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Nurse Practitioner
1. SEMINAR ON
Concept, role, responsibilities of Community Health
Nurse Practitioners, Midwifery Nurse Practitioners,
Decision making, Professionalism, Legal issues
RAKESH DATTA
I YEAR M.SC.NURSING(C.H.N)
2. Introduction to nurse practitioners:
• A nurse practitioner (NP) is an advanced practice registered nurse
and a type of mid-level practitioner. NPs are trained to assess patient
needs, order and interpret diagnostic and laboratory tests, diagnose
disease, formulate and prescribe treatment plans.
• According to the American Association of Nurse Practitioners, NPs
are educated at the graduate level to provide "primary, acute,
chronic, and specialty care to patients of all ages", depending on
their field of practice.
4. Definition:
“A Nurse Practitioner/Advanced Practice Nurse is a
registered nurse who has acquired the expert
knowledge base, complex decision-making skills and
clinical competencies for expanded practice, the
characteristics of which are shaped by the context
and/or country in which s/he is credentialed to
practice” (ICN 2002).
5. Conceptual foundation behind nurse
practitioners:
The cognitive apprenticeship (knowledge base require for practice)
The skill based apprenticeship (judgement and know-how)
The apprenticeship of ethical comportment (professional behaviour).
10. Guidelines/Requirements for Registering
NP courses :
Worldwide:
Western countries:
• Earn a bachelor degree in nursing science
• Obtain a licensure as a registered nurse
• Pursue specialization while working as an RN
• Get admission to a accredited master degree program like MSN/DNP
• Earn a MSN degree
• Obtain a certification from a speciality nursing board
• Obtain a NP state licensure.
11. Specialities over nurse practitioner:
• Nurse practitioner in the community
• NP in transitional care settings
• The psychiatric or mental health NP
• Acute care NP
• Women’s health NP
13. American association of Nurse Practitioner
Certification Program (AANPCP):
• Applicants must have :
• NPs with an MSN , Post Master’s certificate or Doctorate
• Active RN license
• At least 500 clinical hours supervised by a faculty member
• Final transcript a transcript showing work accomplished so far.
14. ANCC Criteria:
• Having a current RN license
• A master degree or post master degree or doctoral degree in the speciality
• 500 clinical supervised hours
• Graduate courses on the physiology , pathophysiology , advanced health
assessment and advanced pharmacology.
• Graduate level content in the UG level
15. INDIA:
• NURSE PRACTITIONER IN CRITICAL CARE (POST GRADUATE- RESIDENCY
PROGRAM)
Applicants must possess a registered B.Sc nurse degree.
Must to be registered with a nursing council as a RNRM
Minimum of one year clinical experience
Preferably in any critical care setting prior to enrolment .
17. Nurse Practitioner in Primary Health Care:
The student seeking admission to this course should:
1. Be a registered nurse and registered midwife (R.N. & R.M.)
2. Possess a minimum of one year experience as a staff nurse
3. Nurses from other countries must obtain an equivalence certificate from
INC before admission
4. Be physically and mentally fit
5. No. of seats – will be decided on the basis of clinical facility
18. Community health nurse practitioners
• An academic program and role model have recently been
developed for the Community Nurse Practitioner. The CNP
becomes involved in her chosen community as both observer
and participant and, by developing and implementing solutions
to health and community problems in collaboration with the
community, helps the people to help themselves.
19. IOM standards for community health care:
• Integrated
• Accessibility
• Clinician
• Accountable
• Most personal health care need
• Context of family and health care need
20. Areas of Work for CHNP:
• Community health centres
• Nurse-led health centres
• School-based health centres
• Care for homelessness and vulnerable populations
21. Engagement of CHNP in health system:
• Patient-centred medical homes
• Accountable care organizations
• Use of health information technology
• Moving knowledge , not patients
• Team-based primary health care
• Shared medical appointments
• Disruptive innovations: convenient care clinics
22. CHNP Today with Decision making approach:
• Direct clinical practice
• Diagnosing and managing disease
• Health promotion and disease prevention
• Providing culturally sensitive and patient cantered care
• Reflective practice :a component of direct patient care
• Guidance and coaching
• Consultation
• Evidence based practice
• Leadership and collaboration
• Ethical decision making
23. Midwifery nurse practitioner:
• A nurse-midwife is a licensed healthcare professional who specializes
in women’s reproductive health and childbirth. In addition to attending
births, they perform annual exams, give counseling, and write
prescriptions
24. Core concepts of MNP:
•Hallmarks of midwifery
•Components of midwifery care:
•Professional responsibilities of CNMs and CMs
•Midwifery management process
•Fundamentals
•Care for the women
•Care of the new born
25. Legal And Ethical Issues:
• Licenses and credentialing
• Reimbursement
• Fraud and Abuse.
• Patient Privacy and Use of Appropriate Equipment
• Medical Malpractice and Disciplinary Insurance
26. Bibliography:
• •BLAIR.A KATHRYN ‘’ADVANCE PRACTICE NURSING ROLES’’6TH
EDITION,SPRINGER PUBLISHING COMPANY,2019
• •TRACY FRAN MARY AND O’GRADY.T EILEEN “ADVANCE PRACTICE
NURSING-AN ITEGRATIVE APPROACH’’6TH EDITION, ELSEVIER, 2019
• •FRIBERG.E ELIZABETH /CREASIA .L JOAN “CONCEPTUAL
FOUNDATIONS-THE BRIDGE TO PROFESSIONAL NURSING
PRACTICE”6TH EDITION, ELSEVIER, 2017
• •JOEL.A.LUCILLE “ADVANCE PRACTICE NURSING –ESSENTIALSFOR
ROLE DEVELOPMENT” 3RD EDITION, JAYPEE,2016
•
• Journal reference:
• 1. The Journal for Nurse Practitioners
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