Advanced Practice Nurse Synthesis of Policy, Healthcare Systems, and Nursing Organizations Impact

Synthesis of Policy, Healthcare Systems, and Nursing Organizations Impact on the Advanced Practice Nurse
Synthesis of Policy, Healthcare Systems, and Nursing Organizations Impact on the Advanced Practice Nurse

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Synthesis of Policy, Healthcare Systems, and Nursing Organizations Impact on the Advanced Practice Nurse

•           Find an organization that coincides with your specialty (If you can’t find one use AANP).

***My organization will be Mental Health of American

•           Explain the advocacy priorities of the organization you have chosen.

•           Focus on one of the issues from the organization’s advocacy priorities.

o          Explain the issue you have chosen in depth and why it is important to you using an example from a clinical experience or work situation. Do not support your choice with a personal story.

o          From the viewpoint of an Advanced Practice Nurse, discusses challenges and opportunities envisioned for the advanced practice registered nurse related to the issue and examples provided.

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o          Identify who the stakeholders are related to the issue. Discuss why they are impacted by the advocacy priority and how they influence policy. Include both formal and informal stakeholders (ie: healthcare providers and patient advocacy groups).

o          Describe needed revisions in local, state, federal, or organizational regulations or policies to attain the desired outcome/revision (provide at least one example, no need to provide all four).

Your paper should be no more than 5-6 pages, excluding the cover page and reference page.  No abstract is required.  You must use APA format, or your paper will be returned.  If your paper exceeds 6 pages, your professor will stop reading at 6 pages.  Use headings within your paper. Use sufficient references to assure your paper is scholarly and unbiased.  Upload your assignment to Moodle by the due date. 

You will be assessed on the following criteria:

•           Critically presents the issue and the literature supporting it;

•           Succinctly but poignantly states own position;

•           Applies course content and draws on scholarly literature to develop a logical argument in appraisal of the evidence, the issue, and a potential solution;

•           Poses a viable, creative, and innovative solution that has the potential to transform the health care system vis-à-vis the problem/issue that is the topic of the paper;

•           Communicates in a scholarly manner, which is commensurate with graduate educational standing.

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Example Outline of Paper

•           Description of chosen organization (Introduction-one paragraph)

o          Paraphrase mission of organization

o          If a specialty organization, describe the specialty and how it impacts or supports the specialty

•           Description of advocacy priorities for the organization (1-2 paragraphs depending on how many there are)

•           Describe one of the priorities that you identify with most in your practice currently (1-2 paragraphs including the points below)

o          Paraphrase the advocacy priority and how it supports the specialty or advanced practice nurse

o          Describe how this advocacy priority relates to practice

•           Briefly describe the advanced practice nurse within this specialty (1-2 paragraphs)

o          Practice priorities/competencies

o          Strengths

o          Billing practices (if known)

•           From the viewpoint of an advanced practice nurse in this specialty:

o          Identify who the stakeholders are related to the issue

         Discuss why they are impacted by the advocacy priority and how they influence policy (1-2 paragraphs)

o          Discusses challenges for the advanced practice nurse in this specialty related to the advocacy priority you have chosen (1-2 paragraphs)

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         Support with evidence (peer reviewed articles)

o          Discuss opportunities envisioned for the advanced practice registered nurse related to become more involved with the issue (1-2 paragraphs)

         Support with evidence (peer reviewed articles)

o          Describe needed revisions in at least one of the following areas: local, state, federal, or organizational regulations or policies to attain the desired outcome/revision (provide at least one example, no need to provide all four) (1-2 paragraphs)

         Support your view with rationale synthesized from peer reviewed journal articles

•           Closing paragraph (1 paragraph)

o          Summarize the whole paper using one sentence to summarize each major section with a closing statement of position on the issue.

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Synthesis of Policy, Healthcare Systems, and Nursing Organizations Impact on the Advanced Practice Nurse: Evaluative Criteria for Assessment

Student:  _________________           Topic:  ___________________

In the final paper, the student Exceeds Expectations            Meets Expectations    Falls below Expectations of Graduate Level

1.         Identifies an organization that aligns with future specialty. Presents the advocacy priorities for the organization.

Evidence          

Faculty Feedback:                             

2.         Succinctly identifies a single priority from the organization and why it is important using an example from a clinical experience or work situation. (Do not support your choice with a personal story.)

Evidence          

Faculty Feedback:                             

3.         Astutely discusses key stakeholders, challenges and opportunities envisioned for the advanced practice registered nurse related to the chosen advocacy priority/issue using evidence to support.

Evidence          

Faculty Feedback:                             

4.         Clearly describes needed revisions in local, state, federal, or organizational regulations or policies to attain the desired outcome/revision (provide at least one example).                    

Evidence          

Faculty Feedback:                             

5.         Summarizes the above points in a PowerPoint in 5-7 slides. Provides visual appeal in the presentation. Provides feedback for one other student’s presentation. 

Evidence          

Faculty Feedback:         

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6.         Communicates in a scholarly manner, which is commensurate with graduate educational standing, and in accordance with APA formatting.                               

Review the six outcome criteria and reflect on your performance in addressing each in your paper.  Then, answer the following questions:

1.         Identify one of the criteria that you struggled to adequately address but for which you believe you were eventually successful.  Comment on what strengths you brought to bear in resolving your uncertainty and struggle.

2.         Identify one of the criteria that you struggled to address and still are not sure how well you addressed it in your health policy brief.  What gaps in knowledge, ways of thinking, resources, etc. might underlie that struggle?  How will you address them (i.e., what plan might you create)?

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A Nurse Practitioner-Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

A Nurse Practitioner-Initiated Bill
A Nurse Practitioner-Initiated Bill

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A Nurse Practitioner-Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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CASE STUDY Unit 3: A Nurse Practitioner-Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

An example of agenda setting in 2014 was an effort by the Nebraska Nurse Practitioners (NNP), a state nursing association, to find a state senator who would introduce a bill into the Nebraska unicameral legislative session to eliminate the Integrated Practice Agreement (IPA) from the Nurse Practitioner Practice Act (Nebraska Legislature, 2014).

The public hearing for the bill was held on January 31, 2014; the sponsoring state senator’s goal was for the bill to emerge from the seven-member Health and Human Services Committee with support from all or most of the members (Senator S. Crawford, personal communication, January 2014).

A Nurse Practitioner–Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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Prior to the bill’s introduction, the NNP had to undergo review by the Nebraska Credentialing Review (407) Program. This state-level review program had been created to evaluate current Nebraska health professionals who are seeking to expand their scope of practice or to evaluate the scope of practice of a new type of provider (Nebraska Department of Health and Human Services, n.d.).

As part of its review, the NNP submitted extensive documentation to three review bodies—an ad hoc Technical Review Committee appointed by the director of the Nebraska Division of Public Health, a second review by the State Board of Health, and a third review by the director of the Division of Public Health. These reviews represented input from the Department of Health and Human Services (DHHS) about possible concerns for Nebraskans in either public health or safety.

Although the recommendations at the three levels are advisory, they serve to inform state senators when considering and voting on proposed legislation (D. Wesley, lobbyist, personal communication, June 2013). The NNP proposal received support at the first two levels; at the second level, the vote was 12–5 to eliminate the IPA requirement (Whitmire, 2013).

There also were recommendations with this second vote to (1) have practice requirements for the new graduate nurse practitioner (NP) and (2) have ongoing competency evaluations of all NPs. At the third level of review, the director and chief medical director of the DHHS were strongly opposed to the NNP proposal (Ruggles, 2013).

A Nurse Practitioner–Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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APRNs in Nebraska set the agenda with four goals in mind:

Decrease barriers to their full scope of practice

Provide more and needed access to health care (especially primary care and mental health care) in rural parts of the state

Meet the emerging primary healthcare needs associated with an increased Nebraska population having health insurance because of the Affordable Care Act

Decrease the exodus of APRNs to contiguous states that did not have such IPA agreements (Sundermeier, 2013/2014)

In seeking passage of this bill, Nebraska NPs wanted to join the 17 other states and the District of Columbia that had facilitated full scope of practice availability for nurse practitioners. As noted by Bobrow and Dryzek (1987), this case study underscores the importance of contextual dimensions furthering agenda setting. As noted previously, there were four important contexts in setting this agenda topic at this time in this state.

This agenda, which was based on evidence-based practice studies and the promotion of all nurses working to their full potential, is also advocated by the National Academy of Medicine (Institute of Medicine, 2010). By providing legislative language to a state senator to introduce a bill, APRNs set the agenda in Nebraska.

A Nurse Practitioner–Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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A variety of strategies were implemented to further the agenda goal. This chapter’s author served as chair of the Nebraska Nurses Association’s Legislative Advocacy and Representation Committee (LARC). This committee worked in unison and collaboratively with the NNP, its lobbyist, the NNA lobbyist, and the sponsoring state senator to serve as the lead strategists and voices. APRNs used public media to promote their perspectives. For example, following a negative review from the Nebraska DHHS, one APRN educated the public via an op-ed article about APRNs in the state’s largest newspaper (Holmes, 2013). She noted several of the previously made arguments as support for why APRNs wanted the IPA eliminated.

The bill passed by a 43–0 vote during the last day of the 2014 unicameral session. However, the governor vetoed the legislation, and there was not time for the unicameral legislature to enact an override.

In early 2015, the bill was reintroduced, passed, and signed by the new governor on March 5, 2015 (Lazure, Cramer, & Hoebelheinrich, 2016). Other factors facilitating its passage included

A Nurse Practitioner–Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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(1) education regarding APRN capabilities along with advocacy during the campaigns of 17 new state senators;

(2) obtaining commitments from both gubernatorial candidates that they would not veto the bill if reintroduced in 2015;

(3) ongoing advocacy by the earlier noted nursing groups; and (

4) interprofessional health groups that both supported the bill and said they would testify at a public hearing. Nebraska is now one of 21 states in which nurse practitioners have full practice authority (Pohl, Thomas, Barksdale, & Werner, 2016).

Read the Case Study above to Answer the Questions Below:

1: How does the Kingdon model apply to the Nebraska case study?

2: How can all healthcare providers support one another and further some of the IOM goals or Healthy People 2030 goals using the Kingdon Model to get the policy process started?

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Advanced Practice Roles in Nursing

Advanced Practice Roles in Nursing
Advanced Practice Roles in Nursing

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Advanced Practice Roles in Nursing

Introduction

Nursing is pragmatically considered to be a profession that is within the Medicare division of the overall concern of diverse families, individuals and the communities so the communities can achieve, sustain or even improve their finest health and the eminence life. Nursing can be distinguished from diverse further Medicare providers because of their aspect of work, their work technique to patient’s care, guidance and the extent of performance as the nurses usually carry out work in a broad range of performance areas that has diverse scope of performance and an intensity of the prescribed influence in every practitioner.

Nursing can be said to be a promotion, safety, and even the optimization of abilities and health, impediment of the illness and improvement of pain by the analysis and the treatment of human reaction.

Purposes of nursing

Nursing as a worldwide community is normally for its professional to ensure that there is quality care for everybody as they maintain their diverse credentials, standards, code of ethics a competencies. For an individual to work in the nursing as a professional, all the nurse or the nurses practitioners holds one or even more credentials that normally depends on their scope of practice and their education.

Nurses are usually considered as not truly doctor’s assistants because nurses more often are independently caring for their patients or even assisting other nurses in the healthcare centre. Registered Nurses are mandated to treat patients, provide emotional support, record their medical history, and even provide follow-up care because nurses assist doctors in performing some of the diagnostic tests.

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Advanced Practice Roles in Nursing

Roles of the Nurse Practitioner, nurse educator, nurse informatics, and nurse administrator in advanced practice nursing

Nurse educators

Nurse educators are registered nurses who have advanced education that includes advanced clinical training in a health care specialty because they combine expertise and also a passion for teaching into rich and rewarding careers selection. Nurse educators normally plays a paramount role in the aspect of strengthening the overall nursing workforce who serves as a role models in providing needed leadership skill so as to implement evidence based practice.

The nurse educators are similar with nurse practitioners in the aspect of health care provision but majorly differ in their work place because a nurse practitioner is in the health care room while a nurse educator can work from school to school so as to educate diverse people on the importance of nursing as a profession.

Nurse informaticians

Nursing Informatics is considered to be a discipline and practice that incorporates the aspect of nursing, its data and diverse awareness, with the diverse administration of data and the communication skills so as to uphold the fitness of communities. A nurse informatics usually work as developers of information and communication technologies, researchers, the principal information and nursing officers and also as software engineers who advance the healthcare facilities.

Center area of work for nurse informaticians includes the perception illustration and standards so as to sustain the evidence-based performance, education, and research. The nurse informaticians are similar with other advanced roles of nursing in the aspect of health care provision and health care improvement but majorly differ in their work place because a nurse informaticians is in the health care control room such as data centre so as to ensure that sophisticated deices and softwares are installed in the health care for improved efficiency.

Advanced Practice Roles in Nursing

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Nurse administrator

Nurse administrator is an advanced role in nursing professional who are knowledgeable of the aspect of guidance practices as they have relation to the nursing professionals. This particular aspect may refer to a number of managerial supervisory and diverse tittles that assist the health care facilities in carrying on their esteemed functions.  The multifaceted and complex character of contemporary healthcare facilities needs nursing guidance professionals who can craft efficient facility-wide systems and intra-departmental of healthcare delivery as they lead to a useful and proficient employees.

Nurse administrator permits for best possible patient care in any health care environment, from private hospices and hospitals to big medical care centers. Nurse administrator is similar to other advanced roles of nursing professionals in that all of the foster the aspect of healthy environment and the general provision of efficient health care services. Conversely, nurse administrator differ with other advanced roles of nursing profession in that they ensure that all the roles are efficient so as to provide a unity and productive workforce.

Selected Advanced Practice Role

Nurse Practitioner

Nurse practitioner is a sophisticated practice of registered nurses who are usually knowledgeable and vigorously skilled so as to offer health support and diverse protection by the aspect of medical analysis and the handling of severe illness and the persistent conditions (Hamric, 2013). A nurse practitioner normally has maximum capability to provide health care to all people even those who are perceived mental challenge because of their scope of work and advanced training.

Nurse practitioner differs with other advanced roles of nursing because nurses are mandated to carry out his or her duties in the health care room such as recording data and diverse healthcare services to the patients. A nurse practitioner is similar to other advanced roles of nursing as all of them involve the service that will prevent illness and promote health (Speziale, 2011).

Advanced Practice Roles in Nursing

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Nurse Practitioners regulatory and legal requirements for North Carolina

Nurse Practitioners are considered to be the principal group of highly skilled practice and roles in North Carolina State. The licensure law and state practice usually provide for all the nurse practitioners to assess all the sick people, order, analyze, and then interpret the diagnostic tests with physician supervision so as to instigate and then manage treatments that incorporate recommending medications in the special licensure power of the state panel of nursing (Munhall, 2012).

The supervision physician should provide written instructions that orders medication, tests and the treatment which in turns assesses the information of Nurse Practitioners within a logical time. In North Carolina Nurses  are normally taken care by a Joint Subcommittee of the North Carolina Medical Boards and the North Carolina Board of Nursing who promulgates rules so as to control the work of nurse practitioners, that then should be accepted by both panels prior to finishing the rulemaking procedure and then becoming effectual.

North Carolina Organization of Nurse Leaders (NCONL) usually exists to promote the nursing management excellence, shape general population guidelines and also toughen the leaders in nursing profession through teamwork and learning (Speziale, 2011). To become a member of the North Carolina Organization of Nurse Leaders, one is supposed to fill out the membership application that can be downloaded from the website. Membership fees dues are normally paid after January 1st is usually prorated on a quarterly basis because prorated membership dues are commonly considered only after a 12-month lapse in membership.

Advanced Practice Roles in Nursing

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Required competencies for North Carolina

In North Carolina, nurse practitioners are normally required to possess high level of education so as to provide great nursing services to the public at large (DeNisco, 2012). Diverse exams are conducted so as to determine the level of competence that an individual contain. Nursing profession is considered to be a profession that needs adequate and necessary skills and knowledge because of its nature and the aspect that the profession deals with life-saving matters.

The required competencies for a nurse practitioner include pass in a nursing exams with high grades as the profession usually offers for all the nurse practitioners to assess all the patients, order, analyze, and then understand the diagnostic assessments with physician supervision so as to instigate and administer treatments that incorporates recommending prescriptions in the special licensure power of the state panel of nurses (Panel, 2011).

Some of the organizations are deemed best in working as I plan to work in North Carolina State Hospital because I feel that the medical facility environment possesses exceptional characteristics that support nursing profession. The state has a lot of people because the profession needs large population so as to embrace efficiency and experiences.

Advanced Practice Roles in Nursing

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Health Policy and the Advanced Practice Roles in Nursing

Early childhood experience shapes health and the aspect of well being throughout the life

Early childhood social and economic conditions are considered to directly affect their respective health conditions. Diverse education and income, their neighbors resources and economic and the social factors affects their health at each stage of their life but the impacts on the young children is usually dramatic. Hamric et al (2013), the children early ages have the full potential to set up a path they are leading towards a good health or far away.

The diverse impact of these obstacles and opportunities along with diverse health effects that are accumulated over a long period of time can be transmitted in across generations as the children grow up to become parents because some of the social disadvantage in childhood such as a chronic stress can lead to a health disadvantage in adulthood. The effects of these is that, every parent want the best for all their children but it is usually considered that not all the parents have the same resources so as to assist their young ones to grow up healthy. 

The policy needs to change the aspect of health care provision in that all the parents should try having the best practice and education for their children. Children should receive good education earlier so that they can embrace their good health from diverse school education that enhances good health. According to Robert Wood Jonson Foundation, nurse practitioners need diverse health policy attributes that will assist him or her ensure that the policies are helpful because as the number of negative childhood experiences increases it also increases the aspect of negative health outcome.

Advanced Practice Roles in Nursing

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The process required to make the changes in the health policy should be instrumental so as to embrace productivity as a nurse practitioners have the capability to conduct numerous campaigns so as to preach the good parts of early childhood experience as it shapes health and the aspect of well being throughout the life of a child. According to Robert Wood Jonson Foundation, interested parties are normally the health practitioners, government and parents who have the responsibility to ensure that the children have a positive environment that will assist them shape the livelihood of their children.

Nurse practitioners need to be very intelligent in what they are doing so as to reveal any confidential matter that concerns a patient (Hamric, 2013). What I could that may lead the efforts to influence the change in policy is conducting numerous training so as to promote and ensure that the children have a positive environment that will assist them shape the livelihood of their children. I will attain and evaluate those missing attributes by continuous practice because this is considered to be the best way to add knowledge for a nurse practitioner.

Prediction of the effects on healthcare quality if the change is implemented

If the particular changes are implemented, children will have a better life when the attain an adulthood age because of the aspect that they have been shaped because nurse practitioners have diverse responsibilities to ensure that the children have a positive environment that will assist them shape the livelihood.

Advanced Practice Roles in Nursing

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Conclusions

According to Robert Wood Jonson Foundation, nursing is considered to be one of the professions that promotes, protects, protection of the poor health and injuries, assistance of healing, and lessening of the affliction by the analysis and management of human reaction (Parahoo, 2014). Nurse practitioners use their leadership attributes to ensure that the nursing profession continues providing quality services to the whole world because nurse practitioners normally have maximum capability to provide health care to all people even those who are perceived mental challenge because of their scope of work and advanced training.

References

DeNisco, S. M. (2012). Advanced practice nursing: Evolving roles for the transformation of the profession. .

Hamric, A. B. (2013). Advanced practice nursing: An integrative approach. . Elsevier Health Sciences.

Munhall, P. (2012). Nursing research. .

Panel, I. E. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel.

Parahoo, K. (2014). Nursing research: principles, process and issues.

Speziale, H. S. (2011). Qualitative research in nursing: Advancing the humanistic imperative.

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Advanced Practice Roles

Advanced Practice Roles
Advanced Practice Roles

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Advanced Practice Roles

Introduction

Nursing is pragmatically considered to be a profession that is within the Medicare division of the overall concern of diverse families, individuals and the communities so the communities can achieve, sustain or even improve their finest health and the eminence life. Nursing can be distinguished from diverse further Medicare providers because of their aspect of work, their work technique to patient’s care, guidance and the extent of performance as the nurses usually carry out work in a broad range of performance areas that has diverse scope of performance and an intensity of the prescriber influence in every practitioner.

Nursing can be said to be a promotion, safety, and even the optimization of abilities and health, impediment of the illness and improvement of pain by the analysis and the treatment of human reaction.

Advanced Practice Roles

Purposes of nursing

Nursing as a worldwide community is normally for its professional to ensure that there is quality care for everybody as they maintain their diverse credentials, standards, code of ethics a competencies. For an individual to work in the nursing as a professional, all the nurse or the nurses practitioners holds one or even more credentials that normally depends on their scope of practice and their education.

Nurses are usually considered as not truly doctor’s assistants because nurses more often are independently caring for their patients or even assisting other nurses in the healthcare centre. Registered Nurses are mandated to treat patients, provide emotional support, record their medical history, and even provide follow-up care because nurses assist doctors in performing some of the diagnostic tests.

Advanced Practice Roles

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Advanced Practice Roles in Nursing

Roles of the Nurse Practitioner, nurse educator, nurse informatics, and nurse administrator in advanced practice nursing

Nurse educators

Nurse educators are registered nurses who have advanced education that includes advanced clinical training in a health care specialty because they combine expertise and also a passion for teaching into rich and rewarding careers selection. Nurse educators normally plays a paramount role in the aspect of strengthening the overall nursing workforce who serves as a role models in providing needed leadership skill so as to implement evidence based practice.

The nurse educators are similar with nurse practitioners in the aspect of health care provision but majorly differ in their work place because a nurse practitioner is in the health care room while a nurse educator can work from school to school so as to educate diverse people on the importance of nursing as a profession.

Nurse informaticians

Nursing Informatics is considered to be a discipline and practice that incorporates the aspect of nursing, its data and diverse awareness, with the diverse administration of data and the communication skills so as to uphold the fitness of communities. A nurse informatics usually work as developers of information and communication technologies, researchers, the principal information and nursing officers and also as software engineers who advance the healthcare facilities.

Center area of work for nurse informaticians includes the perception illustration and standards so as to sustain the evidence-based performance, education, and research. The nurse informaticians are similar with other advanced roles of nursing in the aspect of health care provision and health care improvement but majorly differ in their work place because a nurse informaticians is in the health care control room such as data centre so as to ensure that sophisticated deices and softwares are installed in the health care for improved efficiency.

Advanced Practice Roles

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Nurse administrator

Nurse administrator is an advanced role in nursing professional who are knowledgeable of the aspect of guidance practices as they have relation to the nursing professionals. This particular aspect may refer to a number of managerial supervisory and diverse tittles that assist the health care facilities in carrying on their esteemed functions.  The multifaceted and complex character of contemporary healthcare facilities needs nursing guidance professionals who can craft efficient facility-wide systems and intra-departmental of healthcare delivery as they lead to a useful and proficient employees.

Nurse administrator permits for best possible patient care in any health care environment, from private hospices and hospitals to big medical care centers. Nurse administrator is similar to other advanced roles of nursing professionals in that all of the foster the aspect of healthy environment and the general provision of efficient health care services. Conversely, nurse administrator differ with other advanced roles of nursing profession in that they ensure that all the roles are efficient so as to provide a unity and productive workforce.

Selected Advanced Practice Role

Nurse Practitioner

Nurse practitioner is a sophisticated practice of registered nurses who are usually knowledgeable and vigorously skilled so as to offer health support and diverse protection by the aspect of medical analysis and the handling of severe illness and the persistent conditions (Hamric, 2013). A nurse practitioner normally has maximum capability to provide health care to all people even those who are perceived mental challenge because of their scope of work and advanced training.

Nurse practitioner differs with other advanced roles of nursing because nurses are mandated to carry out his or her duties in the health care room such as recording data and diverse healthcare services to the patients. A nurse practitioner is similar to other advanced roles of nursing as all of them involve the service that will prevent illness and promote health (Speziale, 2011).

Advanced Practice Roles

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Nurse Practitioners regulatory and legal requirements for North Carolina

Nurse Practitioners are considered to be the principal group of highly skilled practice and roles in North Carolina State. The licensure law and state practice usually provide for all the nurse practitioners to assess all the sick people, order, analyze, and then interpret the diagnostic tests with physician supervision so as to instigate and then manage treatments that incorporate recommending medications in the special licensure power of the state panel of nursing (Munhall, 2012).

The supervision physician should provide written instructions that orders medication, tests and the treatment which in turns assesses the information of Nurse Practitioners within a logical time. In North Carolina Nurses  are normally taken care by a Joint Subcommittee of the North Carolina Medical Boards and the North Carolina Board of Nursing who promulgates rules so as to control the work of nurse practitioners, that then should be accepted by both panels prior to finishing the rulemaking procedure and then becoming effectual.

North Carolina Organization of Nurse Leaders (NCONL) usually exists to promote the nursing management excellence, shape general population guidelines and also toughen the leaders in nursing profession through teamwork and learning (Speziale, 2011). To become a member of the North Carolina Organization of Nurse Leaders, one is supposed to fill out the membership application that can be downloaded from the website. Membership fees dues are normally paid after January 1st is usually prorated on a quarterly basis because prorated membership dues are commonly considered only after a 12-month lapse in membership.

Advanced Practice Roles

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Required competencies for North Carolina

In North Carolina, nurse practitioners are normally required to possess high level of education so as to provide great nursing services to the public at large (DeNisco, 2012). Diverse exams are conducted so as to determine the level of competence that an individual contain. Nursing profession is considered to be a profession that needs adequate and necessary skills and knowledge because of its nature and the aspect that the profession deals with life-saving matters.

The required competencies for a nurse practitioner include pass in a nursing exams with high grades as the profession usually offers for all the nurse practitioners to assess all the patients, order, analyze, and then understand the diagnostic assessments with physician supervision so as to instigate and administer treatments that incorporates recommending prescriptions in the special licensure power of the state panel of nurses (Panel, 2011).

Some of the organizations are deemed best in working as I plan to work in North Carolina State Hospital because I feel that the medical facility environment possesses exceptional characteristics that support nursing profession. The state has a lot of people because the profession needs large population so as to embrace efficiency and experiences.

Advanced Practice Roles

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Health Policy and the Advanced Practice Role

Early childhood experience shapes health and the aspect of well being throughout the life

Early childhood social and economic conditions are considered to directly affect their respective health conditions. Diverse education and income, their neighbors resources and economic and the social factors affects their health at each stage of their life but the impacts on the young children is usually dramatic. Hamric et al (2013), the children early ages have the full potential to set up a path they are leading towards a good health or far away.

The diverse impact of these obstacles and opportunities along with diverse health effects that are accumulated over a long period of time can be transmitted in across generations as the children grow up to become parents because some of the social disadvantage in childhood such as a chronic stress can lead to a health disadvantage in adulthood. The effects of these is that, every parent want the best for all their children but it is usually considered that not all the parents have the same resources so as to assist their young ones to grow up healthy. 

The policy needs to change the aspect of health care provision in that all the parents should try having the best practice and education for their children. Children should receive good education earlier so that they can embrace their good health from diverse school education that enhances good health. According to Robert Wood Jonson Foundation, nurse practitioners need diverse health policy attributes that will assist him or her ensure that the policies are helpful because as the number of negative childhood experiences increases it also increases the aspect of negative health outcome.

Advanced Practice Roles

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The process required to make the changes in the health policy should be instrumental so as to embrace productivity as a nurse practitioners have the capability to conduct numerous campaigns so as to preach the good parts of early childhood experience as it shapes health and the aspect of well being throughout the life of a child. According to Robert Wood Jonson Foundation, interested parties are normally the health practitioners, government and parents who have the responsibility to ensure that the children have a positive environment that will assist them shape the livelihood of their children.

Nurse practitioners need to be very intelligent in what they are doing so as to reveal any confidential matter that concerns a patient (Hamric, 2013). What I could that may lead the efforts to influence the change in policy is conducting numerous training so as to promote and ensure that the children have a positive environment that will assist them shape the livelihood of their children. I will attain and evaluate those missing attributes by continuous practice because this is considered to be the best way to add knowledge for a nurse practitioner.

Prediction of the effects on healthcare quality if the change is implemented

If the particular changes are implemented, children will have a better life when the attain an adulthood age because of the aspect that they have been shaped because nurse practitioners have diverse responsibilities to ensure that the children have a positive environment that will assist them shape the livelihood.

Advanced Practice Roles

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Conclusions

According to Robert Wood Jonson Foundation, nursing is considered to be one of the professions that promotes, protects, protection of the poor health and injuries, assistance of healing, and lessening of the affliction by the analysis and management of human reaction (Parahoo, 2014). Nurse practitioners use their leadership attributes to ensure that the nursing profession continues providing quality services to the whole world because nurse practitioners normally have maximum capability to provide health care to all people even those who are perceived mental challenge because of their scope of work and advanced training.

References

DeNisco, S. M. (2012). Advanced practice nursing: Evolving roles for the transformation of the profession. .

Hamric, A. B. (2013). Advanced practice nursing: An integrative approach. . Elsevier Health Sciences.

Munhall, P. (2012). Nursing research. .

Panel, I. E. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel.

Parahoo, K. (2014). Nursing research: principles, process and issues.

Speziale, H. S. (2011). Qualitative research in nursing: Advancing the humanistic imperative.

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