Overview of Profession of Family Nurse Practitioner
The field of nursing continues to evolve and some of the changes that have currently taken place have considerably augmented primary care nursing. Through these evolvements it is noted that the outcomes of the convalescents within various healthcare facilities have also improved since primary care has also been enhanced (Fitzpatrick & McCarthy, 2016). As well, it is through this evolvement that various advanced practice nursing roles which include the Certified Registered Nurse Anesthetist (CRNA), Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), and the Certified Nurse Midwife (CNM) have also emerged (Hamric, Spross, & Hanson, 2014).
The aim of this particular project is to evaluate the advanced practice nursing roles, assess the certification guidelines, and ascertain the scope concerning practice. Besides, the regulatory requirements related to the practice of the family nurse practitioner role will be evaluated. The leadership attributes that are relevant to advanced practice roles will also be explored within this paper. The project will conclude with an assessment of the health policy with specific focus on the family nurse practitioner role.
Advanced Practice Roles in Nursing
Advanced nursing practice is defined as the set of activities as well as tasks which are carried out by advanced practice nurses with specific focus on their specific competencies and roles. The primary roles associated with advanced practice nursing include the Certified Registered Nurse Anesthetist (CRNA), Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), and the Certified Nurse Midwife (CNM) (Hamric et al., 2014). A close examination of these roles indicates that each has distinct facets and is associated with different activities as pertains to the field of nursing.
The Certified Registered Nurse Anesthetist (CRNA) has a critical role in the provision of anesthesia while administering surgery. The role of the nurse practitioner encompasses the advanced practice nurses who have the responsibility of offering primary care in diverse populations. In this case, the nurse practitioners are tasked with the role of evaluating the history as well as making physical evaluations on the patients (Barnes, 2015). In addition, nurse practitioners make diagnoses and deploy the outcomes in administering treatment to patients with not only acute conditions but also to those that exhibit chronic conditions.
The Clinical Nurse Specialist (CNS) is an advanced practice nursing role that defines clinicians having expertise within evidence-oriented nursing practice in one of the various areas of specialty (Fottler, 2016). It is heeded that the clinical nurse specialists incorporate the advanced knowledge regarding disease processes during the evaluation, diagnosis, and treatment of convalescent illness although their tasks go beyond the provision of patient care. On the other hand, Certified Nurse Midwife (CNM) connotes an advanced practice role that is associated with the reproductive health of women as well as childbirth (Fottler, 2016). Apart from attending to childbirths, they carry out yearly examinations, offer counseling, as well as write prescriptions.
The concepts regarding advanced practice nursing and advanced nurse practice are usually utilized interchangeably albeit the ideology that they are characterized by remarkable variations (Huber, 2018). The aspect concerning advanced nursing practice revolves around the primary activities which are carried out by advanced practice nurses and are defined by distinct competencies as well as roles. Advanced practice nursing encompasses the field concerning nursing that is characterized by environments, structures, resources, roles, stakeholders, and advanced nurse practice among others.
One of the advanced nursing practice roles that I currently aspire to undertake encompasses the family nurse practitioner role. The family nurse practitioner role connotes the nurse practitioner role that encompasses the provision regarding primary care services to individuals of all ages (Kelly & Tazbir, 2014). It is observed that the family nurse practitioner has the obligation of performing examinations, ordering diagnostic tests as well as protocols, diagnosing and treating diseases, prescribing required medications, and instructing the invalids about the development of healthy lifestyles in order to augment health and mollify disease.
Nurse practitioners make use of various theories and philosophies in order to guide the provision of care in their respective areas of expertise. One of the philosophies that are employed by family nurse practitioners relates to the Comfort Care Theory by Katharine Kolcaba (Kelly & Tazbir, 2014). The theory considers that comfort is a crucial facet in the provision of patient care. In this case, comfort is the instant experience regarding being strengthened and enhanced by meeting needs such as ease, transcendence, and relief.
The move of undertaking the role concerning the family nurse practitioner is attributed to different facets. Markedly, these factors include the degree of autonomy, good opportunities, significant counts pertaining to patient satisfaction, and a considerable degree concerning trust associated with the family nurse practitioner role. Family nurse practitioners have the opportunity of providing care in various healthcare settings. It is also noted that family nurse practitioners have the chance of operating independently in some and as such this has influenced me to pursue this specific role (Martin-Misener et al., 2015). In addition, an array of researches has indicated that family nurse practitioners have the potentiality of enhancing the health outcomes of patients. Finally, the actuality that I have competencies such as teaching, instructing, coaching, and appropriate interpersonal skills has influenced my passion as well as zeal of taking the role of the family nurse practitioner.
Selected Advanced Practice Role
The Advanced Practice Registered Nurse whom I managed to interview about the roles of the nurse practitioner relates to Mariela Gainza. As an Advanced Practice Registered Nurse, Mariela works closely with Dr. Reyes as well as provides nursing care within different rehabilitation in Miami. The interview session formed the platform for comprehending various aspects as pertains to the family nurse practitioner role. One of the questions that were posed during this specific interview related to the determination of the factors that influenced Mariela’s passion to undertake the career regarding advanced nursing. In this case, Mariela provided that nursing was a call due to the fact that she was compassionate and the passion about helping others. Another question focused on the challenges that Mariela faced as a family nurse practitioner. In regards to this, she stated that reduced practice as well as wrangles with physicians was the main hurdles that affected her while providing care.
The nurse practitioner was also questioned about the factors that motivated her to provide healthcare services to convalescents that live with chronic and acute conditions. According to Mariela, such a motivation arose from comprehending the fact that the provision of these services is critical in assisting patients in overcoming hindrances they meet as pertains to self-care. The interview made me to comprehend that physicians as well other nurses need to work as a group and collaboratively work towards the delivery of quality care. The extent of autonomy was also an aspect o concern this specific interview. At this point, Mariela asserted that due to the actuality that he practiced in Florida, her practice autonomy was considerably reduced and mostly operated under the supervision of a physician. The interview formed the basis through which I garnered knowledge concerning some of the approaches through which convalescent outcomes can be augmented. In this regard, I observed that augmenting transparency while providing care and engaging convalescents in the care process was vital in ensuring that invalids attain positive health outcomes.
Examine regulatory and legal requirements for the state in which you plan to practice/work.
The role of the family nurse practitioner within Florida State is significantly affected by an array of legal as well as regulatory requirements. The Nurse Practice Act provides that nurse practitioners and other registered should not prescribe controlled substances. This particular regulation emphasizes that family nurse practitioners ought to practice under physicians’ supervision. The Nurse Practice Act also explains that this specific arrangement needs to be made in writing.
Describe the professional organizations available for membership based on your selected role.
The American Association of Nurse Practitioners is one of the professional organizations that are appropriate for membership of the family nurse practitioners. This institution offers nurse practitioners in different areas of expertise the chance of collaborating and working closely with nurse practitioners in various states (Florida Board of Nursing, 2016). On the same note, the Society of Nurses regarding Advanced Practice is an integral organization that has focus on the augmentation of appropriate values that help in equipping nurse practitioners.
Identify required competencies (domains), including certification requirements for your selected role.
Family nurse practitioners need to have nine core competencies that are crucial in the provision of care. One of the competencies revolves around scientific foundation and this necessitates that nurse practitioners ought to demonstrate the ability of evaluating data and evidence in order to engender advanced nursing practice (Rossiter, Sabol, & Hicks, 2017). Besides, it is appropriate that a family nurse practitioner possesses leadership capabilities since these are appropriate in influencing as well as directing change.
As well, it is expected that family nurse practitioners demonstrate quality competencies. In relation to this, a family nurse practitioner needs to utilize the appropriate evidence so as to augment clinical practice. Family nurses’ practitioners are also expected to have the skill pertaining to practice inquiry which encompasses the garnering information and knowledge through clinical practice with the aim of enhancing patient outcomes (Stewart & DeNisco, 2013). Finally, the integral certification requirement for the family nurse practitioner role entails that an FNP need to possess a license pertaining to registered nursing.
Describe the organization and setting, population, and colleagues with whom you plan to work.
The organization that I am planning to work with is either an ER or Urgent Care Facility. Markedly, a medical office connotes an outpatient healthcare facility which is located in a specific place and can be accessed by the target population. The population that I would serve in this case will comprise of people from all ages. In this case, I plan to collaborate with Mariela and other healthcare providers in order enhance the improvement of patient outcomes. I have the belief that by closely working with other Nurse Practitioners and physicians in the field, I will positively influence invalid outcomes because they already has considerable experience in this specific field.
Leadership Attributes of the Advanced Practice Role (FNP)
Describe your Leadership Style
The form of leadership style that I currently possess relates to the situational leadership approach. According to Huber (2018), in situational leadership a leader makes adjustments to current situation, evaluates the present condition, and determines the appropriate strategy in order to get the most relevant outcome. The situational leadership stereotype explains that the efficacy of a leader is based on their potentiality to change the management behavior or conduct to the degree of maturity of the subordinates. Therefore, through the utilization of this leadership approach, it would be possible to lead other members of the healthcare team comfortably in scenarios that would seem cumbersome to handle.
Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop
Transformational leadership style connotes the form of leadership whereby a leader ascertains the required change, establishes the vision to direct the change based on inspiration, as well as implements the change through the commitment by the followers within the group (Huber, 2018). This particular leadership approach has a close linkage with the traits that I currently possess. One of the facets associated with transformational leadership that I currently have entails intellectual stimulation. In this case, I observe that through the possession of this attribute I am at position of enhancing autonomy and creativity. Based on the actuality that I possess the quality regarding individualized consideration, I perceive that I will be at a position of identifying the needs of my followers. It is also heeded that transformational leaders ought to have motivation as well as confidence. Therefore, it will be relevant to have the feature concerning confidence and motivation when providing care within the medical office.
Apply the leadership style you will embrace in AP to one of the domains
The leadership style that I would employ in the domain associated with quality improvement entails the situational leadership approach. Through the utilization of the situational leadership method, it would be easy to support the other healthcare providers within the medical office in situations that require critical decision-making (Huber, 2018). As well, this leadership approach will be employed in ensuring that the multidisciplinary team remains encouraged while managing and controlling concerns associated with quality improvement and invalid satisfaction.
Health Policy and the Advanced Practice Role
A close examination of the current policy or trends pertaining to the practice authority of the family nurse practitioner reveals that there are significant variations depending on the state in which the FNP practices (Kleinpell, 2017). Family nurse practitioners in Alaska and Arizona are allowed to practice fully whereas those working in states like Kentucky and Kansas exhibit limited authority. It is heeded that family nurse practitioners working in states with limited scope of practice are not at a position of practicing fully as well as demonstrating their capabilities.
States such as Georgia, California, and Florida have a restricted authority as pertains to the practice of family nurse practitioners. It is heeded that the policies that entail limited and restricted scope of practice need to be changed in order to allow the family nurse practitioners to practice to the fullest of their potential (Lentz, 2013). The primary players that will be required in influencing change include the family nurse practitioners, governors, the U.S. president, as well as the senators in different states. The process of implementing the change will encompass shedding light about the outcomes of the current trends, explaining the advantages associated with the change to the family nurse practitioners, garnering and examining the views concerning expectations associated with change, and the actual establishment of the policy for full practice authority for family nurse practitioners.