NUR 513 Describe how the role of advanced registered nurse transformed over time
Describe how the role of advanced registered nurse transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?
Re: Topic 1 DQ 1
The role of the advanced registered nurse (APRN) has undergone a significant transformation over time. In the past, the category of APRNs was primarily limited to Nurse Practitioners (NPs), Certified Nurse-Midwives (CNMs), Certified Registered Nurse Anesthetists (CRNAs), and Clinical Nurse Specialists (CNS), all of whom were capable of delivering clinical care in acute care settings. However, it was a requirement for these professionals to hold a master’s degree and possess licenses beyond their RN licenses, with the exception of CNS.
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Historically, nurses holding a baccalaureate degree needed to accumulate extensive clinical experience before they were even considered eligible to advance their education. Furthermore, to become part of academia as faculty, a doctoral-level education was often a prerequisite. In this traditional framework, the focus was primarily on acute care, and the demand for high-quality care in both acute and long-term care settings was growing due to global healthcare reforms that emphasized population health.
The shortage of skilled graduate nurses was evident, and there was an increasing need for more NPs to address the shortage of primary care providers. The responsibility for implementing these reforms was entrusted to the nursing profession, and there was a strong push for nurses to attain the highest level of education and training to meet the evolving healthcare landscape’s demands.
In response to these changing dynamics, the American Association of Colleges of Nursing (AACN) expanded the definition of APRNs. This expansion allowed nurses with a baccalaureate degree to pursue advanced studies with the aim of mastering a specific role, whether it involved direct or indirect patient care, as long as it could positively impact healthcare outcomes. The set curriculum for these advanced programs incorporated the AACN Essentials, designed to instill all the core competencies expected of an APRN.
As a result of these developments, we are witnessing a growing number of nurses pursuing master’s degrees in various specialties. This includes those focusing on education, shaping competent future nurses; nurse practitioners who consistently provide high-quality primary care; nurse leaders who bring their vast knowledge and understanding of healthcare policies to the forefront; nurses who are leaders in research and contribute to the development of efficient care models based on evidence-based data; and APRNs who have expertise in data mining and informatics. Nursing has certainly evolved into a more autonomous and multifaceted role in the healthcare industry in the 21st century (Denisco & Barker, 2016).
This transformation of the APRN role reflects the healthcare sector’s evolving needs and the growing recognition of the valuable contributions that nurses can make to improve patient care, shape healthcare policies, and advance the profession as a whole.
References
DeNisco, S. M., & Barker, A. M. (2016). Introduction to the role of advanced practice nursing. In Advanced practice nursing: essential knowledge for the profession (3rd ed., pp. 5-16). Retrieved fromhttps://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php
Topic 1 DQ 1: Evolution of the Advanced Registered Nurse Role
The transformation of the role of the advanced registered nurse (ARN) has been a dynamic process driven by scientific advancements and evolving healthcare demands. As nursing has evolved, the integration of nursing science with various other disciplines, including organizational, biophysical, psychological, analytical sciences, and ethics, has become the foundation for the highest level of nursing practice.
In recent years, we have witnessed a significant expansion of the nurse’s role within the healthcare landscape. This expansion has been a response to the changing needs of the healthcare system, prompting a growing demand for formal education and training. One notable development in the nursing profession is the emergence of advanced practice nurses, a trend that has gained popularity. Nurses from diverse backgrounds are increasingly eager to expand their clinical practice responsibilities, contributing to the growing diversity of roles within the nursing profession.
Today, nursing stands as one of the most trusted professions in the United States, as demonstrated by a Gallup poll in 2012. Nurse practitioners, in particular, have achieved exceptionally high patient satisfaction scores, as highlighted by Weiland in 2008. This recognition underscores the vital role that nurses play in healthcare delivery, emphasizing their commitment to providing quality care to patients.
Over the past four decades, the healthcare system has undergone significant expansion. The education and roles of Advanced Practice Registered Nurses (APRNs), in particular, have evolved to an extent where nurses entering the workforce are equipped to offer a more extensive range of services compared to previous years. However, it’s essential to acknowledge that the expanding scope of practice for nurses has faced challenges from some physicians. While physicians receive extensive and specialized education and training, it is evident that nurses are well-prepared to provide certain services.
The healthcare landscape’s demand for more cost-effective care has heightened the importance of nurses in the healthcare system. Nurses are now positioned to play a more substantial role, both in delivering care and participating in decision-making processes about care. The collaboration between healthcare professionals is vital, with each profession contributing its unique expertise to provide comprehensive and patient-centered care.
Today, Nurse Practitioners have demonstrated their effectiveness in delivering high-quality, cost-effective healthcare services. Patients increasingly recognize the value of the services provided by Nurse Practitioners, leading to a growing preference for their care. While the future of healthcare delivery remains uncertain due to ongoing healthcare reform efforts, one thing is evident: Nurse practitioners will continue to be a vital component of the American healthcare system, contributing to the delivery of quality and accessible healthcare services. The evolution of the advanced registered nurse role reflects the changing healthcare landscape and the commitment of nurses to meet the evolving needs of patients and the broader healthcare system.
References
American Association of colleagues of Nursing (AACN) 2004 AACN position statement on the Doctorate in nursing http://www.aacn.nche.edu/DNP/DNPPositionStatement.htm
APRN Consensus Work Group and the National Council of State Boards of Nursing APRN Advisory Committee (May 2008). Consensus Model for APRN Regulation.
American Association of Nurse Practitioners(AACN) 2014 Nurse practitioners fact sheet. http://www.aanp.org/all-about-nps/np-fact-sheet
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