers and can specialize in areas such as family,
pediatrics, adult-gerontology, women's health, and psychiatric/mental health.
Qualities and Experiences: NPs need strong assessment and diagnostic skills, excellent communication,
and the ability to build relationships with patients. Experience in various clinical settings and a passion
for a specific patient population can influence the decision to become an NP.
Personal Philosophy: A personal philosophy of holistic, patient-centered care, advocacy, and health
promotion aligns well with the role of an NP.
Clinical Nurse Specialist (CNS):
Role: CNSs focus on a specific area of clinical expertise, such as critical care, oncology, pediatrics, mental
health, or geriatrics. They provide expert clinical care, lead quality improvement initiatives, educate
nursing staff, and contribute to research and evidence-based practice.
Qualities and Experiences: CNSs require strong clinical expertise, critical thinking, and problem-solving
skills. Experience in a specific specialty area and a passion for teaching and mentoring others often guide
the decision to pursue this role.
Personal Philosophy: A commitment to improving patient care through education, consultation, and
research aligns with the CNS role.
Certified Nurse-Midwife (CNM):
Role: CNMs specialize in women's health, particularly in providing care during pregnancy, childbirth, and
postpartum periods. They also offer gynecological and reproductive health services and may provide
primary care for women.
Qualities and Experiences: CNMs need excellent clinical skills, compassion, and the ability to support
women through significant life events. A passion for women's health and experience in labor and
delivery can influence the decision to become a CNM.
Personal Philosophy: A belief in empowering women and providing patient-centered, evidence-based
care aligns with the CNM role.
Certified Registered Nurse Anesthetist (CRNA):
Role: CRNAs administer anesthesia and provide perioperative care for surgical, obstetric, and diagnostic
procedures. They work closely with surgeons, anesthesiologists, and other healthcare providers to
ensure safe anesthesia administration.
Qualities and Experiences: CRNAs require advanced technical skills, precision, and strong decision-
making abilities. Experience in critical care and a passion for working in high-stakes environments often
guide the decision to pursue this role.
Personal Philosophy: A commitment to patient safety, precise practice, and continuous learning aligns
with the CRNA role.
Personal Philosophy and Approach:
Your personal philosophy as an advanced practice nurse will shape your approach to care and
interactions with patients and colleagues. It may include:
Patient-Centered Care: Prioritizing the needs and preferences of patients to provide individualized care.
Holistic Health: Recognizing the interconnectedness of physical, mental, emotional, and social health.
Lifelong Learning: Committing to ongoing education and staying current with advancements in
healthcare.
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Collaboration: Working closely with other healthcare professionals to provide coordinated,
comprehensive care.
Advocacy: Being a voice for your patients and working to address healthcare disparities.
In conclusion, your decision to pursue a specific advanced practice nursing role may be influenced by
your experiences, interests, and personal philosophy. By choosing a role that aligns with your passion
and values, you can make a meaningful impact on patient care and contribute positively to the
healthcare system.
It sounds like you are looking for a more in-depth examination of advanced practice nursing (APN) roles,
particularly regarding experiences, qualities, and personal philosophy that may influence your decision
to pursue a particular role. Here’s a closer look at each role and what each entails in terms of education,
responsibilities, and potential areas of specialization.
1. Nurse Practitioner (NP):
Role: Nurse practitioners (NPs) are advanced practice nurses who provide direct patient care across a
range of healthcare settings. NPs assess patients, diagnose conditions, prescribe medications, order and
interpret diagnostic tests, and provide health education. They often specialize in specific areas such as
family practice, adult-gerontology, pediatrics, psychiatric/mental health, or women's health.
Qualities and Experiences: NPs need strong clinical assessment skills, as well as the ability to make
critical decisions quickly. A history of working in a variety of healthcare settings can provide a broad base
of experiences. Interpersonal skills are crucial for patient interaction and counseling.
Personal Philosophy: A holistic approach to patient care, emphasizing wellness, prevention, and patient
empowerment, is central to the NP philosophy. NPs aim to build lasting relationships with patients and
prioritize individualized, patient-centered care.
2. Clinical Nurse Specialist (CNS):
Role: Clinical nurse specialists (CNSs) focus on a particular area of nursing practice, such as critical care,
oncology, pediatrics, or mental health. They are experts in their chosen field and serve as consultants for
complex cases, educators for both patients and healthcare professionals, and leaders in quality
improvement initiatives.
Qualities and Experiences: CNSs need advanced knowledge in their specialty area and the ability to
guide and mentor other nurses. Research skills are valuable, as CNSs often conduct or contribute to
research projects. Experience in a specialized clinical area can guide the decision to become a CNS.
Personal Philosophy: A commitment to advancing the nursing profession through education, research,
and consultation aligns with the CNS role. A focus on evidence-based practice ensures high-quality
patient care.
3. Certified Nurse-Midwife (CNM):
Role: Certified nurse-midwives (CNMs) provide comprehensive care to women throughout their
reproductive lives, including prenatal care, labor and delivery, postpartum care, and gynecological
services. CNMs may also provide primary care services.
Qualities and Experiences: CNMs must possess exceptional clinical skills, empathy, and the ability to
support women through the childbirth process and other significant life events. Experience in obstetrics
and women's health can influence the decision to become a CNM.
Personal Philosophy: CNMs often emphasize patient empowerment, choice, and education. They believe
in supporting women’s health holistically and providing compassionate care during all stages of life.
4. Certified Registered Nurse Anesthetist (CRNA):
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Role: Certified registered nurse anesthetists (CRNAs) are responsible for administering anesthesia and
providing perioperative care for surgical, obstetric, and diagnostic procedures. CRNAs work closely with
surgeons and other healthcare providers.
Qualities and Experiences: CRNAs require advanced technical skills, strong decision-making abilities, and
the capacity to work under pressure. Experience in critical care or emergency settings may guide the
decision to pursue this role.
Personal Philosophy: CRNAs focus on patient safety and precise, evidence-based practice. They prioritize
clear communication with other members of the surgical team and the patient.
Your Aspirations and Personal Philosophy:
Reflecting on your own experiences and strengths can help you identify which advanced practice nursing
role aligns best with your career aspirations. Consider the following:
Clinical Exposure: Which settings have you enjoyed the most, and where have you excelled?
Interests and Specialties: What patient populations or areas of healthcare interest you the most?
Strengths: Do you excel in assessment, counseling, critical thinking, teaching, or leadership?
Values: What aspects of patient care are most important to you (e.g., holistic health, patient education,
collaboration)?
By combining your experiences, interests, strengths, and values, you can identify the advanced practice
nursing role that best suits your career goals and personal philosophy. This process will guide your
decision-making and help you determine which path to pursue within advanced practice nursing.
Examine regulatory and legal requirements for the state in which you plan to
practice/work.
California is my state of choice, where I aspire to work. The state has established standardized
procedures under which NPs must adhere to. Noteworthy, the standardized procedures have
been developed through collaboration among administrators and health professionals. For
instance, the Californian law does not specify the level of supervisions needed exempt from
furnishing drugs and services. In this state, every advanced practice nurse is under the
jurisdiction of the California Board of Registered Nursing (BRN). The state's nurse
requirements that for a nurse to be certified as an advanced practice nurse, he or she must be a
registered nurse.
There are several certification agencies that are recognized and approved by the California's law
for nurse practitioner certification. These include American Academy of Nurse Practitioners
(AANP), American Association of Critical-Care Nurses (AACN), American Nurses
Credentialing Center (ANCC), and National Certification Corporation for the Obstetric,
Gynecologic and Neonatal Nursing Specialties (NCC), and Pediatric Nursing Certification
Board.
APNs can renew their advanced practice certificates at the same time when they renew the NR
licenses (Kish, 2013). There are not addition continuing education requirements other than that
what is required for renewal of the Registered nurse license.
To examine the regulatory and legal requirements for advanced practice nursing (APN) in your state,
you'll need to conduct some research into the specific laws and regulations governing advanced practice
nurses in the state where you plan to practice or work. These requirements may include licensure,
certification, scope of practice, and other legal and professional standards.
Steps to Examine Regulatory and Legal Requirements:
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State Board of Nursing: The first place to look is the website of your state's board of nursing. The board
oversees the regulation of nursing practice, including advanced practice roles. You can find information
about licensing, scope of practice, and any specific state requirements.
Licensing and Certification: Review the requirements for licensure and certification in your state.
Advanced practice nurses must be licensed as registered nurses (RNs) and hold additional licenses or
certifications for their specific APN roles, such as nurse practitioner (NP), clinical nurse specialist (CNS),
certified nurse-midwife (CNM), or certified registered nurse anesthetist (CRNA).
Malpractice Insurance: Some states may require advanced practice nurses to carry malpractice insurance
to practice. Check the state board of nursing's requirements and any relevant professional associations.
Professional Organizations: Joining professional organizations such as the state nurse practitioners'
association or other specialty-specific groups can provide support, advocacy, and resources for navigating
legal and regulatory requirements.
Collaborative Agreements: In some states, APNs may be required to enter into collaborative practice
agreements with physicians or other healthcare providers. Check your state's requirements for these
agreements and the specific guidelines for such arrangements.
Legal Changes: Stay informed about any legal changes or updates that could affect advanced practice
nursing in your state. This includes changes in state laws, regulations, and healthcare policies.
Additional Resources:
State Legislature: Review your state’s legislation and statutes related to advanced practice nursing to gain
a deeper understanding of the legal framework.
Professional Associations: Professional nursing associations can provide valuable resources and
information about state-specific requirements and advocacy efforts for APNs.
Peer Networking: Connect with other advanced practice nurses in your state to learn about their
experiences with legal and regulatory requirements and to get advice.
By gathering information from these sources, you can gain a comprehensive understanding of the
regulatory and legal requirements for advanced practice nursing in your state. This knowledge will help
you navigate the profession's complexities and ensure you meet all necessary standards to practice safely
and effectively.
When examining regulatory and legal requirements for advanced practice nursing (APN) in the state
where you plan to practice or work, it's important to gather information from a variety of sources and
understand the different aspects of legal and professional standards governing advanced practice nursing
in your state. Here are some areas to consider and steps to take:
1. Licensure and Certification:
State Board of Nursing: The state board of nursing is responsible for regulating nursing practice in your
state. Review their website or contact them directly to understand the specific requirements for advanced
practice licensure and certification.
APN Roles: Depending on your area of interest, check the specific requirements for licensure and
certification for nurse practitioners (NPs), clinical nurse specialists (CNSs), certified nurse-midwives
(CNMs), and certified registered nurse anesthetists (CRNAs).
Application Process: Review the application process for APN licensure, including documentation
requirements, fees, and processing times.
2. Scope of Practice:
Review State Laws and Regulations: Each state has its own laws and regulations that define the scope of
practice for advanced practice nurses. This includes the types of services APNs are authorized to provide,
such as diagnosing, treating, and prescribing.
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Practice Authority: Understand the level of practice authority granted to advanced practice nurses in your
state—full, reduced, or restricted. This may influence your ability to practice independently or under
supervision.
3. Prescribing Authority:
Prescribing Medications: Check your state's regulations regarding prescribing authority for APNs,
including medications and controlled substances. Some states allow full independent prescribing, while
others may require a collaborative agreement with a physician.
Pharmacy Board Regulations: The state board of pharmacy may also have regulations governing the
prescribing practices of APNs.
4. Collaborative Practice Agreements:
Collaboration Requirements: Some states require APNs to enter into collaborative practice agreements
with physicians for certain aspects of practice, such as prescribing controlled substances. Check whether
these agreements are required and what they entail.
5. Continuing Education:
CE Requirements: Review the continuing education requirements for APNs in your state, including the
number of hours needed, specific courses, and reporting deadlines.
Approved Providers: Ensure that your CE courses are from state-approved providers to maintain your
licensure and certification.
Conclusion:
By carefully researching and understanding the legal and regulatory requirements for advanced practice
nursing in your state, you can ensure that you meet all necessary standards and maintain compliance with
state laws. This preparation will help you navigate your role as an advanced practice nurse more
effectively and contribute positively to the healthcare system.
When examining the regulatory and legal requirements for advanced practice nursing (APN) in the state
where you plan to practice or work, there are several critical factors you need to consider to ensure
compliance and understand your scope of practice.
Here is a more detailed approach to exploring these requirements:
1. State Board of Nursing:
Research the State Board: The state board of nursing is the primary regulatory body for nursing practice
in your state. Visit their website and look for sections on advanced practice nursing. The board provides
information on licensing, certification, scope of practice, and other regulations.
Contact the Board: If you have specific questions, consider reaching out to the board directly for
clarification.
2. Licensure and Certification:
Initial Licensure: Understand the initial licensure process for APNs in your state, including required
qualifications such as education, exams, and certification from a recognized body.
Certification Maintenance: Explore requirements for maintaining your advanced practice certification,
including renewal processes, fees, and deadlines.
3. Scope of Practice:
State-Specific Regulations: Each state has its own laws and regulations governing the scope of practice
for APNs. This includes the level of independence or collaboration required, specific medical acts
allowed, and any restrictions.
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Full Practice Authority: Find out if your state offers full practice authority, which allows APNs to practice
to the full extent of their education and training without physician supervision.
4. Prescribing Authority:
Medication Prescribing: Determine whether your state allows APNs to prescribe medications
independently or if collaboration with a physician is required.
Controlled Substances: Review your state's regulations on prescribing controlled substances, including
any additional certification or requirements.
5. Collaborative Agreements:
Types of Agreements: In some states, APNs may need to enter into collaborative agreements with
physicians for specific aspects of practice. Research whether these agreements are mandatory and, if so,
what they entail.
Documentation: Understand the documentation and reporting requirements for collaborative agreements.
6. Continuing Education (CE):
CE Requirements: Investigate the state's continuing education requirements for APNs, including the
number of hours and specific topics.
CE Providers: Make sure your continuing education courses are from state-approved providers.
7. Malpractice Insurance:
Insurance Coverage: Determine if malpractice insurance is mandatory in your state for APNs and, if so,
the level of coverage required.
Policy Considerations: Consider different policies and providers to find coverage that meets state
requirements and suits your practice needs.
8. Professional Associations and Networking:
Join Professional Organizations: State-specific nursing associations can provide resources, advocacy, and
updates on legal and regulatory changes.
Networking: Connect with other advanced practice nurses in your state to share experiences and advice.
9. Legal Changes and Updates:
Legislative Changes: Stay informed about legislative changes that may affect APN practice in your state.
This can include changes in licensing, scope of practice, and healthcare policy.
Regulatory Updates: Subscribe to state board newsletters or updates to keep track of any changes in
regulations.
10. Peer and Legal Resources:
Consult Peers: Connect with other advanced practice nurses to learn about their experiences with legal
and regulatory requirements.
Legal Assistance: If you encounter any complex legal or regulatory issues, seek guidance from legal
professionals experienced in healthcare law.
Conclusion:
By carefully reviewing these aspects, you can gain a thorough understanding of the legal and regulatory
framework for advanced practice nursing in your state. This knowledge will help ensure compliance with
state laws, allowing you to practice safely and effectively while avoiding potential legal issues.
Describe the professional organizations available for membership based on your selected
role.
There are several professional organizations that FNP can join in California. These include:
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American Association of Nurse Practitioners
Doctors of Nursing Practice
National Organization of Nurse Practitioner Faculties
National Association of Pediatric Nurse Practitioners
Advanced Practitioner Society of Hematology and Oncology
American Academy of Emergency Nurse Practitioners
California Association of Nurse Practitioners.
Identify required competencies (domains), including certification requirements for your
selected role.
Education
The entry level for FNP a masters' degree and a terminal degree in doctorate (DNP). Moreover,
the person is required to have professional development beyond the formal education in order to
maintain the required level of clinical competency.
Core competencies
Scientific foundation-the FNP must be able to critically analyze data and evidence in order to
continually continued advancement of the nursing practice.
Leadership-the FNP must be able to assume complex as well as advanced leadership
roles to effectively manage change and foster collaboration among various stakeholders 9
Kish, 2013).
Quality-The FBP must be able to employ the best available evidence to ensure
continuous improvement of the quality of clinical practice.
Technology and information literacy-the FNP must be able to integrate appropriate
technologies in order to manage knowledge and improve healthcare services provided to
patients.
The other competencies include practice inquiry, policy, ethics, independent practice, and ethics.
The required competencies (domains) and certification requirements for advanced practice
nursing (APN) roles vary based on the specific specialty or role you pursue. Here are the key
competencies and certification requirements for the four main APN roles: nurse practitioners
(NPs), clinical nurse specialists (CNSs), certified nurse-midwives (CNMs), and certified
registered nurse anesthetists (CRNAs).
Nurse Practitioners (NPs):
Competencies:
Clinical Knowledge and Skills: Advanced knowledge in diagnosing, treating, and managing
acute and chronic conditions.
Patient-Centered Care: Focus on holistic and individualized care.
Communication: Strong communication skills for patient counseling and collaboration with other
healthcare providers.
Professionalism: Adherence to ethical and legal standards in practice.
Evidence-Based Practice: Application of current research and best practices in clinical decision-
making.
Certification Requirements:
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Education: Typically require a Master of Science in Nursing (MSN) or a Doctor of Nursing
Practice (DNP) with a specialization in the NP role.
Certification Exam: NPs must pass a national certification exam in their specialty area (e.g.,
family, adult-gerontology, pediatrics, women's health, psychiatric/mental health).
Certifying Bodies: Examples include the American Nurses Credentialing Center (ANCC) and the
American Association of Nurse Practitioners Certification Board (AANPCB).
Clinical Nurse Specialists (CNSs):
Competencies:
Clinical Expertise: In-depth knowledge of a specific area of clinical practice.
Consultation: Ability to provide expert advice and support to other healthcare providers.
Education: Skill in teaching patients, families, and nursing staff.
Evidence-Based Practice: Integration of research into practice for improved patient outcomes.
Quality Improvement: Leadership in implementing quality and safety initiatives.
Certification Requirements:
Education: Typically require an MSN or DNP with a specialization in CNS.
Certification Exam: CNSs must pass a national certification exam in their specialty area.
Certifying Bodies: Examples include ANCC and other specialty-specific organizations.
Certified Nurse-Midwives (CNMs):
Competencies:
Comprehensive Care: Knowledge of women's health across the lifespan, including pregnancy,
childbirth, and postpartum care.
Communication and Counseling: Ability to support and educate women and families.
Collaboration: Working with other healthcare professionals to provide coordinated care.
Clinical Judgment: Strong assessment and decision-making skills.
Evidence-Based Practice: Application of current research and best practices in clinical care.
Certification Requirements:
Education: Typically require an MSN or DNP with a specialization in nurse-midwifery.
Certification Exam: CNMs must pass a national certification exam.
Certifying Bodies: The American Midwifery Certification Board (AMCB) offers certification for
CNMs.
Certified Registered Nurse Anesthetists (CRNAs):
Competencies:
Anesthesia Administration: Proficiency in administering anesthesia and managing perioperative
care.
Patient Assessment: Strong skills in assessing and monitoring patients' physiological status.
Safety and Precision: Focus on safety and attention to detail in practice.
Collaboration: Ability to work with surgeons and other healthcare professionals.
Evidence-Based Practice: Applying current research to enhance anesthesia practice.
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Certification Requirements:
Education: Typically require a Doctor of Nursing Practice (DNP) or a Doctor of Nurse
Anesthesia Practice (DNAP).
Certification Exam: CRNAs must pass a national certification exam.
Certifying Bodies: The National Board of Certification and Recertification for Nurse
Anesthetists (NBCRNA) offers certification for CRNAs.
Each advanced practice role has its own unique competencies and certification requirements that
focus on providing high-quality, safe, and effective care to patients. By fulfilling these
competencies and certification requirements, you can establish yourself as a skilled and
knowledgeable advanced practice nurse in your chosen specialty.
Describe the organization and setting, population, and colleagues with whom you plan to
work.
I would like to work in an organization that is characterized by effective sharing goals, great
teamwork, high employee morale, open communication, training and care development
opportunities, strong leadership, and clearly-defined policies.
The organization must have the right corporate culture, core values, mission, vision, and
objectives that are shared by everyone working in the organization. The organization's
management must be competent and visionary to motivate all employees to work towards a
common goal. All my work colleagues should be emotional, psychologically, socially and
spiritually supportive in order to build effective teams. The management teams and employee
must build an egalitarian organizational climate that values and respects everyone.
The required competencies (domains) and certification requirements for advanced practice
nursing (APN) roles vary based on the specific specialty or role you pursue. Here are the key
competencies and certification requirements for the four main APN roles: nurse practitioners
(NPs), clinical nurse specialists (CNSs), certified nurse-midwives (CNMs), and certified
registered nurse anesthetists (CRNAs).
Nurse Practitioners (NPs):
Competencies:
Clinical Knowledge and Skills: Advanced knowledge in diagnosing, treating, and managing
acute and chronic conditions.
Patient-Centered Care: Focus on holistic and individualized care.
Communication: Strong communication skills for patient counseling and collaboration with other
healthcare providers.
Professionalism: Adherence to ethical and legal standards in practice.
Evidence-Based Practice: Application of current research and best practices in clinical decision-
making.
Certification Requirements:
Education: Typically require a Master of Science in Nursing (MSN) or a Doctor of Nursing
Practice (DNP) with a specialization in the NP role.
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Certification Exam: NPs must pass a national certification exam in their specialty area (e.g.,
family, adult-gerontology, pediatrics, women's health, psychiatric/mental health).
Certifying Bodies: Examples include the American Nurses Credentialing Center (ANCC) and the
American Association of Nurse Practitioners Certification Board (AANPCB).
Clinical Nurse Specialists (CNSs):
Competencies:
Clinical Expertise: In-depth knowledge of a specific area of clinical practice.
Consultation: Ability to provide expert advice and support to other healthcare providers.
Education: Skill in teaching patients, families, and nursing staff.
Evidence-Based Practice: Integration of research into practice for improved patient outcomes.
Quality Improvement: Leadership in implementing quality and safety initiatives.
Certification Requirements:
Education: Typically require an MSN or DNP with a specialization in CNS.
Certification Exam: CNSs must pass a national certification exam in their specialty area.
Certifying Bodies: Examples include ANCC and other specialty-specific organizations.
Certified Nurse-Midwives (CNMs):
Competencies:
Comprehensive Care: Knowledge of women's health across the lifespan, including pregnancy,
childbirth, and postpartum care.
Communication and Counseling: Ability to support and educate women and families.
Collaboration: Working with other healthcare professionals to provide coordinated care.
Clinical Judgment: Strong assessment and decision-making skills.
Evidence-Based Practice: Application of current research and best practices in clinical care.
Certification Requirements:
Education: Typically require an MSN or DNP with a specialization in nurse-midwifery.
Certification Exam: CNMs must pass a national certification exam.
Certifying Bodies: The American Midwifery Certification Board (AMCB) offers certification for
CNMs.
Certified Registered Nurse Anesthetists (CRNAs):
Competencies:
Anesthesia Administration: Proficiency in administering anesthesia and managing perioperative
care.
Patient Assessment: Strong skills in assessing and monitoring patients' physiological status.
Safety and Precision: Focus on safety and attention to detail in practice.
Collaboration: Ability to work with surgeons and other healthcare professionals.
Evidence-Based Practice: Applying current research to enhance anesthesia practice.
Certification Requirements:
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Education: Typically require a Doctor of Nursing Practice (DNP) or a Doctor of Nurse
Anesthesia Practice (DNAP).
Certification Exam: CRNAs must pass a national certification exam.
Certifying Bodies: The National Board of Certification and Recertification for Nurse
Anesthetists (NBCRNA) offers certification for CRNAs.
Each advanced practice role has its own unique competencies and certification requirements that
focus on providing high-quality, safe, and effective care to patients. By fulfilling these
competencies and certification requirements, you can establish yourself as a skilled and
knowledgeable advanced practice nurse in your chosen specialty.
Leadership Attributes of the Advanced Practice Role
Leadership is very critical in nursing as it has far-reaching impacts on patient outcomes and
organizational performance. I am the type of leader who combines Laissez-faire, transformation
and democratic leadership. As a transformation leader, I usually seek to transform and inspire
my followers through my behavior and make them perform beyond expectations, self-interest for
the good of the organization (Marshall, 2014). As a democratic leader, I usually encourage open
communication and staff participation in decision making. For instance, usually give my team
members responsibility, accountability, and feedback regarding their performance. Also, worth
noting, I am always the hands-on type of leaders who seek to lead from the front. While I try not
be bossy, I fully assume a leadership role and lead by example. For instance, I find great
happiness working side-to-side with my team members and this helps to ensure quality, improve
motivation, and build trust and enthusiasm for everyone involved.
Define Transformational Leadership and as it relates to your identified leadership
attributes that you possess or need to develop
As pointed out earlier, transformational leaders work with subordinates to identify the needed
changes, create a vision, and implement change in tandem with the commitment of the team
members. This type of a leader possesses integrity and set a good example to transform them
from being normal employees into knowledgeable, committed and highly dedicated workers
(Marshall, 2014).
This type of leadership style is very fundamental in nursing as it allows quick formulation of
visions and it inspires nurses to optimize their performance and realize better patient outcomes.
Additionally, transformational leadership promotes teamwork among the nursing staff,
encourages positive self-esteem, and it motivates nurses to function their highest level of
performance. In so doing, transformational nursing leaders promote a healthy environment for
the workforce which improves employee satisfaction, retention, and patient satisfaction. For
these reasons, this is the leadership that I will embrace in my family nursing practice.
FNP/AGNP: Medicare reimbursement for NPs is 85%for the same health care that MDs receive
100% reimbursement? Please address questions below and state your position on this mandate.
FNP/AGNP: What states have NP Full Practice Authority and which states have
limitations or restrictions? How does this apply to your state? Please address questions
below and state your position on this regulation.
States having NP Full Practice Authority include Washington, Montana, North Dakota, Idaho,
Oregon, Minnesota, and South Dakota, Lowe, Maine, Alaska and several others.
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Those with limitations or restrictions include California, Texas, Florida, South Carolina, North
Carolina, Georgia, and Oklahoma. In my state, Texas, there are several restrictions and
limitations on NP practice. Some of these limitations practice in these states include reduction of
the ability of NP to engage in some elements of NP practice.
Nurse Executive: What is value-based care and how will it impact decisions made at the
executive level relative to nursing and AP nursing? Please address and state your position
on the regulation.
Value-based healthcare is a model of healthcare delivery whereby hospital and physicians are
paid on the basis of patient health outcomes (Arora et al, 2015). Under this system, healthcare
providers are rewarded for assisting patients to improve their health conditions, reduce the
incidence of chronic illnesses, and enabling patients to live healthier lives.
This system of care will influence executives in healthcare organizations to tailor every activity,
decision, and resource towards an improving patient health outcome in order to incentivize AP
nurses to work harder in improving patient health outcomes. AP nurses will, in turn, work hard
to improve patient health outcomes in order to earn higher rewards.
Nurse Informaticists: What law(s) was enacted to regulate health information? Please
address questions below and state your position on this regulation.
One of the laws enacted to regulate health information is (Health Insurance Portability and
Accountability Act of 1996 (HIPAA) which requires health care providers to come up with
producers that ensure that protected health information (PHI) is kept confidential and secure
when being transferred, received, handled or shared (Kulynych & Korn, 2003).
The other law is The Health Information Technology for Economic and Clinical Health Act
(HITECH) Omnibus Rule. This law was passed to influence the adoption of electronic health
record (HER) and to further the expansion of data breach notifications and protection of the
ePHI. The other relevant laws that regulate health information include Genetic Information
Nondiscrimination Act (GINA).
Nurse Educator: What agency regulates nursing education? Explain in detail
Nursing education is regulated by the National Council of State Boards of Nursing (NCSBN).
This agency works hand-in-hand with other education organizations, nurse educators as well as
another stakeholder to regulate nursing education programs. The agency also keeps all nurse
educators posted on current news, researcher and resources necessary nursing education
(NCSBN), (2017).
Describe the current policy or trends and determine if it needs to change; if opposed to
change state why
The Family Nursing Practice is affected by numerous dynamics and trends. One of the current
trends in the FNP is a shift in dynamics. Baby boomers population is turning 65 and older and
this they face numerous healthcare challenges. Old age usually comes with various healthcare
problems such as depression, diabetes, and other psychological problems. Therefore, the FNP
role is increasingly becoming important because baby boomers require additional care services in
order to improve their health outcomes and more importantly to help them stay healthier
(Hanson, 2010).
The other notable trend is continued growth in technology. One of the newest dynamics in the
healthcare industry is the use of newest technological innovations in care delivery including
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Mobile health apps and social media. FNP will need to appreciate the critical importance of these
technologies in performing their day-to-day activities. These technologies are advantageous
since they enable better point-of-care coordination, promote seamless data flow, and they
enhance physician efficiency.
Provide the process required to make the change with key players and parties of interest;
support the opposition.
In order to accommodate these new changes in family nurse practice, it is important to firstly
increase collaboration among the various stakeholders. This can be achieved by increasing the
sharing of information among these stakeholders and support communication amongst them. The
second strategy is the provision of leadership. FNPs need to assume the leadership role and guide
the rest of the stakeholders in adapting to these new changes.
Explain how you could lead the effort to make or influence the change in policy or keep the
policy the same and the impact on healthcare quality.
The most effective way to influence change in policy is providing leadership. How well a new
policy or policy change succeeds depends on who well each of the stakeholders embrace and
support it. Through my transformation leadership, I will provide a clear direction, respectful
atmosphere, and mutual understanding, shared responsibility and more importantly
communication. These strategies increase the much-needed preparedness for successful adaption
of the new policy.
Conclusion-Summarize your role paper by highlighting key points made in your paper.
This paper has shared insight information regarding various aspects of the nursing aspects.
Firstly, it has pointed out that ANPs perform leadership roles such as identifying the various
needs for change and they develop cases for change. While Advanced Practice Nurses (APNs),
on the other hand, perform functions previously reserved for doctors. The paper has also pointed
out that the core competences in FNP include leadership, quality, technology, and scientific
foundation.
The other important point raised in this paper is that transformational leadership promotes
teamwork among the nursing staff, encourages positive self-esteem, and it motivates nurses to
function their highest level of performance. Additionally, it has also been discussed that Value-
based healthcare is a model of healthcare delivery whereby hospital and physicians are paid on
the basis of patient health outcomes. Lastly, the paper has stated that baby boomers population is
turning 65 and older and this they face numerous healthcare challenges and this will in turn
increase the demand for FNPs.
References
Arora, V., Moriates, C., & Shah, N. (2015).Understanding value based healthcare. McGraw Hill
Professional.
Hamric, A. B., Hanson, C. M., Tracy, M. F., & O'Grady, E. T. (2013).Advanced Practice Nursing-
E-Book: An Integrative Approach. Elsevier Health Sciences.
Hanson, A. (2010).Baby Boomers and Beyond: Tapping the Ministry Talents and Passions of
Adults Over 50(Vol. 45). John Wiley & Sons.
Kish, C. (2013). Family nurse practitioner certification intensive review: Fast facts & practice
questions.Nursing Education Perspectives,29(6), 372.
Kulynych, J., & Korn, D. (2003). The new HIPAA (Health Insurance Portability and Accountability
Act of 1996) Medical Privacy Rule: help or hindrance for clinical research?.Circulation,108(8), 912-914.
Marshall, E. S. (2014).Transformational leadership in nursing: From expert clinician to influential
leader. Springer Publishing Company.
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The National Council of State Boards of Nursing (NCSBN), (2017). Nurses Practice Act,
Rules & Regulations: Nurse Practice Acts Guide and Govern Nursing Practice. Retrieved from
https://www.ncsbn.org/nurse-practice-act.htm
Zerwekh, J. (2016).Family Nurse Practitioner Certification Review-E-Book. Elsevier Health
Sciences.
