Roles of Advanced Practice Nurses and State Regulations
NU627-7G Roles for Nurse Practitioner
Due Sep 19 by 11:59pm Points 125 Submitting a text entry box, a website url, a media recording, or a file upload
Instructions
Develop a personal philosophy and framework acknowledging professional and accrediting agency competencies relating to the role and scope of practice of the family nurse practitioner. Identify a nurse theorist that you align your current/ planned practice and how they provide the foundation for this philosophy development.
Describe the type of educational courses and professional requirements required for APRN professional certification and licensing within the state that you will practice.
Identify the precise application process for your certification exam, your state regulations for application for prescriptive authority/practice, and issues related to APRN practice within your state.
Evaluate and discuss APRN roles and prescriptive privileges and impact on client safety and care
Compare the differences between prescriptive authority, credentialing, and clinical privileges and how each of these impact client safety and care
Evaluate the development of the advanced practice nurse role from a global perspective.
Assignment Guidelines:
1200 - 1500 word paper (not including the cover page and references)
Required APA 7th edition for references and citations
Include a minimum of 6 scholarly references (does not include text or websites) and the majority of references must not be older than 5 years
Demonstrate analysis, evaluation and synthesis of information (see the rubric for specifics)
Estimated time to complete: 6 hours
Rubric
NU 626 Unit 2 APNs and State Regulations Rubric
NU 626 Unit 2 APNs and State Regulations Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeContent
45 pts
5
Demonstrates a thorough understanding of context, audience, and purpose that is responsive to the assigned task(s) and focuses all elements of the work.
41 pts
4Demonstrates adequate consideration of context, audience, and purpose and a clear focus on the assigned task(s) (e.g., the task aligns with audience, purpose, and context).
36 pts
3
Demonstrates awareness of context, audience, purpose, and to the assigned tasks(s) (e.g., begins to show awareness of audience's perceptions and assumptions).
31 pts
2
Demonstrates minimal attention to context, audience, purpose, and to the assigned tasks(s) (e.g., expectation of instructor or self as audience).
27 pts
1
Little to no description of purpose and contents of paper.
0 pts
0
Not attempted 45 ptsThis criterion is linked to a Learning OutcomeContent Development 45 pts5 Uses appropriate, relevant, and compelling content to illustrate mastery of the subject, conveying the writer's understanding, and shaping the whole work.
41 pts
4
Uses appropriate, relevant, and compelling content to explore ideas within the context of the discipline and shape the whole work.
36 pts
3
Uses appropriate and relevant content to develop and explore ideas through most of the work.
31 pts
2
Uses appropriate and relevant content to develop simple ideas in some parts of the work.
27 pts
1
Little to no description of purpose and contents of paper.
0 pts
0
Not attempted
45 pts
This criterion is linked to a Learning OutcomeWriting
25 pts
5
Demonstrates detailed attention to and successful execution of a wide range of conventions particular to a specific discipline and/or writing task (s) including organization, content, presentation, formatting, and stylistic choices.
23 pts
4
Demonstrates consistent use of important conventions particular to a specific discipline and/or writing task(s), including organization, content, presentation, and stylistic choices.
20 pts3Follows expectations appropriate to a specific discipline and/or writing task(s) for basic organization, content, and presentation.
18 pts
2
Attempts to use a consistent system for basic organization and presentation.
15 pts1
Lacks evidence of clear, organized, comprehensive writing.
0 pts
0
Not attempted.
25 pts
This criterion is linked to a Learning OutcomeAPA
10 pts
5Demonstrates skillful use of high-quality, credible, relevant sources to develop ideas that are appropriate for the discipline and genre of the writing.9 pts
4
Demonstrates consistent use of credible, relevant sources to support ideas that are situated within the discipline and genre of the writing.
8 pts
3
Demonstrates an attempt to use credible and/or relevant sources to support ideas that are appropriate for the discipline and genre of the writing.
7 pts
2
Demonstrates an attempt to use sources to support ideas in the writing.
6 pts
1
Does not include both APA and In- Text Citations or In-text citations and references are not in APA format.
0 pts
0
Not attempted.
10 pts
Total Points: 125
Roles of Advanced Practice Nurses and State Regulations
Student's Name
Institution
Roles of Advanced Practice Nurses and State Regulations
Advanced practice registered nurses (APRNs) have initial education in nursing and are licensed as registered nurses (RN). State Boards of Nursing also govern them. However, the scope of practice of APRNs varies according to state regulations and requirements. As such, APRNs need to understand the various laws, regulations, and requirements that define their scope of practice in their state of practice. This paper develops a personal philosophy and explores educational courses, professional requirements, the application process, and state regulations for APRNs in the State of Maryland. It also discusses APRN roles and prescriptive authority and examines APRNs roles from a global perspective.
Personal Philosophy
As a nurse practitioner (NP), I must align my values and beliefs with the nursing practice. My values and beliefs are respect for human dignity, autonomy, compassion, and seeing an individual as a whole. I also believe in getting the right training to become a competent individual in whatever I aspire to be. This is why I am pursuing education and training as an NP to ensure that I become a competent mental health NP, which is my area of interest.
My philosophy is that I need to incorporate my values and beliefs into my NP practice. Just as I have always used these values and beliefs as an RN, I will use them to provide patient-centered care as a mental health NP. According to the American Association of Nurse Practitioners (AANP) (2019), NPs have to meet competency-based standards and accreditation requirements so that they can provide safe, patient-centered care. This is achieved through NP education, which is what I am currently pursuing.
Since I value seeing an individual as a whole, I want to handle my patients as a whole by considering their environmental, spiritual, emotional, and physical factors to ensure I provide patient-centered care that meets various needs of the patient. My philosophy is informed by Virginia Henderson, a nursing theorist who developed the needs theory and believed that nursing activities should be based on human needs (Smith, 2020). Her nursing concept informs my view of a patient as a whole with basic needs (spiritual, physical, emotional) that should be met to promote good health. More specifically, her concept allows me to examine how basic human needs influence mental health.
Educational Courses and Professional Requirements
In the state of Maryland, APRNs receive their certification from the Maryland Board of Nursing (Maryland Board of Nursing (MBON), 2020). To become an APRN, one must be a licensed RN in Maryland or a compact state. In terms of education, one must complete a graduate-level APRN program from a school that has received approval from the Maryland Board of Nursing. The approved program must offer education in three key areas, namely: advanced health assessment, advanced pharmacology, and advanced physiology/pathophysiology (MBON, 2020). In addition, the graduate-level APRN program must result in either a master's degree certificate or a post-masters certificate. After completing the graduate program, an individual can apply for Graduate Status before taking the national certification examination. The individual completes one of the following forms: nurse practitioner, nurse anesthetist, nurse psychotherapist, or nurse-midwife graduate supervision agreement. The graduate status allows an APRN to practice as they await national certification (MBON, 2020).
The next step involves getting a national certification in any of the following areas; NP, certified RN anesthetist, nurse psychotherapist, or certified nurse-midwife. The board recognizes national certification programs from agencies such as the American Nurses Credentialing Center, National Certification Corporation, American Academy of Nurse Practitioners, and American Midwifery Certification Board (MBON, 2020). Once the individual has completed the program and received their degree/certificate, the next step involves applying for an APRN certification. They must provide their social security or federal tax number while applying for APRN certification. Depending on the area of specialization, the applicant has to fill specific application forms. After receiving APRN certification, APRNs have to renew their certificates annually before the 20th day of their birth month (MBON, 2020).
Application Process and State Regulations
APRNs need to apply for a certification exam with a state board-recognized agency. The first step in the application process involves registering with the certification agency. To register, one has to be eligible to apply for the certification exam. Eligibility includes an active RN license and a completed graduate-level APRN program. Once the requirements for eligibility are met, the application process is approved. Next, the certification agency provides applicants with a candidate handbook. Applicants are encouraged to review the book before sitting for the exam because it outlines the various areas of practice, topics, and sub-topics to be assessed in the certification exam (Winland-Brown & Dunphy, 2017).
Once an NP becomes certified in Maryland, they also receive prescriptive authorit...