Case Study: The Advanced Practice Registered Nurse Dilemma

Improved Essays
The Advanced Practice Registered Nurse Dilemma
The U.S. healthcare system has been swayed by the creation of the Patient Protection and Affordable Care Act (ACA) reform (Public Law 111-148). This reform necessitates an increased amount of primary care providers outside of the traditional realm of medical doctors (MDs) and presents opportunities for advanced practice registered nurses (APRNs) to provide primary care. It therefore promotes the full scope of practice for APRNs to improve patient care and decrease the healthcare costs by increasing the educational and financial support for primary care providers, including nurse practitioners and physician assistants (American Nurses Association, 2010). Organizations, such as American Nurses Association, work diligently with Constituent Member (State) Associations to protect the abilities of APRNs to ensure that state laws are fair and consistent throughout the country and limitations are not inflicted over the scope of practice of APRNs (ANA, n.d.). The opportunity of nurses to provide primary care is dependent on receiving appropriate education from other professionals with a Doctor of Nursing Practice (DNP) degree (Hodnicki and Lathrop, 2014). However, implementation of a DNP degree could blur the traditional professional lines between MDs and nurses. Many nurses believe that this
…show more content…
In 2004, the America Association of Colleges of Nursing (AACN) recognized the Practice Doctorate in Nursing. This endorsement was significant because AACN “is the national voice for America's baccalaureate- and higher-degree nursing education” (Carlson, 2015). The goal was that by 2015, the nursing schools would have transferred the masters APRNs programs to the DNP level for entry to advanced practice. Now, in 2015, the arguments about the DNP role and transitioning are still under

Related Documents

  • Improved Essays

    I have been called to testify in front of a regulatory committee that is reviewing the credentialing and clinical privilege rules for Advance Nurse Practitioners. APN credentialing refers to a process whereby an advanced practice nurse is granted the authority to offer patient care especially in hospital settings after establishing that he/she has met all the established standards in relation to education, licensure, skills as well as training and is qualified to execute the task (Hamric et al., 2013). Notably, the Advance Nurse Practitioners can order, administer or dispense drugs under the delegated authority of the physician and as dictated by the agreement or protocol. However, in the state of Georgia, they have no authority to issue written…

    • 205 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Advance Practice Registered Nurse (APRN) and a registered nurse (RN) are mandated to follow the regulations in their states of practice. In terms of regulations, an APRN has focused scope of practice which has limitation to practice, unlike the RNs with broad scope of practice (Hudspeth,2009). In the state of Texas, an APRN practices in areas beyond the scope of the RN, such as diagnosing and prescribing. For instance, once an APRN is educationally prepared as an acute care NP, the practice can only be acute and not primary care setting except further education is provided to practice in primary care setting, this believed, that the APAN does not have the didactic and clinical content to practice in a different area (Texas board of nurses…

    • 242 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    The role of the Advanced Practice Registered Nurse (APRN), in relation to administering immunizations within underserved populations, is vital. The APRN should be responsible for overseeing the implementation of the program, administering vaccinations, and informing their patients of the benefits of immunization. Perhaps a mobile clinic may be utilized and incentives may be offered for compliance. According to Bradford, Spain, Wright, and Gren, the main causes of poor immunization rates is missed opportunities by the provider and poor compliance with appointments (2015). The objectives should be to: Increase the vaccination rates of individuals within indigent populations (this may be measured by reviewing the amount of vaccinations provided…

    • 286 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    APRN Practice

    • 121 Words
    • 1 Pages

    The opportunity to be credentialed as Advance Nurse Practitioners allow them to have appropriate and essential clinical privileges to practice especially in hospital setting. However, in some states, APRN practice is still severely restricted by hospitals whether or not they have credential and privilege APRNs. However, The American Nurses Association (ANA) is looking into many strategies to address this barrier and ensure that APRNs can obtain appropriate clinical privileges. clinical privileges allow APRNs authorization to provide specific care or treatment in a particular setting. When obtaining licensure, it is recommended that the NP carefully review the state's advanced practice nursing act and contact the state Board of Nursing to clarify…

    • 121 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    An APRN’s scope of practice is “created and enforced at the state level”, which leads to differing scopes throughout the United States (Hansen-Turton, Wade, & McClellan, 2007). Depending on where you live, your scope could be vastly different. Traditionally, the majority of APRN’s are governed by their state board of nursing and physicians are governed by the American Medical Association. The dissimilarities in the governing bodies lead to a difference in the standard of care they are held accountable to.…

    • 477 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Explore a current financial or legal dilemma that directly affect the advanced practice nurse. Describe the issue from a pro and con standpoint, identify the various stake holders and mechanisms for resolution that may occur. APRNs have been dealing with the different scope of practice in state and federal policies, old insurance reimbursement models, and institutional practices. The laws, policies and regulation around billing is especially concerning as they directly affect an APRN’s independence and finances. Unfortunately, the current billing system is complicated and scattered throughout federal and state law, plus vary from payer to payer (Journal of Wound, 2012).…

    • 787 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Even with the vast amount of advances in the healthcare field, we continue to see restrictions limiting availability to patient care. With the growing population, there is a shortage of primary physicians especially in rural areas. Advanced practice registered nurses collaborating with physicians to provide care has had a positive effect on the health care system, yet there are barriers that still exist. This paper lists issues with collaborative agreements, restrictions to APRNs scope-of-practice, and benefits of allowing APRNs to practice at their full scope-of-practice. Issues with Collaborative Agreements The nursing profession has grown exponentially since the 1970’s, when nurse practitioner education advanced from…

    • 1628 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Introduction Advanced practice registered nurses (APRN) are a vital part of the health system of the United States. APRNS are Master and post Masters level nurses providing care in specific roles for the patient population. APRNS are prepared by education and certification to assess, diagnose, and manage patient problems, order test, and prescribe medications. (National Council of State Boards of Nursing, n.d). Lyder (2012) discussed the growing need for an increased number of primary healthcare providers due to the shortage of primary care providers.…

    • 1074 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Anesthesia Delivery Model

    • 873 Words
    • 4 Pages

    The National Academy of Medicine (formerly known as Institute of Medicine) is an independent association devoted to addressing important health care policy issues. The purpose of this organization is to inspire a positive change in health care for the benefit of the public (National Academy of Medicine, 2016). In 2010, it produced “Future of Nursing: Leading change and advancing health care”. It recognized a nurses’ role as critical to the fulfillment of the purpose of the Affordable Care Act. It was noted that all states do not utilize APRNs to the fullest degree of their abilities and education and limit their practice.…

    • 873 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The APRN Joint Dialogue Group (2008), describes an APRN as a nurse who accepts the obligation and liability for health promotion and the evaluation, examination, and supervision of patient circumstances, which may incorporate the treatment and prescription of pharmacologic and non-pharmacologic interventions. Every state determines the standard and obligations for LACE that the APN must abide by to practice in that state. Regrettably, not all states are equivalent with regards to the criteria for LACE and the independence the APRN…

    • 652 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Rn Scope Of Practice

    • 896 Words
    • 4 Pages

    The scope of practice for APRNs consists of “parameters within which advanced practice nurses may legally practice”, defining “what they can do for and with patients, what they can delegate, and when collaboration with others is required.” 1 This scope of practices varies not only across APRN roles – CNS, CRNA, NP, CNM – but also across individual states.1 For the FNP specialty, scope of practice entails diagnosis and management of illnesses in the primary care setting for individuals across the lifespan. The three benchmarks of APRN practice and education are advanced practice nurse competencies, professional advanced practice registered nurse competencies, and Master’s and Doctor of Nursing Practice Essentials.2 APN competencies, which distinguish…

    • 896 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    Being an Advance Practice Nurse you encounter many issues that may be political, legal or economic. One issue that specifically encompasses all of these is the nurse practitioner state practice acts. A review of the state practice acts reveals one challenge facing nurse practitioners: limitation to practice across the United States. These state specific acts affect the role of the nurse practitioner. Fairman (2011) states, “The critical factors limiting nurse practitioners' capacity to practice to the full extent of their education, training, and competence are state-based regulatory barriers.”…

    • 575 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Np Role

    • 486 Words
    • 2 Pages

    “On January 1, 2013, the American Academy of Nurse Practitioners and the American College of Nurse Practitioners came together to form the American Association of Nurse Practitioners (AANP). They are the largest full-service national professional membership organization for NPs of all specialties”, (Annual Report, AANP, 2016) “In 1985, a small group of visionaries convened under an apple tree in Pennsylvania to address the growing need for NPs of all specialties to have a unified voice. They established AANP to fill that need and become The Voice of the Nurse Practitioner. These perceptive leaders recognized that national action was essential to securing the relevance and durability of the NP role.…

    • 486 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    One thing that I have learned is the importance of documentation and research to the future role of advance practice nurses. Advanced practice nurses, themselves, play a huge role in the outlook of this field. “We would all do well to remember this underlying philosophy of NP practice, then acquire and utilize skills that honor our nursing roots while providing the highest quality primary care”, Berg, Hicks and Roberts, 2017). Not only does quality of care impact the nurse practitioner (NP) profession, so does ethics and professionalism. Nurse practitioners have an obligation of acting as stewards in the NP role.…

    • 150 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Advanced Practice Nurse

    • 407 Words
    • 2 Pages

    Graduate level educational preparation expands the APRN’s clinical knowledge that enables them to anticipate their patient’s response to health, illness, and nursing interventions with a holistic patient-centered approach that improves patient outcomes (Hamric et al., 2014). Once the nurse has earned their graduate degree, either an MSN or DNP, they are eligible to take the Nurse Practitioner certification examination. All APRN’s are required to complete a minimum of seventy-five continuing education hours every five years to maintain their license (Buppert,…

    • 407 Words
    • 2 Pages
    Improved Essays