The attainment of the requirements for the advanced practice nurse has been my goal for many years. Gauging from the concepts covered in class, I have gained the understanding of most of the aspects of healthcare. One of such elements is the evolution witnessed in nursing aimed at offering efficient care to the patients. For example, chapter one has imparted knowledge on the position assumed by women in healthcare. The chapter explains how women are accustomed to providing care leading to their participation in midwifery schemes as they know how to make ointment, teas, pills, and syrups. Also, this chapter has provided insight on the emergence of nurse anesthetists which was as a result of the need for the practitioners to offer anesthesia before surgeons embark on surgery.
This chapter has brought to my attention the emergence of clinical nurse specialist. I have learned that this expertise started in the 19th century to facilitate the continuity and coordination of care and it focuses on patient care. Clinical nurse specialist instills a mother role in healthcare geared toward encouraging, teaching and protecting the patient. It also bridges the gap between direct patient care and the health practitioner. In broader terms, the evolution schemes witnessed in the nursing eliminate the gap between specialized nursing and interns. Another concept which confirms the growth experienced in the nursing profession is the emergence of the doctor of nursing practice and the clinical nurse specialist. In my opinion, CNS is a new concept which will not gain a lot of popularity in the health sector. Only doctors in large medical institutions will prefer the services of CNS such as neurosurgeons and cardiologists. Other doctors will prefer CNS to act as OR assistants who will offer post care and suturing in ICU.
Chapter three and four have given me insight on the advanced nurse participation after graduation, securing a job and when prescribing medication. However, the different roles attached to the nurse participation are more stressful as they consume a lot of time which may not be available. Chapter three has brought to my attention the theoretical role perspective which provides the limits attached to a practice. For example, the chapter defines the roles of a decision from a physician and nursing practice towards patient care. Such limits ensure every health practitioner concentrates to their level of specialization to avoid duplication of roles. Chapter four addresses the educational requirements for different practices which include clinical nurse specialists, nurse midwife, nurse anesthetists, and nurse practitioner. Also, the chapter stresses the difference in roles exhibited by PHD and DNP which arises from their different educational scope. For example, PHD is associated with research activities geared toward innovation to introduce new concepts in nursing.
On the other hand, DNP is aimed at providing an environment which is centered on the patient and achieved through evaluation, implementation, and planning. Gaining knowledge of the difference between PHD and DNP increases my capability of delivering efficient services to the patient. This chapter stresses the accreditation schemes by either CNEA and CCNE which are bodies involved in curriculum accreditation. It also shows that society has embraced the PHD and DNP programs by stating that high enrollments have been witnessed in both programs.
Conclusion
From these chapters, I have learned that nursing is an extensive practice as it involves different spheres such as Nurse practitioner, registered nurse, management team or a combination of two positions and practitioners can move from one level of specialization to another.
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