NUR 513 How will your worldview and cultural and spiritual competence affect your role and scope of practice as an advance registered nurse?

NUR 513 How will your worldview and cultural and spiritual competence affect your role and scope of practice as an advance registered nurse?

NUR 513 How will your worldview and cultural and spiritual competence affect your role and scope of practice as an advance registered nurse?

In the acute inpatient, bedside nurses frequently admit, transfer, and discharge patients. The discharge instructions are not only a document in the medical record but a reminder for patients. Guide the patient to follow up with their primary provider, outpatient procedure, and follow up with specialists. Many times, we have patient acknowledge their incidental findings during hospitalization. But no control over their care after discharge; this is a pure discrepancy in our health care system. Our hospital has a customer service that will call patients the day after their release; it’s just customer service and doesn’t cover professional advice or track patient follow-up appointments.

According to Siegmund, incidental finding coordinator or care coordinator is a new role for advanced practice registered nurses (APRN). This care coordinator’s role was to manage a patient with incidental findings and required ongoing coordination of their care. The care coordinator ensures patients keep their appointments, provides patient-based care and coordinates with other healthcare team members. Their position can potentially reduce inefficiencies and improve patient outcomes, close the gap for lack of tracking of patients, collaborate with the specialist, refer patients to the right place for their incidental findings, and stop the discrepancies in our health care system. (Siegmund et al., 2020)

 

Siegmund, L., Hamilton, A., & Nespeca, T. (2020). Incidental findings coordinator: A new role for advanced practice registered nurses. OJIN: The Online Journal of Issues in Nursing25(2). https://doi.org/10.3912/ojin.vol25no02ppt5422

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One of the many resources I have come across is an article that easily explains different opportunities for growth for a nurse. It discusses the four recognized Advanced Practice Registered Nurse (APRN) roles of Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), Certified Nurse Midwife (CNM), and Nurse Practitioner (NP) and offers additional resources to explore more information on each role. The article also discusses other opportunities for advanced nursing degrees including a Master of Science in Nursing (MSN), Nurse Educator (NE), doctorate of nursing practice (DNP), doctorate of philosophy (PhD), and also mentions certifications for multiple roles. The article also has a table with specialty, course type, online options, credit hours, certifications, and salary that is helpful and easy to compare roles for anyone thinking about furthering their education as a nurse.

 

References

McClelland, M. (2014). A Guide to Advanced Practice Registered Nurse Roles. Academy of Medical-Surgical Nurses, 23(4), 10-14. https://eds-p-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=3&sid=fb0c5bcd-f337-45c9-899d-38a125f06a02%40redis

 

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​One resource that helped me understand advanced practice registered nurse roles is titled “Advanced nursing practice roles: closing the knowledge gap.” The authors begin the article by outlining the growing demand for improved patient outcomes. Ko et al. (2019) acknowledge that achieving improved outcomes require recognition of advanced practice roles. The outlined roles include certified RN anesthetists (CRNAs), certified nurse midwives (CNMs), clinical nurse specialists (CNSs), advanced practice RN (APRN), and clinical nurse leaders (CNL).

The article goes ahead to outline that all these four key roles require master’s level and doctoral level degrees. The authors also indicate that advanced registered nurse roles significantly influence patient and healthcare outcomes. In the next ten years, the need for advanced practice nurses will rise by 31%, given the mandate to address the aging population and promote preventive care (Ko et al., 2019). They conducted an educational intervention to obtain knowledge on advanced practice roles in an 877-bed level 1 hospital.

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The study results indicate that practice guidelines and toolkits are crucial in guiding advanced registered nurses in

NUR 513 How will your worldview and cultural and spiritual competence affect your role and scope of practice as an advance registered nurse
NUR 513 How will your worldview and cultural and spiritual competence affect your role and scope of practice as an advance registered nurse

their roles. Good leadership is also important in ensuring the appropriate implementation of the four key roles. There is a gap in leadership knowledge of the roles of advanced practice nurses. However, they should understand that NPs, CNMs, and CRNA deliver high-quality care to patients in diverse settings (Ko et al., 2019). On the other hand, a CNS consults with other nurses on patient care, provides direct patient care, and works to enhance health practices at the macro and local levels. The CNL roles are mainly focused on the micro level with a key focus on safety and care quality.

 

Reference

Ko, A., Burson, R., & Mianecki, T. (2019). Advanced nursing practice roles: closing the knowledge gap. Nursing management50(3), 26-36.

 

REPLY

Thanks for sharing. The reference looks good, just remember to include the doi number as well.

 

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In regard to roles of the advanced registered nurse, a resource that I have found helpful is from New England Institute of Technology. The reason I like this resource is because it briefly explains roles of various master’s prepared nurses: nurse practitioner, nurse educator, nurse anesthetist, nurse midwife, nurse manager, clinical nurse specialist, research nurse, nurse consultant, forensic nurse consultant, nurse ethicist, and health informatics nurse. Some of the roles listed above are completely new to me, so this has been very helpful. Additionally, this resource also lists basic skills you will acquire from getting your master’s in nursing. Arguably, my favorite part of this resource is that it not only informs you of benefits of becoming a master’s prepared nurse, but it also lists some possible drawbacks of being a master’s prepared nurse (New England Institute of Technology, 2020). A negative thing I can say about this resource is that is does not go into great detail about each role, but it does give you a general understanding. I enjoy reading resources like this because it is interesting to see all of the roles that a nurse can pursue.

References

New England Institute of Technology. (2020, September 11). What can you do with a masters in nursing in 2022? https://www.neit.edu/blog/what-can-you-do-with-masters-in-nursing

I wanted to share this article regarding role of the Advanced Practice Registered Nurse (APRN), although the focus is more on public health. It is relevant to the current topic on health equity as one of the strategies discussed in this article is promoting more APRN to provide primary care in the communities since they are particularly skilled in collaboration, partnership development, communication, system transformation, engaging across sectors, and other competencies needed for effective systems change to address health equity. (Bekemeier et al., 2021). It also enumerated APRN skills and competencies in relation to the roles they perform.

The COVID-19 pandemic has highlighted the need for nurse leaders who “embrace the interconnection” between medicine and public health. The inequitable impact of COVID-19 on people of color demonstrates the importance of applying expertise from nursing practice and public health systems to work with communities and other professions on complex health issues. (Bekemeier et al., 2021)

The nation needs more advanced practice nurses prepared for leadership roles focused on the health of whole populations, marginalized communities, and the systems and policies that promote their health. APRNs bring into their practice nursing’s relationship-focused and holistic view of health, competencies like analytic assessment, policy development, program planning, communication, cultural humility, financial planning and management, and leadership. (Bekemeier et al., 2021)

References:

Bekemeier, B., Kuehnert, P., Zahner, S., Johnson, K., Kaneshiro, J., Swider, S. (2021) A critical gap: Advanced practice nurses focused on the public’s health, Nursing Outlook69 (5), 865-874, https://doi.org/10.1016/j.outlook.2021.03.023.