Week 4 NP 500

docx

School

Chamberlain University College of Nursing *

*We aren’t endorsed by this school

Course

500

Subject

Nursing

Date

May 24, 2024

Type

docx

Pages

Uploaded by BarristerFlag8022

1 APN Professional Development Plan Rachel Primmer Chamberlain University: Nurse Practitioner Track NR500NP Foundational Concepts and Advanced Practice Roles Dr. Mindy Stayner November 21, 2021

2 APN Professional Development Plan The goal of the APN Professional Development Plan is to explore the role of the nurse practitioner further, and to develop leadership strategies. The American Nurses Association defines an Advanced Practice Nurse (APN) as an “individual who treats and diagnoses illness, advises the public on health issues, manages chronic disease, and engages in continuing education.” (ANA, n.d., p.1). In a previous paper we touched on the different specialties unique to APNs. These include clinical nurse specialists, nurse anesthetists, nurse midwives, and nurse practitioners. Each specialty has a unique scope of practice, competencies, and leadership. In this paper we will be focusing on the APN role of the nurse practitioner. Advanced Practice Nurse Scope of Practice The Certified Nurse Practitioner (CNP) provides primary, acute, or specialty health care throughout the individual’s life. This is done by using skills acquired through education and clinical experience. In an advanced education setting, the NP is taught in-depth assessment, proper diagnosis, and treatment of illnesses and injuries. We will be exploring the scope of practice of the APN as it relates to the state of Ohio. The nurse practice act sets the guidelines of nursing practice in each respective state. The state of Ohio defines an APN-specifically a CNP as: “an advanced practice registered nurse who holds a current, valid license issued under this chapter and is designated as a certified nurse practitioner in accordance with section 4723.42 of the Revised Code and rules adopted by the board of nursing.” ( Chapter 4723: Nurses, 2021). Educational Requirements The educational requirement is successful completion of an accredited advanced education, necessary training, and relevant clinical experience built upon an initial licensure of a

3 registered nurse. In the State of Ohio, an advanced education can be described as a master’s or doctoral-level with a specialty in nursing or associated field specialty. Upon successful completion of the program, the applicant is then required to sit and pass their certification exam. In this case it would be the CNP exam. After successfully passing the certification exam, completion documentation is submitted to the governing board. It is also necessary to submit all supplemental credentials prior to applying for licensure such as: age, residence, school at which the applicant obtained education, and nursing specialty. License Requirements In the previous paragraph we discussed the necessities of program completion, passing the certification exam, and applying for APRN licensure. The State of Ohio Board of Nursing is the regulatory body in Ohio who administers licensure to qualified applicants. Each Board of Nursing can allocate an application fee for licensure. The initial fee for an APRN in Ohio is one hundred fifty dollars with the renewal fees being one hundred thirty-five dollars. Similar to the registered nurse, the advanced practice nurse is required to apply for renewal on odd-numbered years by the 15 th of September of that year. As an APRN there is a requirement to fulfill twenty- four hours of continuing education credits, with twelve hours being advanced pharmacology from an accredited institution. Regulatory Requirements In advanced practice nursing, there are two regulatory bodies which determine the scope of practice. These are the individual state’s laws as well as the state Board of nursing. Each state has a nurse practice act which defines the practice. “The Board is a government agency created by Ohio law to regulate the practice of nursing in Ohio for the safety of the public. The Ohio

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

4 legislature enacts the Nurse Practice Act set forth in Chapter 4723. of the Ohio Revised Code” ( Chapter 4723: Nurses, 2021, pp.3). Practice Authority There are three levels of advanced nursing practice depending on the state in which the individual practices. These include full practice, reduced practice, and restricted practice ( Nurse practitioner scope of practice: State by State, 2021). The state of Ohio falls under the category of reduced practice. According to the American Association of Nurse Practitioners (AANP), “state practice and licensure laws reduce the ability of NPs to engage in at least one element of NP practice. State law requires a career-long regulated collaborative agreement with another health provider in order for the NP to provide patient care, or it limits the setting of one or more elements of NP practice” (AANP, 2021, pp.5). The advanced practice nurse is able to practice in collaboration with physician(s). The scope of practice includes primary care services, acute care services, and to evaluate and promote patient wellness within their certified specialty. Prescriptive Authority The NP is able to prescribe drugs and therapeutic devices as long as they meet pre- determined criteria defined by the state of practice. The state of Ohio has an extensive section of Revised Code which further determines the prescribing abilities of the nurse practitioner. APNs are not to surpass the prescriptive authority of their collaborating physician(s). The nurse practitioner is “able to prescribe a schedule II-controlled substance if all of the following apply: the patient has a terminal condition, a physician initially prescribed the substance, and the amount does not exceed the amount necessary for the patient’s use in a single, seventy-two-hour period.” ( Chapter 4723: Nurses, 2021, pp.9). Furthermore, the nurse practitioner can prescribe a

5 schedule II controlled substance if the prescription is issued from any of the following locations: ”a hospital, an entity owned or controlled by a hospital, a health care facility operated by the department of mental health and addiction services or the department of developmental disabilities, a nursing home, a county or district home certified under the Medicare or Medicaid program, a hospice care program, a community mental health services provider, an ambulatory surgical facility, a freestanding birthing center, a federally qualified health center, a federally qualified health center look-alike, a health care office or facility operated by the board of health of a city, a site where a medical practice is operated, and a residential care facility.” ( Chapter 4723: Nurses, 2021, pp.9). The list above is a brief summary for educational purposes. Each of these locations have further stipulations and requirements for the nurse practitioner to prescribe this specific class of medications. The nurse practitioner shall not prescribe or furnish any drug or therapeutic device listed under the exclusionary formulary established by the state. The exclusion list in the state of Ohio includes a drug or device used to perform or induce an abortion, and a drug or device prohibited by state or federal law. Nurse Practitioner Core Competencies The National Organization of Nurse Practitioner Faculties (NONPF) is an organization that was developed to promote and facilitate excellent NP instruction. The NONPF identifies nine core competencies as the basis for the NP student education. These are “scientific foundation, leadership, quality, practice inquiry, technology and information literacy, policy, health delivery system, ethics, and independent practice.” (NONPF, 2017, p.1-15). The NONPF states “In the development of the nurse practitioner (NP) population-focused competencies, a task force had extensive discussions of competencies vs. content. The task force concluded that it

6 would be beneficial to programs if some content could be included as exemplars of how to support curriculum development for addressing a competency.” (NONPF, 2017). Competency Areas That are Personally Strong Ethics and Scientific Foundation are the two competency areas in which I believe are personally strong. NONPF identifies four NP Core Competencies related to scientific foundation. These are: “critically analyzes data and evidence for improving advanced nursing practice, integrates knowledge from the humanities and sciences within the context of nursing science, translates research and other forms of knowledge to improve practice processes and outcomes, and develops new practice approaches based on the integration of research, theory, and practice knowledge.” (NONPF, 2017, p.1). NONPF further identifies three NP Core Competencies related to ethics. These are: “integrates ethical principles in decision making, evaluates the ethical consequences of decisions, and applies ethically sound solutions to complex issues related to individuals, populations, and systems of care.” (NONPF, 2017, p.13). Competency Areas Where There is Room for Growth Leadership and Independent Practice are two competency areas in which I believe there is room for personal growth. NONPF identifies seven Core Competencies related to leadership. These are: “assumes complex and advanced leadership roles to initiate and guide change, provides leadership to foster collaboration with multiple stakeholders (e.g., patients, community, integrated health care teams, and policy makers), demonstrates leadership that uses critical and reflective thinking, advocates for improved access, quality and cost effective health care, advanced practice through the development and implementation of innovations incorporating

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

7 principles of change, communicates practice knowledge effectively, both orally and in writing, and participates in professional organizations and activities that influence advanced practice nursing and/or health outcomes of a population focus.” (NONPF, 2017, p.3-4). NONPF then identifies eight NP Core Competencies related to Independent Practice. These are: “functions as a licensed independent practitioner, demonstrates the highest level of accountability for professional practice, practices independently managing previously diagnosed and undiagnosed patients, provides patient-centered care recognizing cultural diversity and the patient or designee as a full partner in decision-making, educates professional and lay caregivers to provide culturally and spiritually sensitive, appropriate care, collaborates with both professional and other caregivers to achieve optimal care outcomes, coordinates transitional care services in and across care settings, and participates in the development, use, and evaluation of professional standards and evidence-based care.” (NONPF, 2017, p.14-15). Scholarly Activities to Help Achieve NP Competencies Ways in which to achieve these competencies, and facilitate growth, is to participate in research and join a nursing organization. By joining a professional nursing association, the individual is provided with resources, information, and opportunities that might not be available otherwise (Gaines, K., n.d.). Professionals are then able to stay up to date on ever changing information in the healthcare field and implement these in current practice. These are both methods in which I would be interested in to help achieve competencies in my advanced nursing practice. Leadership Skills

8 The nursing profession challenges individuals to become leaders in their fields on a personal and professional level. “Strong nursing leadership has been linked to improved patient outcomes with fewer complications, staff satisfaction, positive staff relationships, staff well- being, productivity, and effectiveness.” (Boamah et al., 2017; Cummings, et al., 2018). There are numerous skills necessary for effective leadership. Some skills listed in our reading include interpersonal skills, communication, relationship development, understanding how we can impact positive change, emotional intelligence, and self-knowledge. For the purpose of this paper, we will be analyzing three of the necessary skills. Three Leadership Skills Required to Lead in Complex Systems While it is impossible to place the importance of one leadership skill over another, we will be analyzing three attributes which I believe to be valuable. “Emotional intelligence is defined as our capacity to be aware of, to control, and to express these emotions. It enables us to handle interpersonal relationships judiciously and empathetically.” (Thompkins, 2020, pp.2). Communication skills are necessary as a leader not only for interpersonal communication between staff members and peers but also organization-wide communication. “Effective communication begins by recognizing one-self’s communication style and then that of others. Therefore, when someone meets and interacts with others, it is better to try to understand and then, as much as possible, to adjust to the other person’s style.” ( Wikaningrum et al., 2018, p.140). There are two main forms of communication including verbal and non-verbal communication. It is necessary for leaders to be aware of both forms of communication when interacting with others.

9 As an effective nurse-leader, we need to be aware of how power and influence can be used in our everyday practice. “Our involvement in solving many of the important challenges in health care today depends on our effectiveness in influencing outcomes.” (Sherman, 2018, p.6). The nurse-leader has the ability to affect change both on the individual level and organizational level. Two Strategies to Help Develop NP Leadership Skills There is extensive research regarding the development of leadership skills. Two strategies could be participating in a leadership internship and attending a professional nursing organization meeting. Many specialties offer internships for APNs to develop their leadership skills. “Leadership internships often include participation in executive leadership meetings, which can provide valuable insight into problems that the administrative team must resolve to ensure that the organization remains productive and successful.” (Davis, 2014, pp.4). As we mentioned earlier, involvement in professional nursing organizations provide additional resources and opportunities to the member. Many organizations offer continuing education pertaining to leadership skills. Conclusion In this paper we explored the role of the nurse practitioner as it relates to advanced nursing practice. The nurse practitioner has a unique scope of practice, competencies and leadership. We examined educational, license, and regulatory requirements for the state of Ohio. Also, practice authority and prescriptive authority were defined for the state. The NONPF Core Competencies provide educational guidelines for student programs. Finally, three leadership

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

10 skills were identified as essential and explored further, along with strategies for the APN to achieve those leadership skills.

11 References Advanced practice registered nurses (APRN): American Nurses Association . ANA. (n.d.). Retrieved November 16, 2021, from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/ . Boamah, S.A., Spence Laschinger, H.K. Wong, C. &, Clarke, S. (2017). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 66, 180-189. https://doi.org/10.1016/j.outlook.2017.10.004. Chapter 4723: Nurses . Chapter 4723 - Ohio Revised Code | Ohio Laws. (n.d.). Retrieved November 21, 2021, from https://codes.ohio.gov/ohio-revised-code/chapter-4723. Cummings, G. G., Tate, K., Lee, S. Wong, C., Paananen, T., Micaroni, S. P., Chatterjee, G. E. (2018). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 85, 19-60. https://doi.org/10.1016/j.ijnurstu.2018.04.016. Davis, C. (2014). Keep your leadership skills sharp. Nursing Made Incredibly Easy! , 12 (2), 4. https://doi.org/10.1097/01.nme.0000442908.42274.d9 Gaines, K. (n.d.). You should join a nursing organization. here's why. Nurse.org. Retrieved November 21, 2021, from https://nurse.org/articles/benefits-of-nursing-organizations/. NONPF. (n.d.). Nurse practitioner core competencies content . Retrieved November 21, 2021, from

12 https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreCom ps_with_Curric.pdf. Nurse practitioner scope of practice: State by State . Top Schools Offering Nurse Practitioner Programs. (2021, September 7). Retrieved November 21, 2021, from https://www.nursepractitionerschools.com/resources/scope-of-practice/. Sherman, R. O. (2018). Leadership influence and power. Nurse Leader , 16 (1). https://doi.org/10.1016/j.mnl.2017.10.003 State practice environment . American Association of Nurse Practitioners. (n.d.). Retrieved November 21, 2021, from https://www.aanp.org/advocacy/state/state-practice- environment. Thompkins, S. (2020, June 25). Emotional Intelligence and Leadership Effectiveness: Bringing Out the Best. Retrieved November 21, 2021, from https://www.ccl.org/articles/leading- effectively-articles/emotional-intelligence-and-leadership-effectiveness/. Wikaningrum, T., U., & Yuniawan, A. (2018). The relationships among leadership styles, communication skills, and employee satisfaction: A Study on Equal Employment Opportunity in leadership. Journal of Business & Retail Management Research , 13 (01). https://doi.org/10.24052/jbrmr/v13is01/art-14

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Week 4 NP 500

Related Documents