Mercedes Yumar
The American Associations of Colleges of Nursing (2006) defines advanced practice nursing as:
“any form of nursing intervention that influences health care outcomes for individuals or populations, including the 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 care policy.” (p. 4)
Unlike most definitions of advanced practice nursing this definition involves nursing roles that do not involve direct patient care, which are often performed by holders of a doctorate level nursing degree.
The Advanced Practice Registered Nurse Consensus Model has seven criteria that are included in the advanced nursing practice model. According to A & N (2008) these include completion of an accredited graduate level education, passing of a national certification exam, advanced clinical knowledge, advanced competencies of a registered nurse, assuming the responsibility for health care promotion, clinical experience of sufficient depth, and obtaining a license to practice as an advanced practice registered nurse. This definition also states that the four roles of advanced nursing practice only include “nurse anesthetist, nurse-midwife, clinical nurse specialist, and nurse practitioner” (A & N, 2008, p.8). These all involve direct patient care unlike the definition of advanced practice nursing by AACN. Of the two definitions provided by these organizations this is the definition that speaks to the goals I have in becoming a nurse practitioner.
The definition in our textbook involves three primary criteria, and seven core competencies of the advance practice nurse. The three primary criteria being “graduate education, certification, and practice focused on patient/family” (Hamric, Hanson, Tracy, & O’Grady, 2014, p. 72) , the seven core competencies being “central competency, guidance and coaching, consultation, evidence based practice, leadership, collaboration, and ethical decision making.” (Hamric et al. 2014, p. 76). Many of the factors in this definition are already involved in a registered nurses role, however the advanced practice nurse has the ability to further relationships with patient as well as having leadership roles that registered nurses cannot obtain. Of these factors proposed in our textbooks definition the two that are most important in my aspirations of a nurse practitioner are certification, as well as guidance and coaching.
Certification allows for a national standard, similar to certification in the nursing field. This allows for a standard of care as well as competency. Even though certification is often difficult to achieve this allows protection for the patients and their families, which is an ultimate goal for my nursing career.
Guidance and coaching “allows for a therapeutic relationship and ability to guide a patient through transitions.” (Hamric et al., 2014, p. 183). As registered nurses a therapeutic relationship is crucial for patient interaction, however we often do not have the opportunity to guide a patient through transitions since we are usually only involved in a small step on their medical journey. One of the many reasons I wish to be a nurse practitioner is the ability to help patients transition through multiple stages of life and evolve the therapeutic relationships I obtain now in my field to a long term relationship that allows complete trust of medical decisions and medical care of my patients.
References
A., & N. (2008, July 7).
Consensus Model for APRN Regulation
: Licensure, Accreditation, Certification & Education. Retrieved May 11, 2019, from http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Consensus-Model-Toolkit
American Association of Colleges of Nursing
(AACN): The essentials of doctoral education for advanced nursing practice. 2006, Author, Washington, DC
Hamric, A. B., Hanson, C. M., Tracy, M. F., & OGrady, E. T. (2014). Advanced practice nursing: an integrative approach (5th ed.). St. Louis: Elsevier.
Yamile Carrazana
What are the educational requirements to practice as an FNP?
All nurses applying for FNP must have an Associated and/or Bachelor graduate degree, must have a valid active License as a Register Nurse, and obtaining national certification in a specific patient population.
According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners?
To become an NP we must have a minimum of 65 credits or a non-nursing bachelor’s degree to qualify for a program.
Who determines the scope of practice for FNP’s?
The scope of practice is determined by The American Association of Nurse Practitioners, and each NP is accountable to patients, the nursing profession, and the practice must be based in the Ethical code of conduct, national certification, evidence-based principles, and current practice standard.
Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role?
The American Nurse Association is the organization to defines the scope of practice of the Nurse practitioner. Professional and Political organizations regulate license laws allowing Family Nurse Practitioners to evaluate, diagnose patients, and prescribe medications.
“Practice Authority ……Nurse practitioners may practice autonomously in primary care settings including family medicine, general pediatrics, and general internal medicine. Fla. Stat. §464.0123….
Prescriptive Authority……An NP may prescribe any drug and Schedules II-V controlled substances if the NP is practicing autonomously. Fla. Stat. §464.012……
Nurse Practitioner as a Primary Care Provider……NP’s are recognized in state policy as primary care providers. Primary care provider means a health care provider licensed under chapter 458, chapter 459, or chapter 464 who provides medical services to patients which are commonly provided without a referral from another health care provider, including family and general practice, general pediatrics, and general internal medicine.
Fla. Stat. §381.026
“I think these three regulation are very dependent on each other if we have the autonomy to provide health care to a determinate population this autonomy must be total, I mean is fine to have the support of a group of professional to give better service to the population but is hard to study, run the long way to become an NP and at the end, the practice depends on other personal criteria, the remunerations are not based in the service we provide to our patient, will be based in the contract rules of the supervisor. The scope of prescriptions must be to cover the area of our practice to avoid the wrong handle of medication.
Maritza Leon
Roles and Requirements of Family Nurse Practitioners
Family nurse practitioners require a healthcare professional tasked with providing primary or specialty care to individuals and families. A nurse practitioner must be a holder of master’s degree in nursing, a registered nursing license together with a practitioner certification. The educational requirement includes the completion of the advanced nursing degree program (Parker, 2019). “The American Association of College of Nursing” provides the doctor of nursing practice as the terminal degree as in the nursing practice. The AACN promotes the understanding of this degree by reviewing doctoral education nursing. It also offers a comparison of the Ph.D. in nursing and the DNP in the provision of the classification. It also provides all the implications for emergency nursing regarding the DNP.
The scope of practice for FNPs is under the control of the state boards of nursing, which is the independent practice and the prescriptive authorities. The guidelines in the NCSBN influence the organizations and nursing practices, including all the certification agency bodies and the professional advocacy groups, in controlling the independent practices of FNPs without oversight (Anderson et.at 2019). The state board of nursing is defined by the state-specific licensing and regulatory body that sets all the standards for safe nursing and the determination of the scope of practice. The state board of nursing is provided with credentials by a government entity in the provision of assurance to the public to affirm that the nurses have met all predetermined standards set. Professional and political organizations influence policymaking. They play the core role in the monitoring of the public policy and the offer ways for all the members to learn on all the healthcare policies they must adhere
The regulations imposed on APRNs in Florida include the ownership and control of the patient’s records. The regulation provides that any healthcare provider who generates or even receive a patient’s health records must always maintain the patient’s confidentiality and provide the required copies of the records upon the patient’s request. The nurses must not give documents to others with no written authorization. The second is the required information for licensure by chapter 456, where the healthcare professionals and the registered practitioners are required to apply for the initial licensure and renewal. The third is licensure by examination, where all nurses are required to make an application through an examination to be granted a license. Some of these regulations need to be changed to fit into the current healthcare system of Florida. Changes in the rules imposed on the APRN can be made through legislation. The changes are proposed and passed to the legislative nursing bodies and committees for approvals
References
Anderson, A. L., Waddell, A., Brennan, P., Burnett, C., Anderson, C., & Short, N. M. (2019). Advancing health policy education in nursing: American Association of Colleges of Nursing Faculty Policy Think Tank. Journal of Professional Nursing.
https://floridasnursing.gov/nursing-faqs/advanced-practice-registered-nurse-aprn/
Parker, R. (2019). Resource Tool Development and Implementation to Improve the Transition to Practice of Novice FNPs in Primary C
Guillermo Carabeo
For the Advanced Practice Registered Nurse (APRN) model of regulation there are four roles: certified registered nurse anesthetist (CRNA), certified nurse-midwife (CNM), clinical nurse specialist (CNS), and certified nurse practitioner (CNP). These four roles are given the title of advanced practice registered nurse (APRN). APRNs are educated in one of the four roles and in at least one of six population foci: family/individual across the lifespan, adult-gerontology, pediatrics, neonatal, women’s health/gender-related or psych/mental health. APRN education programs, including degree granting and post-graduate education programs, are accredited and their education consists of a broad-based education, including three separate graduate-level courses in advanced physiology/pathophysiology, health assessment, pharmacology, and appropriate clinical practices.
All developing APRN education programs or tracks must go through a preapproval, pre-accreditation, or accreditation process prior to admitting students. APRN education programs must be housed within graduate programs that are nationally accredited and their graduates must be eligible for national certification used for state licensure (AACN, 2020). According to the Florida Board of Nursing, (2020), since July 1, 2006, all specialties of Advanced Practice Registered Nurse applying for licensure in Florida must provide proof of National Certification. Certifying bodies require a program to be accredited by CCNE or ACEN and it must include advanced pathophysiology, advanced health assessment, and advanced pharmacology, a minimum of 500 faculty-supervised clinical hours, and content in health promotion and disease management.
Individuals who finish the appropriate education would sit for a certification examination to assess national competencies of the APRN core, role and at least one population focus area of practice for regulatory purposes. APRN certification programs would be accredited by a national certification accrediting body and require a continued competency mechanism. On the other hand, individuals would be licensed as independent practitioners for practice at the level of one of the four APRN roles within at least one of the six identified population foci. Education, certification, and licensure must be congruent in terms of role and population foci. APRNs might specialize but they cannot be licensed solely within a specialty area. Besides, specialties provide depth in one’s practice within the established population foci (AACN, 2020).
The FNPs’ scope of practice is regulated by the state of residence. The state licensing authority determines the regulation of FNPs practice. On the other hand, the state board of nursing determines the degree of practice of the FNPs. Under the direction of the National Council of State Boards of Nursing, various nursing organizations and advocacy groups for nurses actively advocate for the policies regarding the scope of practice of APNs, to allow them to practice independently without any physician oversight (ANA, 2016).
The ANA has some projects to keep APRNs working to the full potential of their education and training. Some of these are Team-Based Care: New Model or Trojan Horse? This initiative has been formed to respond to the organized medicine’s campaign of “Physician-led team-based care,” which has been used to halt Full Practice Authority (FPA) legislation in some states. Another one is the
Coalition for Patient’s Rights
; this coalition of over thirty-five organizations underscores the fact that ANA works to protect the nurses’ scope of practice. On the other hand, the
Robert Wood Johnson Institute of Medicine report, Future of Nursing
has focused attention on the scope of practice issues in its recommendations. There is also, a Consensus Model for APRN Regulation which is referenced and included as Appendix D in the Future of Nursing Report. ANA is constantly active in efforts to implement this Consensus Model, defining the APRN as an independent practitioner, who can be licensed with no regulatory requirements for collaboration, direction, 56or supervision.
Legal Action
– ANA weighs in on legal issues to protect nurses’ ability to provide the complete range of services defined by law (ANA, 2016).
On the year 2015, the Department of Veterans Affairs (VA) came out with a proposed rule to standardize the practice of APRNs in its system. This proposed rule could allow APRNs to practice to the full extent of education, training, and certification without specific state practice regulations such as clinical supervision or required collaboration with physicians. VA proposed to achieve this standardization through Federal preemption of state nursing licensure laws to the extent that such state laws conflict with the complete practice authority as defined by VA. This was accepted the same year in July (ANA, 2016). VA has now finished their internal review of the comments and developed a final rule (Department of Veterans Affairs, 2016).
References
AACN. (2020). APRN Consensus Model. Retrieved from
https://www.aacnnursing.org/Education-Resources/APRN-Education/APRN-Consensus-Model
ANA. 2016. Scope of practice. Retrieved from http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2
Department of Veterans Affairs. (2016). Advanced Practice Registered Nurses. Federal
Registered. The Daily Journal of the United States Government. Retrieved from https://www.federalregister.gov/documents/2016/12/14/2016-29950/advanced-practice-registered-nurses
Florida board of Nursing. (2020). Advanced Practice Registered Nurse (APRN). Retrieved from
https://floridasnursing.gov/nursing-faqs/advanced-practice-registered-nurse-aprn/
Daylamis Gonzalez
Role of the FNPs
Educational requirements of the FNPs
For one to become a qualified FNP, one needs to follow quite a several steps with the first one being a Registered Nurse. One academic requirement, therefore, required is that one should complete a degree in registered nursing and therefore contain the recommended RN certification. Additionally, one is expected to complete an accredited FNP program that can either be doctoral, master’s, or postgraduate. These programs need to be certified by either CCNE or the ACEN. Additionally, one needs to obtain the FNP credential form either ANCC or the AANP, and therefore one needs to sit for the AANP or ANCC family nurse practitioners’ exams (Schneider, 2020).
Recommended terminal degree as stipulated by the AACN.
According to (AACN), the recommended terminal degree for the APRNs specifically the Nurse Practitioner is the Doctor of Nursing Practice. This DNP curriculum is meant to provide these APRN nurses with the necessary education when it comes to evidence-based practice, systems leadership as well as matters to deal with the improvement of quality. The DNP program is well suited to equip these nurses with the necessary skills to deal with the changing demands of the nation’s healthcare environment, which is complex (AACN, 2020).
Who determines the scope of practice for the FNPs?
The scope of practice or the roles carried out by the FNPs is regulated differently in various states. The individual state licensing authority determines the regulation of the reach of the FNPs practice, and their regulations are not uniform. The state board of nursing, therefore, determines the degree of practice of the FNPs. Under the direction of the National Council of State Boards of Nursing, various nursing organizations and advocacy groups for nurses can advocate for the enaction of policies regarding the scope of practice of APRNs whereby they are to be allowed to practice independently without any physician oversight (NURSE JOURNAL, 2020).
Who defines and credentials the role of the FNP?
The existing Act pertaining to the nurse practitioners defines the FNP practice, and the Nursing Board ensures governance. Other advocacy groups who play a role in the outlining of the position include the various representatives from organizations whose members are healthcare regulators AANA members, members of the ACNM as well as some members from the Citizen Advocacy Center (ANA, 2020).in terms of the credentials and who offer them to the FNPs, the Family Nurse Practitioner Board Certified (FNP-BC) is the credential awarded to the FNP. The credential is assigned to the nurse by the ANCC after the successful completion of the FNP board certification examination. Once this credential is awarded, it becomes valid for five years (REGISTERED NURSING, 2020).
The role of professional and political organization in defining the role of the FNP.
The nurse’s professional organizations play a huge role in developing positive energy among its members, important tasks, and the generation of ideas which are needed to maintain the health profession, which fights for the needs of the clients and the nurses as well as defining their roles. These professional and political groups play a huge role in ensuring that they remain responsive to the FNPs and seek to find new techniques to improve the healthcare system through the nursing profession. They, therefore, ensure that the polices made regarding healthcare workers e.g., APRNs, in general, can be effectively implemented and will result in improved performance in terms of enhanced patient care and the creation of a satisfactory work environment for the nurses. In specific, the various nurse’s advocacy groups and political leaders have played a huge role in ensuring that the legislation allowing FNPs to practice independently is endorsed and legally approved in many states (MATTHEWS, 2020).
APRN regulations in the state of Florida
The Florida Board of nursing has put in place some regulations pertaining to the APRN’s scope of practice and some of the laws that they’re expected to adhere to while practicing in Florida’s soil. For one, the Florida Board of nursing directs that all APRNs should possess two different licenses, one to show one is a qualified RN and the other to show that one is a qualified APRN. Additionally, each APRN in Florida is expected to provide proof of National certification to confirm that he/she is a qualified APR. Additionally, Florida dictates that its only APRN nurses who have met the necessary set requirements can be allowed to practice as Psychiatric nurses .additionally, the Florida nursing board is not mandated to file their protocols effectively. Still, all the APRNs need to enter in a supervisory agreement with physicians to be granted licensure.
I find the last-mentioned regulation that the APRNS need to enter into a supervisory protocol with at least one physician to be granted licensure in Florida to be unnecessary. The APRN nurses are well qualified and equipped to practice independently since they possess adequate academic knowledge and skills to do. They, therefore, require no physician oversight to practice and offer quality services effectively. In an attempt to try and change this regulation, I’d try to reach the board of nursing in Florida via the use of the nursing advocacy organization I’m a member of (FLORIDA BOARD OF NURSING, 2020).
REFERENCES
AACN. (2020). AACN fact sheet – DNP. The American Association of Colleges of Nursing (AACN) Homepage.
https://www.aacnnursing.org/News-Information/Fact-Sheets/DNP-Fact-Sheet
ANA. (2020). APRN state law and regulation.
https://www.nursingworld.org/practice-policy/advocacy/state/aprn-state-law-and-regulation/
FLORIDA BOARD OF NURSING. (2020). Florida Board of nursing,» advanced practice registered nurse (APRN). Florida Board of Nursing – Licensing, Renewals & Information. https://floridasnursing.gov/nursing-faqs/advanced-practice-registered-nurse-aprn/
MATTHEWS, J. H. (2020). Role of professional organizations in advocating for the nursing profession. PubMed.
https://pubmed.ncbi.nlm.nih.gov/22320879/
NURSE JOURNAL. (2020, April 27). Family nurse practitioner role & scope. NurseJournal.org.
https://nursejournal.org/family-practice/role-scope-of-practice-of-a-family-nurse-practitioner/
REGISTERED NURSING ORG. (2019, January 15). Working together: RNs and LPNs || RegisteredNursing.org. RN Programs – Registered Nurse || RegisteredNursing.org.
https://www.registerednursing.org/working-together-rn-lpn/
Schneider, R. (2020, February 6). How to become a family nurse practitioner. NursePractitionerSchools.com.
https://www.nursepractitionerschools.com/faq/how-to-become-family-np/
Euclides Munoz: Discussion 3
COLLAPSE
Top of Form
Family Nursing Practitioners
1. Educational Requirements to Practice as an FNP
A family nurse practitioner (FNP) is a nurse who has completed degree programs allowing them to treat, assess, and provide family healthcare. The educational requirements for FNPs differ from one country to another. However, most states require a master of science in nursing. A nurse with DNP programs is highly recommended. Moreover, FNPs should have taken a completed nursing program in a learning institution and finished it, which is followed by the issuance of RN license (Rice, 2016). The permit is a national accreditation for a registered nurse (RN) who is allowed to practice health care in public. Continuing education is also compulsory for them to hold on to their licenses and certification.
Master of Science in nursing is compulsory attainment for FNPs. MSN programs last between one and three years, according to the previous learning programs of the nurse. Notably, they include classroom learning and clinical practices in health facilities. The frequent programs include pathophysiology, health delivery systems, health of family management, management of critical problems, and nursing informatics.
Also, a nurse with other forms of knowledge apart from family nursing practice may be required to complete a family nurse practitioner graduate-certificate (Balestra, 2019). These are higher level certificates awarded after completing master’s studies. Any practitioner wishing to concentrate on primary care FNPs enroll for the program for two years. The course may include advanced, advanced physiology, advanced health assessment pharmacology and more.
2. The Terminal Degree Recommended for Nursing Practitioners
As per the American Association of Colleges of Nursing (AACN), the terminal degree for nursing practitioners is the doctorate-level. It was voted and endorsed in 2004. The doctorate of nursing practice (DNP) helps nurses to apply theory and create official research programs, relate clinical learning with research, become faculty of nursing, and progress over professional leadership in governing bodies and medical facilities (Rice, 2016). The recommendation involved advancing the level from master’s degree to doctorate before 2015. AACN task force then conducted four-year research to assess the necessity of a doctorate for nurse practitioners.
3. Scope of Practice for FNPs
A country’s Boards of Nursing determine the extent of NP. The National Council of State Boards of Nursing (NCSBN) highlights guidelines to many organizations for nursing, such as advocacy groups and certification bodies (Balestra, 2019). Their collaboration aims at encouraging a legislative reform permitting nursing practitioners to operate independently. In most countries, family nurse practitioners operate under oversights from physicians or get supervisors. A report by the Association of American Medical Colleges (AAMC) shows that there will be a shortage of over 40,000 practitioners, including the primary care nurses.
Many boards of nursing in different states have granted full permission for practitioners. Some of them include Washington, Hawaii, Idaho, Alaska, Colorado, and others. The whole authority allows FNPs to prescribe medicine and perform other care without the intervention of physicians. Some are allowed the same privilege as physicians, for example, in Washington, where they admit and discharge patients. The scope of practice in some states is clear and defined, but in others, the scope is not interpreted.
4. The Role of Nursing Organizations
Professional nursing organizations enable the nursing profession to positively have an impact on healthcare policy, advocate for nursing rights, enhance learning for nurses, and improve care for the public (Crego, 2015). They differ from one state to the next in describing the scope of FNPs. They define nursing roles such as performing a physical exams, order, carryout, and interpret lab results, perform diagnosis, admit and discharge patients, and more. Also, they distinguish between the scope of NPs and RNs depending on knowledge and practice experience. Similarly, the scope rage from state to state.
After graduating with the relevant degrees for FNP, the RN license is the next stage. All American states require FNP to be approved and qualified for prescriptive authority. However, every state has different restrictions. In addition to that, FNPs must be qualified to do the national board certification examination. The exam can be done through AANP or ANCC.
Professional and political organizations play a significant role in determining the position of nursing. This is done by advancing the development of nursing standards of practice, advocacy, political, regulatory, and other clinical objectives (Balestra, 2019). They also perform research to determine the level of excellence achieved by nurses in practice between various levels of studies. This information is used to determine the requirements for different levels of the nursing profession. Moreover, the competence of different FNPs determines the roles they perform in a clinic.
FNPs perform several roles. For instance, well-child and illness care, well-woman and illness care, control of chronic disorders such as diabetes, management for acute diseases, preconception and prenatal care, monitoring of primary care conditions, and more.
5. Review of a website
The Advanced Practice Registered Nurse (APRN) is accredited in Florida by the board of nursing. Nurse-midwives and nurse anesthetists can be directly credited as APRNs. On the other hand, there is a different approach for licensing clinical nurse specialists (CNSs). Besides, only a qualified APRN is eligible to become a psychiatric nurse (Florida Board of Nursing, 2020). This means they hold a master’s degree or doctorate in psychiatric nursing as an addition to practicing for two years under a physician.
The applicants must have an RN and complete a master’s degree, post-master’s certificate, and an progressive practice certification from a recognized body. Also, the program of the certifying body should be ACEN or CCNE accredited. The RN should have studied advanced health assessment, pathophysiology, advanced pharmacology, worked under supervision for over 500 hours, and knowledge in disease management.
6. Regulations of APRN in Florida
APRN does not have to send protocols to the medical board. The physicians report the APRNs they are supervising in accordance with Florida Statutes. The nurse uses a form for the physician to fill and declare the beginning or termination of a relationship (Florida Board of Nursing, 2020).
Since 2018, the laws of Florida changed Advanced Registered Nurse Practitioner (ARNP) to Advanced Practice Registered nurse (Florida Board of Nursing, 2020). Therefore, one requires two separate licenses for RN and APRN. Thus, one cannot upgrade the RN license to APRN. However, the RN does not necessarily have to be a Florida license; the interested person can apply for APRN and provide proof of ownership of an AR from any state.
A nurse will be required to have a license to dispense medication. The law states that one must consult the Florida Board office if one’s protocols allow one to administer medicines for a fee. It involves writing a prescription and selling medicine to the sick people and does not include offering samples. Also, when renewing the APRN license, the dispensing permit should be renewed.
References
Balestra, M. L. (2019). Family nurse practitioner scope of practice issues when treating patients with mental health issues. The Journal for Nurse Practitioners, 15(7), 479-482.
Crego, N. (2015). Procedural sedation practice: a review of current nursing standards. Journal of Nursing Regulation, 6(1), 50-56.
Florida Board of Nursing » Advanced Practice Registered Nurse (APRN) – Licensing, Renewals & Information. (2020). Retrieved 18 May 2020, from https://floridasnursing.gov/nursing-faqs/advanced-practice-registered-nurse-aprn/
Rice, D. (2016, March). The Research Doctorate in Nursing: The PhD. In Oncology nursing forum (Vol. 43, No. 2
Gretell Alfonso- Discussion 3
COLLAPSE
Top of Form
The educational requirements to practice as an FNP is to obtain at least a Master’s degree, national certification and pass the state boards exam. (Advanced Registered Nurse Practitioner Requirements in Florida. (n.d.). According to the American Association of Colleges of Nursing (AACN) the recommended terminal degree to prepare nurse practitioners is a doctorate degree (DNP). Although =here are still Masters programs, while the DNP is becoming the standard education in nurse practitioners. Nurse Practitioners scope of practice is determined by the board of nursing in each state. The American Association of Nurse practitioners defines the role of the nurse practitioners as well as credential the national certification (Scope of Practice for Nurse Practitioners. (n.d.). Their role is to state the scope of practice of the professional.
The 3 regulations imposed in the state of Florida that I would like to change is to include psychiatric nurse practitioner training in the masters or DNP program. I believe that we should all be trained to know how to manage psychiatric patients. I don’t agree in that we have to go back to school in order to get that training (Advanced Practice Registered Nurse (APRN). (n.d.). The second regulation that I dislike is that each state has different scope of practices and rules for nurse practitioners when instead I think every state should be the same in order to make the practice easier and less complicated to follow. Last but not least I believe that nurse practitioners should not be overseen by doctors and practice independently as well as bill office services like a doctor since nurse practitioners are trained to do examinations, diagnose, prescribe and manage acute and chronic diseases like a doctor. In order to change these regulations, I plan on becoming more active and involved in the American nursing association of nurse practitioners by making nurse practitioners more aware of these regulations and educating them on how we can improve these rules in the state of Florida (Advanced Practice Registered Nurses (APRN): American Nurses Association. (n.d.).
References
Advanced Practice Registered Nurses (APRN): American Nurses Association. (n.d.). Retrieved May 12, 2020, from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/
Advanced Registered Nurse Practitioner Requirements in Florida. (n.d.). Retrieved May 12, 2020, from https://www.nursinglicensure.org/np-state/florida-nurse-practitioner.html#education
About AACN. (n.d.). Retrieved May 12, 2020, from https://www.aacnnursing.org/About-AACN
Advanced Practice Registered Nurse (APRN). (n.d.). Retrieved May 12, 2020, from
https://floridasnursing.gov/nursing-faqs/advanced-practice-registered-nurse-aprn/
Scope of Practice for Nurse Practitioners. (n.d.). Retrieved May 12, 2020, from
https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-
nurse-practitioners
Bottom of Form
Discussion 3: Manuel M Cabrera
COLLAPSE
Top of Form
Discussion 3
Currently, the societal population is increasing, so does the need for quality, affordable, comprehensive, and accessible healthcare. For the healthcare system to advance, the Family nurse practitioners (FNP) must be ready to provide an extensive range of family-focused health care amenities diligently and without any discrimination. FNPs are graduate-educated, practitioners who have been certified and licensed by the state, to care for patients across the world ranging from infants to geriatric patients. Individuals who would prefer to train as certified family nurse practitioners are required to have a Master of Science degree in nursing and are also expected to enroll in different programs which are accredited (Nursejournal, 2020). The program comprises of courses related to administrative leadership, nursing, and evidence-based practice society (Nursejournal, 2020). The American Association of Colleges of Nursing (AACN) is a program established to protect and advocate for a nationwide opinion on academic nursing. In 2004, the members affiliated to the AACN program agreed in unison that persons who may want to become nurse practitioners must undertake a degree title of Doctor of Nursing practice by 2015 (American Association of Colleges of Nursing Practitioners, 2020). The members argued that a person with a doctorate in nursing is well equipped to completely implement the knowledge developed by nurse researchers.
The National Board of Nursing of each State is a panel that comprises of members who are authorized to determine the scope of practice for FNPs. On the other hand, the Nurse Practice Act defines the range of training for family nurse practitioners. Generally, the American Nurses Credentialing Center certifies medics to train as family nurse practitioner in any medical organization (Nursejournal, 2020). Professional organizations in nursing are important in defining the role of a family nurse practitioner since they help in generating the flow of ideas, energy and proactive work required to maintain a healthy profession that promotes the needs of patients and nurses in the society (Nursejournal, 2020). Additionally, the professional organizational role is to educate professional nurses about the importance of a broad-based membership participation to assist the profession improve and advance to greater levels. On the other hand, political organizations play a key role in defining the role of a nurse practitioner. The organizations enable nurses to fully involve themselves in political activism which is essential for patient advocacy and professionalism (Nursejournal, 2020). The political organizations enable the nurses to be active politically and to be informed of the current health regulations to protect patients and improving the health care system.
Among the imposed regulations includes Rule 64B9-4.002(3), F.A.C. which provides the expert or national nursing specialty boards acknowledged by the bond and Section 464.012(4), FS which allows a psychiatric nurse to prescribe controlled substances for treatment of psychological disorders. Another regulation includes Section 464.012(3), F.S. that provides for an APRN to perform functions within established protocol (Florida Board of Nursing, 2020a). Finally, division 64B9 of the Florida Administrative Code is a rule that offers procedures for accreditation of APRNs. The rule similarly permits for either establishments recognized by AHCA to be eligible as a provider for CNA in-service preparation (Florida Board of Nursing, 2020b). I would not like to change these regulations since they are properly conversed, articulated, and understood in the Act.
References
American Association of Colleges of Nursing Practitioners. (2020). Nurse Practitioner
Curriculum. Retrieved from https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-curriculum?
Florida Board of Nursing (2020a).
Advanced Practice Registered Nurse (APRN)
. Retrieved from
https://floridasnursing.gov/nursing-faqs/advanced-practice-registered-nurse-aprn/
Florida Board of Nursing (2020b). Florida Administrative Code: Rule 64B9-5.012. Retrieved
from
https://floridasnursing.gov/florida-administrative-code-rule-64b9-5-012/
Nursejournal.Org. (2020). Role & Scope of Practice of a Family Nurse Practitioner. Retrieved
from https://nursejournal.org/family-practice/role-scope-of-practice-of-a-family-nurse-practitioner/
Toney-Butler, T. J., & Martin, R. L. (2019). Florida Nursing Laws and Rules. In StatPearls
[Internet]. StatPearls Publishing.
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