Future consideration for the APN role

Discussion prompt:
There are three troublesome issues that have emerged in the advancement of APRN practice. These issues in APRN include: 1) the clear role development and morphed to fill gaps in services; 2) the lack of clarity regarding role uniqueness; and 3) the dearth in nursing specific outcomes. From your readings this week, discuss 1 of the 3 questions. Begin your discussion with the question you will be addressing.
1. Why might the development and morphing of roles based on gaps in medicine be problematic for advancement of APRNs? What actions might a nurse take to reduce this?
2. In what ways can an APRN distinguish his or her role from other nursing roles and medical counterparts? Why might this be important?
3. How can APRNs encourage nursing-based outcome studies?


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Sample Answer


Future Consideration for the APN Role

APRN related roles are growing and expanding internationally due to the increased need for expert nurses at advanced levels. Moreover, the opportunities and threats in the practice field are equally expanding, hence resulting in troublesome issues. This discussion focuses on the first issue, namely, “The clear role development and morphed to fill gaps in services.” This issue provides the health care sector an opportunity to close the gaps in nursing and care delivery. However, the global expansion of APRN roles has resulted in variations that are underpinned by different country regulations and specific regulations (Kleinpell, 2014). Therefore, developing clear roles and morphing them to fill the identified gaps effectively, becomes difficult. The variations are also experienced in the scope of work that causes detrimental effects in the advancement of APRNs. They include ambiguity and confusion among APNs as well as lack of appropriate skills, knowledge, and capabilities to perform effectively. This deficiency may result in negative results when trying to morphing their roles to fill the gaps (Shaindel Osina, 2017). Nurses can correct this problem by advancing their education and specialty, which will specify their area of interest. This will make it easy to place and assign tasks in conformity with their specialty, skills, and abilities.

APRNs can distinguish their roles by identifying roles that require specialized training in decision-making, which is not necessary among other nurses. Secondly, APRNs are mandated to analyze all patient data and develop appropriate care plans. It is essential to distinguish these roles as it helps ARPN understand their role in the achievement of goals and missions developed. APRNs have broader oversight among patients, where they grow better and long-lasting relationships. It is, therefore, important they understand their roles for productivity and high performance. APRNs play critical roles in influencing clinical and nursing based studies. For instance, they have a broader oversight among patients, whereby, through long-lasting relationships, they can observe medical patterns and prevalent illness (Shaindel Osina, 2017). Moreover, analyzing patient data and developing appropriate care plans would help them identify the best treatment approaches. The information can be used as research sources and case studies that can be included in nursing based studies.


Kleinpell, R. (2014). Addressing Issues Impacting Advanced Nursing Practice Worldwide. Journal of the American Nurses Association, Vol 19(2).

Shaindel Osina. (2017). The Advancement of Nurses is the Advancement of Medicine: A Personal Experience from Israel. Asia-Pacific Journal of Oncology Nursing, Vol 4(2): 95-97.

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