The discover of advanced nursing

The discover of advanced nursing

Overview/Description: The final assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: NP, nurse educator, nurse informaticist, and nurse administrator. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.

Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 10–12 pages excluding the title and reference, and APA format is required.


Advanced Practice Roles in Nursing:
Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and research.

1. Selected Advanced Practice Role: Family nurse practitioner
2. Examine regulatory and legal requirements for the state in which you plan to practice.
3. Describe the professional organizations available for membership based on your selected role.
4. Identify required competencies, including certification requirements for your selected role.
5. Predict the organization and setting, population, and colleagues with whom you plan to work.
6. Leadership Attributes of the Advanced Practice Role:
7. Determine your leadership style (http://psychology.about.com/library/quiz/bl-leadershipquiz.htm).
8. Identify leadership attributes you currently possess, and attributes you may need to develop.
9. Determine how to attain and evaluate those missing attributes.
10. Health Policy and the Advanced Practice Role
11. Visit the Robert Wood Johnson Foundation (http://www.rwjf.org/en/about-rwjf/newsroom/features-and-articles/health-policy.html) and identify a health policy issue. Conduct a review of literature and address the following:
12. Describe the current policy and what needs to change; justify your conclusions with citations from the literature.
13. Provide the process required to make the change with key players and parties of interest.
14. Explain how you could lead the effort to make or influence the change in policy.
15. Predict the effect on healthcare quality if the change in policy is implemented.

Course Level Masters
Subject Area Nursing
Paper Type  Research Paper
Number of Pages 11  (3025 words)
Sources 5
Paper Format APA
Spacing Double Spaced




Advanced Nursing Practice
Name of Institution


Advanced Nursing Practice

The role of nurses within the healthcare delivery system is one that has been changing over time, and this is because of the need to change and adapt to new challenges that are presented to nurses every day and the healthcare sector in general. The growth [blur]of technology and a shift from an individual centered approach in the delivery of services is seen as a major shift from the tradition, so the healthcare system has been in the process of adjusting to fit this particular category of needs (McGee & Castledine, 2013, 11). The future of nurses is seen as that one that is aimed at advancing change and also increasing the number of those who acquire [/blur]advanced skills in terms of attending to patients are under their care.

Developers of the nursing curriculum have been seen as people who drive the much-needed change to ensure that those released to the field are capable of [blur] handling various challenges that they face along the line of duty (American Nurses Association, 2011, 7). It has been argued that nurses should be people who can practice the full extent of their practice and at the same time display skills acquired during their training to serve the population effectively. The main purpose of this paper is to explore advanced practice roles in nursing and the duty that each one of nursing practitioners has as well as the standards that have been set in an attempt to ensure that professionalism is maintained in the practice. Nurses are also looked upon as leaders and as a result of that, [/blur]this paper will also explore the leadership qualities that nurses ought to possess in an advanced practice setting so as to deliver their duties in an effective manner. Lastly, policies affect how nurses perform their duties, so this paper aims at exploring the manner in which formulated policies influence the way nurses go about their duties.

Advanced Practice Roles in Nursing

The role of nurses has expanded over the years, and this is because those who join the independent practice and those who work in the public sector [blur]are required to meet certain minimum standards whenever they are applying for certification as public nurses. Advanced Practice Nursing is a new concept that every healthcare system is trying to adjust to and making sure that everything is done in the most professional way. Advancement is said to happen when a nurse acquires advanced skills in the said field and can execute duties bestowed upon him without much difficulties.
Recent studies have shown that advanced practice is the easiest way to give the care to equal or better quality than the comparable care that physicians have offered by over time. Pressure has also been mounting on nurses to ensure that they meet all the needs of primary care giving and in a manner that employs technology and indicates the level of advancement that characterizes the profession. Advanced Practice Nurses have been involved in the process of providing primary care to patients, and because they have been doing it for years, they can perform even better as studies have shown.
The complexity of the healthcare industry has been increasing over the years, and advanced practice nurses are playing a vital role in making sure that the demands of the industry are met in the best way possible. They are offering the best way to deliver services to populations in a manner that is cost-effective and increasing access to quality service delivery. [/blur]These are nurses that are grounded in theory and research regarding the method in which they approach their work and because of that, the responsibilities that they carry along with them is a part time response to major challenges that are facing the industry.

Role of Nursing Practitioners in Advanced Practices- A comparison

Advanced Practice Nursing presents not only a major shift in the traditional nursing procedures but also serves as a key driver of [blur]change within the nursing sector. This is because different practitioners have a role to play to make it a success. A comparison of roles played by APN indicates that some similarities and differences [/blur] can be noted especially regarding clinical practice, primary care, education, administration, and research.

Family Nurse Practitioners (FNP)

Family Nurse Practitioners play a key role in making clinical practice a success especially in the implementation of goals that have been set out in the [blur] universal access to quality healthcare module. However, their approach is always centered on individuals and not populations because of the approach that they give to it. They are structured to deliver [/blur]primary health care to families but at the same time, educate the masses and may yield imperative information in research work.

Nurse Educator

Nurse Educators transfer health care information to the population especially in making sure that the public is informed, and people have been educated on the best [blur]healthcare practices as well as how to give care to those who are affected in one way or the other (McGee & Castledine, 2013, 10). Primary care and education within the healthcare system are highly dependent on these kinds of practitioners and their approach to the system. There are also researchers who get information from the field and ensure that they utilize it for purposes of making decisions especially [/blur]regarding the next probable cause of action.

Nurse Informaticist

Nurse informaticists have a significant role to play in the flow of critical information to the healthcare sector, and this can be seen in their approach to understanding primary [blur]healthcare and administrative tasks that are associated with the profession. Education and primary care are their main area of concentration, and this is done so by ensuring that they have better strategies in place to increase their presence in the populations that they serve. Unlike other practitioners, [/blur] they are more concentrated on the message than the care approach.

Nurse Administrator

As the name suggests, these are practitioners whose main role is to carry out administrative duties within the healthcare industry and are well trained to handle emerging issues. They manage [blur] and control how healthcare services are delivered and the manner in which the same happens as well as directing research in caregiving and emerging issues in healthcare practices. Care positions that are taken by individuals in the field of nursing require vast knowledge in the manner in which systems within the healthcare sector work. They are individuals who must possess certain levels of accuracy and display some level of competencies.
Nurses are also leaders and in the position of the administration, leadership strategies are important when formulating policies that influence nursing in general and primary care service delivery. [/blur]Studies have shown that a difference in these strategies and the approach that is given to healthcare service delivery is what drives change and innovations. Advanced Practice Nurses have a duty to ensure that they initiate the needed change regarding effectiveness.

FNP Advanced Practice Role

There are certain minimum standards that have to be met in the practice of nursing in the United States. In addition to that, there are [blur] professional bodies that have been tasked with the responsibility of making sure that standards have been set in the practice, and they are always adhered to when certifying nurses and other practitioners in [/blur] the same field. This plays an important role in ensuring that certain minimum standards have been maintained.

Regulatory and Legal Requirements

Like in any other state, the nursing field regulation is paramount. Statutes and regulations make collectively make the state laws. The [blur]state agencies in West Virginia, under an executive branch of government, make the regulations. The regulations control the required qualifications for licensure, the scope of practice, prescriptive authority and basis for revocation, suspension from service and nonrenewal matters. The state agency, Board of Nursing, also regulates the standards of practice, the requirement for educational programs and all matters pertinent to reimbursement by Medicaid and indemnity insurers. In the state of West Virginia, the Board of Nursing is the agency responsible for regulation of all nurse practitioners’ activities in the healthcare industry. It is the mandate the agency to license the Advanced Nurse Practitioners. For an ANP to render services in the state, the requirements are an RN license current national certification from an area well recognized by West Virginia Board of Examiners for Registered Professional Nurses. Since December 1998, all aspiring ANPs require a master’s degree in nursing. To achieve [/blur] prescriptive authority in the healthcare industry, nurses need to be as licensed as qualified ANPs in the state of West Virginia. The agency also requires a Baccalaureate degree as well as 45 hours of education in drug therapy clinical management and pharmacology.

Family Nurse Practitioner (Standards and Certification)

A Family Nurse Practitioner (FNP) is an advanced practitioner who is a registered nurse whose role includes serving as a specialty and primary health [blur]care provider. FNP work closely compares with that of a family doctor. The roles include diagnosing illnesses, prescribing medication and conducting examinations on patients. They are individuals placed in the high position ranking in matters of decision-making and because of that, there is the need to ensure that they meet certain minimum standards that have been set out to guide their practice. Every state has its standards and procedures that regulate certification and registration of FNPs.
The state of West Virginia has a clear guideline on matters pertinent to registration and certification of nursing administrators as well as monitoring how they [/blur]perform along the way. The following standards are the requirements for persons wishing to register as FNPs in the state of West Virginia.

Academic Certification and competencies requirements for FNP

For an FNP to render services in the state, the requirements are an RN license current national certification from an area well recognized by West Virginia [blur]Board of Examiners for Registered Professional Nurses. Since December 1998, all aspiring FNPs require a master’s degree in nursing. To achieve prescriptive authority in the healthcare industry, nurses need to be as licensed as qualified FNPs in the state of West Virginia. The agency also requires a Baccalaureate degree as well as 45 hours of education in drug therapy clinical management and pharmacology. 15 hours of the 45 must be within the last two years within which the ANP to be nurse files an application. An advanced degree is required, a Master’s degree preferably in the field of Master’s Degree in Nursing Science from a recognized institution. This is the first item that verifies individual capabilities in academic qualifications and managerial skills in the field of nursing. In addition to academic [/blur] qualifications, those who are seeking to be registration as a nurse practitioner in the state of West Virginia must also meet the following minimum standards.

a. They must be registered nurses and [blur]with a valid license to practice.
b. National certification is also a requirement for registration as a nurse practitioner in the state.
c. Certification by the American Nurses Credentialing Center (ANCC)
d. The American Organization of Nurse Executives (AONE) certification is also a requirement.
e. The American College of Healthcare Executives certification, although not a mandatory requirement, is important. This is an international college of healthcare executives whose mandate is to ensure timely professionalism in[/blur] healthcare management.

Professional Organizations Membership

Nursing is a field in healthcare that requires active interaction amongst the health professionals. The fact that medical field is so dynamic; nurses need to ensure continuous [blur]learning of the emerging issues. Professional organizations provide informative education on the emerging issues in the field of medicine and healthcare. They also safeguard the welfare of their member ANPs by providing a voice link between the federal and state governments, and the organization’s members. It is also the mandate of the organizations to foster high standards of the services rendered by their member nurses. They also mentor the members by coaching them on how to observe a certain degree [/blur]of advisory role in the management of healthcare service delivery (McGee & Castledine, 2013, 14). Professional membership bodies in the state of West Virginia include:

a. West Virginia Nurses Association (WVNA) that is a body that tasked[blur] with the responsibility of safeguarding making sure that rights and welfares of nurses. WVNA is a [/blur] constituent member of the nationally accredited American Nurses Association.

b. West Virginia Board of Examiners for Registered Professional Nurses is another[blur] professional organization whose objective are to protect and promote public health, welfare and safety of members through monitored regulation of registered dialysis technicians and [/blur] nurses. The organization entails RN board established under the West Virginia legislature.

c. West Virginia Executive Nurses Association (WVENA) is another professional body for [blur] nurses who occupy leadership positions in the field of healthcare. It is a consultation forum where different parties meet and engage [/blur] in policy formulation with the aim of making sure that they streamline everything in the industry.

Apart from organizations within the state of [blur] West Virginia, an ANP can also join national nurse’s organizations. The following are the nationally [/blur] accredited organizations that a nurse practitioner can join for improved service delivery in the health industry.

a. American Association of Critical Care Nurses (AACCN): it is the largest specialty [blur]nursing-based organization in the world. The members mandate is to provide care for critically and acutely ill patients. For a family nurse practitioner, the organization is very appropriate given [/blur] that the nursing field is fast shifting to home-based caring.

b. The American Nurses Association (ANA): through constituent and state associations for nurses, it represents the interests of over 3.1 million registered nurse practitioners. It is the only [blur] national full-service organization in the country. Through its interest in fostering high nursing practice standards, it advances nursing profession. Its mandate includes the promotion of nurses’ right to their places of work as well as projecting a [/blur] realistic and positive view of the nursing field.

Organization Prediction

The Cardiff Hospital in Virginia is the likely organization where I will work as a nursing administrator because of the fact that it is located in my home state of West Virginia, [blur]and I have had a chance of working the institution before. The health facility is set up in a serene environment. Its objectives include the commitment to deliver quality and affordable healthcare services to citizens who seek healthcare services in the. The hospital serves a total population of about 3000 people from the neighborhood but also receives referrals from various quarters. A chance to work with this organization will mean a lot especially regarding giving back to the society as well as serving the community. The setting is unique because of the location of the health facility, and I look  [/blur]forward to working with fellow colleagues in the field to deliver great services to the population in this region. Lastly, ethics are what govern the manner in which things are done in this particular institution.

Leadership Attributes of the Advanced Practice Role

Leadership test taken was a revelation especially in understanding my leadership style and how this is likely to play out especially in my capacity as an administrator within the [blur]nursing profession. The approaches adopted by leaders determine the manner in which they relate to their subjects and leadership styles are crucial to this success. It is my belief that understanding one’s leadership skills are paramount to delivering quality services to patients. Individuals must first understand the definition of what they lead by when I took the quiz I found I was a Participative Leader, which means: My style of leadership involves subordinate in my goal setting of family nurse practitioner in this leadership style I definitely would include Coworkers and have them assist in problem solving and decision-making.
However, ultimately the participative leader retains the final decision-making. It’s my belief we all are equal, and each brings a skill to the team in which they have fine-tuned to be the best it makes for the perfect environment to foster everyone’s abilities and roles within the team or unit (Burke, 2010, 12). Many theories and studies have been done for years on different types of leadership styles and what works best within an organization. From experience leaders need to change [/blur] their strategies from time to time because each problem is specific to a situation and what worked in this situation may not work in the next, in accordance to The American Journal of Nursing, (2013), “a good leader will need to use a variety of leadership styles”.

Regarding the qualities, I believe that I possess listening skills, acceptance Awareness, Temperament, vision, a can do Attitude, Persuasion ,Foresight, Commitment to the growth [blur] of others and Building community within the organization. However, there are certain qualities that I might have to work on especially regarding the way I respond to challenges of anger, also the approach that I give to making sure that everything is done in the right manner, and challenges are resolved in the best way possible. Leadership is a skill that must be exhibited in a fulfilling manner (Hamric, Spross, Hanson & Hamric, 2015, 11). I plan to make sure that everything has been put in place and that [/blur] are strategies to increase my strength and avoid the kind of insecurities that accompany my approach to leadership.

Health Policy and the Advanced Practice Role

It is not all health policies suite that the healthcare industry (Burke, 2010, 13). Robert Wood Johnson Foundation (RWJF) website lists several health [blur] issues. The health policies that regulate RWJF undertakings displayed a few shortcomings the need urgent intervention.
One issue selected for purposes of this analysis is [/blur] transparency in clinical research and its impact on the Family Nursing Practice.

According to Hamric et al. (2015), some challenges face the process of conducting research by the Robert Wood Johnson Foundation. The challenges arise [blur]from the fact that the current health policies in the foundation do not address the need to invest in thorough and effective surveys and data collection pertinent to the health industry. Clinically related issues coupled with a poor approach to understanding and interpreting findings from these researches constitute a major setback for the foundation. Studies have shown that techniques used in research do not reflect quality health standards thus presenting an issue to do with the quality of the output of the research. Consistency regarding results of obtained from research as well as the data sharing model that is adopted by practitioners presents some challenges especially concerning the way quality [/blur]and quantity of work are compromised at some point in the research.

Clinical data transparency affects the service delivery hence an outcry by many researchers who have pointed out that this could adversely affect the manner in which nurses go [blur]about their activities as well as the outcome of various clinical processes. Access to clinical data and ensuring that there is consistency in collection and survey methods remains a top priority especially in dealing with research that does not meet the minimum standards. Standards that have been set out to govern the manner in which nurses carry out their duties require a certain percentage of consistency and because of that, there is the need to check on the impact that this has on the practice (Goudreau & Smolensk, 2015, 11). The current situation can only change through consultation with stakeholders [/blur] to ensure that there is compliance regarding how things are done and how standards are adhered to.


In conclusion, Advanced Nursing Practice is something that has taken root especially in the delivery of healthcare services to populations around the world and at the same time how [blur] nurses respond to challenges that are presented to them every other day. The focus of this paper was on the role of different practitioners in the field of nursing, especially under that advanced model. In my state of West Virginia, there are various competencies that must be fulfilled by someone before being one becomes a certified nurse administrator and they include their education as well as certification from relevant bodies that have been given the mandate to do so.
Leadership skills play a significant role in understanding and leading people in an environment where policies are formulated and as a result of that, the leadership skills test that was done in this exercise revealed to me some things that I believe will be instrumental in determining my career success as a leader. The nursing practice continues to face some challenges especially in better policy formulation as well as the approach that is given to service delivery in the [/blur] healthcare sector. There are also policies that continue to affect the manner in which nurses carry out their duties, and a good example are policies regarding research and transparency in nursing.

American Nurses Association. (2011a). Code of ethics. [blur]Retrieved from http://www.nursingworld.org/Mobile/Code-of-Ethics
American Nurses Association. (2011b). Code of ethics for nurses with interpretive statements. Retrieved from http://www.nursingworld.org/code-of-ethics-preface
Burke, K. (2010). Improving Accreditation Policies in Collegiate Basic Nursing Education. Nursing Research, 9(2), 74. http://dx.doi.org/10.1097/00006199-196000920-00093
Goudreau, K., & Smolenski, (2015) M. Health policy and advanced practice nursing.
Hamric, A., Spross, J., Hanson, C., & Hamric, A. (2015). Advanced practice nursing. St. Louis, Mo.: Saunders/Elsevier.
McGee, P., & Castledine, G. (2013). Advanced nursing practice. Malden, MA: Blackwell Pub.
Pearson, R. (2008). Personel policies and Nursing. Nursing [/blur] Research, 17(1), 93. http://dx.doi.org/10.1097/00006199-196801000-00119


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