NUR-513 Describe How the Role of Advanced Registered Nurse Transformed Over Time
Topic 1: Emerging Roles for Advanced Registered Nursing Specialties
Objectives:- Describe the history of advanced registered nursing, including shifts in scope, role, and expectations.
- Discuss emerging roles for the advanced registered nurse.
Topic 1 DQ 1
Describe how the role of advanced registered nurse transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?Topic 1 DQ 2
Access The Future of Nursing: Leading Change, Advancing Health. Identify the two reco=endations for nursing education you believe will be most effective or radical in creating change within the industly. Provide rationale based on your experience in practice. Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving. Why or why not? Navigating the Online Environment Scavenger Hunt Description: Leaming how to navigate the online classroom environment is essential to your academic s uccess .- Review “Navigating the Online Scavenger Hunt” and search LoudCloud to find the answers.
- Complete the scavenger hunt while navigating Loud Cloud.
Topic 2: Scope of Practice
Objectives:- Identify regulatory bodies and industry regulations that specify certification and licensure requirements and scope of practice for advanced registered nurses.
Nursing Roles Graphic Organizer
Description: Advanced registered nurses work in highly collaborative environments and must collaborate with interdisciplinary teams in order to provide excellent patient care. Besides knowing the role and scope of one’s own practice, it is essential to understand the role and scope of other nurse specialties to ensure effective collaboration among nurses, the organization, and other professionals with whom advanced registered nurses regularly interact. Use the “Nursing Roles Graphic Organizer Template” to differentiate how advanced registered nurse roles relate to and collaborate with different areas of nursing practice. Compare your future role with one of the following: nurse educator; nurse leader; family nurse practitioner; acute care nurse practi tioner; graduate nurse with an emphasis/special ty in public health, health ca.re administration , business, or informatics ; clinical nurse specialist; doctor of nursing practice. Indicate in the appropriate columns on the template which roles you ai-e comparing. Make sure to compare the following areas of practice in your graphic organizer:- Ethics
- Education
- Leadership
- Public Health
- Health Care Administration
- Informatics
- Business/Fina.nee
- Specialty (e.g., Family, Acute Ca.re)
Nursing Roles Graphic Organizer Template Example Approach 1
| Future Role- Nurse Leader | Comparison Role of Choice-Nurse Educator | Observations (Similarities/Differences) | |
| Ethics | Some of the ethics, values and principles that a clinical nurse specialist must have include: benevolence, accountability, fidelity, and veracity. | Just like clinical nurse specialists, nurse educators also observe nursing values, ethics, and principles that govern the nursing practice. Some of the nursing ethics that nurse leaders observe include beneficence, nonmaleficence, privacy, autonomy, justice, and fidelity (Hoskins, Grady & Ulrich, 2018). | All nurses have the same training to provide quality patient care as their primary duty. Nurse leaders have a duty of ensuring safe delivery of care, so they must be intimately familiar with the safety standards and protocols of the medical profession and their healthcare facility Nurse educators are responsible for designing, evaluating, updating, and implementing new and current nursing education curriculum (Mohr, & Coke, 2017). The major difference between nurse leaders and nurse educators is that nurse leaders motivate, challenge, and move others forward, making them educators. Conversely nurse educators inform, encourage and applaud, which makes them leaders. |
| Education | A nurse leader is a registered nurse who has gone beyond achieving the BSN course to get an advanced degree. Like nurse leaders, nurse leaders start by obtaining a BSN-Bachelor of Science in Nursing (Bianchi et al., 2018). After obtaining the BSN, the nurse must acquire certification from relevant authorities to become a registered nurse. Nurse leaders complete the certification process for a Certified Nurse Leader (CNL). Lastly, to become a nurse leader, an RN must register for Master of Science in Nursing-MSN with special programs in nursing leadership programs. | Nursing educators are registered nurses who have acquired advanced nursing degree such a masters or PhD degree that allows them to teach nursing course/curriculum at a college or university level (Mohr & Coke, 2018). The first step in is to acquire a BSN-Bachelor of Science degree. Second step is to register as an RN-Registered Nurse. Lastly, for the RN to obtain a Nursing educator role, they must enroll and successfully complete a master’s and or a PhD program to acquire skills to teach or become educators. | Nursing educators and nursing leaders enroll for the same BSN program which qualifies them to become qualified nurses by the virtue of obtaining a BSN degree. The difference comes at master’s level where nurse leaders take course that focus on nursing leadership while nursing educators take specializations that prepare them to become educators of nurses at college or the university level. |
| Leadership | Nurse leaders are specially prepared through the masters course to take on leadership positions in healthcare organizations. | Nurse educators are teachers of nursing students. By the virtue of their specialized masters training, nurse educators qualify to take leadership roles in health organizations. | Nurse educators take on direct teaching roles whereas nurse leaders are trained to take on consultant, administrative and management positions in healthcare organizations. |
| Public Health | The role of the CNL to provide leadership within the public health environment is examined. | Nurse educators play a critical role in promoting public health through working alongside other clinical staff to detect diseases, and prevent disease outbreaks. Nurse educators also perform other roles in the clinical setting that promote public health. | Both nurse educators and nurse leaders play an active role in the maintenance and promotion of public health. |
| Health Care Administration | Nurse leaders are responsible for large-scale policy planning, staff management, financial resource management, and business management, in addition to their core responsibilities of coordinating and supervising the delivery of health care. | Nurse educators motivate and educate staff to adopt new practice changes incorporating evidence-based practices that promote positive patient outcomes (Bullin, 2018). They serve as mentors, role models, and preceptors to influence staff nurses’ professional development. | Both nurse educators and nurse leaders play a critical role in healthcare administration even though they have different responsibilities based on their areas of specializations. |
| Informatics | Nursing leaders need to develop informatics competencies to drive professional interoperability, ensure nursing data is leveraged to inform decision making, and provide patients with efficient, safe and innovative care. | The Nurse Educator provides professional nursing leadership and role modelling, working with staff to meet quality and safety standards of care. This includes contributing to the development of policies and procedures such as the implementation of information technology | Both nurse educators and nurse leaders are primary caregivers who need to have an understanding of nursing informatics. |
| Business/Finance | Nurse leaders oversee employee management, promote healthful work environments and implement ergonomically sound workplaces (Pappas, 2021) Nurse leaders manage emergency-preparedness plans and formulate programs to encourage work-life balance. They develop recruitment, compensation and retention strategies | Nurse educators need to know basic information about health care financing because it impacts clinical decision making in health care agencies | Nurse educators mostly work in management positions which means they can influence finance/business decisions. Nurse educators sometimes take on management roles but must first acquire management skill. |
| Specialty (e.g., Family, Acute Care) | The nurse leader specialty oversees the integration of patient care, including development of treatment plans, collecting and evaluating treatment results, and managing patients’ medical teams (Wei et al., 2018). These nurses can also lead health promotion and disease prevention efforts. | Nurse educators work to strengthen the nursing workforce, and teach future nurses, practicing nurses, nurses pursuing advanced degrees, and other healthcare providers and client | Nurse leaders deal with administrative and management matters while nurse educators deal with teaching nurses at college and university level. . |
| Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice | American Organization for Nursing Leadership (AONL) is the body responsible for monitoring the activities of nurse leaders. Other regulatory bodies include National Council of State Boards of Nursing, NCSBN. | The licensing bodies for nurse educators is the National League for Nursing | Both nurse leaders and nurse educators have different certification/licensing bodies. |
Nursing Roles Graphic Organizer Template Example Approach 2
| Nurse Leader (NL) | Family Nurse Practitioner (FNP) | Observations (Similarities/Differences) | |
| Ethics | Ethics in nursing leadership involves understanding ethical decision-making, accountability, and responsibility. Ethical leadership requires promoting patient-centered care, maintaining confidentiality, respecting diversity, and promoting social justice (Haddad & Geiger, 2022). | Ethics is important for Family Nurse Practitioner (FNP) specialty because FNPs work closely with patients and their families to provide care throughout their lifespan. FNPs provide evidence-based, culturally sensitive patient-centered care that respects patients’ autonomy, confidentiality, and informed consent. FNPs make ethical decisions and provide quality care based on ethical principles such as beneficence, nonmaleficence, justice, and respect for persons (Haddad & Geiger, 2022). | Both nursing leadership and family nurse practitioners are responsible for incorporating ethical considerations into their patient-centered care practices while respecting patient autonomy, privacy, and informed consent. However, nurse leaders focus on healthcare management and leadership aspects and make decisions affecting larger patient groups or the healthcare system. In contrast, family nurse practitioners prioritize direct patient care and focus on individual patients. |
| Education | Nurse Leader specialty requires a Master’s or Doctor of Nursing Practice degree, advanced pathophysiology, pharmacology, health assessment, clinical rotations, leadership, healthcare administration, and healthcare policy coursework. Graduates must pass a certification exam and maintain licensure. NLs are qualified to lead healthcare teams due to their advanced education and training (American Association of Nurse Practitioners, 2020). | To become a Family Nurse Practitioner (FNP), an individual must have a Bachelor of Science in Nursing (BSN) degree, be a licensed registered nurse (RN), and complete a Master of Science in Nursing (MSN) degree, which includes courses in advanced pharmacology, pathophysiology, health assessment, and diagnostic reasoning, as well as clinical practicum hours. Upon completing the MSN program, passing the national certification exam is required to obtain a license as an FNP. Continuing education requirements exist for FNP licensure renewal, and FNPs must stay current with the latest research and clinical practices (American Association of Nurse Practitioners, 2020). | The Nurse Leader and Family Nurse Practitioner (FNP) specialties require advanced education and training in pathophysiology, pharmacology, health assessment, and clinical rotations and require passing a certification exam and maintaining licensure. However, the NL specialty also includes coursework in leadership, healthcare administration, and healthcare policy, and are specifically qualified to lead healthcare teams. FNPs must have a BSN degree and RN licensure before completing an MSN. They must stay current with the latest research and clinical practices through continuing education requirements for licensure renewal. |
| Leadership | Leadership in healthcare organizations is crucial for the success and effective functioning of any healthcare system. It is particularly important for Nurse Leaders who have a vital role in patient care and treatment. NLs must possess strong leadership qualities, such as effective communication, collaboration, decision-making, and critical thinking, to provide high-quality healthcare services to patients. They must also clearly understand the healthcare system, including policies, regulations, and ethical standards (Wood, 2021). | Effective leadership skills are essential for Family Nurse Practitioners FNPs to provide comprehensive primary care to patients and coordinate their care with other healthcare professionals. FNP leaders must communicate effectively, make strategic decisions, foster a positive work environment, and stay up-to-date with the latest medical advances and research. Additionally, they should advocate for their patients, work collaboratively with other healthcare professionals, and manage their teams to ensure high-quality patient care (Wood, 2021). | Nurse Leaders and Family Nurse Practitioner leaders require strong leadership qualities to provide patients with high-quality healthcare services. Nurse Leaders are responsible for ensuring the effective functioning of the healthcare system. In contrast, FNP leaders focus on providing comprehensive primary care to patients and coordinating their care with other healthcare professionals. |
| Public Health | Public health and the Nurse Leader specialty are connected as they focus on promoting health and preventing disease. Public health uses strategies such as health education and policy development to improve populations’ health, while NL provides primary care services and manages healthcare teams. NL can use its expertise to develop and implement public health programs, address health disparities, conduct research, and collaborate with public health professionals and community organizations to improve health outcomes and reduce healthcare costs. | Public Health and Family Nurse Practitioners are interconnected in promoting and maintaining the health of individuals, families, and communities. Public Health aims to prevent disease and illness at the population level, while FNPs provide primary care services and collaborate with public health professionals to address public health concerns. Integrating these practices is crucial for addressing complex health challenges and ensuring comprehensive, coordinated, patient-centered care. | Nurse Leaders and Family Nurse Practitioners have a role in promoting public health by addressing health disparities, conducting research, collaborating with public health professionals and community organizations, and providing primary care services. However, Nurse Leaders have a broader scope of practice, including developing and implementing public health programs, while FNPs provide more direct patient care services. |
| Health Care Administration | Health care administration and nurse leadership are closely linked as they both work towards providing quality patient care. Healthcare administration focuses on managing the overall operations of healthcare facilities, while nurse leaders manage and lead nursing staff to provide safe and effective patient care. Effective collaboration between the two is crucial in achieving high-quality patient care, managing costs, and ensuring the smooth functioning of healthcare facilities. Together, they can create a patient-centered and efficient healthcare system. | Health Care Administration and Family Nurse Practitioners are linked as healthcare administration involves managing and coordinating healthcare services, while FNPs provide primary care services. Healthcare administrators work with FNPs to manage resources and ensure that healthcare policies are followed. In contrast, FNPs work with healthcare administrators to make healthcare systems efficient, effective, and patient-centered. Together, they aim to improve the quality of care provided, reduce healthcare costs, and promote healthy communities. | The similarities between nurse leaders and family health specialty to healthcare administration include their focus on providing quality patient care, collaborating with healthcare administrators, and improving healthcare systems. The differences lie in their specific roles, with nurse leaders focusing on managing nursing staff and family nurse practitioners providing primary care services. |
| Informatics | Informatics plays a crucial role in the nursing leadership specialty by providing the necessary tools and technologies for efficient and effective management of healthcare data, resources, and processes to improve patient outcomes and enhance quality-of-care delivery (Garcia-Dia, 2021). | An analysis of Family Nurse Practitioners (FNPs) reveals that they must understand nursing informatics to provide secure, high-quality healthcare to families and communities. Furthermore, utilizing informatics allows FNPs to investigate patterns in health problems affecting families and implement effective interventions. | Both nurse leaders and family nurse practitioners must understand nursing informatics to provide high-quality healthcare and implement effective interventions. However, nurse leaders also rely on informatics to efficiently manage healthcare data, resources, and processes. |
| Business/Finance | Understanding the principles of Business/Finance is essential for nurse leaders to effectively manage healthcare resources, make informed decisions, and advocate for the needs of their patients and staff within the broader healthcare system (Sevy & Warshawsky, 2020). | Business expertise is necessary for family nurse practitioners to assist in evaluating the financial impact of the disease burden on the community. | Both nurse leaders and family nurse practitioners require expertise in business and finance to effectively manage healthcare resources and advocate for the needs of patients and staff. However, while family nurse practitioners need this knowledge to evaluate the financial impact of disease burden on the community, nurse leaders need it to make informed decisions within the broader healthcare system. |
| Specialty (e.g., Family, Acute Care) | Nurse leaders can specialize in various fields, such as clinical, educational, administrative, quality improvement, informatics, research, and public health, and oversee patient care (American Association of Nurse Practitioners, 2020). | Family nurse practitioners have various options for specializing in different fields, such as adult primary care and pediatric care (American Association of Nurse Practitioners, 2020). | While family nurse practitioners and nurse leaders can specialize in various fields, including clinical and administrative areas, family nurse practitioners typically provide primary care for adults and children. In contrast, nurse leaders oversee patient care and may specialize in education, quality improvement, informatics, research, and public health. |
| Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice | Regulatory bodies and certification agencies provide guidance and parameters to ensure nursing leadership and healthcare administration professionals meet specific standards, maintain professional competence, and provide safe and effective care. Prominent organizations include the American Nurses Credentialing Center (ANCC), the Healthcare Leadership Alliance (HLA), the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and the National Council of State Boards of Nursing (NCSBN). These organizations offer certification programs, competency models, accreditation, and guidance to nursing leaders to ensure they are equipped to lead healthcare organizations and provide high-quality care. | Family nurse practitioners have the chance to specialize in diverse fields. These areas of specialization include adult primary care and pediatric care, among others. The American Nurse Credentialing Center also certifies FNPs, who obtain a license in the state they practice. Certification renewal is regularly done to guarantee that healthcare providers deliver care that meets the required standards. | Both family nurse practitioners and nurse leaders are regulated by certification agencies and guided by prominent organizations like ANCC, HLA, JCAHO, and NCSBN to provide safe and effective care. Family nurse practitioners specialize in diverse care fields, while nurse leaders focus on healthcare administration and leadership. |
Topic 2 DQ 1
Identify at least three regulato1y bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty. Discuss the way these bodies or regulations influence the educational requirements and experiences for your specialty. Advanced practice registered nurses must incorporate the APRN consensus model in their response.Topic 2 DQ 2
Compare two different advanced registered nurse roles with regard to ethical guidelines. Are there any differences in the ethical guidelines that govern these roles? What situations might require one role to respond differently, depending on tl1e e tliical guidelines?Topic 3: Diversity and Global Perspectives of Care
Objectives:- Discuss the role of the advanced registered nurse in promoting health and disease prevention for diverse populations.
- Discuss the impact of diversity, global perspectives, and the advanced registered nurse’s role in advancing health equity.
- Relate cultural and spiritual competence to the advanced registered nurse’s scope of practice.
- Determine how your personal worldview may affect your future practice and role.
Topic 3 DQ 1
Identify a population that you will likely serve as an advanced registered nurse that you think is particularly vulnerable to issues of health disparities/inequity. Discuss the contribution of your particular specialty to health promotion and disease prevention for th.is population. How do issues of diversity and global perspectives of caire contribute to your understanding of health equity as it relates to this population?Topic 3 DQ 2
What is your personal worldview? Connect your world view to cultural and spiritual competence. How will your world view and cultural and spiritual competence affect your future practice and role? Consider both the provision of safe, quality care to diverse populations and interprofessional relationships.Benchmark – Evidence-Based Practice Proposal Project: Framework or Model for Change
Assessment Description Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal. Include the following:- Identify the selected model or framework for change and discuss its relevance to your project.
- Discuss each of the stages in the change model/framework.
- Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
- Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.
Resources
Collapse All Advanced Practice Nursing: Essential Knowledge for the Profession Read Chapter 6 in Advanced Practice Nursing: Essential Knowledge for the Profession. View ResourceEvidence Based Medicine: Levels of Evidence Read “Evidence Based Medicine: Levels of Evidence,” by the University of Illinois/Chicago’s Library of the Health Sciences at Peo … Read More http://researchguides.uic.edu/content.php?pid=232200&sid=1921074
A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes Read “A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes,” by … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121082056&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Iowa Model of Evidence-Based Practice: Revisions and Validation Read “Iowa Model of Evidence-Based Practice: Revisions and Validation,” by Buckwalter et al., from Worldviews on Evidence-Bas … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123692132&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Survey Results Read “Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Sur … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142632269&site=ehost-live&scope=site
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice Read Chapter 14 and review Chapter15 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. … Read More View Resource
Critical Appraisal Tools Read “Critical Appraisal Tools,” located on the Centre for Evidence Based Medicine (CEBM) website. https://www.cebm.ox.ac.uk/resources/ebm-tools/critical-appraisal-tools
Study Designs Review “Study Designs,” located on the Centre for Evidence Based Medicine (CEBM) website. https://www.cebm.ox.ac.uk/resources/ebm-tools/study-designs
Worksheet for Using Practice Guidelines Study “Worksheet for Using Practice Guidelines,” from the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and S … Read More http://www.ebm.med.ualberta.ca/CPGWorksheet.html
Guidelines and Measures Study “Guidelines and Measures,” located on the Agency for Healthcare Research and Quality website. https://www.ahrq.gov/gam/index.html
Star Model Explore the Star Model resources, located on the UT Health San Antonio School of Nursing website. https://www.uthscsa.edu/academics/nursing/star-model
Nursing Best Practice Guidelines Investigate the Nursing Best Practice Guidelines page of the Registered Nurses Association of Ontario (RNAO) website. http://www.rnao.org/Page.asp?PageID=861&SiteNodeID=133
Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice Read “Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice,” by Stetler, by Nursing Outlo … Read More https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0029655401478390