2020 Feb 5;15(2):e0228458. Core competencies In this role, often the APN carries the knowledge of the wishes and hopes of the patients and families going through a traumatic event. Thereafter, the model focuses on experiences that are built on core competencies in the delivery of nursing care. to maintaining your privacy and will not share your personal information without These are defined as follows: Each of the core competencies represents essential features needed to carry out the teaching intervention. Philosophical underpinnings of advanced nursing practice: a synthesizing framework for clinical nurse specialist practice. You can read the full text of this article if you: Keywords They have been married 15 years, and have three children: James who is 10, Susan who is 8, and Kevin who is 5. Numerous conceptual frameworks offer guidelines for Advanced Practice Nursing (APN). The key tenets and theoretical expositions of the Hamric model have been discussed in the paper. An integrative framework for advanced practice nursing is a science and research-based model that provides a framework for competencies and roles of practicing nurses. She follows a script but stops to answer questions, tailors the information more specifically to Thomas and Janice and skips information that is not relevant to his case. Numerous studies have shown the value of using advanced practice nurses in the clinical setting yielding significant contributions and examples of outcome measures for APNs.2 Cunningham (2004) listed many studies of diverse populations submitting undeniable recent evidence that APNs are effective in improving the outcomes such as patient satisfaction, readmissions, cost, health status, and complications.3 Mundinger and colleagues have done two studies with clear evidence that nurse practitioners have equal or better clinical outcomes in the primary care setting as compared to physicians.4, 5 Tujhuis and colleagues conducted a randomized controlled trial of a clinical nurse specialist intervention and found that clinical outcomes were comparable to inpatient and day teams.6 Burns, et al (2003) used four advanced practice nurses to manage, enhance protocol adherence and monitor a process of implementation for an institutional program to improve clinical and financial outcomes of mechanically ventilated patients.7 Gawlinski and colleagues (2001) discussed the role of the APN in affecting cardiovascular outcomes in a study comparing two groups of patients: one on a nurse-implemented diuretic protocol therapy and the other group on a nonprotocol diuretic therapy arm. Advanced practice nurses scope of PLoS One. Fawcett, Newman and McAllister (2004) posit that the model is inherently refined and elaborated and as a result, it forms a firm foundation for advanced practice nursing. Right atrial catheter care, medications), 2) monitor and respond to the occurrence of complications, 3) carry out a recommended exercise and nutrition program, and 4) adapt to post transplant status implementing a variety of resources depending on the problem or need identified. In: Tracy MF, OGrady ET (eds) Advanced practice nursing: an integrative approach. Author, Reston, VA, National League for Nursing (NLN) (1958) Report of the National Working Conference: education of the clinical specialist in psychiatric nursing.
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