Advanced Practice Nursing

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The definition of advanced practice nursing and advance nursing practice, although it seems the same is very different. Advanced practice nursing is “experienced registered nurses with the recommended minimum training at the master degree level” (Jokiniemi, Pietila, Kylma, & Haatainen, 2012, p. 428). This can be somewhat confusing when looking at advance nursing practice. Advance nursing practice consists of a registered nurse who receives certifications or training within a specific specialty in nursing. The role of an advanced practice nurse is an exceedingly clinically concentrated and regulated role. The advance nurse practicing has a broader practice that is not regulated. Advanced practice nurses such as nurse practitioners (NP), certified …show more content…
13). The clinical nurse specialist role includes; are able to provide care usually in the inpatient setting although they can practice in the outpatient setting, improving patient outcomes, advocate for evidence based practice, and can prescribe medication depending on state regulation. The CNS has a unique role, as they can be educators to patients, registered nurses and other staff, this is reflected in their job description by 86.6% (Roberts, Floyd, & Thompson, 2011). The CNS have nine role concepts, which include; role stress, role strain, role stressors, role ambiguity, role incongruity, role conflict, role transition, role insufficiency, and role supplementation. Role stress as CNS could include looking for new position after graduating as a CNS and not being hired. Role strain could include new CNS not enjoying the position they were hired for because it was not in the organization that was desired and does not meet their hopes or ambitions. Role stressors for the new graduate CNS could include family member ill and having to take care of them while studying to pass CNS certification. Role ambiguity could include being the first CNS in an organization and trying to clarify role from other APNs. Role incongruity could be faced with a CNS when needing to perform skills outside of their scope like prescribing medications outside of their specialty. Role conflict could occur when CNS order tasks to healthcare staff but they do not complete task because of unwillingness to follow instruction from a CNS. Role transition could occur when experienced CNS becomes director of nursing in an organization. Role insufficiency could occur when
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