Running head: ROLE OF THE ADVANCED PRACTICE
ROLE OF THE ADVANCED PRACTICE
The Role of the Advanced Practice Nurse in a Clinical Setting As It Promotes Patient Safety
Advanced nursing role to research
The Family Nurse Practitioner (FNP) exercises his or her mandates under the umbrella of an Advance Practice Nurse (APN). An APN is a registered nurse who possesses “patient-focused application of an expanded range of competencies to improve health outcomes for patients and populations in a specialized clinical area of the larger discipline of nursing” (Hamric et al., 2014). On the other hand, an FNP is “a registered nurse who has matriculated through an accredited graduate advanced practiced nursing education program and attained a skillset through classroom and clinical preparation to essentially undergo both a licensure and paradigm shift in role from an RN to an FNP” (Hansen-Turton et al., 2013). The change which is conferring to Weiland (2015) “has been depicted as moving from the side of the bed to the head of the bed.” As study remains to research on the role and effect of the APN bring to the healthcare industry, in the community, the importance of APN’s leads to the realization of huge impacts in linking the gap between healthcare and cost-efficiency. Upcoming healthcare centers are requiring “improved access to care, cost-effective care, and the provision of evidence-based care” (National Patient Safety Goals. 2016).
Nurse practitioners (NP) are “clinicians that blend clinical expertise in diagnosing and treating health conditions with an added emphasis on disease prevention and health management, NPs bring a comprehensive perspective to health care” (Weiland, 2015). Healthcare consumers have fully accepted NPs in the market and several other care providers as a significant factor of the digital healthcare system. NP discharge their services in close proximity with patients in order to create a culture of competent care, personalized care, focusing on sound resolutions to care problems, as well as delivering quality care to both the patient and their families.
Accredited organizations seek to address particular fields with respect to patient safety. This milestone in their processes is made possible by the measures brought about by Joint Commission when they enacted National Patient Safety Goals (NPSG) program in 2002. Among the goals, objective 3 of the 2016 NPSG program cut across the mandates NPs are entitled to since it helps in improving the care of prescription (National Patient Safety Goals. 2016), and NP as medicine prescribers should understand that prescription safety is vital in patient management. In the vast of the aging populace who depends primarily on prescription and accidental faults of prescription mistake, together with the damage sustained by patients upsurges as the number of prescriptions prescribed goes up. Therefore, notwithstanding the present procedures, and homogeneous methods available to eliminate risk and stop prescription mistakes, the occurrence of prescription mistake has not lessened and stands to be one of the major motives for misconduct claims against APRNs. Medication errors are not new in a healthcare setting, though in a profession that is determined to become autonomous and be freed from clinical experts’ monitoring, all components that are triggering the rise of prescription errors must be addressed.
Applying an Advance Nursing Practice Concept to NP role
The NP has become an increasing role seen in most of the modern healthcare settings since they deliver their services within the premise of community, hospitals and ambulatory clinics. According to Hamric et al (2014) “NPs provide wellness and preventive care services; diagnose and manage common, uncomplicated acute illnesses; order tests and referrals; help patients manage chronic diseases, and write prescriptions.”
The autonomous role of NP is increasing globally as people’s health is shifting from hospitals into the communities. Compared to physicians, NPs spends more time with patients. This is so because they provide counseling and coordination, and offering health education; however, “despite convincing data about the quality of care provided by NPs, many managed care organizations (MCOs) across the country do not credential NPs as primary care providers. This put a limit on the ability of NPs to be reimbursed by private insurers” (Hansen-Turton et al., 2013). Additionally, (Hamric et al., 2014) stipulates that nurses have been working independently since the period of the “Frontier Nursing Service” (FNS). The FNS nurses carried their duties by considering autonomy as the only diagnosis and management received by patients than those of the nurses.
Ten questions that you would like to ask the advanced practice clinician or non-clinician
1. What would you do if a patient is not responding positively to prescribed medication and requests more than the allowable amount?
2. Explain a scenario where you went above and beyond to provide exceptional patient care.
3. Do you prefer to work alone or as part of a nursing team?
4. How would you handle a patient who complains due to wrong medical prescription?
5. Would you advance your career to become a doctor?
6. What is the most difficult aspect of being a nurse practitioner?
7. Why should the company hire you?
8. Explain how failure has helped you become a better professional?
9. How do you contribute to a patient’s experience?
10. What do you do when a patient requests unnecessary antibiotics?
Opinion support with two research articles
According to the review of literature of 2011, Whites cited the 1999 “Institute of Medicine (IOM) outcome that stated that, annually, more than 7,000 deaths are recorded as a result of medication prescription error; making it higher than AIDs mortality rates, breast cancer, and vehicle accidents. Another research from the Canadian Health Institute information data of 2011 reveals that the dangers of sustaining damage escalate as more than a single agent is prescribed, and the sickest and weakest patients are most susceptible (White, 2011). Considering such statistical reports raises the attention to medication prescribes comprising NPs, to be watchful towards prescription safety.
White contends that as the recognition of NPs in the healthcare industry continues to be significant issues, so are their responsibilities (2011). Thus, the NPSG dictates for medicine prescribers by saying that “medication safety is a team approach,” and safe APRN recommending is associated with autonomous of all group affiliates (White, 2011). Furthermore, the study argues that the role of APRNs in controlling prescription mistake is crucial, since APRNs are significant to health care, hence, APRN should always look for approaches to promote safety through effective communication. Understanding a well-informed patient is a very vital factor to consider in order in preventing prescription mistakes, NP must communicate with the patient in an ethnically understood manner.
Hamric, Ann, Hanson, C., Tracy, M. F., O’Grady, E. (2014). Advanced practice nursing: an integrative approach, 5th Edition. [Vital Source Bookshelf Online]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9781455739806/
Hansen-Turton, T., Ware, J., Bond, L., Doria, N., & Cunningham, P. (2013). Are managed care organizations in the United States impeding the delivery of primary care by Nurse Practitioners? A 2012 update on managed care organization credentialing and reimbursement practices. Population Health Management, 16(5), 306-309 4p. doi:10.1089/pop.2012.0107
National Patient Safety Goals. (2016, January). Retrieved from Joint Commission: http://www.jointcommission.org/standards_information/npsgs.aspx
Weiland, S. A. (2015). Understanding nurse practitioner autonomy. Journal of the American Association of Nurse Practitioners, 27(2), 95-104 10p. doi:10.1002/2327-6924.12120
White, C. S. (2011). Advanced practice prescribing: issues and strategies in preventing medication error. Journal of Nursing Law, 14(3/4), 120-127 8p. doi:10.1891/1073-7422.214.171.124.120