Building the Next Generation of Advanced Practice Nurses Through Clinical Education and Faculty Practice: Three International Perspectives

2015 ◽  
Vol 8 (2) ◽  
pp. 249-257 ◽  
Author(s):  
Andrew Scanlon ◽  
Janice Smolowitz ◽  
Judy Honig ◽  
Katie Barnes
Keyword(s):  
Nursing Education ◽  
Nurse Practitioners ◽  
Clinical Education ◽  
Clinical Excellence ◽  
Advanced Practice Nurses ◽  
The United States ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Practice Nurses ◽  
The Ideal

Aims and Objectives: This article aims to provide an overview of the history of advanced practice nursing, including regulation, education, and faculty practice of nurse practitioners/advanced practice nurses from Australia, the United Kingdom, and the United States. Background: Clinical nursing education has evolved from the apprenticeship model to the multiple learning methods that are employed today. The faculty practice model has the most promise and maybe the new frontier to achieve excellence in clinical education. Design: Discursive paper. Methods: Advanced practice nursing clinical education will be discussed, current trends presented, and future educational directions considered. The essential characteristics of an effective clinical educator and the ideal context for clinical education will be highlighted with the goal of educating for clinical excellence. Contemporary practices of a nurse practitioner regulation and education will be examined. Conclusions: Faculty practice in advanced practice nursing requires critical elements, which include role modeling, financial sustainability, teaching credibility, translation of research to practice, and clinical expertise. Challenges to a functional context include conflicting regulatory issues, limited scope of practice, external agency restrictions, and lack of institutional support. Relevance to clinical practice: It is essential to understand the ideal characteristics and context for effective advanced practice clinical education and identify specific challenges within each country’s functional contexts that prevent effective advanced practice clinical education. Strategies to address these current challenges and to enhance clinical excellence to maximize the effectiveness of advanced practice nursing education.

Blending Specialist and Practitioner Roles in Psychiatric Nursing: Experiences of Graduates

2003 ◽  
Vol 9 (4) ◽  
pp. 136-144 ◽  
Author(s):  
Kathleen Scharer ◽  
Mary Boyd ◽  
Carol A. Williams ◽  
Kathleen Head
Keyword(s):  
Nurse Practitioners ◽  
Psychiatric Patients ◽  
Advanced Practice Nurses ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Master Of Science ◽  
Clinical Specialist ◽  
Primary Care Patients ◽  
Adult Nurse Practitioner

BACKGROUND: Blended roles in advanced practice nursing have generated much discussion but little study. As role modifications emerge in nursing, there is a need to explore their implementation. OBJECTIVE: This descriptive study examined the experiences of nurses who were implementing blended roles as psychiatric clinical specialists and adult nurse practitioners. DESIGN: Four master of science in nursing and 10 postmasters nurses who had been practicing in blended roles for 1 to 2 years were interviewed about their experiences in implementing their roles. Interviews were tape recorded, transcribed, and content analyzed. RESULTS: Respondents believed they were practicing holistically, were able to appropriately integrate physical and psychological care of the patient, and found chronic psychiatric patients to have more complex physical illnesses than they had anticipated. In addition, the advanced practice nurses were satisfied with their roles, felt supported by their physician preceptors, and described cross-consultation with physicians and nonpsychiatric nurse practitioners. CONCLUSIONS: There are roles for advanced practice nurses who blend clinical specialist and adult nurse practitioner skills in the care of psychiatric and primary care patients.

Monitoring and Investigating Certified Registered Nurse Practitioners in Pain Management

2003 ◽  
Vol 31 (1) ◽  
pp. 101-118 ◽  
Author(s):  
Jean B. Lazarus ◽  
Belinda (Wendy) Downing
Keyword(s):  
Pain Management ◽  
Nurse Practitioners ◽  
Registered Nurse ◽  
Advanced Practice Nurses ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Prescribing Practices ◽  
Practice Nurses ◽  
Prescription Practices ◽  
Certified Registered Nurse

The Mayday Scholars Program for 2001-2002 provided an opportunity to boards of nursing to present their experiences in monitoring the prescribing practices of advanced practice nurses and to research ways for improving their own investigation processes as professional disciplinary agencies for prescribing practices related to pain management. The Alabama Board of Nursing was interested in participating in the program based on its commitment to accountability for public protection. A gradual increase in disciplinary cases involving violations of prescribing practices by certified registered nurse practitioners (CRNPs) prompted our inquiry as to whether a proactive monitoring system was needed to determine compliance with regulations for advanced practice nurses in collaborative practice.In this article, we discuss selected elements related to pain management and regulatory factors, including nursing, that affect the treatment of pain. We present a brief overview of the evolution of advanced practice nursing, with an emphasis on the nurse practitioners movement, and prescription practices and pain management by nurse practitioners.

A Description of How Advanced Practice Nurses Screen for Osteoporosis in Maryland

2016 ◽  
Vol 9 (1) ◽  
pp. 60-68
Author(s):  
Walton Reddish
Keyword(s):  
Nurse Practitioners ◽  
Urban Areas ◽  
Survey Methods ◽  
Advanced Practice Nurses ◽  
The United States ◽  
Advanced Practice ◽  
Major Health Problem ◽  
Major Health ◽  
Doctor Of Nursing Practice ◽  
Practice Nurses

Osteoporosis is a major health problem in the United States, yet the evidence suggests that practitioners often fail to screen for osteoporosis risk and, as a result, underdiagnose and fail to treat the disease. Because little is known about how well advanced practice nurses (APNs) evaluate osteoporotic risk, determining the extent to which they screen may enhance our understanding of the scope of APN diagnostic practice. The purpose of this study was 3-fold: (a) to determine if APNs routinely screen for osteoporotic risks, (b) to ascertain how they screen, and (c) to identify barriers that influence osteoporosis screening. Survey methods were used to poll members of the Nurse Practitioner Association of Maryland (n = 357) who identified themselves as adult, family, geriatric, and women’s health nurse practitioners. The results suggest that master’s-prepared APNs screen for osteoporosis more so than APNs with doctor of nursing practice (DNP) degrees. In addition, adult APN screened more often than family APNs and APNs in urban areas screened more frequently than rural-based APNs. Logistic regression failed to predict which APNs were likely to screen for osteoporosis.

Acute Care Nurse Practitioner Practice: Results of a 5-Year Longitudinal Study

2005 ◽  
Vol 14 (3) ◽  
pp. 211-219 ◽  
Author(s):  
Ruth M. Kleinpell
Keyword(s):  
Acute Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Advanced Practice Nurses ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Care Nurse ◽  
Practice Nurses ◽  
National Certification

The role of acute care nurse practitioners (ACNPs) has developed in capacity. More than 3500 advanced practice nurses have been certified as ACNPs, and the number of practice settings where these professionals work is continually expanding. Beginning in 1996, a series of surveys were conducted of nurse practitioners seeking national certification as ACNPs. What started as an attempt to gather information on the role of ACNPs evolved into a national 5-year longitudinal survey of ACNP practice. The cumulative results of the project are reported, and how the role of the ACNP was established in advanced practice nursing is discussed.

Does the Employment of Physician Assistants and Nurse Practitioners Increase Liability?

2009 ◽  
Vol 95 (2) ◽  
pp. 6-16 ◽  
Author(s):  
Roderick S. Hooker ◽  
Jeffrey G. Nicholson ◽  
Tuan Le
Keyword(s):  
Nurse Practitioners ◽  
Data Bank ◽  
Physician Assistants ◽  
Advanced Practice Nurses ◽  
The United States ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Missed Diagnosis ◽  
American Society ◽  
National Practitioner Data Bank

ABSTRACT We assessed whether physician assistant (PA) and nurse practitioner (NP) utilization increases liability. In total, 17 years of data compiled in the United States National Practitioner Data Bank (NPDB) was used to compare and analyze malpractice incidence, payment amount and other measures of liability among doctors, PAs and advanced practice nurses (APNs). From 1991 through 2007, 324,285 NPDB entries were logged, involving 273,693 providers of interest. Significant differences were found in liability reports among doctors, PAs and APNs. Physicians made, on average, malpractice payments twice that of PAs but less than that of APNs. During the study period the probability of making a malpractice payment was 12 times less for PAs and 24 times less for APNs. For all three providers, missed diagnosis was the leading reason for malpractice report, and female providers incurred higher payments than males. Trend analysis suggests that the rate of malpractice payments for physicians, PAs and APNs has been steady and consistent with the growth in the number of providers. There were no observations or trends to suggest that PAs and APNs increase liability. If anything, they may decrease the rate of reporting malpractice and adverse events. From a policy standpoint, it appears that the incorporation of PAs and APNs into American society has been a safe and beneficial undertaking, at least when compared to doctors.

The Tension Between Regulation and the Pursuit of Quality in Canadian Nurse Practitioner Education Programs

2021 ◽  
pp. 152715442110544
Author(s):  
Eric Staples
Keyword(s):  
Nursing Education ◽  
Nurse Practitioners ◽  
Public Safety ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Program Accreditation ◽  
Fiscal Restraint ◽  
Systematic Planning ◽  
Practitioner Education ◽  
Post Baccalaureate

Nurses in advanced practice roles have existed in Canada for over 100 years, yet only in the last two decades, have nurse practitioners (NPs) been recognized as advanced practice nurses (APNs). During this time, NP educational programs have increased and transitioned from post-baccalaureate level to graduate level. Legislation and national NP regulatory approval processes have contributed to existing barriers to NP role implementation and full scope of practice. While regulation is mandatory and focused on public safety, an emphasis towards quality has led to the introduction of a national voluntary NP program accreditation process. The purpose of this paper is to initiate a discussion between Canadian NP regulators and educators related to proposed regulatory approaches and accreditation processes that balance public safety while promoting quality and excellence in NP education. Having two separate and costly processes has led to tension during a time of provincial fiscal restraint on university budgets coupled with the COVID-19 pandemic and its impact on nursing education. An integrated pan-Canadian approach of regulation and accreditation may ensure public safety, continuity, and consistency in quality NP education, enhance mobility of the NP workforce, and systematic planning to guide successful future NP role development and practice.

Writing an Employer-Focused Resume for Advanced Practice Nurses

2013 ◽  
Vol 24 (2) ◽  
pp. 203-217
Author(s):  
Robert H. Welton
Keyword(s):  
Advanced Practice Nurses ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Work Experiences ◽  
Cover Letter ◽  
Clinical Practicum ◽  
Practice Nurses ◽  
Essential Components ◽  
Curriculum Vitae ◽  
Informative Text

The most important new trend in resumes is the employer-focused resume. Writing one is not difficult, but it requires a change in focus. The focus of this type of resume is on the needs of prospective employers. This new resume format allows applicants to describe to prospective employers what they can provide related to the employer’s needs as opposed to a simple listing of their academic and work experiences without relation to the prospective new job. This article provides advanced practice nurses with sources to guide construction of informative text about their advanced practice nursing skills and competencies using language familiar to employers. Resumes and curriculum vitae formats are compared, and advice is provided on developing content for either format. Guidelines are provided about listing credentials, identifying clinical proficiencies from student clinical practicum, using qualification summaries rather than an objective statement, choosing references, and including essential components in a cover letter.

Collaboration and Supervision in Advanced Practice Nursing

2014 ◽  
Vol 7 (1) ◽  
pp. 57-62
Author(s):  
Tracy Scott ◽  
Marie Lindsey
Keyword(s):  
Nurse Practitioners ◽  
Clinical Training ◽  
District Of Columbia ◽  
The United States ◽  
Current Data ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Educational Preparation ◽  
Restrictive Practice ◽  
Collaborative Agreement

Mandated collaborative or supervisory agreements are a restriction to practice for nurse practitioners (NPs) in the United States. According to the Pearson Report (Pearson, 2012), 18 states and the District of Columbia allow NPs to practice without mandated agreements. Progress toward autonomy is being made as many states remove collaborative agreement requirements. These victories are significant but many NPs continue to work in restrictive practice environments. Stiff opposition from the American Medical Association (AMA) is one obstacle to removing these restrictions. Opponents to the removal of mandated agreements cite a concern for patient safety and the educational preparation NPs receive. The evidence regarding safety is not supported by current data and a comparison of the educational requirements for NPs to other providers reveals NPs have a strong background in science and clinical training. This article explores the issues surrounding mandatory practice agreements.

Experiences and Attitudes Among Psychiatric Mental Health Advanced Practice Nurses in the Use of Telemental Health: Results of an Online Survey

2017 ◽  
Vol 24 (3) ◽  
pp. 235-240 ◽  
Author(s):  
Martha B. Baird ◽  
Lucinda Whitney ◽  
Cassie E. Caedo
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Advanced Practice Nurses ◽  
The United States ◽  
Discussion Board ◽  
Psychiatric Nurses ◽  
Telemental Health ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Online Discussion Board

BACKGROUND: Telemental health (TMH) growth is driven by recent trends in health delivery systems and disparities in access to mental health services. There are currently no standard educational guidelines to prepare psychiatric mental health advanced practice nurses (PMH-APRNs) in TMH delivery. OBJECTIVE: To survey practicing PMH-APRNs across the United States about their experiences and attitudes about use of TMH. DESIGN: Eighty-three participants from the American Psychiatric Nurses Association online discussion board completed a nine-item survey. QUESTIONS INCLUDED: Length of time practicing as a PMH-APRN, TMH use in practice, populations served, and TMH background. RESULTS: A majority had been practicing as a PMH-APRN for less than a decade and had used TMH, although most reported no prior education or training in this delivery method. Participants did indicate a desire for TMH education. CONCLUSION: This survey affirms the prevalence of TMH use among PMH-APRN providers, lack of formal training, and necessity for standardized educational guidelines in TMH delivery.

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