Discussion: Describe how the role of advanced registered nurse transformed over time
NUR 513 Topic 1 DQ 1 Assessment Description
Describe how the role of advanced registered nurse transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?
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NUR 513 Topic 1 DQ 1 Sample
The role of the advanced registered nurse (ARN) has transformed over time to meet the evolving healthcare needs and practice changes aimed at improving care delivery and meeting population health needs. A core aspect of the transformation is having the four main roles of advanced practice nursing which include nurse practitioner (NP), certified nurse midwife (CNM), certified nurse anesthetic (CRNA), and clinical nurse specialist (CNS) (DeNisco, 2024). The transformation in nursing over time is aimed at filling gaps within the healthcare system and improving patient outcomes. Nurses were limited to bedside roles and physician assistants with the core responsibility of administering medications (Brennan, 2020). However, the transformation in the last century and today is focused on making advanced registered nurses critical care providers working with diverse patient populations to deliver quality care.
The shifts in scope and expectations in the 20th and 21st centuries demonstrate that advanced practice registered nurses (APRNs) can do more because of their training and education to meet the rising healthcare needs among the population. In the last century, advanced registered nurses practiced based on a limited scope based on existing regulations and demands (DeNisco, 2024). NUR 513 Topic 1 DQ 1 Again, advanced registered nurses were expected to work under the complete supervision of physicians and other regulatory guidelines. However, in the 21st century, the advanced registered nurse has more roles and participates more in developing policies and interventions aimed at improving health among diverse populations. With an increase in scope of practice based on their specialized roles as illustrated above, advanced registered nurses are core players in increasing access to healthcare.
The advanced registered nurse’s role and responsibilities will continue to evolve and emerge in different ways to meet the changing healthcare system. Firstly, advanced registered nurses will be the core providers in rural areas and serve the underserved population. Secondly, advanced registered nurses (ARNs) are coordinating care from various providers, assisting patients in to transition from the hospital to their home settings (Lopes-Júnior, 2021). Nurses are also health coaches working in collaboration with other cadres of nurses like public health nurses to promote health and prevent disease. As the health system changes, more nurses are assuming different roles, from advocacy to care provision and developing primary care interventions to improve disease surveillance.
NUR 513 Topic 1 DQ 1 References
Brennan, C. (2020). Tracing the History of the Nurse Practitioner Profession in 2020, the Year of
the Nurse. Journal of pediatric healthcare, 34(2), 83–84. https://doi-
org.lopes.idm.oclc.org/10.1016/j.pedhc.2019.12.005
DeNisco, S. M., & Barker, A. M. (Eds.). (2024). Advanced practice nursing: Essential
knowledge for the profession (4th ed.). Jones & Bartlett Learning. ISBN-13: 978128417612
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. https://doi.org/10.1177/23779608211019491 NUR 513 Topic 1 DQ 1