1. Define Advance practice nursing(APN or APRN) and Advance nursing practice
(ANP)
the term advanced nursing practice as “characterized by the integration and application of a
broad range of theoretical and evidence-based knowledge that occurs as part of graduate nursing
education.”
Advanced practice nursing includes specialization but also involves
expansion and educational advancement (ANA, 1995, 2003;
Cronenwett, 1995). As compared with basic nursing practice, APN
practice is further characterized by the following: (1) acquisition of new
practice knowledge and skills, particularly theoretical and evidence-based
knowledge, some of which overlap the traditional boundaries of medicine;
(2) significant role autonomy; (3) responsibility for health promotion in
addition to the diagnosis and management of patient problems, including
prescribing pharmacologic and nonpharmacologic interventions; (4) the
greater complexity of clinical decision making and leadership in
organizations and environments; and (5) specialization at the level of a
particular APN role and population focus (ANA, 1996; 2003; NCSBN,
2008).
Advanced practice is characterized by the integration of a broad range of theoretical,
research-based, and practical knowledge that occurs as part of graduate education. Advanced
practice registered nurses hold master's or doctoral degrees and are licensed, certified, and/or
approved to practice in their expanded roles
Demonstrate advanced levels of clinical judgment, systems
thinking, and accountability in designing, delivering, and
evaluating evidence-based care to improve patient outcomes.
The Cumulative Index to Nursing and Allied Health Literature
defines advanced practice broadly as anything beyond the staff nurse role:
“The performance of additional acts by registered nurses who have gained
added knowledge and skills through post-basic education and clinical
experience…” (Advanced Nursing Practice, 2012).
, WEEK 1 KNOWEDGE CHECK 3
Advanced practice nursing is the patient-focused application of an expanded
range of competencies to improve health outcomes for patients and populations in
a specialized clinical area of the larger discipline of nursing.
As long as APNs in community health practices maintain a direct
clinical practice focused on patients and their families, in addition to
program or consulting responsibilities, they are APNs by this definition.
Advanced nursing practice is an umbrella term for many different nursing
specialties in which advanced practice nursing is one. The Doctoral Essentials broadly
defines advanced nursing practice 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 policy” (p.4).
2. Differentiate basic nursing from advance practice nursing
3. What is a conceptual model? Be able to give an example of a conceptual model
for AP
Many conceptual models address competencies that APNs must
possess. All are in agreement that the direct care of patients is central to
APN practice.
4. Why do we need conceptual models, frameworks and theories in nursing?
5. What are the four certifications in AP?
CNLs are not APNs
Certified registered nurse anesthetists (CRNAs) and certified nurse-
midwives (CNMs) have been recognized as APNs
Advanced practice nursing is often defined as a constellation of four
roles: the NP, CNS, CNM, and CRNA
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