New Permutations of Longstanding Nursing Commitments. My interpretation is that advance practice nursing and nursing has been around for many decades, and CNMS, CRNAs, CNSS, and NPs are just another way of expressing and demonstrating nursing care. Nursing has been delivered for many decades now. APRNS is an advancement in knowledge and skills and still have the focus of nursing of prevention and healing (American Nurses Association, 2011). Future of Advance Practice Nursing The future of an Advance Practice Registered Nurse (APRN) is changing.
The demand of care is expected to increase over the next couple of years which will greatly impact the healthcare system as a whole. A factor that is causing this demand is the Baby Boomers are retiring. It has been projected that the Baby Boomers are expected to live longer than average. And is expected to have a great impact on physicians as well as Registered Nurses. As well as Registered Nurses eligible for retirement creating a nursing shortage. As the demand increases provides an opportunity for APRNs to assist and provide cost-effective quality care (Trossman, 2008).
I believe APRNs can benefit the healthcare system and improve the quality of care. Improving the future for APRNS, the consensus model can be used as a guide to eliminate some challenges that may occur (Roberts, 2015). In the future, each specialty of an APRN will be necessary to ensure the needs of the patient are met. Clinical Nurse Specialist Many programs do not offer a program for Clinical Nurse Specialist. A CNS provide care in inpatient and outpatient facilities providing care and as support to nursing staff.
A CNS sometimes serve as a caseworker, administrator or educator (American Nurses Association, 2011). As the demand of care increases, a CNS can be of support. A CNS can serve as a resource for staff and decrease nursing shortage. The role of a CNS is being reinforced, to improve and eliminate a gap in healthcare (Trossman, 2008). Nurse Practitioners The number of Nurse Practitioners has grown tremendously over the years. NPs provide inexpensive quality care and are known to impact patient outcomes. NPs still face issues such as autonomy and prescriptive authority.
With the consensus model in place, it can help improve the future for NPs. NPs are working toward being able to practice independently and is a goal they are working toward achieving. Allowing NPs to practice independently will decrease the load of the physicians as the demand of care rises (Trossman, 2008). Certified Registered Nurse Anesthetist Over the years, CRNAs have faced many challenges similar to other APRNs such as autonomy. Some CRNAs practice under an anesthesiologist, while some have the authority to practice independently (ANA, 2011).
CRNAs practice mainly in the operating rooms with surgeons (McClelland, 2014). They provide anesthesia during procedures and manage the airway (ANA, 2011). CRNAs provide quality cost-effective care and are mobile With the projected future, CRNAs can assist with the demand and travel to the rural areas to provide care to the underserved population. As well as inpatient and outpatient facilities (Malina & Izlar, 2014). Certified Nurse Midwife CNMs are one of the oldest specialty APN roles around. CNMs manage women’s health and manage the delivery process.
As the health care system changes CNMs will receive more recognition with the help of the consensus model all them to practice independently. Meanwhile, providing affordable quality care (Trossman, 2008). Blurring of the CNS and NP roles There has been much controversy about if the CNS and NP role should be merged to generate an advance practice nurse. According to Lynch (1996), the merging of these roles would create a control in nursing practice, and improve care in the acute care setting. Allowing practitioners to follow up on patients in various settings.
To achieve these idea individuals who are NPs will need to further expand their knowledge in management, leadership, research, and consultation. Those who are CNSs’ will need to enhance their assessment skills, and primary care techniques (Lynch, 1996). The merging of these two roles would be beneficial because the major components of this health care system are access to health care providers and providing effective cost efficient care. I believe the merging of these two roles was considered due to that these two roles provide comprehensive and direct patient care.
Another factor is because NPs are not able to provide care in acute areas whereas the CNS role is prevailing (oel, 2013). Merging these two roles would create more opportunities and can improve the healthcare system as a whole. By expanding the knowledge of NPs and CNSs to improve patient outcomes. Support of a Lay Midwife I believe the American College of Nurse-Midwives (ACNM) support the role of a lay midwife because they believe in the power of women and the well-being of families. They believe that everyone has their rights and decisions to make regarding their health and request should be honored.
Meanwhile, the ACNM believe that midwifery provides individualized care, promotes health, develops a continuous relationship, and awareness of personal life experiences. Through midwifery, one can experience the normal cycle of life events, and if a potential problem may occur collaboration with appropriate health care providers is considered. Which is the goal of every health care provider, ensuring the needs of the patient are met (American College of Nurse-Midwives, 2014). Changes in the Clinical Nurse Specialist Role The role of a CNS tends to be misunderstood.
There are not many CNS positions still currently practicing and many CNS programs have been cut from master level programs. But many studies have shown that there will be an increase in CNS roles as the demand for health care increases. I believe the one of the reasons why the CNS role has been slow in implementation and utilization is a result of understanding the scope of practice of a CNS. Lack of role clarity has led to a decrease in the number of CNSs and programs and limitations on thriving in the healthcare system (Foster & Flanders, 2014).
Redefining the scope of practice or even considering merging with the NP may be beneficial to improve the implementation of the CNS role. Future for Nurse-Anesthetist Practice The demand for CRNAs is expected to increase over the next few years as hospitals try to maintain health care cost, manage staffing as many reach retirement age, and cover the increase in demand for surgical procedures. CRNAs offer cost-effective, high-quality care and as the health care system continues to evolve the need for CRNAs will increase. CRNAs are now able to provide anesthesia in outpatient settings that are helpful as the demand for care rises.
I believe as the demand for health care increases as a result of the reform many facilities will consider CRNA to maintain cost effective and still provide quality care (Abrusci, 2013). Emerging of Doctor of Nursing Practice (DNP) According to O’Sullivan, Carter, Marion, Phol & Werner (2005), the role of DNP is emerging to ensure NPs are on the same level as other professionals in health care. It is believed that because NPs have the clinical experience and leadership capabilities they deserve to be categorized with other disciplines.
Expansion of the NP program with more content would not be beneficial to only result in a master’s degree. O’Sullivan et. al. (2005), believes that as the changes in health care become more complex an educational program will be necessary to expand knowledge to a further degree. To prepare NPs and clinicians for leadership and management. I believe that the DNP program will strengthen the knowledge of APRNs and provide various leadership opportunities. Furthermore, providing the oppo r those who want to take the next in their career.