Role of Adult-gerontology Nurse Practitioner-AGNP sample paper

Overview/Description of Final Paper: The final written assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: APRNs, nurse educator, nurse informaticist, and nurse administrator/executive. You will review all roles and then examine the specialty for which you were admitted (Adult-gerontology Nurse Practitioner-AGNP), focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.

Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 8-10 pages excluding the title and reference pages, and APA format is required.

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 Role of Adult-gerontology Nurse Practitioner-AGNP sample paper
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Criteria:

Advanced Practice Roles in Nursing:
Briefly define advance nursing practice and the roles in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and health information. Distinguish between ANP and the APN.
Describe the advanced nursing practice role you aspire and briefly share the experiences and/or qualities you have that have influenced your decision. Include your personal philosophy.
Selected Advanced Practice Role:
Identify the AP you interviewed and summarize the interview, which should/may include (see attached file for interview) (if not in the interview, please address):
Examine regulatory and legal requirements for the state in which you plan to practice/work (Florida).
Describe the professional organizations available for membership based on your selected role (AGNP).
Identify required competencies (domains), including certification requirements for your selected role (AGNP).
Describe the organization and setting, population, and colleagues with whom you plan to work.

Leadership Attributes of the Advanced Practice Role:
Determine your leadership style (Democratic).
Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop.
Apply the leadership style you will embrace in AP to one of the domains.

Health Policy and the Advanced Practice Role

Based on your program of study (AGNP), review the literature and address the following:

FNP/AGNP:Medicare reimbursement for NPs is 85%for the same health care that MDs receive at 100% reimbursement? Please address questions below and state why should receive 100% reimbursement:

Describe the current policy or trends and determine if it needs to change.
Provide the process required to make the change with key players and parties of interest.
Explain how you could lead the effort to make or influence the change in policy or keep the policy the same and the impact on healthcare quality.

Conclusion: Summarize your role paper by highlighting key points made in your paper.
Please use the attached rubric for how the paper should be constructed.

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Sample nursing paper answer on the role of AGNP;

Paper type: Term Paper
Course Level: Master
Subject Area: Nursing
# Pages: 8

Role of Adult-gerontology Nurse Practitioner-AGNP Sample solution

Today’s healthcare environment is characterized by a rapid shift in the role of nurses as well as those of physicians. In many nations around the world, physicians have specialized in various areas of care and they rarely provide primary health care. Additionally, the scope of nursing practice has expanded and the contemporary nurses help to fill the gaps that have been left by the rapidly specializing physicians. For instance, with the emergence of advanced practice roles in nursing, the clinical activities that were traditionally reserved for the physician are now accomplished by the nurse (Mier & Aiken, 2016). The advanced practice registered nurses, nurse educators, nurse informaticists, and nurse administrators or executives perform complementary roles all of which are aimed to improve healthcare quality. In addition to possessing good leadership attributes, the advanced practice nurse must be able to act as an advocate for patients’ needs by influencing the formulation and implementation of health policies.

Advanced Practice Roles in Nursing

The professional nurse should understand the meaning of advanced practice nursing (APN) and advanced nursing practice (ANP). Although these two concepts may look similar, it is important to note that they do not have the same meaning. Advanced nursing practice (ANP) is defined as a field along which nurses develop a recognizably higher level of professional knowledge, behaviors, skills, judgment, and clinical reasoning, and their ability to incorporate these competencies into a clinically-based practice (Nursing and Midwifery Board of Australia, 2016). Professionals who work at an advanced nursing practice level have the capacity to integrate research, education, and professional leadership into clinical practice in order to provide a safe and effective health care. The nurses often specialize in providing care to different categories of patients with complex healthcare needs. The practice contexts for the advanced nursing practice include registered nurses, nurse practitioners, or the enrolled nurses (Nursing and Midwifery Board of Australia, 2016).

On the other hand, advanced practice nursing (APN) is defined as a continuum through which nurses acquire clinical competencies, complex decision-making skills, and expert knowledge to perform expanded practice roles. The levels of clinical competencies and knowledge that are acquired by the advanced practice nurses are often defined by the state in which they want to work (Blair & Jansen, 2015). The advanced practice nursing roles include; the clinical practice nurse, the advanced practice registered nurse (APRN), the nurse educator, nurse administrator, and nurse informaticist. The clinical practice nurse is charged with the responsibility of providing care in a general practice setting (Nursing and Midwifery Board of Australia, 2016). As Blair and Jansen (2015) point out, the advanced practice registered nurse possesses the knowledge and competencies that allow him or her to deliver primary care to a specialized group of patients. Examples of APRN roles include nurse anesthetists (NA), clinical nurse specialists (CNS), nurse midwives (NM), and nurse practitioners (Bryant-Lukosius et al., 2017).

The nurse educator has been trained to teach and prepare registered and licensed practical nurses for entry into clinical practice positions. Conversely, a nurse administrator is a licensed registered nurse who has received an advanced training on matters concerning the effective management of staff nurses in a healthcare facility. The nurse informaticist, on the other hand, is a licensed registered nurse who has obtained an advanced form of training on issues related to the effective management of health information (Blair & Jansen, 2015). As earlier mentioned, the advanced practice registered nurses, nurse educators, nurse informaticists, and nurse administrators or executives perform complementary roles all of which are aimed to improve the quality of healthcare (Bryant-Lukosius et al., 2017).

The advanced nursing practice that I aspire to pursue is the Adult-Gerontology Nurse Practitioner (AGNP). Throughout my experience as a nurse, I have always been motivated to reduce the number of elderly patients who are diagnosed with chronic illnesses. Over the years, I have learned that some of the health problems that affect the elderly population begin at during their adolescent years and during adulthood. For instance, a significant number of geriatric patients who struggle to manage chronic illnesses such as diabetes, HIV, and high blood pressure developed those problems during their youthful years. Therefore, my decision to pursue a career in Adult-Gerontology Nurse Practitioner (AGNP) was influenced by the rising number of geriatric patients who are diagnosed with chronic illnesses that could have been prevented during adolescent and adulthood years (Wu et al., 2013). Being a strong communicator, I believe that I will be able to combine my effective communication skills with clinical skills to influence a change in behavior among youths and adults in the community. This strategy will help to prevent the occurrence of chronic illnesses that pose a great burden to geriatric patients. The personal nursing philosophy that will guide my professional practice is “to integrate the beliefs, values, and preferences of youths and adults into healthcare delivery for the promotion of the health of geriatric populations.”

Selected Advanced Practice Role

The person who has been interviewed is a former school-mate who currently works as an Adult-Gerontology Primary Care Nurse Practitioner-Board Certified (AGPCNP-BC). Her name is Leah Carol. Carol’s credentials are a Masters in Nursing Primary Care (MSN, PC), Chronic Care Professional (CCP) Certification, and a Certified Managed Care Nurse (CMCN). Carol is currently employed at Florida Hospital Heartland Medical Center in Lake Placid. She primarily delivers care to patients who need diabetes-related care. Occasionally, Carol leads a team of nurses to teach the community about health promotion practices that help to reduce risks for acquiring chronic illnesses. The interview has provided a good opportunity for understanding the legal and regulatory requirements for working as an AGNP in the state of Florida. Besides, it has created a room for gaining further insights into the professional organizations that are available for AGNP membership, as well as the required competencies and certifications for the role. Furthermore, the interview has allowed the collection of information concerning the nature of the work environment that an AGNP should prepare to meet.

At Florida Hospital Heartland Medical Center, Carol is charged with the responsibility of delivering care to the hospitalized patients with severe cases of diabetes. She also offers health promotion and preventative services in relation to diabetes to outpatients who visit the facility. When delivering care to the named patient populations, Carol adheres to the regulatory and legal requirements for the Primary Care Nurse Practitioners with Board Certifications (PCNP-BC). Precisely, her care practice is primarily guided by Statute 2010-11.20 Section 9 of the established protocol, as well as the Florida Nurse Practice Act. In collaboration with the physician, the nurse applies relevant legal and regulatory standards in the diagnosis, treatment, and education of patients who need diabetes-related care. Moreover, Carol delivers care that is in compliance with the Florida Scope of Practice Policy (Florida Scope of Practice Policy, 2018). As documented in the policy, she works under a physician and follows a well-documented agreement when performing services that are related to drug administration.

Carol is interested in increasing the scope of her role as an AGPCNP-BC. This motivation has influenced her to join different professional associations of nurse practitioners from where she advances her knowledge concerning the delivery of healthcare to chronically-ill patients. Currently, she is a member of the Central Florida Advanced Nursing Practice Council and Florida Association of Nurse Practitioners. Since she joined the Central Florida Advanced Nursing Practice Council, Carol has learned how she can improve the care that is given to the chronically-ill diabetic patients. According to the nurse, her understanding of the legal, regulatory, and ethical considerations when handling diabetic patients has significantly improved.

As an AGPCNP-BC, Carol possesses the relevant competencies that enable her to deliver healthcare to patients in the chronic care domain. She can perfectly apply knowledge and skills that promote health promotion and maintenance in relation to diabetes. Additionally, she possesses competencies in health assessment of patients of different age groups from adolescence, through adulthood to old age. Most importantly, Carol can help diabetic patients to effectively manage their health illnesses. To be accepted in her current role at Florida Hospital Heartland Medical Center, Carol presented her credentials that acted as a proof of her academic qualifications and certifications. She has a Masters in Nursing Primary Care (MSN, PC), Chronic Care Professional (CCP) Certification, and a Certified Managed Care Nurse (CMCN). Additionally, the fact that she has AGPCNP-BC indicates that she has been certified by the Florida Board of Nursing to work as an AGNP in the state.

Carol attends to all patients who visit the Diabetes Center either for guidance on how they can manage their health conditions or for assistance with issues related to disease prevention. In that regard, her role is primarily focused on disease prevention and health promotion. She works from Monday to Friday from 8.00 am to 5.00 pm. Carol’s patient population comprises patients who are aged 14 years and above with a significant percentage of them being elderly patients aged 65 years and above. Her average patent population is 100 clients per day. Within the Diabetes Center, Carol works in collaboration with physicians, social workers, financial coordinators, therapists, and nurses with relevant qualifications based on their respective areas of specialization.

Interview Questions

Interviewee: Leah Carol, MSN, AGPCNP-BC, RN, CCP, CMCN.

Organization: Florida Hospital Heartland Medical Center in Lake Placid, US Highway 27

Position: AGPCNP-BC, Diabetes Center

Date of Interview:

1	*Will you please tell me the organization that you currently work for and your role in the facility?* Carol has reported that she is currently employed at Florida Hospital Heartland Medical Center in Lake Placid. She works as an Adult-Gerontology Primary Care Nurse Practitioner-Board Certified (AGPCNP-BC) at the Diabetes Center of the organization.
2	*What influenced your decision to become a nurse practitioner in your current role?* Carol used to work as a bedside nurse in a local community hospital. She was happy with what the NPs did in the facility. From there, she decided to advance my education from the original certificate level to BSN and to MSN. With these qualifications, she felt that it was the right time to have a more independent role.
3	*What is the nature of your work-day?* As reported by Carol, she works from 8.00 am to 5.00 pm from Monday to Friday. I attend to an average of 100 patients per day.
4	*What academic qualifications and certifications do you have that allow you to perform your roles effectively?* Carol has a Masters in Nursing Primary Care (MSN, PC), has received Chronic Care Professional (CCP) Certification, and has a Certification in Managed Care Nurse (CMCN).
5	*Are there specific legal and regulatory requirements that you must in your current role?* According to Carol, her practice as an Adult-Gerontology Primary Care Nurse Practitioner-Board Certified (AGPCNP-BC) is governed by the PCNP-BC requirements, the Florida Scope of Practice Policy, and the Florida Nurse Practice Act.
6	*Are you a member of any professional organizations?* Carol has stated that she is a member of the Central Florida Advanced Nursing Practice Council and Florida Association of Nurse Practitioners. Since she joined

References

Arifkhanova, A. (2018). The impact of nurse practitioner scope-of-practice regulations in primary care. RAND Corporation: Pardee Rand Graduate School

Arabi, A., Rafii, F., Cheraghi, M., & Ghiyasvandian, S. (2014). Nurses’ policy influence: A concept analysis. Iranian Journal of Nursing and Midwifery Research, 19(3), 315-322.

Blair, K., & Jansen, M. (2015). Advanced practice nursing: Core concepts for professional role development. 5^thed. New York, NY: Springer Publishing Company.

Bryant-Lukosius, D., Valaitis, R., Matin-Msener, R., Donald, F., Pena, L., & Brousseau, L. (2017). Advanced practice nursing: A strategy for achieving universal health coverage and universal access to health. Revista Latino-Americana De Enfermagem, 25, e2826. doi: 10.1590/1518-8345.1677.2826

Florida Scope of Practice Policy. (2018). Retrieved from http://scopeofpracticepolicy.org/states/fl/#

Mier, C., & Aiken, L. (2016). Expanding clinical roles for nurses to realign the global health workforce with population needs: A commentary. Israel Journal of Health Policy Research, 5, 21. doi: 10.1186/s13584-016-0079-2

Role of Adult-gerontology Nurse Practitioner-AGNP sample paper