Paper Example on Roles of Advanced Practice Registered Nurse

Introduction

APRN is an abbreviation for Advanced Practice Registered Nurse. They are nurses who have completed a post-graduate course in nursing practice and who are registered to offer extensive training in the nursing field. The nurses have a set of roles to play. Thus they are affiliated towards having preparedness in knowledge, skills, a set of high scope of nursing practice, didactic and clinical experience. The roles of an APRN is connected to more than just utilization of a set of advanced and expanded skills strong planning, high-quality assessment, a wide range of diagnosis, implementation and robust evaluation strategies for each patient. After completing a post-graduate degree, an advanced practice registered nurse is required to work as a specialist or as a generalist practitioner. This paper seeks to resonate around the specialized roles that advanced practice nurse practitioners are affiliated to while performing their service with patients following the need to allude to evidence-based practice.

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The role of an APRN nurse is to maintain advanced skills in knowledge, and skills that can be applied in a nurse-patient relationship as a roadmap for achieving enormous outcomes for the patient. As an APRN, an individual has to be ready to perform the unachievable by employing their extensive knowledge and evidence-based practice skills in coming up with a set of suitable solutions to patients' critical situations. Another role that an APRN practitioner is expected to perform is a vital analysis of the various complex issue and solid decisions which are based on evidence. The specialty of advanced practice registered nurses is in a state of evolution. Thus the nurses are made to be responsible for making any inquiry that can result in significant outcomes when dealing with complicated issues in patients. APRN is subject to evolution in their practice. Thus the practitioners are made to portray skills that are related to a set of approaches that represent strong care for patients.

Another critical role that APRNs apply and which they are affiliated to portray is a demonstration of a set of combined strong theoretical knowledge amid practical approach which is towards the problem and high-quality experience in conjunction with various autonomous judgments. The APRNs are also concerned with achieving multiple procedures which are in line with various complicated issues that tend to manage the healthcare of a given patient while alluding to collaborative practices to make the best solutions to the patients' problems (Anderson & Salisbury, 2002). APRN is also affiliated with essential roles in enhancing great evolution. The APRN is concerned with emerging management activities that should be done without the presence of a doctor. Since the APRN are individuals who have passed through a set of approaches towards administrative practices and disease control, they can be assigned the role of being independent practitioners who can carry out the functions of a doctor in separate healthcare institutions.

Hamric, Spross, and Hanson (2009) is research that outlined that the APRN practitioners are dedicated towards active management process to enable the process of bringing the required change in administrative and effective service provision. Clinical practice has been enhanced by APRN service which is next to the service that a physician can offer to a patient in any healthcare facility. APRNs are now preferred than ordinary nurses due to their flexibility in offering both nursing and physician services.

APRN and Clinical Judgement Prescription

The APRN can factor in the cost of the patient and the prescribed medication. The practitioners are able always to prescribe the newest drugs and medical approaches thus cutting the cost of healthcare. The APRNs can handle the drug samples for poor patients thus doing the service to be viable for all healthcare seekers.

APRN and Criteria for Practitioner Practice with Healthcare Reforms

The APRN can engage the patient in the treatment process. For instance, they can ask the patients about what drug that they think would work best for their condition. The nurses can consult the national drug control board before writing a given prescription for a patient. The fact that nurse practitioners can practice independently makes them have a full reimbursement which is usually under healthcare reform. The accountability of Medicaid to state level makes the nurse practitioners offer an extensive service thus enabling the diverse population to receive the most vital assistance without facing the commotion at public facilities for the services to be provided by ordinary nurses and doctors.

Fellowship Programs for APRN

Since the introduction of APRN roles in the University of Colorado, 2015 was the year that the functions of APRNs roles were widely practiced and realized to cause a resourceful impact. For instance, Carlos (2018) outlines that APRN offers a broad role in primary care, acute and critical responsibility for patients. APRN solve the challenge of shortage of physicians thus fill the gap of role expectations.

Roles of APRN Practitioners in Dealing with Metabolic Syndrome

Ann Marie, Alona and Jennifer (2014) research outlines that APRNs play a significant role in restricting the development of cardiovascular diseases and Type 2 diabetes mellitus. Since adequate management of metabolic syndrome requires a lot of attention and intervention, APRN tends to play a vital role in the control of the condition. The APRNs offer pharmacological management in conjunction with drug therapies thus reducing serum LDL and increasing serum HDL cholesterol. APRNs can control blood pressure since they are trained with multiple practical approaches towards treatment and nursing goals in practice. Another role that APRN play is employing their competencies to the appropriate care of V.S., expert coaching, ethical decision making, research, leadership and direct care (Ann et al., 2014). The APRN work towards mutually determined goals like weight loss and essential smoking cessation. The practitioners play a vital role in shaping a patient's lifestyle to resonate with the kind of life that public health officials necessitate. The practitioners are4 able to speculate the cultural elements that can make an individual fail to attain the healthy lifestyle that can contribute to incidents of type 2 diabetes mellitus. The APRN tend to play a vital role in controlling the challenges that individuals face while they become constrained with acculturated lifestyle (Ann et al. 2014). The ARPN enhances adequate communication amid cultural competence while acknowledging individuals as a product of their own culture.

The practitioners are trained to play the role of understanding the cultural beliefs and views towards illness that tend to offer a challenge to the patients' approaches towards accepting specific therapeutic approaches. For that matter, the practitioners carry the patients through procedures that inquire about their views toward the most preferred way of treatment (Ann et al. 2014). APRN are aware of extensive diseases, and the factors that prevent people from accepting specific therapeutic approaches thus they act as mediators who seek to know the kind of treatment approach that is most suitable for most patients who seem to be acculturated with certain believes (Ann et al. 2014). Therefore, APRN is considerate of cultural assimilation that is also concerned with dietary terms and the cause of the occurrence of certain diseases.

How Roles of APRN Have Evolved

In the start, APRN was required to offer extensive services than the ordinary nurses. Since the population of patients and the need for quality healthcare for all, the CDC approaches necessitated the need for APRNs to be given the roles of leadership in facilities amid working towards performing the functions of both nurses and physicians in their line of duty (Ann et al. 2014). The current situations have made the tasks of APRNs to be affiliated with wide speculation into the patients' lifestyle to ensure that treatment and therapy are mindful of the patient's background, beliefs and acculturation (Ann et al. 2014). The practitioners are affiliated towards involving patients in the choice of treatment approach to enhance health care service to voluntarily controlled by the patients.

McClelland (2014) outlines that advanced practice registered nurses are affiliated with another set of roles according to medical surgery matters. The APRN is subdivided into a collection of titles which involve practitioners who are trained to carry out specialized functions. For instance, certified nurse midwives work in healthcare centers to enhance childbirth and the health of the mother after delivery. According to Kim and Dee (2018), various sociodemographic factors need to be controlled to enable midwifery care to reduce the challenges of postpartum depression. For that matter, CNMW is concerned with enhancing midwifery services to allude to the midwifery philosophy. The need for midwives to follow an appropriate set of practices throughout care and pregnancy period does the advanced practice registered nurse to engage in changing the culture in the midwifery profession. Additionally, the philosophy around midwifery outlines the need to concentrate on both the life of a woman before giving birth and her life after giving birth to ensure that there is a proper follow-up to provide appropriate health practices.

Younglee and Vivien (2018) outline the challenges of postpartum depression that have been reported in Southern California. The incidents of postpartum depression have been reported to be contributed by the careless midwifery care providers who fail to allude to the required healthcare provision perspectives. For that matter, APRN has provided grounds for finding a solution to the challenges. Therefore, Renfrew et al. (2014) provide an analysis of the society and the need for continued care through the proper adoption of midwifery philosophy and practice. Additionally, Mollard (2015) is research that was done concerning Southern California midwifery care and the licenses that were issued early in 1978. The study provided a platform for speculating that midwifery philosophy should aim at enhancing the strength of women and the importance of women's health and well-being during the period of pregnancy and delivery which is better improved through APRN practitioners (Winland-Brown et al., 2015).

The other factor that causes the evolution of the roles of APRNs is that the current care practices specify that midwifery profession does not focus on deliveries only. It has been found out that nurse-midwives can work effectively with women throughout their lifespan including during pregnancy, childbirth, and surgeries (Kim & Dee, 2018). The current changes confirm that midwifery starts from pregnancy up to birth.

References

Ann Marie, M., Alona D., A., & Jennifer, K. (2014). A Patient with Metabolic Syndrome and the Role of the Advanced Practice Registered Nurse. MEDSURG Nursing, (4), 245.

Carlos Alberto, C. S. (2018). Current Status of Fellowship Programs for Advanced Practice Registered Nurses in the Nurse Practitioner Role. Nurse Educator, (1), 42. doi:10.1097/NNE.0000000000000392

Kim, Y., & Dee, V. (2018). Research: Sociodemographic and Obstetric Factors Related to Symptoms of Postpartum Depression in Hispanic Women in Rural California. Journal Of Obstetric, Gynecologic & Neonatal Nursing, 4723-31. doi:10.1016/j.jogn.2017.11.012

Hamric, A., Spross, J., & & Hanson, C. (2009). Advanced Practice Nursing: An integrative Approach.(4th ed.). St. Louis, Missouri: Elsevier.

Anderson, E., & Salisbury, C. (2002). Systematic review of nursi...