NUR 513 Benchmark- Future Scope, Role, and Professional Obligation Paper

NUR 513 Benchmark- Future Scope, Role, and Professional Obligation Paper

NUR 513 Benchmark- Future Scope, Role, and Professional Obligation Paper

Advanced practice registered nurses (APRNs) are specialty nurses who enter the profession with specialized roles and practice scope based on the reforms occurring to improve access and quality of care. APRNs have an essential role in shaping the direction of care delivery based on their expertise and involvement in professional nursing organizations like the American Nurses Association (ANA). The scope and roles of nurse leaders continues to widen due to dynamic health environment and the need to serve diverse patient population (Stamps et al., 2021). The purpose of this paper is to discuss the scope of nurse leaders and professional organizations that are most impactful in advancing this specialty and influence of advanced practice. The paper also discusses a controversial issue that may impact nurse leadership’s scope of practice and role.

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Future Scope, Role, Regulatory, Certification & Accreditation

My future role is being a nurse leader. Leadership is intrinsic to nursing as nurses at different levels and specialties make decisions and perform duties aimed at saving lives. The nursing professional hold more opportunities for APRNs who excel at guiding and inspiring others. The COVID-19 pandemic highlighted more than expected the critical role that strong leadership plays in nursing profession (Walker et al., 2018). The pandemic was a catalyst for change and innovation as nurse leaders from all levels of the profession responded to new challenges by creating new care models and new workflows through leveraging technology like telemedicine to communicate not just with patients but also other healthcare workers.

Nurse leaders can work in direct patient and also in managerial and administrative positions. Nursing leaders in clinical settings are in charge of patient care and involves performance of diverse functions. The APRNs can diagnose, treat, and prescribe medications for patients. Their expertise enables them to assess nursing practices and innovate care programs. Nurse leaders also encourage reflective practices in their teams, assess successes and areas that need quality improvement. They also serve as sources of knowledge in this specialty and even general medicine where they are in charge of both the delivery and evaluation of treatment outcomes. Brunt and Bogdan (2022) assert that nurse leaders have seven roles based on the “Nursing Professional Development (NPD): Scope and Standards of Practice” framework. They comprise being learning facilitators, change agents, mentors, leaders and champions for scientific, advocates and partners in change implementation.

Advanced practice registered nurses (APRNs) comprise of four specialty areas with the roles directed at diagnosing and managing patient problems, ordering tests and prescribing medications. The specialty areas include certified nurse practitioner (CNP), clinical nurse specialist (CNS), certified registered nurse anesthetist (CRNA) and certified nurse-midwife (CNM). Aside from roles based on their specialized scope, they also promote health education, and disease prevention. Chief nursing officers (CNOs) and chief nursing executive (CNEs) are nurse leaders with roles like developing and evaluating practices to improve patient safety and nursing care. Clinical nurse leaders (CNLs) are in charge of the care of patient groups although they provide direct patient care. Their scope entails implementing of evidence-based practice, evaluating patient outcomes, and carrying out risk assessments (Turale & Kunaviktikul, 2019). The CNLs coordinate care with other healthcare professionals who include physicians, pharmacists, social workers, and nurse practitioners among others.

Accreditation, Regulation and Certification

The accreditation, regulation and certification of nurse leaders depend on the specialty. Recognition and certification of any advanced practice registered nurse (APRN) happens when one enrolls and acquires a post graduate nursing education from accredited courses and institutions in the country. Accreditation of APRN courses happens either nationally or regionally. For instance, certified registered nurse anesthetist (CRNA) are accredited by the Council on Accreditation of Nurse Anesthesia Education Program. The body accredits all CRNA programs across the United States.

Regulatory framework for the practice of nurse leaders as APRN specialist rests in the state board of nursing for every state, including New York. The board is governed by the existing legislation, in this case, the Nursing Practice Act, that spells out the scope of practice for all APRNs, including clinical nurse leaders. For instance, New York’s Nursing Practice Act allows nurses to practice to full authority. Imperatively, as a nurse leader, one can practice independently without supervision by a physician to their fullest level of their training and education.

Certification of nurse leaders happens once they pass special certification examinations based on their specialty and scope of practice. The National Certification Examination (NCE) is offered by the National Board of Certification based on the specialty that one chooses. The implication is that nurse leaders must be specialized APRNs based on their expertise before they assume leadership roles. As such, nurse leaders must possess requisite competencies, irrespective of their specialty.

Three Professional Organizations

Professional nursing organizations are critical not only to APRNs but also to all other nurses since they allow networking, facilitate continuous professional development through conferences and research participation as well as publications. These organizations help nurses, especially nurse leaders to engage in advocacy and policymaking for the benefit of the members and other stakeholders in a unified and collective manner. The three professional associations include the American Nurses Association, the American Organization for Nursing Leadership, and the American Association of Nurse Practitioners (AANP).

The American Nurses Association (ANA) is an umbrella professional organization for all nurses, irrespective of their specialties. ANA engages in advocacy and professional development of its members. The association’s mission is using leadership to shape the future of the profession and healthcare. Founded in 1896, the association boasts of over 4 million members in the U.S. and its territories like Guam and Puerto Rico.

The American Organization for Nursing Leadership (AONL) is a professional national organization whose mission is to transform healthcare through expertise and influential nursing leadership. Previously known as the American Organization for Nurse Executives, the association altered its name to align with its mission and vision. American Association of Nurse Practitioners (AANP) is the biggest and only full-service national professional organization for all NPs in different specialties. AANP was established in 2013 after a merger between the American Academy of Nurse Practitioners and the American College of Nurse Practitioners to offer nurse practitioners from different specialties with a unified approach to network and advocate for their issues.

Of these three professional organizations, the one that I will most likely join is the American Organizational for Nurse Leadership (AONL) since I am already a member of the other two. The mission and goals of the organization align with worldview on nursing and philosophy as a nurse leader. AONL advances and advocates the professional development of nurse leaders by imploring them to embrace innovative and competency-based learning. The organization is also keen on advocacy for positive change and a collective voice to impact the transformation in healthcare delivery. The organization also builds a community of nurses based on their diversity and embracing of new ideas and care models across the care continuum.

Membership in the organization will enhance my practice as a leader because of the benefits that I will accrue like increased opportunities to improve my competencies and networking with fellow leaders. Through these interactions, one builds credibility and evidence to offer the best care interventions for their diverse patients and motivate their teams to deliver the best care (Turale & Kunaviktikul, 2019). Membership in this organization is essential to improving overall perspective and understanding of emerging issues in nursing and care provision.

Evolving Issue Likely to Impact Nurse Leadership Practice

The changing and transformation of healthcare in the United States presents a host of issues that impact and will continue to impact nurse leaders and implore them to develop requisite competencies to address them. Key among these issues is nursing shortage (Haddad et al., 2022). The reforms and new legislations like the Affordable Care Act and associated laws like Healthcare Affordability Act of 2021 continue to expand access to health for millions of Americans. Innovative models like value-based care and increased deployment of technologies like telemedicine all demonstrate a need for more nurses, especially in different specialties to meet the diverse needs of the population. An aging population of both patients and nurses means more demand for diverse care and increased competence levels for all nurses. The implication is that nursing shortage is a critical issue that nurse leaders must deal with as they contemplate their scope of practice.  

Nursing shortage influences the nursing profession and other stakeholders in significant ways. Firstly, nurse leaders and nurses must develop innovative ways to address the issue and this may compromise their competence and performance as they strain to meet diverse patient needs. Secondly, nursing shortage influences nurse leaders as they have to deal with increased turnover rates and create schedules that are not friendly to nurses (Haddad et al., 2022). Thirdly, stakeholders like patients have limited access to care due to the shortage while hospitals and their management are mandated to develop innovative ways to deal with the issue. Nursing shortage matters to the advanced registered nurses as they must seek best approaches to address it and improve the level of care for patients and health populations.

Conclusion

Nurse leaders are important as APRNs based on their roles and competencies in care provision. Nurses across different specialties offer care to diverse patient populations to enhance outcomes. Nurse leadership demonstrates the need for nurses to develop competencies that will allow them offer quality care in a dynamic environment to meet diverse patient needs and requirements.

References

American Association of Nurse Practitioners (AANP). (2022). About the American Association

of Nurse Practitioners (AANP). https://www.aanp.org/about/about-the-american-association-of-nurse-practitioners-aanp

American Nurses Association (ANA). (2022). Advanced Practice Registered Nurse (APRN).

            https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/

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

            Nursing Leadership. https://www.aonl.org/about/overview

Brunt, B. A. & Bogdan, B. A. (2022). Nursing Professional Development Leadership. 

            https://www.ncbi.nlm.nih.gov/books/NBK519064/

Haddad, L. M., Annamaraju, P. & Toney-Butler, T. J. (2022). Nursing Shortage.

            https://www.ncbi.nlm.nih.gov/books/NBK493175/

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. DOI: 10.1016/j.mnl.2020.07.011

Turale, S., & Kunaviktikul, W. (2019). The contribution of nurses to health policy and advocacy

requires leaders to provide training and mentorship. International Nursing Review, 66(3):302-304. DOI: 10.1111/inr.12550.

Walker, D. K., Barton-Burke, M., Saria, M. G., Gosselin, T., Ireland, A., Norton, V., & Newton,

70. (2018). Everyday advocates: Nursing advocacy is a full-time job. AJN The American Journal of Nursing, 115(8), 66-70. DOI: 10.1097/01.NAJ.0000470409.04919.0f

Appendix: APA Writing Checklist

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 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:

MBA-MSN

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.

Attachments
MSN-APA Writing Checklist-Student.docx

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Benchmark – Future Scope, Role, and Professional Obligations Paper – Rubric
Rubric Criteria
Total
220 points
Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

8.8 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

9.68 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

10.12 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

11 points

No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.

Documentation of Sources

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

8.8 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

9.68 points

Appropriate format and documentation are used, although there are some obvious errors.

10.12 points

Appropriate format and documentation are used with only minor errors.

11 points

No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated.

Most Appealing Professional Organization (B)

Evaluate the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice. (C5.3)

0 points

An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is not included.

26.4 points

An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is present, but it lacks detail or is incomplete.

29.04 points

An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is present.

30.36 points

An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is clearly provided and well developed.

33 points

A comprehensive evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is thoroughly developed with supporting details.

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

8.8 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

9.68 points

Relevant evidence that includes other perspectives is used.

10.12 points

Specific and appropriate evidence is included. Other perspectives are integrated.

11 points

Comprehensive and compelling evidence is included. Multiple other perspectives are integrated effectively.

Three Influential Professional Nursing Organizations

Three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing.

0 points

A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is not included.

26.4 points

A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is present, but it lacks detail or is incomplete.

29.04 points

A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is present.

30.36 points

A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is clearly provided and well developed.

33 points

A comprehensive discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is thoroughly developed with supporting details.

The Scope of Future Role as an Advanced Registered Nurse

The scope of future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.

0 points

A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is not included.

35.2 points

A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is present, but it lacks detail or is incomplete.

38.72 points

A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is present.

40.48 points

A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is clearly provided and well developed.

44 points

A comprehensive discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is thoroughly developed with supporting details.

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

14.08 points

Limited advancement of thesis, position, or purpose of discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

15.49 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

16.19 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose.

17.6 points

The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose.

Appendix

Appendix

0 points

The Appendix and APA Writing Checklist are omitted.

3.52 points

The APA Writing Checklist is attached, but an Appendix has not been created. The paper does not reflect the use of the use of the APA Writing Checklist during development.

3.87 points

The APA Writing Checklist is complete and attached in the Appendix. The APA Writing Checklist was generally used in development of the paper, but some aspects are inconsistent with the paper format or quality.

4.05 points

The APA Writing Checklist is complete and attached in the Appendix. It is apparent that the APA Writing Checklist was used in development of the paper.

4.4 points

The APA Writing Checklist is complete and attached in the Appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was used in development.

Required Sources

Required Sources

0 points

Sources are not included.

5.28 points

Number of required sources is only partially met.

5.81 points

Number of required sources is met, but sources are outdated or inappropriate.

6.07 points

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

6.6 points

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Controversial or Evolving Issue Most Likely to Impact Scope of Practice or Role

A controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse.

0 points

A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is not included.

26.4 points

A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is present, but it lacks detail or is incomplete.

29.04 points

A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is present.

30.36 points

A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is clearly provided and well developed.

33 points

A comprehensive discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is thoroughly developed with supporting details.

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience.

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

12.32 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

13.55 points

The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated.

14.17 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

15.4 points

The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience.