“Professional Roles and Responsibilities”Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients.

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“Professional Roles and Responsibilities”Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients. Share your thoughts

  1. What are the educational requirements to practice as a FNP?
  2. According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners.
  3. Who determines the scope of practice for FNPs?
  4. Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role?
  5. See rubric

Discussion 3:

Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions:Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting?   Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ?                                            Discussion 4:

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include: Presigning blank prescription forms. Prescribing a Schedule II for office use. Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions. Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance. Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice. Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice. Prescribing, dispensing, or administering a controlled substance to himself or herself. Prescribing, dispensing, or administering laetrile. Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act. Promoting or advertising controlled substances.After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

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The reading that I found most interesting was the research presented by Puchalski on the role of spirituality in health care. Up to this point in my nursing career, I have leaned toward the scientific approach especially working in the ER and dealing with a lot of acute and severe medical emergencies.

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The reading that I found most interesting was the research presented by Puchalski on the role of spirituality in health care. Up to this point in my nursing career, I have leaned toward the scientific approach especially working in the ER and dealing with a lot of acute and severe medical emergencies. In these cases, I have realized that the religious approach is essential when it comes to providing care and comfort to the friends and family members of patients who are experiencing life-threatening injury or illness. The statistics that Puchalski presented on the effectiveness of spirituality on mortality, coping, and recovery were eye opening. When you consider how spirituality can increase life spans, help relieve pain and stress, and improve recovery from illness and surgery, its benefits cannot be denied (Puchalski, 2001, p. 353).

The difference between disease and healing is discussed briefly in Gilbert Meilaender’s book, Bioethics: A primer for Christians. My view of his analysis is that doctors aim to cure disease which sometimes is not possible (i.e. terminal cancer), and their approach may have little to no effect on the loved ones of the sick and injured. Healing, on the other hand, is always possible for patients and their loved ones who have faith and trust in God. Meilaender (2013) argues, “they [medical caregivers] are lordly and awesome in their technical prowess, but they are not the Lord whom death could not hold” (p. 9).

Comment 2

The aspect that I found most interesting in the reading is the polarity between the older and the newer nursing theories. The older nursing theories are associated with taxonomies and quantitative measures, whereas the newer more holistic nursing theories are more qualitative measures and softer phenomena (Shelly, J., 2006). The revolution in the approach of how we think about nursing and nursing interventions in association to ethical decision making relates to a belief that nursing as a profession is both  a science and an art-based profession, and the the new theories expand upon the concept. The other aspect that is interesting to me is using world views to challenge contemporary ethos by using philosophical clarity, religious sensitivity, and proportionate level of care for the sick and others who may need other forms of physiological and psychological interventions and/or wellbeing.

As medicine is traditionally considered a healing profession, and modern medicine claims legitimacy to heal through its scientific approach to medicine (Starr, P., 1982), the marriage of science and medicine has generally empowered nurses and physicians to intervene actively in the course of disease, to effect cures, to prevent illness, and to eradicate disease Hauerwas, S. (1990). In the wake of such success, nurses and physicians trained as biomedical scientists, have focused on the diagnosis, treatment, and prevention of disease. In the process, cure, not care, became the primary purpose of medicine; as nurses and physician’s role have transformed to the “curer of disease” rather than “healer of the sick (Starr, P. (1982). Thus, healing in a holistic sense has faded from medical attention and is rarely discussed in the medical literature.

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Reflect on the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas of our lives. 

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Reflect on the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas of our lives.

1-What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics?

2-What strategies might nurses use to have their voices heard?

You can use this reference:

The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 

As a reminder, all questions must be answered by separated to receive full credit for this discussion. Make sure to use scholarly sources to support your discussion. Original posts must be  a minimum of 250 words.

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Novartis Case Study

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Read the SHRM case study Integrating a Human Resource Information System and answer the questions below based on the case study and information provided for context. You may use information from the lectures and readings to supplement your answers if necessary.

What cultural issues are interwoven in this project that affected HR?
Who should be involved in future global integration projects?
What skills should team members have and how should they be selected?