scholarly journals Advanced Practice Nursing in Cardiology: The Slovak Perspective for the Role Development and Implementation

Author(s):  
Beáta Grešš Halász ◽  
Lucia Dimunová ◽  
Ivana Rónayová ◽  
Viliam Knap ◽  
Ľubomíra Lizáková

Background: Cardiovascular diseases (CVDs) are the number one cause of death globally. Most can be prevented by addressing behavioral risk factors, where advanced practice nurses- clinical specialists in cardiovascular nursing play a fundamental role. This modern and effective role is based on advanced activities, knowledge, skills, and experience in a specialized field, which can make a significant contribution to solving the problems of these civilization diseases. The aim of this work is to explore the self-perception of advanced-practice nurses (APNs) working in cardiology and vascular medicine departments within the context of advanced-practice nursing. Methods: This quantitative exploratory study included 103 APNs working in cardiology and vascular diseases departments of specialized hospitals in Slovakia. A validated instrument was used. Results: The overall perception was at the level of 68.01%. The highest-rated domain was the outcomes for patients/clients, and subdomains were meeting the needs, education of healthcare workers, and quality in relation to management. There was a significant difference found among hospitals with a better scoring of specialized institutions. Conclusion: There have been promising advances due to the current legislation in Slovakia defining APNs and specialists’ competencies. However, the practice in nursing for CVD patients remains fragmented, uncategorized and less valued by stakeholders and the public. According to the results, nurses have the potential and preparedness for this role in the context of their knowledge and skills in general. The Authors conclude that there is a need of such specialization of APNs in Slovakia.

2013 ◽  
Vol 24 (2) ◽  
pp. 203-217
Author(s):  
Robert H. Welton

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.


2003 ◽  
Vol 9 (4) ◽  
pp. 136-144 ◽  
Author(s):  
Kathleen Scharer ◽  
Mary Boyd ◽  
Carol A. Williams ◽  
Kathleen Head

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.


2003 ◽  
Vol 31 (1) ◽  
pp. 101-118 ◽  
Author(s):  
Jean B. Lazarus ◽  
Belinda (Wendy) Downing

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.


2015 ◽  
Vol 8 (2) ◽  
pp. 249-257 ◽  
Author(s):  
Andrew Scanlon ◽  
Janice Smolowitz ◽  
Judy Honig ◽  
Katie Barnes

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.


The Clinical Pocket Guide to Advanced Practice Palliative Nursing is a companion guide to Advanced Practice Palliative Nursing, the first text devoted to advanced practice nursing care of the seriously ill and dying. Each chapter of this pocket guide presents point-of-care guidance on palliative care issues for quick reference in daily practice. Edited by leaders in the field, this handbook provides consistency in the nursing process from assessment to management and evaluation of symptoms and various clinical situations. The Clinical Pocket Guide to Advanced Practice Palliative Nursing contains clinical pearls developed from the textbook and practical tools on pain and symptom assessment, functional status, and communication, making it an ideal resource for practicing advanced practice nurses.


2020 ◽  
Vol 10 (5) ◽  
pp. 56
Author(s):  
Sarah M. Fitz ◽  
Kathleen J.H. Sparbel ◽  
Kelly D. Rosenberger ◽  
Susan J. Corbridge

The Doctor of Nursing Practice (DNP) is the terminal degree for advanced practice nurses. All documents outlining competencies for doctorally-prepared nurses include professionalism as a requirement. While fostering professionalism in DNP students is expected of faculty, there is little data or guidance that describes specific educational strategies related to this concept. The available literature related to professionalism in healthcare education is not specific to advanced practice nursing. The purpose of this article is to define domains of professionalism for DNP-prepared advanced practice nurses, discuss specific examples of each domain, and propose strategies for including the domain within the DNP curriculum.


2005 ◽  
Vol 14 (3) ◽  
pp. 211-219 ◽  
Author(s):  
Ruth M. Kleinpell

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.


Author(s):  
Marilyn Rhodes

In October 2004 the American Association of Colleges of Nursing (AACN) endorsed the Doctor of Nursing Practice (DNP) as the single entry degree for advanced practice nurses (APNs) beginning in 2015. This action initiated significant changes in many graduate nursing programs. Currently 153 DNP programs have enrolled students and an additional 106 programs are in varying stages of development. This article will examine real and potential outcomes of having the DNP degree as the single entry level for APN practice using an effects-based-reasoning framework. The author begins with a discussion of factors that influenced the DNP initiative and an explanation of effects-based reasoning. Within an effects-based framework, the author examines acceptance or rejection of the DNP initiative by APN programs and professional organizations, as well as the effects within the broader healthcare community. Concluding observations will be shared.


Pflege ◽  
2013 ◽  
Vol 26 (6) ◽  
pp. 421-430 ◽  
Author(s):  
Veronika Waldboth ◽  
Anna-Barbara Schlüer ◽  
Maria Müller-Staub

Die Betreuung von chronisch kranken Kindern und Jugendlichen mit multiplen Einschränkungen ist komplexer geworden und stellt Gesundheitseinrichtungen und Fachpersonen vor Herausforderungen. Neue Versorgungsmodelle wie die Implementierung von Advanced Practice Nursing sind angemessen, um auch zukünftig qualitativ hochstehende Versorgung zu gewährleisten. Im Kinderspital Zürich sichern Advanced Practice Nurses (APNs) die komplexe Betreuung der betroffenen Familien. Ziel dieser Studie ist, die Tätigkeiten der APNs Kontinenz und Wundpflege aus interdisziplinärer Sicht auf ihre Qualität und ihren Nutzen zu untersuchen. Einem Mixed Method-Ansatz folgend wurden Handlungen und Nutzen der APNs anhand von zehn qualitativen Interviews und einer parallelen Fragebogenerhebung (N = 96) evaluiert. Die Resultate zeigen die Umsetzung zentraler APN-Kompetenzen und weisen eine hohe Qualität der Tätigkeiten aus. Der Nutzen umfasst positive Auswirkungen auf die betroffenen Kinder und Familien und das interdisziplinäre Fachpersonal. Eine professionelle Wundversorgung und das Erlangen von Kontinenz wurden als Effekte identifiziert.


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