The nursing philosophical framework majorly concentrates on the importance to convey proper and quality patients’ healthcare. Within the APN care, a universal personal philosophy relating to environment, individuals, health and nursing care is required. This paper seeks to address the personal beliefs, opinions and values that relate to the above in the APN role. The main focus of an APN should be a patient. The APN should show compassion and care to all patients and deliver without prejudice and discrimination. Besides, nurses should create a strong rapport and take care of all patients’ needs. Nurses should also establish their proficiency in holistically. Apart from developing their ability holistically, APN should also ensure that their health and patient health is optimum, and there is an enhanced quality of life.
Empowerment is the personal philosophy that I will concentrate with. In most cases, power is always inside people, and when these people get encouraged, they start to do things on their own. The self-care theory and foundation developed by Orem is appropriate in the advanced practice nursing. In most cases, nurses are linked with the ethical and moral parts of medicine as providers. According to Denehy (2012), the Self Care Theory fosters a distinct comprehension of what should be done or not concerning outcomes. It offers transparent interaction under the ANA Code of Ethics. As indicated by the self-care theory, individuals should not be self-sufficient but must be responsible to care others in the family unit. Reaching both universal as well as self-care development requires is a significant primary care prevention elements. Therefore, nurses should have self-knowledge of potential health problems to promote self-care behaviour promotion.
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According to Illinois Department of Financial and Professional Regulation (IDPR), a prospective APN should earn a graduate degree or a post-master certificate to qualify. The nurse should also complete a program that prepares him or her for advanced practice certification such as the Pediatric Nursing Certification Board (PNCB), the American Academy of Nurse Practitioners (AANP), ANCC, Gynecologic and Neonatal Nursing Specialties (NCC) and the ANCC. The core curriculum Illinois APN includes health promotion, disease prevention, advanced pharmacology, pathophysiology, and population-based care (Forchuk & Kohr, 2014). For a person to apply for APN, he or she must have frequent criminal background checks and fingerprint. Additionally, a completion form verifying that the nurse has completed school should be mailed by the school officials to the board officials.
The verification forms of certification can also be provided by the certifying agency. The result slips from all higher learning institution should also be sent to the board. The APNs of Illinois should have collaborative agreements. In Illinois State, the prescriptive authority will be provided by the collaborative agreement (King, Tod & Sanders, 2017). However, the APNs have to meet progressive competency requirements that are developed by their certification agency. To request prescriptive authority, the APN should have 45 contact hours in pharmacology included in the learning program of the APN. Likewise, the APN has to finish five contact hours at the graduate level to maintain prescriptive authority within the collaborative agreement of the state.
To acquire a license in the IDFPR ensures that an aspiring APN earns certification before being granted with a license. The area of specialty permits accreditation from one or more national certification organization. As opined Kuo et al (2013), maintaining a national certification is a must to maintain Illinois APN licensure. Additionally, a person should meet continuing education qualifications based on various federal certification agencies. Once the APN has acquired a license, the IDPFR ensures that the APN complete 50 hours of approved progressive education in every two years license renewal cycle. On the other hand, any licensed health practitioner that wishes to prescribe controlled substance should have a professional license that authorizes him or her to work, controlled Substance License provided from IDFPR and a federal Drug Enforcement Agency.
In Mississippi, the prescription of a certified APN comes automatically with certification. In this state, if managed drug prescriptive authority is required, it should be applied commonly. The licensing exams quantify the nursing practice at the starter level and are provided to prevent avoidable obstacles to individuals willing to practice (Lovatt, 2010). These certification exams are provided by private organizations and do not require legal inspection as licensure examinations. In Mississippi, certification agencies establish criteria that concern their members as they only answer themselves.
On the other hand, certifications do not depend on the public. The positions utilized by certified people after completing certification exams do not carry any legally. Additionally, validation process credentialing, licensure references and documentation depend on the employer (Woten & Schub, 2015). A credentialed provider in Mississippi performs various services that are needed in specific practice setting and is permitted to bill services in the government agencies and insurance companies.
Since there is no organization that standardizes credentialing, most health plans use the Council for Affordable Quality Healthcare. As opined by the Military Health System article, having clinical privileges provides APRN a permission to offer high quality treatment and care in a particular setting. Privileges are provided by an appropriate governing body such as medical staff or a human resource department. According to McCormack (2013), these privileges are based on different categories such as education, licensure, competence, judgment, health status and experience. Organizations such as Joint Commission establishes particular features for every position in the company but agencies find difficulties to create all uniform APRNs privileges. The main goal of licensure is to safeguard public health. More so, credentialing ensures that advanced practicing nurse is qualified to carry services required in specific practice setting and permits services billing to government agencies and Insurance Corporation. This maintains the health of both the provider and the patient.
In the past decade, Australian APN role has developed promptly since inception. Even though the 2 nd APN reassessment works independently with the health sector, there are structural constraints within community infirmary as well as public aids (Military Health, 2013). The development of the APN opinion of restrictions shows an existence of a superior empathy to issues affecting APN expanded role of APN effectiveness and utilization.
In the previous years, the role of APN in the United Kingdom was mainly primary and secondary care. The APNs role upheld the deficits that exist in its scope of practice, laws and education. Three bodies administer the APN. In the UK, the APN is governed by professional bodies, employers and the central government (Nursing License Map, 2019). Besides, the role advanced practice nurse is administered by conventional measures and employers who make decisions and identify guidelines concerning training scope for advanced scape. The APN role varies in the scope of practice, organizational constraints and lack of support. The other APN fluctuations are intensified by the absence of role clarity. This shows that the UK need to improve its regulation and governance. To control these deficits, the Royal College of Nursing has introduced a system that logs in qualifications, skills and experience of the advanced practice nurse. Even though the system has been received well, the APN role still has some missing pieces.
References
Denehy, J. (2012). Articulating your philosophy of Nursing.Journal of Professional Nursing.New York: Sage Publishers
Forchuk, C., & Kohr, R. (2014). Prescriptive authority for nurses: the Canadian perspective. In Psychiatric Care, 45(1), 3-8. doi:10.1111/j.1744-6163.2009.00194.
King, R., Tod, A., & Sanders, T. (2017, November 29). Development and regulation of advanced nurse practitioners in the UK and internationally. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/29185641
Kuo, Y. F., Loresto Jr, F. L., Rounds, L. R., & Goodwin, J. S. (2013). States with the least restrictive regulations experienced the largest increase in patients seen by nurse practitioners. Health Affairs, 32(7), 1236-1243.
Lovatt, P. (2010). Legal and ethical implications of non-medical prescribing. Nurse Prescribing, 8(7), 340-343.
McCormack, D. (2013). An Examination of the Self-Care Concept Uncovers a New Direction for Healthcare Reform. Retrieved from https://www.longwoods.com/content/16342/nursing-leadership/an-examination-of-the-self-care-concept-uncovers-a-new-direction-for-healthcare-reform
Military Health (2013, October 29). Most Recent Updates. Retrieved from https://www.health.mil/Reference-Center/Glossary-Terms/2013/10/29/Clinical-Privileges
Nursing License Map (2019). Nurse Practitioner Prescriptive Authority. [online] Nursinglicensemap.com. Available at: https://nursinglicensemap.com/advanced-practice-nursing/nurse-practitioner/nurse-practitioner-prescriptive-authority/ [Accessed 11 Sep. 2019].
Woten, M. B., & Schub, E. B. (2015). Effective Nursing Leadership: Performing. CINAHL
