NUR 787 Advanced Nursing Clinical Management

Advanced Practice Registered Nurses

The Advanced practice registered nurses (APRNS) those nurses that are already registered to practice and goes ahead to receive additional training in the form of a higher degree such as masters within one of the four basic advanced roles in nursing practice (Joel, 2018). The four roles include the clinical nurse specialist roles, the nurse-midwife roles, the nurse practitioner roles as well as the nurse anesthetist roles (Masters, 2015). There is a gap that exists between the roles that nurses play within the context of their professional practice, the clinical outcome of the patients as well as the time required for training. This creates a lean economic recognition and professional development. The APNs play a pivotal role in the healthcare system and are usually at the forefront in providing primary health care and preventive services to the members of the public. This paper will provide a comparative analysis of two of the APRNS, that is, the nurse practitioner and the clinical nurse specialist with regard to ethical guidelines.

All APRNs are trained to diagnose and treat particular illnesses, manage chronic conditions, educate public on health issues and engage in continuous education to maintain competency in the face of methodological and technological advancements in the field (Dreher and Glasgow, 2011). Nurse practitioners are trained to provide acute, specialty and primary care to clients across all age groups through comprehensive assessment, diagnosis and management of injuries and illnesses (Masters, 2015). The clinical nurse specialist, on the other hand, is trained to diagnose, and manage patients, providing support and expertise to other nurses and to steer the adaption of the best evidence that would achieve optimum clinical outcomes for patients.

The roles of the tow APRNs are distinct with some overlapping.  The roles of the nurse practitioners and the clinical nurse specialist depend on the specific attributes of the APRNs, the features of the population in question, and the context of practice setting (Oermann, 2015). Generally, both APRNs must have certification to practice as registered nurses from the appropriate certifying body and also completed a master’s degree level of training.

References

Diaz A C., and Castilla R A. (2017). The Future of Nursing: Assumption of New Roles and Responsibilities: Derived from: https://www.omicsonline.org/open-access/the-future-of-nursing-assumption-of-new-roles-and-responsibilities-2471-9846-1000158.php?aid=85673

Dreher, H. M., & Glasgow, M. E. S. (2011). Role development for doctoral advanced nursing practice. New York: Springer Pub. Co

Masters, K. (2017). Role development in professional nursing practice. Burlington, MA: Jones & Bartlett Learning

Oermann, M. H. (2015). Teaching in nursing and role of the educator: The complete guide to best practice in teaching, evaluation, and curriculum development. New York, NY: Springer Publishing Company

Joel, L. A. (2018). Advanced practice nursing: Essentials for role development. Philadelphia, PA: F.A. Davis Company