NUR 513 Compare two different advanced registered nurse roles with regard to ethical guidelines

NUR 513 Compare two different advanced registered nurse roles with regard to ethical guidelines

NUR 513 Compare two different advanced registered nurse roles with regard to ethical guidelines

There are many avenues available for Registered Nurses within different types of Masters Programs. Advanced Nursing Practice Roles uniquely identify within different specialties. The two types of APN roles I have decided to compare includes Nurse Educator and Nurse Practitioner (Liaison International , 2022).

The Nurse Educator, whether it be college instruction or hospital bedside guidance, has a very important responsibility. Teaching and guiding nursing students, new grads and experienced nurses through gentle but firm instruction is an important balance (American Nurses Association, 2022). Ethical considerations can include providing constructive communication techniques for all facets of learning styles, maintaining confidentiality and anonymity, and recognizing potential of harm so the issue can be swiftly revised and improved. The nurse educator is an important resource for all areas of nursing, and performing this role with compassion and confidence directly influences healthy growth and success within all levels of nursing practices (DeNisco & Barker, 2019).

The Nurse Practitioner involves direct patient care and can span all types of specialties in medicine. Diagnosis and treatment as well as counseling in preventative care helps to create a healthy balance between the actual management of care and strategies needed for long term success. (American Nurses Association, 2022).  Nurse Practitioners do not just treat the present problem but also the patient’s future health and happiness. Ethical considerations include voluntary participation of the patient, confidentiality, and informed consent (DeNisco & Barker, 2019).

There are many ethical differences within these two APN roles. The scope of practice highly differs between the two, which directly influences the associated ethical guidelines. One huge difference is the population served. Nurse Educators directly serve the nurses and institutions, while Nurse Practitioners directly serve the patients and institutions. Both roles utilize evidence-based practice and definitive ethical standards. The response to an ethical situation differs in the fact that the educator may identify and correct situations by improving knowledge gaps and training while the Nurse Practitioner may have to adjust the plan of care accordingly and follow up with different treatment modalities.

For example: A Jehovah witness patient is diagnosed with sickle cell crisis who is dangerously anemic and needs a

NUR 513 Compare two different advanced registered nurse roles with regard to ethical guidelines
NUR 513 Compare two different advanced registered nurse roles with regard to ethical guidelines

blood transfusion. Ethical guidelines remain in place for respecting spirituality and religion. The hospital educator may consider addressing this situation with cultivating awareness by teaching the institutions employees, which leads to building understanding and acceptance for this patient population. The Nurse Practitioner will need to adapt the plan of care to this specific situation but also directly educate the patient on the high level risks associated with the denial of the blood transfusion. The NP can help the patient define personal limits and wishes associated with the plan of care without encroaching on the validity of the religious belief.

American Nurses Association. (2022). Advanced Practice Registered Nurse (APRN). https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn

 

DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: essential knowledge for the profession (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284176124

 

Liaison International (2022). Explore Health Careers. https://explorehealthcareers.org/field/nursing/

 

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Hi, Cristal I agree with your discussion of the different roles of a nurse educator and a nurse practitioner. The responsibilities and roles of these two types of nurses are different. The Nurse practitioner’s (NPs) responsibility, as you mentioned in your post, it is to “provide direct patient care” by “diagnosis and providing treatment” (American Nurses Association, 2022). The NP ethical guidelines are also different from the Nurse Educator’s; for example, the NP must make sure that the patient receives the health needed to improve the health condition by ensuring clear communication within them. In contrast, the Nurse educator must educate the student on the importance of following the code of ethics to provide excellent patient care to patients and families.

 References

American Nurse Association. (2022). Advance Practice Nursing (APRN). Retrieve from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn

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You made some really good points in your post Crystal! The nurse practitioner (NP) has a lot more freedom than the nurse educator as the autonomy is personal driven the educator has protocols and policies they must follow. That does not mean the NP does not have to follow federal laws and policies of the organization, however, they are patient-driven rather than organization-driven. Since the pandemic, even more states have changed their rules on the autonomy of the NP (Torrey, 2022). Now, about half of the states within our country do not need to have a physician oversee their practice and can go into private practice (Torre, 2022). Regardless of the path, one must have a passion for the population you serve, so choose wisely. 😉

Reference

Torrey, T. (2022, April 8). What is a nurse practitioner? Very Well Health. https://www.verywellhealth.com/difference-between-nurses-and-nurse-practitioners-2615018

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Crystal, I appreciate all of the information you shared. I also compared a nursed educator. Nurse educators have many responsibilities but one of the most important things that they must do is promote and encourage students to exercise around clinical judgement, practice using ethical standards, and support and respect their colleagues (National League for Nursing, 2012). Nursing educators need to treat all students fairly and stray away from racism. But all nurses whether that be an advanced registered nurse, or not should all have the goal to respect basic human right and dignity of all people, this is an important principal when caring for people.

References

 

National League for Nursing. (2012, January). Ethical principles for nursing education national league for nursing. https://www.nln.org/docs/default-source/uploadedfiles/default-document-library/ethical-principles-for-nursing-education-final-final-010312.pdf?sfvrsn=4b49d00d_0

The two different advanced registered nurse roles that I am going to compare is a nurse midwife and a nurse educator. Although all nurses need to abide by similar ethics there are additional guidelines to consider for these very different roles.  Nurse educators have many responsibilities but one of the most important things that they must do is promote and encourage students to exercise around clinical judgement, practice using ethical standards, and support and respect their colleagues (National League for Nursing, 2012). Nursing educators need to treat all students fairly and stray away from racism. On the other hand, nurse midwives have a whole new world of ethical guidelines that need implemented. Midwives provide care to women at some of the most vulnerable times of their lives. They are responsible to keep women healthy as well as making sure their babies arrive healthy. What a huge responsibility that has a lot of moving parts. One unique ethical guideline to midwives is that they must develop a partnership with the woman that they work with and shares relevant information to help women make informed decisions, consent to an evolving plan of care, and acceptance of responsibility for the outcome of their choices (American College of Nurse-Midwives, n.d.). Respect for autonomy is basic to midwifery care and is foundational to a partnership that fosters open communication between a midwife and a woman (American College of Nurse-Midwives, n.d.). But all nurses whether that be an advanced registered nurse, or not should all have the goal to respect basic human right and dignity of all people, this is an important principal when caring for people.

 

References

 

American College of Nurse-Midwives. (n.d.). Code of ethics with explanatory statements. https://www.midwife.org/acnm/files/ACNMLibraryData/UPLOADFILENAME/000000000293/Code-of-Ethics-w-Explanatory-Statements-June-2015.pdf

 

National League for Nursing. (2012, January). Ethical principles for nursing education national league for nursing. https://www.nln.org/docs/default-source/uploadedfiles/default-document-library/ethical-principles-for-nursing-education-final-final-010312.pdf?sfvrsn=4b49d00d_0