ADVANCE PRACTICE NURSING

An exploratory study to examine the Board of Nursing Regulation on Advance Practice Nursing

Abstract

Nurse Practitioners have emerged in the last decade as a response to changing demands in health care. The need for a more a more flexible approach to the delivery of care has never been more appropriate at a time when the needs of disadvantaged communities are being addressed particularity in areas where there is little access to a general practitioner. In their response to major documents such as The Crown Report, Higher Level Practice and Making a Difference nurses have highlighted a need to provide the best quality of care to the communities that they serve. The ability to work alongside the medical profession and with other health care professionals is fundamental to the leadership challenges facing the Nurse Practitioner movement.

Table of Contents

Chapter 1: Introduction4

Background of the Study4

Problem Statement5

Purpose of the study7

Aims7

Goal7

Proposed Hypotheses for Testing8

Chapter 2: Literature Review9

Chapter 3: Methodology17

Research Deign17

Literature Search17

Keywords18

Chapter 4 - Findings19

Knowledge20

Skills21

References25

Chapter 1: Introduction

Background of the Study

Efficient nursing is always behind the success of hospitals. Similarly, the overburdened nursing team can affect the overall performance of healthcare units. In this paper, the complexity compression is connected to the experience that nurses practice when expected to presume additional, unexpected responsibilities while at the same time conducting their numerous responsibilities in a tight schedule. For the paper we will discuss a hospital based outpatient pain management centre located in a large metropolitan area that receives on the average 100 prescription refill requests per day.

Advanced Nursing Practices act diversity roles and these variety roles are based on different factors which are included social, political and economic in society. Through the course contents, nurses have to learn environmental consideration, ethical considerations, national and state health policy and services, and collaboration. (Wiseman 2007) Nurses are not only conduct comprehensive health assessment but also have the responsibility to meet client needs through both nationally and internationally view.

Economic consideration is important as well because of the present healthcare management environment. The change of demographics and lifestyle are the challenge for the professional healthcares. The need for drugs cost, the lengths of hospital stay, home care services and continue care have been rising.

Therefore, ANPs should know health promotion and health protection interventions which are included home visits, daily telephone call, physician backup are important to reduce health risks, then, use the two strategies can reduce healthcare cost much lower and re-hospitalization. Moreover, nurses should know the medication management. If nurses have an advanced pharmacology education and be able to prescribe, then they can provide high quality services and control costs.

Problem Statement

Overall, these learning contents are trying to train nurses to have collaborating skill. This can help them to organize what the patient needs exactly. For instance, to coordinate discharge planning with patients, physicians, caregivers, nursing staff, social staff even community resource groups as soon as patients in the hospital, keep follow-up the plans and see if it need to consult with physicians and other counseling when problems are ...