Role of the Advanced Practice Nurse As Consultant


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Role of the Advanced Practice Nurse As Consultant

  1. 1. Role of the Advanced Practice Nurse as Consultant
  2. 2. Consultation <ul><li>In a specific patient, diagnosis and proposed treatment by two or more health care workers at one time. </li></ul>
  3. 3. Consultant <ul><li>A consulting health care worker who acts in an advisory capacity </li></ul>
  4. 4. Why Call in a Consultant? <ul><li>The decision to call in a consultant is not at all scientifically determined. Rather, the decision often comes from impulse – from feelings of frustration or desperation. </li></ul><ul><li>The move to hire a consultant often represents a desire to avoid the discomfort and conflict connected to making a difficult decision. </li></ul>
  5. 5. Another Reason to Call in a Consultant <ul><li>A desire to obtain reinforcement for an initial assessment and plan of action. </li></ul>
  6. 6. 4 Categories of Consultation <ul><li>Client-centered case consultation (direct care). Consultation recommendations are communicated in terms that facilitate understanding and involve the client in decision-making </li></ul><ul><li>The decision to implement the system change or plan of care remains the responsibility of the client </li></ul>
  7. 7. Categories of Consultation cont. <ul><li>Consultee-centered case consultation </li></ul><ul><li>(training of staff to do the work) </li></ul><ul><li>Program-centered administrative consultation </li></ul><ul><li>Consultee-centered administrative consultation </li></ul>
  8. 8. The Six Phases of Consultation <ul><li>Phase I </li></ul><ul><li>Contact and Entry Change </li></ul><ul><li>-make contact, identify needs and </li></ul><ul><li>readiness, discuss possibility of </li></ul><ul><li>working together </li></ul>
  9. 9. Phases of Consultation <ul><li>Phase 2 </li></ul><ul><li>Formulating a contract and establishing a helping relationship </li></ul><ul><li>- outline desired outcomes, assign job/responsibilities, and formulate time framework and accountability </li></ul>
  10. 10. Phases of Consultation <ul><li>Phase 3 </li></ul><ul><li>Problem identification and diagnostic analysis </li></ul><ul><li>- problem analysis, data collection, evaluation of forces working for or against any movement, and considerations of the readiness to change </li></ul>
  11. 11. Phases of Consultation <ul><li>Phase 4 </li></ul><ul><li>Goal-setting and planning </li></ul><ul><li>- Project goals and plan action/involvement </li></ul>
  12. 12. Phases of Consultation <ul><li>Phase 5 </li></ul><ul><li>Take action and cycling feedback </li></ul><ul><li>- successful action taken based on expertise, evaluation, feedback, revision of actions, and use of additional resources </li></ul>
  13. 13. Phases of Consultation <ul><li>Phase 6 </li></ul><ul><li>Contract completion, continuity, support and termination </li></ul><ul><li>- Designing continued support systems to assure continued success and planning termination time frame </li></ul>
  14. 14. In A True Consultation Relationship. . . . <ul><li>The consultant bears no direct responsibility for assuring that a recommended action is taken with a client. Instead, the action taken is the responsibility of the consultee. The consultee has the option of accepting or rejecting the advice given by the consultant. This leaves the accountability for the implementation of the recommendations with the consultee. </li></ul>
  15. 15. APN Preparation for Consultation <ul><li>Consultation is a function into which the APN must evolve </li></ul><ul><li>It is based on the APN’s knowledge, experience, and confidence </li></ul><ul><li>Beginning APN – direct practice and client-centered consultation </li></ul><ul><li>Beginning APN – takes time to be recognized as competent by others, and personally, will need to have the confidence to provide expert consultation </li></ul>
  16. 16. Needed Skills <ul><li>The consultant ultimately chosen should have skills specific to the needs in question, should be able to relate comfortably to the people involved, and demonstrate an ability to attend alertly and critically to the data presented. </li></ul>
  17. 17. Needed Knowledge to Function as a Consultant <ul><li>Consultation </li></ul><ul><li>Nursing Process </li></ul><ul><li>Theoretical knowledge </li></ul><ul><li>about systems </li></ul><ul><li>Change </li></ul><ul><li>Adult Learning </li></ul><ul><li>Background in problem solving, conflict resolution, communication and group process </li></ul>
  18. 18. More Needed Knowledge <ul><li>Abilities in self-awareness, interpersonal skills, time management, priority setting, and an ability to listen and identify areas of influence. </li></ul><ul><li>Background in administration, leadership, and organizational structures, along with transcultural concepts </li></ul>
  19. 19. Importance of Transcultural Concepts <ul><li>People and society are no longer homogeneous </li></ul><ul><li>People are as diverse as their knowledge, travels and experiences </li></ul><ul><li>Culturally sensitive recommendations for each situation may be the measure of a consultant’s success </li></ul>
  20. 20. Growing Opportunities for the APN <ul><li>Speaker or facilitator for educational programs </li></ul><ul><li>Publish articles in professional journals and consumer health magazines </li></ul><ul><li>Assist companies in selling or educating staff about a product or service </li></ul><ul><li>Entrepreneurs and chief executive officers of their own companies </li></ul><ul><li>Expert witness/legal consultant </li></ul>
  21. 21. Promoting Yourself to the Market <ul><li>Stated area of expertise (diabetes, women’s health, pediatrics, etc.) </li></ul><ul><li>Recent history of consultation and clinical practice in your area of expertise </li></ul><ul><li>Qualifications </li></ul><ul><li>References </li></ul><ul><li>Cost of services </li></ul>
  22. 22. In a Nutshell, Consultation. . . <ul><li>Expands the knowledge of nursing </li></ul><ul><li>Assures a high standard of care by sharing knowledge at multiple levels </li></ul><ul><li>Allows the opportunity to be independent </li></ul><ul><li>Provides a chance to make a real, tangible difference in health care </li></ul><ul><li>Gives a sense of accomplishment when the client actually implements the recommendations and is successful in accomplishing their goals. </li></ul>