Advanced Registered Nursing Discussion Paper

Advanced Registered Nursing Discussion Paper

Advanced Registered Nursing Discussion Paper

Advanced registered nurses work in different work environments with diverse work requirements. Their skills, clinical expertise, and exposure allow them to engage in practice competently while exercising the freedom to act as independent practitioners. Characteristically, the advanced role gives nurse practitioners more responsibilities in advancing care, protecting individuals and communities, and innovating new health interventions. As implementers of evidence-based practice (EBP), advanced nurse practitioners also introduce necessary changes in health care settings to improve health outcomes (Lopes-Júnior, 2021). They guide patients and families in understanding health and illness as they guide health care organizations in developing appropriate interventions. The purpose of this paper is to discuss the scope of my future role, influential nursing organizations in advancing the role, and an evolving issue likely to affect my scope of practice in the next few years.

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The Scope of My Future Role as an Advanced Registered Nurse and Certification

The Scope of My Future Role

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Advanced registered nurses specialize in different areas depending on their skills, interests, and career goals. My current skills give me a solid foundation to engage in nursing leadership. In health practice, the primary mandate of a nurse leader is to oversee units and ensure nurses follow the right procedures for maintaining safety and achieving high-quality care. Like other roles, nursing leadership will continue advancing and integrating new roles. As Azar (2021) posited, nurse leaders will work more as scientists and innovators in the advancing practice to enable them to address patient care issues effectively and lead health care teams competently. Besides the expanded mandate, excellence in this mandate will require nurse leaders to collaborate with other health care professionals and partners.

The role of a nurse leader as a scientist entails generating new knowledge through research. To excel as researchers, nurse leaders will work independently in clinical research studies and partner with other scientists within and outside the health profession. Azar (2021) explained that knowledge generated through research will be instrumental in dismantling structures that impede health equity and guide nursing professionals in implementing interventions to address social determinants of health (SDOH). With advances in health and technology occurring progressively, the role of nurse leaders as innovators is critical. As innovators, nurse leaders’ role entails developing processes and concepts for elevating health care (Wolf, 2019). The advanced scope will obligate nurses in leadership to develop more solutions that can produce real change while building effective partnerships with other practitioners.

Certification Agencies

Before joining the nursing practice, advanced registered nurses should demonstrate adequate skills to perform their roles. Leadership certification demonstrates that a nurse has acquired the essential elements of nursing leadership. One of the main certifications for nurse leaders is the Certified Nurse Manager and Leader (CNML) Certification. Offered by the American Organization for Nursing Leadership (AONL), CNML confirms nurses as leaders in the health care community (AONL, 2022). The other certification agency for nurse leaders is the Commission on Nurse Certification (CNC). The CNC is an independent arm of the American Association of Colleges of Nursing (AACN) and certifies nurse leaders through the Clinical Nurse Leader Certification Program (AACN, 2022). Both agencies ensure nurse leaders have a solid foundation to influence change, develop policies, and lead teams, among other roles.

Professional Organizations Influential in the Scope and Influence of Advanced Nursing

Nurses face common challenges that should be addressed by working together as a health care community. Professional nursing organizations provide nurses an excellent opportunity to come together as professionals with similar objectives. Joining a professional nursing organization is instrumental to personal growth, professional support, and improved knowledge of health care matters (Cline et al., 2019). One of the professional nursing organizations influential in advancing the scope and influence of advanced nursing is the American Association of Nurse Practitioners (AANP). Joining the movement empowers nurses to deliver high-quality, patient-centered care among individuals and communities throughout the United States (AANP, 2022). The other influential organization is the American Association of Colleges of Nursing (AACN), which is the national voice for academic nursing. AACN influences the nursing profession to improve care quality and supports essentials such as nursing education and research (AACN, 2022). The third highly influential organization is the American Organization for Nursing Leadership (AONL). The organization seeks to transform care through influential nursing leadership (AONL, 2022). As a result, it empowers professionals in nursing leadership to excel in their roles.

The best organization for me is AONL. As a growing nurse leader, it is crucial to join an organization that will support my professional development overall. AONL’s goals and mission align with my worldview and philosophy of care. It seeks to transform health care through expert nursing leadership while using nursing leadership to advance health for all (AONL, 2022). I believe that all populations deserve equitable health care, achieved when leaders influence health care transformation and advocate for vulnerable populations. As Stamps et al. (2021) stated, quality and safe care is achieved by nurse leaders advocating for their work conditions and others’ welfare under difficult conditions. AONL empowers nurse leaders to excel in this role and embrace it as a core responsibility.

Joining AONL will help me to improve my practice through professional development, policy support, and being a part of a community pursuing a common goal. According to Gaines (2019), professional development for nurses is achieved by resource facilitation, opportunities, and enabling nurses to be up-to-date with current practices. AONL advances nurse leaders’ professional development through competent and innovative experiences. Besides, AONL serves as a collective voice for nurse leaders to influence health care transformation (AONL, 2022). As an advanced nurse practitioner and a growing leader, I need all this support to excel in practice. Joining a community of leaders and scholars will also improve my perspective of what nursing practice and leadership entail to make me a better practitioner overall.

Evolving Issue Likely to Affect My Role in the Next Few Years

Nursing is an evolving profession characterized by numerous practice changes. Accordingly, the advanced registered nurse must be aware of evolving issues and how they impact the nurse’s role, workplace, and entire practice. One of the evolving issues in nursing practice is workplace diversity. As Karam (2022) observed, the current workforce is diverse in gender and race, and more representation is essential for an inclusive workforce. Accordingly, organizational managers and nurse leaders must be aware of the effects of a diverse workforce and its role in the evolving practice. From a broader perspective, diversity has the potential to improve an organization from a business and patient outcome dimension. It helps to reduce health inequities and improves patient-provider interactions leading to better patient outcomes (Rovito et al., 2022). Such outcomes underline the need for me to be involved more in promoting workplace diversity and ensuring that my workplace(s) have implemented appropriate and sustainable programs to achieve a diverse workforce.

The need for a diverse workforce will influence the nursing profession and stakeholders immensely. To the nursing profession, workplace diversity will prompt changes in recruitment programs, training and development, and nurse empowerment. For instance, there is a growing emphasis on recruiting foreign-trained nurses to address the diversity challenge and improve workforce experience (Rovito et al., 2022). Stakeholders will also be concerned with the type and quality of nurse empowerment programs and support organizations in implementing programs for improving workplace diversity. An effective program to achieve this goal is diversity sensitivity training in the workplace to improve cultural competence and inclusion among health care professionals (Young & Guo, 2020). From a health perspective, the influence of workplace diversity in the evolving practice matters to the advanced registered nurse since it affects health outcomes. It shapes workplace relationships, patient-provider interaction, and essential processes such as recruitment, employee development, and retention.


Advanced registered nurses influence health care delivery immensely. For professional growth, they should join a nursing organization for resources, support, and advocacy. The purpose of this paper was to discuss the scope of my future role, appropriate nursing organization, and an evolving issue likely to affect my role. As a growing nurse leader and practitioner, I will be more involved in research and innovation to advance the nursing practice. The most appropriate professional nursing organization is AONL since it empowers nurse leaders. Among many evolving issues, workplace diversity is most likely to affect my role in the next few years.


AACN. (2022). Who we are.

AANP. (2022). Membership.

AONL. (2022). American Organization for Nursing Leadership.

Azar, K. M. J. (2021). The evolving role of nurse leadership in the fight for health equity. Nurse Leader, 19(6), 571–575.

Cline, D., Curtin, K., & Johnston, P. A. (2019). Professional organization membership: the benefits of increasing nursing participation. Clinical Journal of Oncology Nursing, 23(5), 543–546.

Gaines, K. (2019). You should join a nursing organization. Here’s why.

Karam, S. (2022). Diversity in nursing. ONSVOICE.,also%20increased%20slightly%20to%205.6%25.

Lopes-Júnior, L. C. (2021). Advanced practice nursing and the expansion of the role of nurses in primary health care in the Americas. SAGE Open Nursing, 7, 23779608211019491.

Rovito, K., Kless, A., & Costantini, S. D. (2022). Enhancing workforce diversity by supporting the transition of internationally educated nurses. Nursing Management, 53(2), 20-27. doi: 10.1097/01.NUMA.0000816252.78777.8f

Stamps, D. C., Foley, S. M., Gales, J., Lovetro, C., Alley, R., Opett, K., … & Faggiano, S. (2021). Nurse leaders advocate for nurses across a health care system: COVID-19. Nurse Leader, 19(2), 159-164.

Wolf, J. A. (2019). Nurse leadership and the human experience: a framework for elevating care and caring. Nurse Leader, 17(4), 347-351.

Young, S., & Guo, K. L. (2020). Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The Health Care Manager, 39(2), 100–108.


Appendix 1: APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☒ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

☒  The title page is present. APA format is applied correctly. There are no errors.

☒ The introduction is present. APA format is applied correctly. There are no errors.

☒ Topic is well defined.

☒ Strong thesis statement is included in the introduction of the paper.

☒ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☒ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☒ All sources are cited. APA style and format are correctly applied and are free from error.

☒ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☒ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.

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Assessment Traits


Requires Lopeswrite
Assessment Description
Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.

For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced registered nurse in positively influencing the health care system. Write a 1,250-1,500 word paper that includes the following:

A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders and why does it matter to the advanced registered nurse?
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:


MSN-Nursing Education; MSN-Acute Care Nurse Practitioner-Adult-Gerontology; MSN-Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

5.3 Evaluate professional organizations and activities that improve one’s practice and influence advanced nursing practice.

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