Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

1899 coke bottle with cork

13/12/2021 Client: muhammad11 Deadline: 2 Day

Chapter 4 Role Development of the Advanced Practice Nurse

Karen A. Brykczynski

What is it like to become an advanced practice nurse (APN)? Role development in advanced practice nursing is described here as a process that evolves over time. The process is more than socializing and taking on a new role. It involves transforming one's professional identity and the progressive development of the seven core advanced practice competencies (see ). The scope of nursing practice has expanded and contracted in response to societal needs, political forces, and economic realities ( ; ; see ). Historical evidence suggests that the expanded role of the 1970s was common nursing practice during the early 1900s ( ). However, the core of nursing is not defined by the tasks nurses perform. This task-oriented perspective is inadequate and disregards the complex nature of nursing.

In the current cost-constrained environment, the pressure to be cost-effective and to make an impact on outcomes is greater than ever, but studies have shown that the initial year of practice is one of transition ( ; ; ) and an APN's maximum potential may not be realized until after approximately 5 or more years in practice ( ). This chapter explores the complex processes of APN role development, with the objectives of providing the following: (1) an understanding of related concepts and research; (2) anticipatory guidance for APN students; (3) role facilitation strategies for new APNs, APN preceptors, faculty, administrators, and interested colleagues; and (4) guidelines for continued role evolution. This chapter consolidates literature from all the APN specialties—including clinical nurse specialists (CNSs), nurse practitioners (NPs), certified nurse-midwives (CNMs), and certified registered nurse anesthetists (CRNAs)—to present a generic process relevant to all APN roles. Some of this literature is foundational to understanding issues of role development for all APN roles and, although dated, remains relevant. This chapter has been expanded to include international APN role development experiences.

The discussion is separated into (1) the educational component of APN role acquisition and (2) the occupational or work component of role implementation. This division in the process of role development is intended to clarify and distinguish the changes occurring during role transitions experienced during the educational period (role acquisition) and the changes occurring during the actual performance of the role after program completion (role implementation). Strategies for enhancing APN role development are described. The chapter concludes with summary comments and suggestions to facilitate future APN role development and evolution.

Perspectives on Advanced Practice Nurse Role Development

Professional role development is a dynamic ongoing process that, once begun, spans a lifetime. The concept of graduation as commencement, whereby one's career begins on completion of a degree, is central to understanding the evolving nature of professional roles in response to personal, professional, and societal demands ( ). Professional role development literature in nursing is abundant and complex, involving multiple component processes, including the following: (1) aspects of adult development; (2) development of clinical expertise; (3) modification of self-identity through initial socialization in school; (4) embodiment of ethical comportment ( ); (5) development and integration of professional role components; and (6) subsequent resocialization in the work setting. Similar to socialization for other professional roles, such as those of attorney, physician, teacher, and social worker, the process of becoming an APN involves aspects of adult development and professional socialization. The professional socialization process in advanced practice nursing involves identification with and acquisition of the behaviors and attitudes of the advanced practice group to which one aspires ( ). This includes learning the specialized language, skills, and knowledge of the particular APN group, internalizing its values and norms, and incorporating these into one's professional nursing identity and other life roles ( ).

Novice to Expert Skill Acquisition Model

Acquisition of knowledge and skill occurs in a progressive movement through the stages of performance from novice to expert, as described by , ), who studied diverse groups, including pilots, chess players, and adult learners of second languages. The skill acquisition model has broad applicability and can be used to understand many different skills better, ranging from playing a musical instrument to writing a research grant. The most widely known application of this model is observational and interview study of clinical nursing practice situations from the perspective of new nurses and their preceptors in hospital nursing services. Although this study included several APNs, it did not specify a particular education level as a criterion for expertise. As noted in , there has been some confusion about this criterion. The skill acquisition model is a situation-based model, not a trait model. Therefore, the level of expertise is not an individual characteristic of a particular nurse but is a function of the nurse's familiarity with a particular situation in combination with his or her educational background. This model could be used to study the level of expertise required for other aspects of advanced practice, including guidance and coaching, consultation, collaboration, evidence-based practice ethical decision making, and leadership (see for a detailed discussion of the Dreyfus model).

shows a typical APN role development pattern in terms of this skill acquisition model. A major implication of the novice to expert model for advanced practice nursing is the claim that even experts can be expected to perform at lower skill levels when they enter new situations or positions. that an experienced CNS starting a new position experiences the same role development phases as a new graduate, only over a shorter period, supports this claim.

The overall trajectory expected during APN role development is shown in ; however, each APN

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Smart Homework Helper
A Grade Exams
Peter O.
Homework Tutor
Math Specialist
Isabella K.
Writer Writer Name Offer Chat
Smart Homework Helper

ONLINE

Smart Homework Helper

I am a professional and experienced writer and I have written research reports, proposals, essays, thesis and dissertations on a variety of topics.

$72 Chat With Writer
A Grade Exams

ONLINE

A Grade Exams

I am an elite class writer with more than 6 years of experience as an academic writer. I will provide you the 100 percent original and plagiarism-free content.

$60 Chat With Writer
Peter O.

ONLINE

Peter O.

I have read your project details and I can provide you QUALITY WORK within your given timeline and budget.

$55 Chat With Writer
Homework Tutor

ONLINE

Homework Tutor

I have worked on wide variety of research papers including; Analytical research paper, Argumentative research paper, Interpretative research, experimental research etc.

$75 Chat With Writer
Math Specialist

ONLINE

Math Specialist

Being a Ph.D. in the Business field, I have been doing academic writing for the past 7 years and have a good command over writing research papers, essay, dissertations and all kinds of academic writing and proofreading.

$67 Chat With Writer
Isabella K.

ONLINE

Isabella K.

I am an academic and research writer with having an MBA degree in business and finance. I have written many business reports on several topics and am well aware of all academic referencing styles.

$70 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Ringway control and automation - Dolce and gabbana revenue 2018 - Fraser island camping zones map - How do repressive regimes interact with civil society - Lilac girls book club questions - To build a fire study questions 2a 4a answer key - Response - First pass effect drug examples - 2 discussion (econ, physics) - Articulate PR - Impact of Industrialization - Larry page and sergey brin leadership style - C11 Lesson 1 Exam SCORE 95 PERCENT - 750-1000 word healthcare statistics paper - Forms of energy quiz - Picot question for reducing hospital readmissions - Utilitarianism is a form of what broader ethical theory - Toll ipec coffs harbour address - Duplicity in richard iii - Clunes book festival 2021 - Invictus leadership scene - To kill a mockingbird quotes from each chapter - Network Access Control - Brief summary - What is the name of the repeating structure that separates each unfused vertebra? - 7 Habits of Highly Effective People BUSA 208 Assignment - Hp intellijack gigabit switches - West norwood better gym opening times - Which of the following statements about conflict is true - Scholar practitioner's guide to research design - St pauls college usyd - SSG110 Module 3 Case Study: Value - 1x1 rib vs 2x2 rib - Breezair evaporative cooler manual - Sundar pichai leadership style - Riverton family history center - 150 words due tonight two hours - The essentials of computer organization and architecture linda null solutions - Write a Audit report and Do a powerpoint presentation - Uts business school guide to writing assignments - Sadie and maud answers - Cherry blossom pink and apple blossom white song - A gong or other effective audible warning - 6 page essay - WALMART MARKING PLAN - How formidable a competitor is google for amazon - Intake manifold runner control circuit - Hanson concrete products uk - Fermentation and cellular respiration lab - 15.3 mm ring size - Front end rounding decimals multiplication - Writing an analysis of media messages - N491 Discussion Mod 5: - Kirkpatrick’s Taxonomy - Aqa required practicals chemistry - The stock brokerage firm of blank leibowitz - What is a wave cut platform - Risk for unstable blood glucose level nursing care plan - Gcu apa template - A limitation of gestalt therapy is that it - Psychology Paper - Art appreciation 1301 final exam - Iturralde v hilo medical center usa summary - Class One: Part One - Business Intelligence(Assign1) - Brisbane to keppel yacht race - Lab: CSI Wildlife, Case 1 - Case Study - Local - Redox titration of fe2+ with kmno4 - Anova worksheet - Think critically facione 2016 pdf - Calculating hardness of water - Disputed moral issues 3rd edition - Mckesson hr - Principles of Microeconomics - Applied business research - Rwandan genocide and collective memory - Pa 220 spec sheet - Vce biology 2017 exam answers - Cisco rps 2300 eol - Deliverable 2 - Tutoring on the Normal Distribution - Example of a very poorly implemented database - HR management - Swot analysis of dulux paints - Discussion - Bgsu learning commons - Florida car wash is considering a new project - Big blue bus 10 - Apple iphone not made in america case study - Bloomberg businessweek b-school connection - Johnson and johnson stock buyback - Pierre bourdieu influenced by - Conflict and culture - Should the us convert to a zero personal income tax - Ww liquidators kitchener cabinet hardware - Reed smith graduate recruitment team - Negotiaton exam paper - Tree writing strategy graphic organizer - Riverview resource centre glasgow - English-Discussion: What's Nora's next move?