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GNAP Presentation on Doctor of Nursing Practice. Patricia B. Howard, RN, PhD University of Kentucky College of Nursing. The Advanced Practice Registered Nurse (APRN) for the 20 th Century. Practice Focus of Current APRNs: Background Information Clinical Nurse Specialist (CNS)
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GNAP PresentationonDoctor of Nursing Practice Patricia B. Howard, RN, PhD University of Kentucky College of Nursing
The Advanced Practice Registered Nurse (APRN) for the 20th Century • Practice Focus of Current APRNs: Background Information • Clinical Nurse Specialist (CNS) • Nurse Practitioner (NP) • Nurse Midwife (NM) • Nurse Anesthetist (CRNA)
The Advanced Practice Registered Nurse (APRN) for the 20th Century • Defining the APRN Role: Influential Organizations • American Association of Colleges of Nursing (AACN) • CCNE • National Council of State Boards of Nursing (NCSBN) • State Boards of Nursing • American Nurses Association • American Nurses Credentialing Center • Other Credentialing Bodies • Professional Organizations • National Organization of Nurse Practitioner faculties (NONPF) • Various Specialty Groups
The Advanced Practice Registered Nurse (APRN) for the 20th Century • Advanced Practice Monitoring and Regulation Issues • Lack of common definitions • Lack of standardization in academic programs • Proliferation of specialties and subspecialties • Lack of common legal recognition • Johnson, J. (2008, Feb.). APRN Presentation to the American Nurses Association of Colleges of Nursing. Presentation of the AACN Masters Education Conference.
The Advanced Practice Registered Nurse (APRN) for the 20th Century • A New Model for APRN Practice • Consensus Process • Definition of APRN • Direct care Component
The APRN Regulatory Model APRN Specialties Focus of Practice Beyond Role & Population Focus Linked to Patient Healthcare Needs Psych/Mental Health Gender specific (Male/female) Adult/Older Adult Child Neonatal Across Lifespan PopulationFoci Licensure occurs at this level Nurse Anesthetist Nurse Midwife CNS NPPrimary Acute New Role Roles
The APRN Regulatory Model Specialty Certification Identified by professional organizations (eg. Oncology, palliative care) Specialty PopulationFoci CNP, CRNA, CNM, CNS Population Context Role Licensure: Based on education and certification APRN Core Courses:Patho/PhysiologyPharmacologyPhysical/Health Assessment APRN
The Advanced Practice Registered Nurse (APRN) for the 20th Century • Current Status: DNP & APRN Model • LACE • Licensing • Accreditation • Certification • Education