HS 8013 PRESENTATION


HOW CAN AN ADVANCED PRACTICE NURSE PLAY A
SIGNIFICANT ROLE IN IMPROVING PATIENT CARE
OUTCOMES IN NU...
Members
(In alphabetical order)
     GROUP 3

     •   Alvin
     •   Jeffrey
     •   Jiang Ying
     •   Lileosa
     • ...
Objectives


You will learn about:
• 1) What is an APN?
• 2) APN in Singapore
• 3) Major roles of the APN
• 4) Improving P...
What is an APN?


An Advanced Practice Nurse (APN) is an umbrella term
given to a registered nurse who has acquired the
ex...
2) APN IN SINGAPORE
Needs identified!!!
• to manage common chronic stable conditions
• to manage early discharges into the...
APN Development in Singapore…



• Yr 2003 – Master of Nursing programme
  @ NUS
• Yr 2005 – Nurses & Midwives Act
  amend...
Requirement for APN
           Certification…


To qualify as an APN:
- Master of Nursing (NUS/MOH )
   - 80 module credit...
APN in Singapore…

Population Ratio: 0.2%
APNs are practicing in a wide variety of settings:
  Polyclinics, hospitals, ….
...
3) MAJOR ROLES OF THE APN




• The roles of the APN are circular and
  overlap….
• (Andrews, 2001)
Professional Roles between Nurse Clinician and
                Advanced Practice Nurse

                Nurse Clinician   ...
Staff Support:-                               Review pts with mental and common
    Assess the clinical competencies      ...
Corporate Support:                    Participates with Director of Nursing
   Participate in nursing committee   in promo...
4) IMPROVING PATIENT CARE
          OUTCOMES

As discussed in previous meeting….. for further
  discussion
• Compliance wi...
LET’S HEAR FROM A REAL APN
 FROM IMH? NUH? (Video Clip)
        3-4 mins???
Some ideas for interview Qs:
• How do you play...
5) THE WAY FORWARD
INTERACTIVE QUIZ
REFERENCES
• Premarani, K. (2005) Development of advanced practice nursing.
  [online]Available: …..
• Andrews, J.L. (2001...
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test 2

  1. 1. HS 8013 PRESENTATION HOW CAN AN ADVANCED PRACTICE NURSE PLAY A SIGNIFICANT ROLE IN IMPROVING PATIENT CARE OUTCOMES IN NURSING PRACTICE?
  2. 2. Members (In alphabetical order) GROUP 3 • Alvin • Jeffrey • Jiang Ying • Lileosa • Teresa • Yoke-Sun
  3. 3. Objectives You will learn about: • 1) What is an APN? • 2) APN in Singapore • 3) Major roles of the APN • 4) Improving Patient Care Outcomes • 5) The Way Forward
  4. 4. What is an APN? An Advanced Practice Nurse (APN) is an umbrella term given to a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics which are shaped by the context and/or country in which he/she is credentiated to practice. (International Council of Nurses, 2002)
  5. 5. 2) APN IN SINGAPORE Needs identified!!! • to manage common chronic stable conditions • to manage early discharges into the community • an aging population • expansion of nurses’ role • establishment of clinical career path for nurses • to stabilize clinical environment during the transitional phase for Housemen >>> Medical Officer
  6. 6. APN Development in Singapore… • Yr 2003 – Master of Nursing programme @ NUS • Yr 2005 – Nurses & Midwives Act amended to make provisions for the registration and regulation of APNs
  7. 7. Requirement for APN Certification… To qualify as an APN: - Master of Nursing (NUS/MOH ) - 80 module credits - 18 months full time programme - 1 year internship - Application for APN title with SNB
  8. 8. APN in Singapore… Population Ratio: 0.2% APNs are practicing in a wide variety of settings: Polyclinics, hospitals, …. Collaborative Practice: - Collaborate with Clinical Head of Department to manage a group of patients Scope of Practice: - Clinical Role (65%), Professional Role (35%) The APN role is still evolving……….
  9. 9. 3) MAJOR ROLES OF THE APN • The roles of the APN are circular and overlap…. • (Andrews, 2001)
  10. 10. Professional Roles between Nurse Clinician and Advanced Practice Nurse Nurse Clinician Advanced Practice Nurse Professional Qualification: - MN -Master of Nursing (Clinical) BSN (+/-) BSN RMN RMN RN RN Nursing Duties: - member of the MDT Clinical nursing leader Performs comprehensive screening history, An established knowledge in a particular physical examination, and psychosocial clinical setting assessment of patient Works with groups of nurses and patients Provides nursing for pts. who have complex Co-ordinates the assignment of care and needs and requirements monitors outcomes to ensure optimal care Advance nursing/medical knowledge Refers clinical issues and concerns to nurse Clinical consultant manager Educator Review and revises existing policies and procedures Researcher
  11. 11. Staff Support:- Review pts with mental and common Assess the clinical competencies medical problems Ensure that care assignments are Resource person to the nurse clinicians congruent between nurses’ and nurses in training and competencies development Clinical teaching and identify nurses Initiate and facilitate clinical case training and developmental needs conferences and RCA Plans ongoing learning activities for Provides Clinical Supervision and their wards preceptor to nurse clinicians, APN- Guide nurses in their case Interns. presentations to the doctors during the daily ward rounds Collaborates with nurse educator
  12. 12. Corporate Support: Participates with Director of Nursing Participate in nursing committee in promoting the development and Conducts clinical audits services of the APN Provides clinic consultation service at the Specialist Outpatient Clinic Provides support in the Corporate Development Services Share knowledge to schools, polytechnics and professional conferences.
  13. 13. 4) IMPROVING PATIENT CARE OUTCOMES As discussed in previous meeting….. for further discussion • Compliance with Treatment • Cost-Effectiveness (Length of stay etc…..) • Quality Care • Specialised Care • Patient’s Satisfaction
  14. 14. LET’S HEAR FROM A REAL APN FROM IMH? NUH? (Video Clip) 3-4 mins??? Some ideas for interview Qs: • How do you play the various roles of the APN to improve patient care outcomes? • What have your biggest challenges been? • What have been the biggest barriers you have faced? • What do you find the most rewarding? • What are the most critical issues you feel APNs are facing today?
  15. 15. 5) THE WAY FORWARD
  16. 16. INTERACTIVE QUIZ
  17. 17. REFERENCES • Premarani, K. (2005) Development of advanced practice nursing. [online]Available: ….. • Andrews, J.L. (2001).Roles of the Advanced Practice Nurse. In Robinson, D., and Kish, C.P. (Ed.). Advanced Practice Nursing (pp261-267). St Louis: Mosby Inc. • Stanley, J.M. (2005). Advanced Practice Nursing (2nd ed). Philadelphia: F.A. Davis Co. • Ministry of Health (2004). Public consultation on the proposed establishment of an advanced practice nurse register and associated amendments to the nurses and midwives act. [online] Available: http://www.moh.gov.sg/mohcorp/econsultationpast.aspx?ecid=252 (2009, May 9). • Singapore Nursing Board. [online] Available: http://www.snb.gov.sg/html/SNB_Home.html. (2009, May 9}

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