South University:NSG 5000 Role of the Advanced Practice Nursing Week 1, Assignment Project 1,100% CORRECT

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South University:NSG 5000 Role of the Advanced Practice Nursing Week 1, Assignment Project 1 Project 1 South University Online NSG5000 Role of the Advanced Practice Nursin... g Week 1, Assignment Project 1 Instructor Name: Kelly Fisher The program for which I was admitted to the University is the MSN with a specialization in Family Nurse Practitioner. According to Nurse Journal, 2018 Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients. Just like a primary care physician, FNPs provide continuous, comprehensive care through disease management, health promotion, health education, and preventative health services. They are qualified to … Manage chronic conditions, such as hypertension and diabetes Oversee the health and wellness of women, including providing preconception and prenatal care Provide health and wellness care to infants and children Treat minor acute injuries Provide episodic care for acute illnesses in all ages FNPs often co-manage the conditions of their patients with other specialists and provide case management for long-term illnesses and conditions. Their job duties include diagnosing illnesses and conditions, ordering and interpreting diagnostic tests, conducting examinations, providing counseling, and prescribing medications in many cases. FNPs may also earn additional specialty certification to further specialize in areas like cardiology, women’s health, and neurology, among many others. FNPs often co-manage the conditions of their patients with other specialists and provide case management for long-term illnesses and conditions. Their job duties include diagnosing illnesses and conditions, ordering and interpreting diagnostic tests, conducting examinations, providing counseling, and prescribing medications in many cases(Nurse Journal, 2018). FNPs may also earn additional specialty certification to further specialize in areas like cardiology, women’s health, and neurology, among many others. [ CITATION Fon17 \l 1033 ] Because of their ability to work with a broad patient population across all age ranges, life stages and genders, FNPs are found in an equally diverse number of settings from independent private practices with other NPs, physician’s offices and major hospitals, to schools, state and local health departments, community clinics and other ambulatory care facilities (Nurse Journal, 2018). Based on the Advanced Practice Nursing concept, we can effectively say that the FNP is part of this concept. According to [ CITATION Ham14 \l 1033 ] the ANA's Scope and Standards of Practice, Third Edition (2010) does not provide a definition of advanced practice nursing but uses a regulatory definition of APRNs: A nurse who has completed an accredited graduate-level education program preparing her or him for the role of certified nurse practitioner, certified registered nurse anesthetist, certified nurse-midwife, or clinical nurse specialist; has passed a national certification examination that measures the APRN role and population-focused competencies; maintains continued competence as evidenced by recertification; and is licensed to practice as an APRN. We can affirm that direct clinical practice is the central competency of any APN role and informs all the other competencies. [ CITATION Ham14 \l 1033 ] I have based my search on two research articles. The first one deals with “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”. The prevalence of chronic illness and multimorbidity rises with population aging, thereby increasing the acuity of care. Consequently, the demand for emergency and critical care services has increased. The objectives of this study were to present, critically appraise, and synthesize the best available evidence on the impact of advanced practice nursing on quality of care, clinical outcomes, patient satisfaction, and cost in emergency and critical care settings. This is a qualitative study, The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were adhered to in the conduct and reporting of this systematic review. A comprehensive and systematic search of nine electronic databases and a hand-search of two key journals from 2006 to 2016 were conducted to identify studies evaluating the impact of advanced practice nursing in the emergency and critical care settings. Two authors were involved selecting the studies based on the inclusion criteria. Out of the original search yield of 12,061 studies, 15 studies were chosen for appraisal of methodological quality by two independent authors and subsequently included for analysis. Data was extracted using standardized tools. Narrative synthesis was undertaken to summarize and report the findings. This review demonstrates that the involvement of nurses in advanced practice in emergency and critical care improves the length of stay, time to consultation/treatment, mortality, patient satisfaction, and cost savings. This review suggests that the implementation of advanced practice nursing roles in the emergency and critical care settings improves patient outcomes. The transformation of healthcare delivery through effective utilization of the workforce may alleviate the impending rise in demand for health services. Nevertheless, it is necessary to first prepare a receptive context to effect sustainable change. [ CITATION Fon17 \l 1033 ] The second research study deals with “The Outcomes associated with nurse practitioners in collaborative practice with general practitioners in rural settings in Canada”: a mixed methods study. Three case studies where NPs were embedded into rural fee-for-service practices were undertaken to determine the outcomes at the practitioner, practice, community, and health services levels. Interviews, documents, and before and after data, were analyzed to identify changes in practice, access, and acute care service utilization. The study used a case study design based on an ecological framework .A case study involves constructing detailed and intensive knowledge about a single case or a small number of related cases. A case is a “phenomenon of some sort occurring within a bounded context and represents the unit of analysis in this type of design. Multiple types and sources of data were typically used to explore, describe, and explain the phenomenon of interest within each case. Multiple cases were used, when possible, to add confidence to the findings. The study was conducted in a rural area in one of the five geographically-based health authorities (government organizations responsible for health service delivery) in the province. The case study sites were primary care practices in which a NP had been ‘embedded’ to work in a collaborative practice model with the FFS GPs. Across the three cases, 25 individuals participated representing NPs, GPs, other practice staff, other community- based health care providers, and health authority representatives. The qualitative data were collected through interviews, direct observation, field notes, archival records, and documents. Semi-structured key informant interviews were undertaken with all participants to identify the components of the NP role and the positive and negative changes that had occurred since the introduction of the role in each setting. Direct observations included the physical arrangements of the practices, interactions between staff, and informal meetings; these were recorded as field notes. Documents were collected from both the government and the health authority relating to the implementation of the NP role, as well as newspaper, TV and radio clips, conference presentations, and letters. The quantitative data comprised practice and health authority service records. Before and after records were obtained from both the practices and the health authority to identify changes in patient access to and the volume of patients served by the practice, and utilization of acute care health services (emergency services and hospital admissions from emergency) by the patients of these practices. [ CITATION Roo14 \l 1033 ] This study has shown that the addition of a NP to the predominant delivery model for primary care services, namely FFS, can improve available care and result in substantial positive effects on fundamental problems facing the health system. Careful mapping of the relationships among variables and concepts using mixed methods analysis in a case study design demonstrated positive outcomes of NP practice at all levels of the system, both within and externally, to these primary care practices. The provision of care for patients was reported to have improved; relationships and teamwork involving the practitioners and the practice were perceived as enhanced; access to the practice for patients was documented to have significantly increased; the practices were perceived by many to become more connected with their communities; and the utilization of acute care services significantly decreased for the patients of the practices. These outcomes associated with the NP/GP collaborative practice primary care model demonstrate the importance of the NP role in this setting and support a conclusion that it can play an important role in meeting the primary care needs of the population. [ CITATION Roo14 \l 1033 ] Nurse Practitioner Interview Questions Name: Carol, MSN APRN FNP Facility: Christian Communities Healthcare Planned Date: 11/13/2018 Questions What has motivated you to become a nurse practitioner? What type of Nursing did you decide to focus on, and why? Can you tell us about your key responsibilities as a nurse practitioner? What are some of the challenges you face day to day as a nurse practitioner? 5- What skills do you consider to be essential for success as a nurse practitioner? What differences do you think exist between a Nurse Practitioner and a doctor? What do you do when a patient requests unnecessary pain medication? Have you ever disagreed with a physician over the diagnosis or treatment of a patient? How did you handle the situation? If you could do it all over again , would you still become a Nurse Practitioner? What is one piece of advice you give me to continuing my career as a nurse practitioner? [Show More]

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