NURS 402 Advance Practice Nursing Questions

NURS 402 Advance Practice Nursing Questions

NURS 402 Advance Practice Nursing Questions

Advanced Practice Nursing

Role definition:

1. Clinical nurse specialist – RN with graduate education in nursing who is an expert clinician in a specialized area of ng practice. Practice in a wide variety of settings to give direct patient care, influence care, give expert consultations.
2. Nurse practitioner- RN who are prepared through adv graduate education and clinical training to provide a wide range of health care services including dx and mgt of common as well as complex med conditions to people of all ages.
3. Certified nurse midwife – Primary care for women across the lifespan with emphasis on pregnancy, childbirth, GYN and reproductive health and neonates in the first 28 days of life. Assess, diagnose, provide care including writing prescriptions.
4. Certified registered nurse anesthetist

History: The first doctorates in nursing were awarded by Columbia University in the 1920a.  The first practice doctorate came from Case Western in 1979.  advanced practice nursing started in the 1960s and has expanded since then to a variety of areas.  The number of msn prepared nurses has risen dramatically but the number with doctoral preparation continues to lag.  Estimates are that the number will need to double by 2020.

Why is nursing not keeping pace with other disciplines in production of doctoral graduates?

Little increase in salary, cost of education, length of time to complete

Goal: patient centered, cost effective and safe htl care.

Doctor of Nurse Practice

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Reasons for change from MSN to DNP

Education in leadership, health policy, practice mgt, information technology, process and outcome evaluation, and quality improvement.

Difference in PhD and DNP

Essentials for Doctoral ed

Concerns about the DNP

1. Who will award DNPs
2. Will they do research
3. Will they get tenure
4. What about rigor

Clinical nurse leaders

Compare and contrast the CNL and the CNS