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WEEK 1 CS 1Mary situation relates to most of our decision in pursuing higher education. Personally ,like Mary I have been a nurse close to fifteen years working in different departments as manager,charge nurse, and floor nurse. With the emergent changes in healthcare environments, I realized that to maintained an administrative position, becoming an Advanced Practice Nurse (APN) willgive me the opportunity to contribute largely. To help Mary choose one role to apply in a program, She most first of all know the definition of APN. According to ( DeNosco & Barker, 2013), APN is "the application of an expanded range of practical, theoretical, and research-basedcompetencies to phenomena experienced by patients within a specialized clinical area of the larger discipline of nursing” P. 21. Mary will be educated on the four major roles within nursing: clinical nurse specialist (CNS), nurse practitioner (NP), certified nurse–midwife (CNM),and certified registered nurse anesthetist (CRNA). ( DeNosco & Barker, 2013). Distinguishing these four to Mary on what it compress with their pros and cons will help her decide on which advanced skills to acquire for her new position as supervisor. Today healthcare environment encourages APN to expands their roles to highly skilled profession leaders, educator , researchers and policy makers which focus is provision of high quality, patient -centered care.Clinical Nurse Specialist(CNS) was created for patient with complex conditions to received care directly from specialized nurses, develop clinical skills and judgment by staff nurses to improve patient care, and retain nurses who are expects in this clinical practice (Hamric, Hanson, Tracy & O' Grady, 2014). Pros of CNS includes; providing complex specialtycare while improving the quality of care delivery, responsiveness, flexibility, and adaptability to same characteristics of patients and their environment (Hamric, Hanson, Tracy & O' Grady, 2014). CNS educates and supports nurses, provides leadership to special practice programs and facilitates change and innovations in healthcare. It is important to know that despite all the pros,CNS has is disadvantages in that it roles varies, with this diversity of specialty, differences in their individual practice, and differences in the same institutions creates confusion on what CNSdo( Hamric, Hanson, Tracy & O' Grady, 2014).Nurse Practitioners (NP) role evolved from a shortage of primary care medical provider in underserved areas in 1960 to provide patients care in different settings. NPs first role was focused on children health and now involves all settings(Hamric, Hanson, Tracy & O' Grady, 2014). NP pros includes; acknowledgement as high- quality, cost effective providers of primarycare, health promotion, provides access to quality care, uses holistic perspective, forms therapeutic relationship with patients, use evidence as guide of practice, and uses diverse approaches to health and illness management ( Hamric, Hanson, Tracy & O' Grady, 2014). NP
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Nursing, Advanced practice nurse, Registered nurse, clinical nurse specialist