NU 502 Assignment 2 PowerPoint Presentation

NU 502 Assignment 2 PowerPoint Presentation


  • APRNs play an important role in American healthcare system
  • They provide high quality, safe and efficient care to vulnerable populations
  • APRNs specialize in different areas of nursing practice
  • This presentation examines role, scope of practice, standards of care, barriers and future of family nurse practitioners specializing in adult-gerontology nursing

Advanced practice registered nurses (APRNs) play a critical role in the modern American healthcare system. APRNs are trained at the advanced level of nursing to provide specialized care to their populations. APRNs possess advanced knowledge and skills in different areas of nursing that enable them work in higher roles than registered nurses. The advent of APRN roles have led to the reduction in the shortage of physicians in America since APRNs provide specialized care to underserved populations in America. APRNs can specialize in a wide range of nursing areas such as critical care and family nurse practitioner roles (Ljungbeck & Sjögren Forss, 2017). Ther

NU 502 Assignment 2 PowerPoint Presentation

NU 502 Assignment 2 PowerPoint Presentation

efore, this presentation examines the roles, scope of practice, standards of care, barriers and future family nurse practitioner specializing in adult-gerontology nursing.

The purpose of qualitative research is to understand individuals lives and figure out what the central meaning is (Renjith 2021). To analyze different phenomena in this context, researchers gather many different views from different individuals to see how the phenomenon effects their life (Maxwell 2020). An example of this would be mothers with children who have leukemia (Renjith 2021). The research would surround every life aspect, from wearing a mask everywhere to staying home on lock down basically to keep infection minimum during treatments (Renjith 2021). Grounded theory is to discovery in the context of the social process being studied. This theory uses comparative analysis, theoretical sampling, theoretical coding, and theoretical saturation. An example of this would be an analysis of the relationship between women and anorexia. The study analysis showed a development of a theoretical framework on the nature of the relationship between the self and anorexia nervosa (Renjith 2021). Ethnographic research studies the anthropology of culture specific areas. Knowledge and behaviors are used in this type of study (Renjith 2021). An example of this type of research study would be “The aim of the ethnographic study by LeBaron et al. was to explore the barriers to opioid availability and cancer pain management in India. The researchers collected data from fifty-nine participants using in-depth semi-structured interviews, participant observation, and document review. The researchers identified significant barriers by open coding and thematic analysis of the formal interview” (Renjith 2021).

Family Nurse Practitioner Role

  • Family nurse practitioners deliver family-focused care
  • Provide care that promote health and prevent disease
  • Work collaboratively with other healthcare providers
  • Diagnose complex conditions affecting individuals, families and communities

Family nurse practitioners are specialized nurses who are trained at the advanced level of nursing to provide family

NU 502 Assignment 2 PowerPoint Presentation

NU 502 Assignment 2 PowerPoint Presentation

focused care. The practitioners utilize their critical thinking and problem solving skills to develop population and family-focused interventions that promote health and prevent disease and illnesses affecting individuals, families and communities. The success of family nurse practitioners in their role is largely dependent on the collaborative efforts that they utilize in working with other healthcare providers (Neal-Boylan, 2020). The knowledge and skills that family nurse practitioners enable them to diagnose complex conditions that affect individuals, families and communities.

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Adult Gerontology Nurse Practitioner Population Focus

  • Adult-gerontology nurse practitioner (AGNP) focuses on providing care to patients from adolescents to advanced ages and geriatrics
  • Have specialized education following professional certification as registered nurses (RNs)
  • Work in broad patient populations as well as settings
  • They prescribe medicines, diagnose patients, order and interpret diagnostic tests

Adult gerontology nurse practitioners are nurse practitioners who have been trained to provide care to adolescents, adults, elderly adults and geriatrics. The AGNP nurses have masters degree in nursing specializing in an area of practice such as family practice. AGNP must have a bachelors degree in nursing, which forms the basis of their understanding of their specialized roles. AGNP works with diverse patient populations. As a result, mastery of different concepts in nursing and management of conditions is important for them to be able to provide appropriate care in their practice. The role focus of the AGNP include prescribing medicines, diagnosing conditions, ordering and interpreting diagnostic tests (Roche et al., 2017). AGNP works with other healthcare providers to ensure the optimum health and wellbeing of the patients that they serve are promoted


  • Hospitals
  • Private clinics
  • Nursing homes
  • Internal medicine

AGNP can work in a variety of settings. One of the settings is the hospitals. AGNP can work in hospitals to diagnose and treat adolescents, adults and elderly patients. The other setting where AGNP can work is the private clinics. AGNP can work in private clinics in assessing, planning, implementing, monitoring and evaluating the effectiveness of treatments. The AGNP can also work in nursing homes. They work in nursing homes to address the health issues facing adolescents, adults and elderly populations. AGNPs can also work in internal medicine settings where patients are admitted for specialized treatment for various medical conditions.


The other setting where AGNPs work is the nursing schools. AGNPs can work in nursing schools as tutors or lecturers of other students persuing courses related adult-gerontology nursing. They can also work in the conventional doctor’s homes as consultants and patient attendants. AGNPs can also work in research institutions. They use their knowledge and skills in nursing research to undertake clinical researches that improve the quality and safety of nursing care. AGNPs can also work in geriatric centers of care where they diagnose, treat and evaluate the effectiveness of the adopted treatment interventions (Neal-Boylan, 2020).

Scope of Practice

  • Assessment
  • Planning
  • Implementation
  • Monitoring
  • Evaluation

The scope of practice for family nurse practitioners and AGNPs encompasses assessment. These professionals perform patient assessment to determine the actual and potential needs that must be met with the developed care plan. Assessment also enables them to determine the inter-professional care that patients require to meet their care needs. The other scope of practice entails planning. Family nurse practitioners and AGNPs use the assessment data to develop plans of care. They use the assessment data to develop plans of care that aim at meeting the prioritized and potential care needs of the patients. The other scope of practice is implementation of care. The family nurse practitioners and AGNPs lead the implementation of treatment plans for their patients. They also monitor the response of the patients to the prescribed treatment. Monitoring enables them to determine the need for revision of the care plans or the adoption of additional interventions that will enhance recovery. The last scope of practice entails evaluation where these professionals determine whether the adopted treatment plans were effective or not (Trotter, 2020).

  • Prescription
  • Counseling
  • Health education
  • Coordinating care

The scope of practice of family nurse practitioners and AGNPs also included prescription of medications. These professionals are licensed to prescribe medications to their patient populations. The family nurse practitioner and AGNPs also provide counseling services to their patients. They act as sources of emotional, social and psychological support for their patients. The counseling role that they play ensures that the mental health and wellbeing of their populations are promoted. Family nurse practitioner and AGNPs’ scope also extends to health education. They provide patients with vital information about the effective ways in which their health problems can be managed. They also provide patients with health education with the aim of promoting positive lifestyle and behavioral change (Stewart & DeNisco, 2018). Family nurse practitioners and AGNPs also coordinate care. They ensure the efficient collaboration between different healthcare providers for the realization of the optimum outcomes of care for their patients.

Competencies and Standards of Care

  • Scientific foundation
  • Leadership
  • Promotion of quality
  • Practice inquiry

Family nurse practitioners and AGNPs should demonstrate competencies in scientific foundations in the provision of nursing care. They should be able to integrate knowledge from other disciplines within nursing context into the nursing care given to patients. They should also be able to develop new practice interventions by utilizing theory, practice knowledge and research. Family nurse practitioners and AGNPs should also demonstrate competencies in promoting quality in nursing and health care as a whole. They should demonstrate quality by using evidence-based practice interventions in care process. They should also apply skills in peer reviews as a way of promoting culture of excellence in their organizations. They should also utilize best practices to ensure efficiency, safety and quality in practice. The other competency for family nurse practitioners is practice inquiry. Family nurse practitioners and AGNPs should provide the desired leadership in translating evidence into practice. They should also lead the generation of knowledge from practice to improve care and patient outcomes. They should also disseminate evidence to contribute to safety and quality in nursing. The last competency standard for family nurse practitioners and AGNPs is leadership competencies. These professionals should assume the leadership roles in initiating change. They should also communicate best practices in nursing through writing and orally (Stewart & DeNisco, 2018). They should also demonstrate effective leadership through reflective and critical thinking.

  • Technology use in health
  • Policy competence
  • Ethics
  • Healthcare delivery system


The competencies and standards of family nurse practitioners and AGNPs also extend to technology use in health and nursing. Nurse practitioners should demonstrate competencies in using healthcare technologies to advance health. They should be able to use healthcare technologies to ensure that the care that patients receive is of high quality, safe and efficient. Family nurse practitioners and AGNPs should also demonstrate competencies in policy-related issues. They should demonstrate adept understanding of the influence of policy on nursing practice. They should also advocate the adoption of ethical policies that contribute to enhanced access to care, equity, cost and quality of healthcare services. The family nurse practitioners and AGNPs should also have competencies in issues related to ethics in health and nursing. They should be able to utilize ethical decision making in implementing care plans in their practice. They should also be able to evaluate the ethical implications of the decisions that they make alongside utilizing ethical sound decisions in addressing complex issues affecting their organizations. Family  nurse practitioners and AGNPs should also demonstrate healthcare system delivery competencies (Roche et al., 2017). They should be able to evaluate the effect of healthcare delivery models on providers, patients and other stakeholders. They should also be able to determine the effective organizational structures, resources and functions that must be implemented in their settings for performance and excellence.

Issues and Challenges

  • Aging workforce
  • Legislative changes
  • Restriction of scope of practice
  • Technology use in nursing

One of the challenges affecting the role of family nurse practitioners and AGNPs is the aging workforce. The majority of Americas population will be retiring by 2030. The implication of the change in population dynamics is that there will be a high number of the elderly populations in need of care by AGNPs, hence high workload. The other issue affecting their role is legislative changes. The adoption of new changes in legislations such as ACA increases the accessibility of care by the American population. Increase in access to care will translate into expanded utilization of care services, hence, affecting the role of AGNPs. The other challenge is the restriction of scope of practice. Some states in America have not adopted laws that allow nurse practitioners to practice fully to their scope of practice. The limited scope of practice therefore affects the autonomous role that nurse practitioners play in the American healthcare system. The other issue affecting the role of nurse practitioners is technology use in nursing and health. The modern healthcare is characterized by the increased use of health technologies to provide high quality, safe and efficient care. The increased use of technologies imply that nurse practitioners should strive to develop the needed competencies for technology use in nursing.

  • Primary care gap
  • Emergence of new health problems
  • Potential for role isolation
  • Acceptance of nurse practitioners in clinical settings

The other issue affecting the family nurse practitioners and AGNPs is primary care gap. Health inequalities still exist and affects a majority of the population in America. Health inequalities affect access to and utilization of care services. Therefore, there is an increased need for family nurse practitioners and AGNPs to advocate the adoption of interventions to addres inequalities in American healthcare system. The other challenge facing AGNPs and family nurse practitioners is the emergence of new health problems. An example is Covid19 that has led to new care demands by patients that advanced practice nurses must address. There is also the issue of potential for role isolation in nurse practitioner roles. Accordingly, most employers do not appreciate the role played by advanced practice nurses and nurse practitioners in addressing the acute shortage of physicians in America. As a result, the critical role that nurse practitioners play might not be felt, hence, potential for role isolation. The last issue is the low acceptance of nurse practitioners in the clinical settings. Most of the health organizations in America believe in the critical roles that physician play. Nurse practitioners are perceived to play the role of the physicians in practice. As a result, there has been slow acceptance of the critical roles that nurse practitioners play in healthcare.

Future of the Certified Nurse Practice Role

  • Expanded scope of practice
  • Changes in patient demographics and care needs
  • Reimbursement based on value of care given
  • Expanded recognition of nurse practitioners’ role in health

One of the anticipated changes in the future of family nurse practitioner’s role and that of AGNPs is the expansion of scope of practice. Most states are currently embracing the adoption of laws that allow full practice by nurse practitioners. The changes in legislation will lead to expanded nurse autonomy in nursing practice. The other anticipated changes in the future is the patient demographics. As noted initially, the majority of the patient population in America in the next decade will comprise of the elderly. Elderly populations are prone to chronic health problems, hence, the increased workload and disease burden for the AGNPs and family nurse practitioners. The future of nurse practitioner roles will also be characterized by the adoption of new reimbursement models where providers are paid for the quality of care and not quantity. The adoption of value-based models of care will contribute to quality and safety of nursing care (Ljungbeck & Sjögren Forss, 2017). The implications of the above changes is that there will be the expanded role of nurse practitioners and its recognition in America.

  • Expanded use of health technologies
  • Increase in nurse practitioners’ number
  • Increased demand for nurse practitioners
  • Improvement in access to care

The other anticipated changes in the future of nurse practitioners’ role is the expanded use of health technologies. Health technologies will dominate the majority of care that nurse practitioners give as a way of promoting efficiency, quality and safety. The other anticipated change is the increase in the number of nurse practitioners. It is estimated that the number of nurse practitioners will rise by 34% over the next ten years. The rise in the number of nurse practitioners will be attributed to increased demand of their care, hence, enhanced access to care for the American population (Lajiness & Quallich, 2016).


  • Nurse practitioners play an important role in health care
  • Family nurse practitioners can practice in expanded roles such as adult-gerontology nurse practitioner role
  • Scope of practice and competencies guide roles of nurse practitioners
  • Laziness, M., & Quallich, S. (2016). The Nurse Practitioner in Urology. Springer.
  • Ljungbeck, B., & Sjögren Forss, K. (2017). Advanced nurse practitioners in municipal healthcare as a way to meet the growing healthcare needs of the frail elderly: A qualitative interview study with managers, doctors and specialist nurses. BMC Nursing, 16(1), 63.
  • Neal-Boylan, L. (2020). The Family Nurse Practitioner: Clinical Case Studies. John Wiley & Sons.