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The Advanced Practice Nurse in the Community

Terms in this set (25)

Advanced public health nurse (APHN)
Nurse with an advanced degree who takes leadership roles in applying nursing process and public health sciences to achieve specific health outcomes for the community
Public health clinical nurse specialist (CNS)
Nurse with advanced degree who provides both direct patient care and expert consultation to nursing staffs; implements improvements in health care delivery systems
Nurse practitioner (NP)
Advanced-degree nurse who, autonomously and in collaboration with health care professionals and other individuals, provides a range of primary, acute, and specialty health care services to individuals or families
Clinical
Master's prepared generalist who functions at the micro-system level and assumes accountability for health care outcomes for a specific group of clients within a unit or area
CNS role began in the early
1960's
NP movement began at the University of Colorado in ....
1965
PA role initiated in ..... at duke
1965 also
What did the Quad Council of Public Health Nursing Organizations (2003) do?
Developed national public health competencies specific for public health nursing (PHN) practice (2003) based on the Core Competencies for Public Health Professionals (2001)
American Association of Colleges of Nursing (AACN) to commission of this report and produced a document entitled Advancing Healthcare Transformation: A New Era for Academic Nursing. This document is intended as a
guide for nursing and Academic Health Centers(AHC) leaders in implementing organizational change that will bring assets and talents of their schools of nursing to aid in the challenge of transforming health care in their region.
findings of the AACN report (3)
1. Academic nursing is not positioned as a partner in healthcare transformation

2. Institutional leaders recognize the missed opportunity for alignment with a academic nursing and are seeking a new approach

3.Insufficient resources are a barrier in supporting a significantly enhanced role for academic nursing.
recommendations
Embrace and new vision for academic nursing

Enhance the clinical practice of academic nursing

Partner in preparing the nurses of the future
Partner in the implementation of accountable care

Invest in nursing research programs and better integrate research into clinical practice

Implement an advocacy agenda in support of a new era for academic nursing
APHN educational preparation
Minimum education: a master's degree

Synthesis of current knowledge and research in the following areas:
Nursing
Public health
Other scientific disciplines
Association of Community Health Nursing Educators' (ACHNE's) five role characteristics of APHNs
Population-level health care focus
Ecologic view
Responsibility for health outcomes for populations
Partnership/collaboration using an interprofessional approach
Leadership in practice
Role characteristics of NPs (master's)
Assessing and diagnosing
Conducting physical examinations, ordering laboratory and other diagnostic tests

Developing and implementing treatment plans for some acute and chronic illnesses

Prescribing medications

Monitoring client status

Educating and counseling clients

Consulting with, collaborating with, and referring to other providers
Educational essentials for DNPs (doctorate of nursing practice )
Knowledge with a scientific underpinning

Organizational and systems leadership

Clinical scholarship

Information systems

Policy

Collaboration

Prevention and population health

Advanced nursing practice
NP certifications are renewed every...
5 years
APHN-BC (board-certified) obtained through
portfolio assessment with appropriate degrees
advanced practice roles
Clinician
Educator
Administrator
Consultant
Researcher
APHN clinical roels
Conduct community assessments.
Identify needs of populations at risk.
Plan, implement, and evaluate population-focused programs to achieve health goals, including health promotion and disease prevention activities.
Educator role
Increase wellness.

Provide education about disease processes.

Provide anticipatory guidance on the use of the following:
administrator role
May be responsible for and have direct or indirect authority and supervision over the organization's staff and patient care

Serves as a decision maker and problem solver

May also be involved in other business and management aspects
consultant role
Problem solving with an individual, family, or community to improve health care delivery
research role of APHN
Conducting their own investigations

Collaborating with doctorate-prepared nurses

Purpose: to answer questions related to nursing practice and primary health care
areans for practice of a APHN
Primary care

Independent practice
Nursing centers
Retail clinics
Faith community nursing/parish nursing

Institutional settings
Ambulatory/outpatient clinics
Emergency departments
Long-term care facilities
Industry/occupational health

Government
U.S. Public Health Service
Armed services
Public health departments
Schools

Other arenas
Home health agencies
Correctional institutions
Effects of Patient Protection and Affordable Care Act (PPACA) and Healthy People 2020
Increased need for practitioners
Need for population-focused APHNs and NPs
Prominence of interprofessional education and practice
Team-based and patient-centered care
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