ESSAY ROLES TEST Nursing Role Advanced Registered Nurse Practitioner 1 Discuss the potential for professional growth and promotion for the selected role Use statistics from local paper nursing journals hospital postings or other sources Changes in healthcare over the past several years have prompted the demand for more providers Society now looks for the Physician Assistant PA or the Nurse Practitioner NP to fill the need Many opportunities exist for the NP nursing research education Mental Health Nurse Practitioner MHNP Acute Care Nurse Practitioner ACNP and Clinical Nurse Specialist CNP are only a few opportunities available Of 116 447 Nurse Practitioners in the United States approximately 5 293 are ACNPs Kleinpell 2006 p 8 The remaining 111 154 NPs in the United States represent other specialty areas 2 State the salary range for the role selected in the geographic area in which you work How does that compare with the salary ranges for the same role nationally In Jacksonville Florida the salary range for a NP in the 25th percentile is 71 753 the 50th percentile is 84 574 Retrieved July 19 2009 from http swz salary com Compared to the national overall average salary 81 397 Rollet Lebo 2009 3 Give a detailed description of a nursing role that requires a BSN or higher Give examples of job responsibilities settings where role is used and how the role is structured in terms of the organizational chart Four roles are recognized in the United States as advanced practice nurse APN clinical nurse specialist CNS nurse practitioner NP certified nurse midwife and certified registered nurse anaesthetist Kilpatrick 2008 p 116 It is recommended nurses assuming these roles be prepared at the graduate level The CNP role more emphasis is placed on educating clients patients and families to assist staff nurses in an effort to provide high quality care CNP utilize research and evidence based programs to disseminate nursing knowledge Kilpatrick 2008 p 117 NP examines and treats patients independently and in autonomous collaboration with other health care professionals Trained NP take medical histories make diagnoses prescribe treatment and perform medical tasks Trnobranski 1994 p 135 NP ensures disease prevention holistic care health promotion and work autonomously side by side with physicians and other health care team members to ensure best possible patient outcomes APN are usually employed in hospital settings however there is an increase of APN working in collaborative practice Kleinpell 2006 p 8 4 Discuss benefits and liabilities of the role chosen Relate any professional or political risk that may be associated with the role i e education coordinator position may be eliminated or person works unit in shortage Many benefits are associated with the role as nurse practitioner NP With supervision from a licensed physician and protocol standards NP may establish their own independent private practice prescribing privileges and ability to deliver quality patient care Nurses often become NP because of the autonomy ESSAY ROLES TEST and challenge associated with the role Of course along with all of the responsibilities and duties as a NP comes the liability as well Nurse practitioners are just like other health care providers subject to professional liability claims Burroughs Dmytrow and Lewis 2007 stated Liability creates clinical legal financial and operational challenges for the nurse practitioners their employers and physician collaborators or supervisors p 53 5 What factors influenced the development of the chosen role Please use resources such as text articles journals to support your answer The nurse practitioner role first emerged in the United States in the 1960 s The role emerged due to changing health trends rising health care costs and move from the general medical model to a primary health care approach Trnobranski 1994 stated The nurse practitioner was identified as a means of providing improved availability and access to healthcare p 135 6 What potential ethical dilemmas may be associated with the chosen role Ethical dilemmas faced by nurse practitioners NP include but are not limited to covering up bending the rules diffusing the truth distributing resources and unintended code of ethics violations Beidler 2005 p 47 Withdrawing artificial food and fluid and euthanasia are other serious ethical dilemmas faced by NP 7 What are the specific educational requirements of the role It is recommended that nurses assuming advanced practice roles be prepared at the graduate level Nurse practitioner practice is based on the construct of primary health care comprehensive care case management prevention health and wellness Price et al 1992 p 12 Clinical learning opportunities must also be provided for in the nurse practitioner curricula 8 Describe the certification or credentialing process for the role if one exists i e process testing fees length of time certification is good for If one does not exist discuss what credentialing bodies exist in nursing for the purpose of certification No state examination exists for NP Registered nurses desiring certification as an advanced registered nurse practitioner must comply with the following 1 Apply to the department and submit proof of current licensure 2 Complete at least one academic year of a formal post basic educational program designed to prepare nurse for advanced practice 3 Receive certification form appropriate specialty board 4 Graduation from a master s degree program leading to a nursing clinical specialty area Fees for testing with the American Nurses Credential Center for a non member is 390 American Nurses Association Member is 270 and for a member of American College of Nurse Practitioner is 340 Retrieved July 19 2009 from http www nursecredentialing org ESSAY ROLES TEST References Adult Nurse Practitioner n d American Nurses Credentialing Center Retrieved July 19 2009 from http www nursecredentialing org Certification aspx Beidler S 2005 Ethical issues experienced by community based nurse practitioners addressing health disparities among vulnerable populations International Journal for Human Caring 9 3 43 50 Retrieved July 19 2009 from EBSCO Host database Burroughs R Dmytrow B Lewis H 2007 Trends in nurse practitioner professional liability An analysis of claims with risk management recommendations Journal of Nursing Law 11 53 59 Retrieved July 19 2009 from EBSCO Host database Kilpatrick K 2008 Praxis and the role development of the