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Advanced Nursing Practice and Its Role in Nursing ProfessionResearch Paper

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¶ … dynamic vocation, nursing brings several rewards and opportunities for career advancement to individuals dedicated to continuous learning. Nurses today are required to master a progressively complex knowledge reservoir and accomplish clinical skills for efficiently providing life-sustaining and lifesaving services. I will persist, all through my career, to enhance my knowledge as a result of technology advances and ground- breaking research in nursing. More education creates more opportunities; several doors open up to nurses who have doctoral and masters' degrees. Graduate preparation nurses deliver direct advanced- level care to patients, carry out research, teach in classrooms and online, run health systems, influence public policy, consult with organizations, and carry out evidence-based solutions that reform healthcare. These greatly-skilled healthcare providers are highly in demand to take up emerging and established roles that enable nurses to concentrate on various areas of practice, such as family and adult health, pediatrics, geriatrics, forensics, administration, public health, systems improvement, informatics, and genomics / genetics (American Association of Colleges of Nursing, 2011). I will concentrate on the scope of practice of Nurse Practitioner (NP) in New Jersey, in this paper, along with certification requirements, legal facets of practice and core competencies, for that particular role. I will also highlight the practice population and environment that I will work with, in addition to co-workers and peers.

Nurse Practitioner Scope of Practice: New Jersey

While New Jersey is not counted as one of the worst American states for Nurse Practitioner (NP) practice, it definitely is not one of the best, either. This section delves into the specific regulations and rules that govern New Jersey's NP practice. The NPs who practice their profession in the state of New Jersey are technically independent providers. Legal documentation, in fact, denotes NPs as 'independent licensed practitioners'. They can diagnose as well as treat patients without physician supervision. Medical documentation that NPs create in New Jersey doesn't require a physician's authorization. Nurse practitioners in the state are licensed and regulated by the nursing board. NPs are independently held responsible by state laws, both legally and ethically, for all healthcare delivered. Collaborating or supervising MDs (Doctor of Medicine) are not held responsible. New Jersey provides perks to new NP graduates. They may practice after completing their NP program, but prior to passing the Nurse Practitioner national certification examination. In order to carry out practice before taking the examination, new graduates should apply for work permits that allow them to practice before being certified. If the nurse practitioner fails twice in the certification examination, this temporary permit for practicing is withdrawn (NP, 2014).

For prescribing medications, New Jersey NPs should work in collaboration with physicians. The physician who collaborates need not practice in the same clinic as the NP; he/she can communicate via email or phone. A 'joint protocol' that outlines this collaborative association should be maintained, signed every year by both the MD and NP. NPs may, within the collaborative agreement, prescribe to patients Schedule II to V drugs. They can also ask for, receive, and distribute pharmaceutical samples. If not an employee of a federal organization such as the United States (U.S.) Department of Veterans Affairs (VA), the physician who collaborates should also hold a New Jersey state practice license. Prescriptions by New Jersey NPs should contain information regarding the NP as well as collaborating physician. NPs should also finish a one-time, six hour course concerning prescription of controlled substances (NP, 2014).

NPs practicing in the state of New Jersey also have the authority to pronounce deaths; however, a physician should verify the reason for death. NPs can also perform Department of Transportation (DOT) physical tests, in addition to completing forms of temporary work incapacity. New Jersey lawmakers have deliberated on legislation that allows NP to independently prescribe to patients. Until such legislation is passed, however, NPs who practice in New Jersey will continue to be attached to MDs, because the ability to prescribe medications is essential for almost all practice settings (NP, 2014).

Advanced Practice Roles in Nursing

Beyond nurses' professional opportunities obtained by means of graduate education, some highly tangible benefits are also present that enhance an individual's quality of life (QOL). Nurses having advanced preparation normally enjoy greater opportunities for impacting overall planning as well as implementation of healthcare.

As the largest section of the Advanced Practice Registered Nurses (APRN) workforce, NPs essentially provide acute and primary care; they are especially important for offering accessibility of quality healthcare to underserved regions. NPs deliver initial, ongoing, as well as comprehensive healthcare, including taking of patient health histories; carrying out health assessment and physicals; and diagnosis, treatment, and managing of patients having chronic and acute health conditions. This healthcare comprises disease prevention, health promotion and education, counseling, and disease management. Nursing practitioners autonomously carry out practice in diverse areas such as geriatrics, pediatrics, family practice, women's healthcare and mental / psychiatric health (AACN, 2011).

Nurse Informaticists are scientists investigating means for improving patient outcomes and healthcare services. In this area, nurses increase patient healthcare by converting findings from research into innovations in practice at the patient's bedside. They are in charge of determining research questions, carrying out research, analyzing research data procured, finding solutions to clinical issues, writing grants, and sharing their research outcomes with the broader healthcare community. According to NINR (National Institute of Nursing Research), a division of National Institutes of Health, work that nurse informaticists conduct is necessary for erecting clinical nursing practice's scientific base; preventing disability and disease; eliminating and managing illness symptoms; and enhancing palliative and end-of-life care. Often, nurse informaticists start their career as clinical coordinators of data, research assistants, as well as in other roles of assistants, which generally necessitate master's degrees. Senior researchers and principal investigators are expected to have doctoral preparation (AACN, 2011).

Clinical expertise, in combination with an enthusiasm for teaching, is needed for nurse educators. They are in charge of training new nurses, as well as improving practicing clinicians' development; they possess good communication skills, a strong clinical background, and a high cultural competence level. Educators should be accommodating enough to adjust teaching techniques and curriculum following both nursing science innovations and constant changes in the practice environment. Nursing professionals in this role enjoy the opportunity to carry out research, publish scholarly journal articles, give lectures at nursing symposiums, serve as educational and healthcare organization consultants, influence public policy, participate in services to the community, and create grant proposals (AACN, 2011).

A Nurse Administrator serves in various leadership and managerial capacities in every practice environment. These professionals assist in, and provide quality healthcare to patients while directing workflow and handling nursing care. Nurse administrators may lead small nursing teams, many nursing divisions, a full department, or a full health system. They are experienced in administration processes and nursing practice. Nurses who are interested in this specialty normally hope to be healthcare leaders, often seeking policy-making, and executive roles (AACN, 2011).

NP legal requirements in New Jersey

Proof of existing Registered Nurse license (RN) in good standing

A minimum age of 18 years

Good morals

If five years have been completed since finishing a graduate level course in pharmacology, thirty continuing- education pharmacology units

New Jersey NP Professional organization

The welfare of New Jersey's 110,000 RNs is represented by New Jersey State Nurses Association (NJSNA), which advances the nursing profession and supports consumers and nurses. NJSNA, together with the Washington-based American Nurses Association (ANA), NJSNA's parent organization, and 53 territorial and state organizations, all help in representing the 2.6 million registered nurses of the nation. NJSNA has various programs, designed with members in mind. The larger proportion of nurses who join the professional association, the more 'power' the association has when addressing regulatory bodies and legislatures. NJSNA also offers extra funds for the profession, sets nursing in a place to guide healthcare policies as opposed to reacting to policies, and gives a voice to its members in decisions made for their profession (NJSNA, 2010).

Required NP competencies

A professional RN license

Successful completion of a board-approved educational program, which includes pharmacology

Passing a board-approved written exam

Application with academic and experience information

Proof of post-basic nursing educational certificate, acceptable to or accredited by the board

Current certification proof

Graduation from NP Master's program

Completion of graduate-level course in pharmacology

Passing the highest level of board-approved practice examination in the field of specialization

Nurse practitioners practice in a range of environments, which include:

Hospitals

Group practices and physician offices

Nursing homes and long-term care services

Private homes that provide healthcare facilities

Palliative and hospice-care facilities

Community health and government agencies

Private practice

NP organization and setting and colleagues

Work schedules of nursing practitioners vary. NPs working at in-patient medical facilities work in rotating shifts that cover weekends, evening, and night hours in addition to holidays. In private practice and community agencies, NPs are to be expected to work normal business hours; they may, however, offer a few evening and/or weekend appointments for working patients' convenience. NPs are also generally on call for… [END OF PREVIEW]

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