Advanced Nurse Practitioner Essay

Pages: 4 (1420 words)  ·  Bibliography Sources: 2  ·  File: .docx  ·  Level: Master's  ·  Topic: Health - Nursing

One widely accepted model for skill acquisition in Advanced Nursing Practice is the Skill Acquisition model, created by two brothers, Dreyfus and Dreyfus. This model helps illustrate how nursing students of all levels acquire the skills they need to keep pushing towards their goals within healthcare. There is first the Novice level, where skills are acquired primarily through mimicking the actions of others and memorizing the basic components of nursing. This is the most rigid of all levels, as the student can not use their own judgment based on a lack of experience. Next is the Advanced Beginner, also known as a stage of Competence, who has a little more perceptual freedom than the novice. Individuals with competence achieve a heightened level of competence based on their experience with real-life situations in the field. At this stage, nursing students have a degree of aspect recognition, where they can recognize patterns and respond to them independently. The third stage is known as Proficiency. During this stage, the nursing student goes beyond simply recognizing patterns to more holistic perception of how and where to acquire the skills needed for nursing in the field. The learner is finally able to draw on lessons and experiences he or she has gained in the past and use them in entirely new circumstances to come up with unique solutions. Still, the proficient learner is still learning, and they will utilize their ongoing experiences in the field to further adapt their own perceptions and actions later in their nursing career. Finally, there is the Expert, who is no longer limited by purely following rules or maxims. The expert uses his or her own library of experiences and knowledge to come up with creative solutions for individual situations that may have never been taught to them during their learning process. The expert is intuitive and innovative, adapting to his or her environment seamlessly. Out of the five levels, I believe I am in transition between the Novice and Competent level. My experience and undergraduate degree does allow me some leeway in drawing upon my own belief, but I am still limited by my need to memorize and follow the procedures and guidelines of others who know far more than me in our field. My completion of my Advanced Nursing program will catapult me into the Competent level and far into Proficiency, but it is only real life experience that will finalize my skills level at the final stage of Expertise.

There are also a number of role concepts mentioned in the texts. For example, one role concept of an APN is the idea of a facilitator or medium for patients and their families. Essentially, APNs "provide direct patient care to individual patients and families" which involves "expanded clinical skills and abilities and require a different level" of knowledge that goes beyond a nurse's basic training (Hamric et al., 2013, 70). This is one of the more complicated roles of the APN, and one which I am still learning. In my experience in the field, this is always a tough role to play. I find it difficult to find that happy medium between healthcare provider and patient supporter. I know it is important to work more on my skills with patients so that I can work with them to implement the most successful health strategies. Additionally, the text discusses the role concept of leadership. Here, the APN has to be a confident and assertive leader, while remaining supportive of other healthcare staff. This is also a position which is difficult for me. Still, working under the amazing staff that I have the privilege to know is helping me understand what a true leader really is within the healthcare context. Thirdly, there is the role concept of the innovator, who makes split second decisions in real time that can have lasting health consequences. I recently got to see an APN in action in a situation where the physician was lagging on attending to the patient. Rather than wait any longer, the APN took charge and made a decision that helped save the patient's life.


Buppert, Carolyn. (2011). Nurse Practitioner's Business Practice and Legal Guide. Jones & Bartlett Publishers.

Hamric, Ann B., Hanson, Charlene M., Tracy, Mary Fran,… [END OF PREVIEW] . . . READ MORE

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How to Cite "Advanced Nurse Practitioner" Essay in a Bibliography:

APA Style

Advanced Nurse Practitioner.  (2013, September 26).  Retrieved May 27, 2020, from

MLA Format

"Advanced Nurse Practitioner."  26 September 2013.  Web.  27 May 2020. <>.

Chicago Style

"Advanced Nurse Practitioner."  September 26, 2013.  Accessed May 27, 2020.