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Advanced Practice Nursing Philosophy by 1mAM2u


									                         Advanced Practice Nursing Philosophy

       Caring for those in need has been a noble aspiration that has been necessary as
long as there has been people. Within any group, there are always needs that need to
be met. Through the application of the principles of caring, nurses have been offering
their service since the dawn of time. Although they were not always formally recognized
by todays terminology, the core principles of nursing have been applied and evolved
through evidence based practice. As time has progressed, these principles have been
studied and advancement of nursing practice has become evident. Models of care have
evolved from the caregiver to the professional practitioner who is able to care for a
person as a whole. Treatment is modeled around care of the person in order to effect
positive change on their wellness. This is significantly different when compared to other
models of care which treat patient’s disease processes only.

       Advanced practice nursing can be defined as using the knowledge and
application of the nursing process to effect change through applying the principles of
nursing to medically treat those who are entrusted to our care. In order to attain this
goal of becoming an advanced practice nurse, several components are necessary.
Education within the United States has now mandated that advanced practice has
minimal educational requirements. Minimum requirements are currently a Master’s
level of education with the current national movement toward a Doctorate of Nursing
Practice. Although both roles may seem similar, the application of research which is
necessary to the continued advancement of the profession has been more closely
reserved for those with a doctoral degree. Patient care is similar with both the Master’s
and Doctoral prepared APN with most patients unable to perceive differences in care.
Achieving the goal of obtaining a degree as an APN is beneficial within the needs of our
society due to the lack of sufficient numbers of cost effective, competent providers who
are both available and willing to care for patients.

       Family Nurse Practitioners (FNPs)are able to promote the care of individuals of
all ages who may otherwise go untreated. Extensive patient education is provided not
only to assist in times of sickness, but also to promote and restore overall health. This
is applied through offering education to patients about the benefits of the basic
principles of wellness such as proper diet and exercise. Care models are wellness
derived and centered in offering the patient the tools to achieve the highest level of
wellness they both can and want to achieve.

       FNPs are quite differentiated from other classes of APNs as well as other
provider types. Pediatric Nurse practitioners are educated to offer advanced nursing
care to pediatric patients. The same holds true for Adult Nurse Practitioners and
Geriatric Nurse Practitioners who are likewise prepared to meet the needs of their
specific patient populations. Acute Care Nurse Practitioners are prepared for the needs
of acutely ill hospitalized individuals. Clinical Nurse Specialists are likewise specialized
to promote care based on specific defined clinical areas. Physicians assistants, medical
doctors, and doctors of osteopathy may offer similar care to the FNP, but they are all
based on differing philosophies of patient care. FNPs are prepared to use nursing
theories and nursing research to promote the greatest level of change to the most
number of people. They are able to provide the most cost effective care to their patient

       APNs are responsible to maintain the high quality of care necessary to patients
and to promote the advancement of the profession for the continued benefit of future
populations. They have the opportunity to effect change on communities of all sizes
through the application of wellness principles to individuals as well as through
community leadership. APNs are nurses at the core, and as nurses will continue to
advocate for the needs of their patients at all levels of care.

Lukas, C., Holmes, S., Cohen, A., Restuccia, J., Cramer, I., Shwartz, M., & Charns, M.
      (2007). Transformational change in health care systems: an organizational
      model. Health Care Management Review, 32(4), 309-320.

Stanley, J. (2011). Advanced practice nursing: Emphasizing common goals (3rd ed.).
      Philadelphia: F.A. Davis.

Watson, J. (2008). Nursing: The philosophy and science of caring (Rev. Ed.). Boulder,
     CO: University Press of Colorado

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