DQ 1: Describe how the role of advanced registered nurse transformed over time
Grand Canyon University DQ 1: Describe how the role of advanced registered nurse transformed over time-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University DQ 1: Describe how the role of advanced registered nurse transformed over time 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 DQ 1: Describe how the role of advanced registered nurse transformed over time
Whether one passes or fails an academic assignment such as the Grand Canyon University DQ 1: Describe how the role of advanced registered nurse transformed over time 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 DQ 1: Describe how the role of advanced registered nurse transformed over time
The introduction for the Grand Canyon University DQ 1: Describe how the role of advanced registered nurse transformed over time 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 DQ 1: Describe how the role of advanced registered nurse transformed over time
After the introduction, move into the main part of the DQ 1: Describe how the role of advanced registered nurse transformed over time 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 DQ 1: Describe how the role of advanced registered nurse transformed over time
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 DQ 1: Describe how the role of advanced registered nurse transformed over time
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.
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NUR 513 Topic 1 DQ 1
Describe how the role of advanced registered nurse transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?
Sample Answer for DQ 1: Describe how the role of advanced registered nurse transformed over time
The role of advanced registered nurse has transformed over time primarily by shifting from a role to fill shortage in availability of physicians, to a role with structured education and professional definition. Historically, advanced practice nursing roles including nurse practitioners, nurse midwives and nurse anesthetists came into being as an attempt to improve care access in regions, or specialties, where access to physician care was limited (DeNisco & Barker, 2019). However, these roles, initially had variable educational requirements, and authority often based on region. This lack of role definition was paralleled by other advanced practice nursing roles that did not necessarily have direct clinical contact with patients such as nurse educators, nurse managers and nurse researchers. In 2004 the American Association of Colleges of Nursing (AACN) defined advanced practice nursing as:
“Any form of nursing intervention that influences health care outcomes for individuals or populations, including direct care of individual patients, management of care for individuals and populations, administration of nursing and health care organizations, and the development and implementation of health policy.”
While this definition continues to leave room for variable interpretation, this has served as a point of delineation regarding current and future educational requirements (DeNisco & Barker, 2019). Undoubtedly, the role of advanced registered nurse will continue to be refined by professional and regulatory bodies. The responsibilities of the advanced registered nurse will evolve to continue to meet population health needs, while maintaining strong roots in nursing practice and applications.
American Association of Colleges of Nursing (AACN). (2004). AACN position statement on the practice doctorate in nursing. Retrieved from https://www.aacnnursing.org/Portals/42/News/Position-Statements/DNP.pdf
DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284176124
REPLY
Sample Answer 2 for DQ 1: Describe how the role of advanced registered nurse transformed over time
I loved reading this discussion question response. I live in a rural area and have seen first hand the impact that
Nurse Practitioners serve to both meet clinical needs of our community and to relieve the workload of our local primary care physicians. I’ve recently moved into a new role of nurse educator and I see the benefit of advanced practice nurses across the board. They continue to grow steadily.
“If millions of nurses in a thousand places articulate the same ideas and convictions about primary healthcare, and came together as one force, then they could act as a powerhouse for change (WHO, 1985) (Schober et al, 2006)”. These words were spoken by Halfan Mahler, Director General of the World Health Organization (WHO). These words have helped to propel the advancement and development of the nursing profession over time. The nursing practice has change over the years, however, in the 20th century the term “specialist” started to be evolved with the development of more postgraduate courses. With this development came opposition, especially from physicians. However, with the shortage of physicians, advanced practice nurses (APN) were utilized in rural and remote areas as primary healthcare Nurse Practitioners (NP) (Schober et al, 2006).
Over the years however, advanced practice nurse roles and values have been misinterpreted, but with the work of the International Council of Nursing (ICN). APN has been viewed in a different light. Policy makers are seeking creative ways to integrate APN into the healthcare system. However, there are a few challenges that exist. With the healthcare reformation and issues that exist in healthcare stakeholders were forced to proactive seek ways to develop the profession. Through consistency and competency develop APN practices has improved.
Reference
Schober, M., Affara, F., & Affara, F. (2006). International council of nurses: Advanced nursing practice. John Wiley & Sons, Incorporated.
Sample Answer 3 for DQ 1: Describe how the role of advanced registered nurse transformed over time
Your initial quote is very powerful, particularly in light of the impact of the COVID-19 pandemic. I think all over the world nurses are articulating needs and developing policy that will positively impact patient care in the future. I do think that the pandemic has forced healthcare stakeholders to consider the influence and impact of nursing needs more rapidly than they were pre-pandemic. It has “forced the envelope” as far as expanding a wide variety of advanced practice nursing responsibilities. Internationally, the nursing response to the COVID- 19 pandemic was demonstration of the nursing profession adjusting to meet the needs of their patients. This is a trend I believe will continue while the advanced practice nurse role evolves.
Hi Evelyn, I like your discussion about the APN advance in the health care system. As a nurse working in the hospital, I noticed that more APNs were working during the pandemic, even more than physicians. It seems that healthcare has now given more opportunities to advance. I believe that more APNs will be integrated into patient care. Many incidents have occurred in which a patient prefers to talk with a doctor than an APN. But later change their mind when the APNs speak with the patients. I saw a change in patient perspective toward APNs when they realized how well prepared APNs are. The advanced education makes the APNs more knowledgeable about health comorbidities and how to interact with the patient and explain in a way that patient can understand.
The role of registered nursing has come a long way since the 19th century when Florence Nightingale revolutionized modern nursing on the front lines of the Crimean war and Lillian Wald’s nurses elevated nursing to provide primary medical care for inner city low income families. Initially education of nurses who provided advanced specialized care was in the form of apprenticeship training, but it is now a requirement to have obtained a master’s degree or higher to qualify as an official Advanced practice Nurse. Currently there are four degrees that meet the criteria to qualify as an advanced practice nurse (APRN). They are Nurse Midwife, Certified Nurse Practitioner, Certified Registered Nurse Anesthetist, and Clinical Nurse Specialist (DeNisco & Barker, 2019). As the demands and expectations of the healthcare system continue to increase, the number of roles qualifying to be an advanced practice nurse are bound to expand. Two roles that have potential to be included as APRNs are the roles of case managers, and nurse navigators. Along with the expansion of the field of APRNs in the near future, there will also be an increase in the expectations of their education, training and responsibilities.
One example of how the education and training of an Advanced Practice Nurse has changed over time is in the role of nurse practitioner(NP). From the time that the role of nurse practitioner was formally developed in 1965 by Loretta Ford, EdD and Henry Silver, MD, until the 1980s and 1990s, when it moved to the university setting as a master’s level program, most NP training programs were continuing education programs. (DeNisco & Barker, 2019). The goal of the American Association of Colleges of Nursing was to have all entry level Nurse Practitioners be educated at the Doctorate level by 2015, but this has proven “impossible to achieve” (DeNisco & Barker, 2019, p. 30).
Doctorate-level nursing education has become the bar for the role of nurse practitioner because NPs have been proven to be a cost effective way to provide high quality care, and the expectations of nurses in this increasingly complex healthcare system are becoming more demanding. The Institute of Medicine (IOM) has “identified the need for nurses to be placed at the forefront of healthcare” (DeNisco & Barker, 2019, p. 24). Nurse practitioners are currently working alongside other doctorally prepared clinicians such as physicians (MD), pharmacists (PharmD), and physical therapists (DPT) to name a few (DeNisco & Barker, 2019). Requiring nurse practitioners to be doctorally prepared would ideally elevate them to be equal with other doctorally prepared clinicians in their respective fields.
Reference:
DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: Essential knowledge for the profession (4th ed.) Jones & Bartlett Learning.
Sample Answer 4 for DQ 1: Describe how the role of advanced registered nurse transformed over time
Thanks Rachel, that was quite insightful. I have also noticed over the years the tremendous changes in healthcare systems.
ARNs are becoming more independent and autonomous in providing quality patient -centred care. In addition to providing primary, acute and specialty health care services, ARNs can equally take up leadership roles and enhance nursing practices through advanced clinical expertise, education, and research.
In primary, secondary, and specialty care settings involving both adult and pediatric populations, Htay M. & Whitehead D. (2021) assert that advanced nurse practitioners have a positive impact on clinical and service-related outcomes, such as patient satisfaction, waiting times, control of chronic disease, and cost-effectiveness, especially when directly compared to medical practitioner-led care and usual care practices.
References
Htay M, Whitehead D. (2021). The effectiveness of the role of advanced nurse practitioners compared to physician-led or usual care: A systematic review. doi: 10.1016/j.ijnsa.2021.100034. PMID: 38746729; PMCID: PMC11080477.
Sample Answer 5 for DQ 1: Describe how the role of advanced registered nurse transformed over time
Based on the definition given by the American Association of Colleges of Nursing (AACN) and other widely accepted usages, the term advanced practice registered nurse (APRN) has been used to indicate master’s-prepared nurses who provide direct clinical care. This term encompasses the roles of nurse practitioner (NP), certified nurse–midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS). (DeNisco, S., 2021)
Nurse administrators, public health nurses, and policy makers are considered advanced practice nurses albeit they do not provide direct care or obtain advanced practice licensure per the state they practice in. The clinical nurse leader (CNL) is responsible for patient care outcomes and integrates and applies evidence-based information to design, implement, and evaluate healthcare systems and models of care delivery. The CNL is a provider and manager of care at the point of care for individuals and cohorts of patients anywhere health care is delivered. (DeNisco, S., 2021)
A national initiative exists to improve access to high-quality health care while reducing costs. This mandate will require the emergence of many new roles not yet imagined for nurses. Recently, new roles to serve as coordinators of care, such as nurse navigators and healthcare coaches, have been established. In the future, these roles may require advanced degrees and certification. Opportunities for nurses to coordinate care throughout the continuum of care are likely to abound. The aging population will require nurses to be chronic disease specialists and wellness coaches. Population health, gender-specific health care, and global health specialties will become the norm. An understanding of the healthcare delivery system, healthcare policy, and care transition will need to be incorporated into graduate curricula. (DeNisco, S., 2021)
Advanced practice nurses are being called on and challenged to lead changes in healthcare organizations to improve quality, decrease adverse events, reduce costs, and enhance patient satisfaction. (DeNisco, S., 2021)
As I was reading through the recommended chapters in this book, I can see how the role of advanced practice nurses will evolve in the future and how more opportunities will open up given the statistics provided in the book related to shortages of nursing healthcare professionals. As the prescriptive authority of advanced practice nurses is being expanded to meet the primary healthcare needs of our aging population, so will the roles continue to evolve along with the need to improve quality patient care while reducing healthcare cost.
References:
DeNisco, S. (Ed). (2021). Advanced practice nursing: Essential knowledge for the profession (4th Ed.). Jones and Bartlett Learning