Definition of Advanced Practice Nursing in California
Advanced Practice Registered Nursing refers to the advanced specialization nursing further than the formal entry entry-level education requirements; As a result, Advanced Registered Practicing Nurses (APRNs) have advanced specialized skills and knowledge acquired through doctoral or master’s level education which equips them for advancement, expansion and specialization of nursing practice. The specialization of nursing practice entails concentrating on a single aspect of the entire nursing field (Jansen & Zwygart-Stauffacher, 2010). Expansion of nursing practice entails acquiring new skills and practice knowledge and the skills and knowledge required for the APRN to function autonomously within some specific areas of nursing practice that tend to overlap with the conventional boundaries of medical practice. As a result, APRNs may operate as independent practitioners. Advancement combines both expansion and specialization and is typified by an integration of practical, research-based, and theoretical knowledge that are part of the graduate nursing training. In California, Advanced Nursing Practice is established by the State law under the California Nurse Practice Act, and is aligned with recommendations established by the National Specialty Nursing Organizations’ Practice and American Nurses Association Standards of Practice. Advanced Practice Nursing is the inclusive term for a number of roles including nurse practitioner (NP), certified nurse mid wife (CNM), certified registered nurse anesthetist (CRNA) and clinical nurse specialist (CNS).
The role of the Advanced Practice Nurse, Family Nurse Practitioner
The responsibilities for APNs vary according to the specialization area and title. APNs often operate as a primary healthcare provider and are involved in patient examination, prescription of treatment, diagnostic testing and offering healthcare advice. In addition, APNs can administer a patient’s care without the need for supervision from a doctor. Specific roles and responsibilities are determined by the scope and definition of practice, which includes nurse practitioner, certified nurse mid wife, certified registered nurse anesthetist and clinical nurse specialist. Nursing practitioners work in community care, tertiary care, long term care and primary care. Nurse practitioners can write treatment prescriptions and play an active role in the management of a number of health problems through counseling, education, diagnosis and medical examination. The scope of nursing practice for nursing practitioners include disease prevention, health promotion and performance assessments. The Californian Business and Professional Code do not distinguish the scope of practice for an ARPN from the scope of RN (Jansen & Zwygart-Stauffacher, 2010).
Clinical Nurse Specialist offer service to patients in community care locales, home health care, ambulatory care and tertiary care. Clinical Nurse-Specialist take part in the management of complicated healthcare problems using avenues such as research, education, consultation and direct care. Certified Registered Nurse Anesthetists work in ambulatory care, surgical and operating rooms. CRNAs can provide treatment to any person who is undergoing a surgical operation. In addition, CRNAs also take part in pre-operative assessments, managing post-anesthesia recovery and treatment administration of anesthesia. The scope and standards of practice for CRNAs was established by the American Association of Nurse Anesthetists, and CNRAs are considered anesthesia professionals; thus, they should offer anesthesia-related care upon demand. Certified Nurse Midwife involves a wide-ranging management of women’s healthcare in various settings such as pregnancy, infancy care, family planning, gynecology, and postpartum period (Jansen & Zwygart-Stauffacher, 2010).
Carrier Goals As It Pertains To the Scope of Practice of a Nurse Practitioner
With regard to the scope of practice for nursing practitioners, the first career goal is to make substantial contributions in medical research. As a nurse practitioner, one must be updated on as regards medical studies and improvement of treatment options through modifying their nursing practice. The second career goal as regards a nursing practitioner is to be able to provide comprehensive care and aspire towards an independence practice.
Reference
Jansen, P., & Zwygart-Stauffacher. (2010). Advanced Nursing Practice: Core Concepts for Professional Role Development. New York: Springer.
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