ADVANCED PRACTICE NURSING

Advanced Practice Nursing



Advanced Practice Nursing

Introduction

Advanced practice nursing (APN) represents the future frontier for nursing practice and professional development. It is a way of viewing the world that enables questioning of current practices, creation of new nursing knowledge, and improved delivery of nursing and health care services.

Therefore, continued development of APN is of paramount importance for society and the nursing profession.

In this paper, six issues influencing APN role development, implementation and evaluation are described, and

Recommendations for the future introduction of APN roles are proposed. Confusion about the roles is evident in

Misuse of terms, inconsistent titling and educational preparation, and varied interpretations about the purpose

Of APN roles. In addressing this issue, the terms 'advanced nursing practice' and 'advanced practice nursing' are distinguished, and this provides the basis for examining five other issues: lack of clearly defined APN roles and goal expectations, role emphasis on physician replacement and support, underutilization of the full scope of APN role domains,

Environmental factors that undermine APN roles, and the limited use of research and evidence-based approaches to guide the introduction of new APN roles. (Atkins, 1998, 33).

Critical evaluation of the impact of the advanced practitioner role within multi-professional practice

Evaluation investigations show that the value-added constituent of APN roles expands after the move of medical functions. In prime care, meta-analyses have shown that nurse practitioners and physicians supply matching care with esteem to evaluation and diagnostic correctness, and accomplish wellbeing conclusions. However, nurse practitioner care was furthermore affiliated with advanced patient approval and quality of care associated to patient learning, connection and documentation. In acute care, some investigations have assessed the influence of the Transition Model, in which advanced perform nurses provide relentless care between dwelling and clinic (Brooten et al. 2002). High-risk older, neonatal, and obstetric patients randomized to APN care had decreased clinic extents of stay, smaller re-admission rates, declined wellbeing care costs, increased wellbeing advancement behaviours, and higher approval with care in evaluation with that obtaining benchmark care. In oncology, women freshly identified with breast cancer randomized to APN care had advanced value of life compared with those obtaining benchmark care. Patients obtaining APN look after the administration of breathlessness in advanced lung cancerous infection obtained individually tailored, holistic and multi-dimensional schemes to advance personal function, endure decreased lung capability, and contend with disability and psychological anguish. When in evaluation with patients randomized to customary supportive care, patients in the APN assembly illustrated less difficulties with despondency, advanced personal symptoms, declined breathlessness, and increased presentation status (Hammond, 1991, 89).

These investigations propose that the worth supplemented constituent fan roles engages a nursing orientation to perform characterized by coordinated, incorporated, holistic, and patient centred care conceived to maximize wellbeing, value of life and purposeful capacity. Opportunities for discovery and improved patient and wellbeing care schemes conclusions occur when the introduction of APN roles comprise a complementary supplement to the form of care other than a move of role purposes between care providers (Caffarella, 1999, 136).

Advanced perform nurses (APNs) are RNs who have obtained ...