The work for this paper entails interviewing TWO different categories of advanced practice nurses (APNs). One APN has to be a primary care nurse practitioner (e.g., family NP, adult NP, pediatric NP); that is, the NP cannot be
one who is an acute care NP. Furthermore, the NP must work in a primary
care setting such as a “doctor’s office” or community health
center—that is, in a setting the buzz-word for which is now medical home.
An NP who works in a retail clinic or free-standing urgent care center
would also be acceptable (but NOT an emergency department). Yes, there
are many APNs who are prepared as FNPs or adult NPs who take jobs in
non-primary care settings (e.g., as hospitalists and as providers in
nursing homes). But a common premise with health care reform and the
Affordable Care Act is that there already is and will be a huge need for
primary care providers, thus paving the way for even greater
opportunities for NPs in this area. It is important that you get a firm
grasp of how NPs are prepared for primary care, and thus why NP
organizations assert an important solution to the primary care provider
shortage is educating more NPs which is why every state should allow
full independent practice authority for APNs, especially NPs.
The other APN may be your choice of one of the following: a certified nurse midwife (CNM) or a certified nurse anesthetist (CRNA) or
a clinical nurse specialist (CNS). There is no limitation regarding the
types of settings these APNs might work. Be sure to indicate the
state(s) where the APNs practice.
Although the information gathered from these APNs will be acquired
via an interview, the paper should be written in summary format (i.e.,
it should not look like a dialogue between you and the APN). Information
on both interviews should be in a single document.
It is not necessary to provide the APNs’ full names. Most elements of
APA format should be used, including a title page and abstract. Most
students’ papers that address all of these questions for both APN are
about five double-spaced pages, without counting the title page or
abstract (be sure to read your APA manual regarding what an abstract
should look like!). An exception to the APA format requirement is that a
reference list is not required, since all of the information will be
derived from two sources (the APNs whom you interviewed). Although you
have free range to discuss other topics about advanced practice nursing,
you must address the following issues with each APN (please follow the order of list below):
1. Reason for their choosing their specific APN specialty.
2. Descriptions of: (a) the type of setting where they work (e.g.,
community hospital, major medical center, private primary care practice,
clinic for the underserved, etc.), and (b) a “typical” day as they
render care.
3. Level of satisfaction with their role in general, and specifically within the system where they are currently employed.
4. The type of APN certification that they hold, including
identifying the accurate name of the certifying body with which they are
certified (Note: Review your textbooks for the correct names of these
certifying bodies. Also note there are several different certifying
bodies for NPs).
5. Whether they have prescriptive authority and whether they
prescribe controlled substances. If they do prescribe controlled
substances, you must indicate from which schedules of controlled
substances they are allowed prescribe.
6. Whether they must practice according to an agreement with a physician. If so, is the relationship supervisory or collaborative?
7. Are they credentialed and privileged by a hospital or health
system? If the answer is “yes,” ask them to explain what the
credentialing and privileging process entails at their organization
(e.g., are the documents reviewed by only the human resources
department, the nursing department, or the medical staff office, a
combination of all three, etc.).
8. Whether they belong to a professional organization(s) that
specifically addresses APN issues. If so, which one (s)? If not, why
not?
9. Their understanding about the DNP degree (i.e., have them actually explain what they know about the degree)
and whether they have this degree already or intend to pursue it. Be
sure to probe to see if they have positive or negative feelings about
the DNP—and why.
10. Final grading criterion: Paper’s adherence to APA format (with
the exception that references are not required for this particular
paper), including grammar, spelling, punctuation, sentence structure,
etc.
Total points for this assignment is 100; each question above is worth 10 points.
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