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Nursing Roles

Subject: Nursing
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Advance Practice Registered Nurses (APRN)

Ethics

APRNs have the vast extent of involvement and control over clinical practice. Therefore, as a component of their professional duties, APRNs ought to identify ethical conflicts and serve as arbitrators for patients, families, or other nurses who are fraught with ethical dilemma.

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Education

Must complete post-graduation in nursing. Should be a holder of Masters, post-Masters certification, or practice-oriented doctor of nursing practice degree in a specific role (Phillips, 2016). Should be a holder of a valid RN license given after passing NCLEX-RN exams.

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Leadership

They have advanced expertise and scope of practice. They are relied upon as leaders in the implementation of care plans and function as consultants, educators, researchers, and case managers.

Public Health

APRN promotes public health by employing a holistic view of health and wellbeing aiming at assessing and proving treatment to improve quality of life in the larger community.
Informatics. Information technology provides elaborated, innovative, and practical approaches across the professional teams to foster the quality of patient care and support population health initiatives such as assessment of diagnostic labs and procedures (Jones & Taylor, 2015).

Business/Finance

Some states permit independent practice devoid of physician supervision. APRNs are allowed to open businesses, prescribe drugs, and practice to the scope granted by their training.

Specialty

Clinical nurse specialist, certified registered nurse anesthetist, nurse practitioner, and certified nurse midwife (Jokiniemi, Haatainen & Pietilä, 2015).

Family Nurse Practitioner (FNP)

Ethics

FPN is obligated to provide professional, safe, and ethical care to their clients based on CRNBC standards (Norwick, 2016). However, in some circumstances, FPNs are allowed to withdraw or refuse to provide care.

Education

One must have a post-graduate degree definite to FNP preparation. May include Masters degree in nursing, majoring in family practice or a Doctor of Nursing Practice (DNP). Must be registered nurse licensed by NCLEX-RN after passing their exams.

Leadership

FNP should possess critical leadership attributes such as integrity, communication skills, emotional intelligence, respect, expert socialization, and devotion to excellence.

Public Health

FNP expands the role of APRN to employ holistic view of health and wellbeing of patients. However, they concentrate on family units and not the community at large.

Informatics

Uses information technology to improve patient care and quality such as ordering medical tests, coding for billings, documenting patient information, and assessment of findings.

Business/Finance

Some states allow FNPs to open their businesses and practice to the degree of their training.

Specialty

FNP is a specialization under general nurse practitioner.

Observations (Similarities and Differences)

Ethics

Ethical nursing practice is required in both instances.

Education

Both cases require the same standards of education.

Leadership

Both APRN and FNR should possess the necessary leadership attributes.

Public Health

All aim at improving public health, though in different levels.

Informatics

Informatics is necessary in both cases to provide quality care and improve patient outcome.

Business/Finance

Nurses are free to work independently, but only in some states.

Specialty

APRN has broad specializations under it, while FNP is just a specialization under nurse practitioner.

1. Jokiniemi, K., Haatainen, K., & Pietilä, A. M. (2015). From challenges to advanced practice registered nursing role development: Qualitative interview study. International Journal of Nursing Practice, 21, 6, 896-903.

2. Jones, M., & Taylor, A. (2015). Exploring nursing students, registered nurses, and advanced practice registered nurses’ interest in doctor of nursing practice degree programs. Clinical Scholars Review, 8, 1, 66-69.

3. Melaku-Abbera, H., & Smith, D. (2017). Evaluation of a Family Nurse practitioner‒led Individualized Diabetes Care Model in a Primary Care. The Journal for Nurse Practitioners, 13, 3.

4. Norwick, R. (2016). Family Nurse Practitioner Residency for Recruiting and Retention. The Journal for Nurse Practitioners, 12, 5.

5. Phillips, S. J. (2016). 28th Annual APRN Legislative Update: Advancements continue for APRN practice. The Nurse Practitioner, 41, 1, 21-48.

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