NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
Chamberlain University NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
Whether one passes or fails an academic assignment such as the Chamberlain University NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
The introduction for the Chamberlain University NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
After the introduction, move into the main part of the NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
Stuck? Let Us Help You
Completing assignments can sometimes be overwhelming, especially with the multitude of academic and personal responsibilities you may have. If you find yourself stuck or unsure at any point in the process, don’t hesitate to reach out for professional assistance. Our assignment writing services are designed to help you achieve your academic goals with ease.
Our team of experienced writers is well-versed in academic writing and familiar with the specific requirements of the NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion assignment. We can provide you with personalized support, ensuring your assignment is well-researched, properly formatted, and thoroughly edited. Get a feel of the quality we guarantee – ORDER NOW.
Sample Answer for NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
Jessica, a baccalaureate prepared registered nurse, has been practicing for 8 years. Throughout her nursing career, she has worked in pediatric, surgical, and emergency departments. She worked as a floor nurse, a charge nurse, and she was recently offered a position in Nursing Administration. A stipulation for becoming a nurse administrator is that Jessica must attain a Master of Science in Nursing degree within 2 years of accepting the position. The offer prompted Jessica to contemplate her career. She is interested in returning to college, and wants to have greater impact on patient care but isn’t sure she will find that in an Administrative role, nor is she sure is ready for the responsibility of becoming a Nurse Practitioner. Jessica has decided to explore the advance practice roles available in nursing in order to determine the best MSN track for her. Jessica must choose
one role (CNP, CRNA, CNS, CNM) and apply to a program, but she is unsure about the different roles and their individual scopes of practice. One colleague states, “You know, Jessica, working as an NP is great because you can diagnose and write prescriptions, and the accountability will fall on the physician you are working with.”
Discussion questions:
- Is Jessica’s colleague right? Why or why not?
- Explore the four APN roles, and compare and contrast the pros and cons of each role against each other in order to determine the best choice for Jessica. Consider issues such as work environment, level of accountability, patient population, salary, and scope of practice. Include each role of the APN on the list, and be certain to provide appropriate rationales and citations.
As their scope of practice and autonomy increases, NPs are being held legally accountable for their actions (Iglehart, 2013). Nurse practitioners must pass classes and certification requirements regarding understanding the legal obligations of prescribing medications (Iglehart, 2013). Regardless of an NPs scope of prescriptive authority, the standard of practice and care is to ensure that any medication prescribed is compatible with other medications a patient is taking and that the correct medication is prescribed. The $525,000 settlement awarded to Sherry Huelskamp (Huelskamp v.Patients First Health Care, LLC) in 2014 against nurse practitioner Barbara King for prescribing the wrong medication emphasizes these standards.
The four APN roles currently defined in practice are Nurse Practitioners (NP), Clinical Nurse Specialists (CNS), Certified Nurse-midwives (CNM), Certified Nurse Anesthetists (CNA). A CNS typically works in a specialized area of nursing practice defined by parameters, such as disease, setting, population (Judge-Ellis & Wilson, 2017). The CNA is restricted to administering pre- and post-anesthesia care to patients for surgery and other procedures. The CNM provides healthcare services to women, such as gynecological services, pregnancy and childbirth care, postpartum services, etc. Jessica will do well in the NP role because of her nursing background and the ability of the NP to serve the same patient populations as the other APN roles. Furthermore, the CNM, CNS, and CNA roles are too restrictive in that nurses who work in these specialized areas of the nursing practice provide distinct services. According to the U.S. Department of Health and Human Services, the most common type of APN is the nurse practitioner (Judge-Ellis & Wilson, 2017). NPs are trained to provide a wide range of primary and acute health care services. NPs diagnose and treat medical conditions, as the scope of practice has expanded to allow NPs to perform many of the same medical services as a physician to include writing prescriptions in approximately 20 states (Judge-Ellis & Wilson, 2017). The median annual salary for NPs is $103,000 (Judge-Ellis & Wilson, 2017). In the other APN roles, Jessica would have to obtain further training if she wanted to expand her scope of practice.
References:
Iglehart, J. K. (2013). Expanding the role of advanced nurse practitioners, risks and rewards. New England Journal of Medicine, 368(1935). Retrieved from DOI: 10.1056/NEJMhpr1301084
Judge-Ellis, T., & Wilson, T. R. (2017). Time and NP practice: Naming, claiming, and explaining the role of nurse practitioners. The Journal for Nurse Practitioners, 139(9), 583-589. Retrieved from DOI: https://doi.org/10.1016/j.nurpra.2017.06.024
ALSO READ:
NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
NR 510 DQ 1 Week 2: Theory and the APN Role Discussion
NR 510: DQ 2 Week 2: Theory and APN Role Discussion Part Two
NR510 Week 2 dq 1 Week 2: Theory and the APN Role Discussion
NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One
NR510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One
NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two
NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part Two
NR 510 dq 1 Week 5: Conflict at the Office Discussion
NR 510 dq 2 Week 5: Conflict Resolution Strategies Discussion
NR 510 Week 6 APN Professional Development Plan
NR 510 Week 7 Recorded LACE Presentation
NR 510 Week 8 Reflection on Achievement of Outcomes
Sample Answer 2 for NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
Currently, certain rules must be followed to determine if the NP is reimbursed 100 percent. NP billing is done one of two ways: independent or “incident-to”. Independent billing is allowed when the patient is billed directly under the National Provider Identification (NPI) number of the NP providing the service. Incident-to billing occurs if the patient is treated by an NP, but the bill is submitted using the doctor’s NPI number. The first thing that needs to change are measures that require NPs to bill for their services under a physician-colleague’s name and provider number (Pickard, 2014). This makes it look like the NP cannot do his or her job without guidance like an intern; therefore, third party payers do not feel NPs should command top dollar for their services (Pickard, 2014). Furthermore, the difference in reimbursement has to do with multiple regulatory factors: billing guidelines at the state and federal level; credentialing, whether the patient is designated as outpatient or inpatient, and third-party payer policies (NAPNAP, 2018). Billing regulations must be strictly followed because they determine how much the NP can charge for his or her services, govern what services NPs can provide, who they provide services to, where these services can be rendered (NAPNAP, 2018). Each third-party payer (i.e. commercial or government insurer) has different rules on reimbursing NP services on these grounds. For example, reimbursement from private insurance agencies is distinct from the Medicare reimbursement process and may require a credentialing process. In order for reimbursement rates across the roles to be equal, third party payers, such as Medicaid and private insurers, would have to agree on service costs and reimbursement scales (Pickard, 2014). This is unlikely to happen for quite some time since the difference in reimbursement rates has to do with the bundling of services and who pays the bulk of the bill. While the billing process is meant to reflect the NPs productivity, I believe the current billing process is biased toward NPs and favors physicians when both parties provide the same service simply because of the title after the name. For example, if the Physicians Fee Schedule rate for a preventative care visit is $100, Medicare pays the physician $80; the patient then pays the $20 balance to the physician. If an NP performs the same service, Medicare pays the NP $68; the patient pays the NP $17. NPs should be reimbursed the same amount when performing the same service; the only way this will change is for NPs to document the clinical and financial outcomes related to the care they provide (Pickard, 2014). Consistent and thorough documentation from all NPs will support changes in coverage and reimbursement rules (Pickard, 2014).
References:
National Association of Pediatric Nurse Practitioners (NAPNAP). (2018). NP billing, coding, and reimbursement. Retrieved from https://www.napnapcareerguide.com/np-billing-coding-reimbursement/
Pickard, T. (2014). Calculating your worth: Understanding productivity and value. Journal of the Advanced Practitioner in Oncology, 5(2), 128–133. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/
Sample Answer 3 for NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
Salaries for the different APN specialties vary quite a bit and they vary depending on what state one practices in. I live in Illinois which seems to be within the national average-slightly higher than average in salaries for all the APN positions. I did a general Google search to identify salary averages for my state. Certified Nurse Midwives in Illinois make between 111-139k per year. Their education requires a BSN for entry into the program and approximately a 3 year masters program and certification exam. A CNM is the most specialized degree that focuses specifically on women and their needs throughout pregnancy and childbirth along with the infant while in utero and during and immediately after birth. Family nurse practitioners in Illinois make on average 95-108k and their degree is a masters which averages 2-2.5 years to complete and requires a national certification exam. A clinical nurse specialist in Illinois averages 96-107k per year and is also a masters degree requiring on average 2 years to complete. A CRNA in Illinois makes between 165-187k per year and the degree requires 24-36 months of schooling full time. CRNA school is considered by many to be the most difficult to gain entry into, and the most difficult program of the APN degrees. They are also very specialized program that focuses on anesthesia during surgery and pain control. I believe that Jessica would best fit in a FNP program. Jessica stated that her goal was to gain greater impact on patient care and since she didn’t have experience in or express interest in anesthesia or maternal health that leaves her with the choice between a CNS or an NP. As an NP Jessica would have the ability to work directly with patients and prescribe and treat patients as their primary provider. She would also be given the flexibility to teach if she felt like working with students and the ability to work with doctors in a variety of settings. The scope of a CNS is more limited and I feel that the flexibility of a NP would offer Jessica many opportunities that would fit best with her career goals.
When I was researching salaries for APN positions I came across an article that discussed the difference in APN salaries related to gender differences. The article stated that male NP’s earned $12,859 more than female NP’s after adjusting for individual differences in demographics and work characteristics and that recent graduate male NP’s earned $7,405 more than females with a continued increase in earnings and gap between genders (Greene, El-Banna, Briggs, & Park, 2017). I have to admit that this statistic bothered me. I know that there are increased salaries identified for males in similar roles as females, but when it is identified in the nursing profession I find it offensive. I have worked side by side with males, females, homosexual nurses, and transgender nurses. In my experience gender and gender identification do not matter, especially in the role of a nurse and advanced practice nurse. What matters is the individual’s ability to perform the job overall. There shouldn’t be such a huge difference in salaries between genders for nurses doing the same job and it bothers me that there is. I do realize that gender differences still remain, but it surprises me that such a big salary difference between genders remains in a profession that is female dominant.
References
Greene, J., El-Banna, M., Briggs, L., & Park, J. (2017). Gender differences in nurse practitioner salaries. Journal of the American Association of Nurse Practitioners 29(11). 667-672. http://doi.org/10.1002/2327-6924.12512
Sample Answer 4 for NR 510 Week 1 dq 2 :Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
The four identified roles of the advanced practice registered nurse (APRN) are clinical nurse specialist (CNS), certified nurse practitioner (CNP), certified nurse midwife (CNM), and certified registered nurse anesthetist (CRNA). These roles are regulated by the National Council of State Boards of Nursing (NCSBN), which aligns the ZPRN regulations and the Consensus Model for APRN regulation. The major essentials of these four roles include: licensure as an RN and APRN, the title of the APRN in each of the four roles, state recognition of these roles, graduate and or post graduate education as well as certification by an accredited program, independent prescribing and practice (Fotsch, 2016).
Mohr & Coke (2018) provide insight on the roles of the advanced practice nurse broken down in detail. When discussing the Clinical Nurse Specialist, this role’s accrediting organization is the American Nurses Credentialing Center (ANCC) and the American Association of Critical Care Nurses, recognized as an advanced practice role (APN), therefore recognized as APRN by the board of nursing. Furthermore, the CNS utilizes evidence-based practice, participates in research and implements findings into practice, as well as providing teaching to other nurses. The influence of the CNS is evident in certain environments where they may bill for services, such as in intensive care units, primary care clinics or specialty clinics.
Nurse Practitioners are also graduate prepared nurses from an accredited program, whom may practice in a variety of settings such as acute care, primary care, or long-term care. The NP spends much of their time educating the patient in terms of the treatment plan, and monitoring outcomes, all while focusing on the wellbeing of the patient. Hence, much of the NP’s time is spent with direct care of the patient, while decreasing the overall medical costs for the patient. Quite often, the NP and the CNS are viewed as “similar”, not only due to the fact that they are prepared with similar educational background, as well as that there is an overlap of knowledge and skills identified by the American Nurses Association ( Mohr & Coke, 2018). Further similarity can be added in that the CNM is viewed as very closely resembling a NP, with emphasis on women’s health in the OBGYN specialty, with extra certification in the area of assisting in child birth. The CRNA has specialized training in pharmacology and anesthesia, which much like a NP has a higher level of accountability in that role. In terms of salary, this varies state by state, as well as within the roles, and would have to be well researched by the prospective student based on where they believe they will be, or wish to practice. The variation in salary of course expands with experience, much as most other occupational salaries would similarly vary.
Lastly, Jessica’s colleague is not correct when stating that an NP has the ability to prescribe and diagnose with the responsibility lysing solely on the physician. Although the scope of practice and licensure varies by state, that does not mean that the NP bears no responsibility for their practice and treatment of the patients under their care. If Jessica would like to think of it this way, as a current, functioning RN with eight years experience, she is still liable for the patients under her direct care during her shift. Not “all” of the responsibility falls under the physicians while she cares for her patients. She still currently has an education and licensure that back up her role as a functioning RN, and she is still accountable for her actions, as well as any potential mistakes she may make as an RN. One cannot ever become educated and licensed in a role without holding any responsibility or accountability.
Mohr, L. D., & Coke, L. A. (2018). Distinguishing the Clinical Nurse Specialist From Other Graduate Nursing Roles. Clinical Nurse Specialist: The Journal For Advanced Nursing Practice, 32(3), 139-151.
Fotsch, R. (2016). What’s in a name? Legislative challenges with APRN Title Change. Journal of Nursing Regulation, 6(4), 73-74.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate
program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.