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FAMILY NURSE PRACTITIONERS.
Term Paper ID:28700
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Overview of FNP need to maintain & increase knowledge & skills. Discusses professional requirements, continuing education programs, use of professional journals & internet, alternative options.... More...
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Paper Abstract:
Overview of FNP need to maintain & increase knowledge & skills. Discusses professional requirements, continuing education programs, use of professional journals & internet, alternative options.
Paper Introduction:
FAMILY NURSE PRACTITIONERS & KNOWLEDGE/SKILL MAINTENANCE
Introduction
This research paper presents an overview of maintaining currency of knowledge and skills for family nurse practitioners. The following areas are included: family nurse practitioner (FNP); professional requirements; available options such as continuing education programs, professional journals, and internet; and alternative options beyond requirements.
Family Nurse Practitioner (FNP)
Advanced Practice Nurses (APNs) include the registered professional nurse. Nurse practitioners (NPs) are those registered nurses trained at a master's level. Certification from the American Nurses Association or a specialty nursing group is provided in most states. NPs demonstrate abilities to
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Also provided are links to additionalhealthcare information sources (Nurse practitioners, 2 ). Illinois Department ofProfessional Regulation. While research provides benefits, experience is further gainedby placement in situations that provide practical application (Gerrish &Papadopoulos, pp. The UK government encourages nurses tobe more flexible in this regard, they recommend continuous learning througha structured and professional experience portfolio. Course content examples that would be considered unacceptable includethose with a focus on self-improvement or attitude change, self-therapy orawareness, weight loss, and yoga. The following areasare included: family nurse practitioner (FNP); professional requirements;available options such as continuing education programs, professionaljournals, and internet; and alternative options beyond requirements. There are numerous journalsavailable to the FNP, below are descriptions of a few found that are putout by the Springhouse Corporation (Springhouse Journals, 2 ). Links for the FNPinclude listings such as the following: NP Central; The Nursing Net;Nursing World; The Virtual Pediatric NP Page; and NP Information List(Springhouse Journals, 2 ). For example, Nurse Week/Health Week(2 ), is an online publication that offers information on health-careissues. 1 94;Sherwood, Brown, Fay, & Wardell, 1997, p. In this instance the FNP would learn that pediatricians andparents did not tend to agree on the child's needs and the parent'sopinions were an important part of the situation evaluation; alsointeresting to note was the fact that parents with children suffering frommultiple conditions reported more unmet needs than those with one medicalcondition (pp. Rosenbaum-Welsh, A. Courses must be at leastone hour and the nurse must be enrolled and meet class requirements, forcredit; no partial credit may be given (NCSBN). (1999). (1997). (1999). NPs need to develop updated knowledge regardingcultural diversity, with an understanding of political, social, andeconomic factors, as well as beliefs, lifestyles, and values that affectthe minority ethnic communities and experiences; this group tends toexperience more disadvantage and discrimination with health service(Gerrish & Papadopoulos, 1999, pp. Content must be current and mustinclude recent developments in the subject area. Contact hours are calculated. Exposure to particularsettings or the studying of case examples provides an opportunity to studydetails such as lifestyle, religion, social relations, or communicationpractices. D., Brown, M., Fay, V., & Wardell, D. TheInternet Journal of Advanced Nursing Practice, 1(2), 1-11. J. (2 ). Courses can be approved by any appropriate state, regionaland national health professional association, and other professional healthlicensing boards found in California or other states, as long as the coursemeets requirements by the Board and the course is developed for continuingeducation purposes. The rules allow licensees the opportunity toparticipate in programs sponsored by local state or national professionalassociations, hospitals, or others who provide continuing education("Nursing and Advanced," 1999, p. Dimensions of Critical Care Nursing is a bimonthly journal thatprovides nurses with current information and services for critical carepractice.Internet. Nursing, 27(5), 2 -22. T., Stewart, A. Perrin, E. Requirements regardingNP continuing education, for the state of Illinois, are cited in Section 15-45 of The Nursing and Advanced Practice Nursing Act. (1998). Physician Assistant features hands-on practical and clinicalinformation for physician assistants, monthly. The Ohio Nurse Practice Act Continuing Education Course, offersexcerpts from the Ohio Revised Code and Administrative Code, with a generaloverview of laws and rules governing the Ohio practice of nursing, and apractice test. Otherinternet sources are available. British Journal of Nursing, 8(21), 1453-1459. Lippincott's Nursing Center: Journals (2 ), offers resources fornurses, including journals on issues such as home health-care, cancernursing, and primary care. Continuing education providers must follow relevant statutes andregulations regarding instructional programs, found in the California Codeof Regulations. 1). NPs demonstrateabilities to provide care to underserved groups such as women, children, orthe elderly, they can specialize in a given area such as family. 51). (1998). 1-4; Papenfus, H., & Audre, A., 1998, pp. Thus course requirements must be relevant to the RNs educationalneeds and the consumer health needs. The Online Journal of Clinical Innovations (2 ) offers informationon research utilization and can be found on CINAHL Information Systems.CINAHL offers current health care information such as products andservices, support, and a library with research information. Conclusion The NP must maintain a scope of practice that includes health careservices to individuals, families, groups, and communities, as well astheir targeted area. Wong, S. L., & Gilliss, C. Another means of increasing and maintaining skills and currentknowledge regarding culture-specific competence and other areas ofexpertise is through the case-study modality. CINAHL alsoprovides a comprehensive list of journals. Available options for this knowledge base include continued educationprograms, journals, and the internet. (2 ). Professional Requirements Professional requirements for the maintaining currency of knowledgeand skills for any NP varies from state to state. This may include assessment, diagnosis and diseasemanagement, and require knowledge of tests, pharmacologic agents,treatments, and non-drug therapies. Home study courses are offered, with no limit to numbers ofcontact hours which can be completed (NCSBN). CINAHL InformationSystems. The Nurse Practice Act Continuing Education Course and examinationfor continuing education units can be found online. Sherwook, G. Nurse Practitioner, 24(12), 51-55. (2 ). H. Professional journals offer information regarding the nursingprofession, including options for maintaining currency of knowledge andskills, and options for continued education. Journal of School Health, 68(5), 184-19 . Rosenbaum-Welsh (2 ) has compiled a list of internet resources forthe FNP. Each is at least 5 minutes ofinstruction, leaving 1 minutes for introductions or instructions; thoseless than 6 minutes do not qualify. (1997). Nurse practitioners. Lippincott's Nursing Center: Journals. Amongthe information offered, is the instant processing of continuing educationofferings. Available online at:http://www.nesbn.org/ Nursing and Advanced Practice Act. Many major nursingassociations have World Wide Web sites. Nurse practiceacts and regs. The scope of practice for the registered nurse includes therequirement of specialized knowledge and skill which is derived fromprinciples of multiple sciences, to include biological, physical,behavioral, social, and nursing. This article lists national and international associations,state associations, and specialty organizations, as well as several Websites ("Nursing organizations," 2 ). Evaluatingadvanced practice nursing care through use of a heuristic framework.Journal of Nursing Care Quality, 14(2), 21-32.----------------------- 1 One academicquarter unit equals 1 continuing education contact hours; one semesterunit equals 15 continuing education contact hours. M. Three hours of course-relatedclinical practice equals one continuing education contact hour. (2 ). Generalcourse examples would include theoretical content regarding scientificknowledge for nurse practice or advanced coursework in physical,behavioral, and social sciences. Family Nurse Practitioner (FNP) Advanced Practice Nurses (APNs) include the registered professionalnurse. Specialty nursing associations and universities are also foundon the Web. (1999). Included in this list are examples such as the Nurse Practitioneronline journal, Resources for Nurses and Families, and numerous listingsfor family healthcare. Criticalmonitoring by the FNP can increase and maintain currency of knowledge (p.21). New sites appear weekly. Nursing Times,95(i38), 58-61. Also considered essential for any FNP's experience repertoire is theopportunity to develop transcultural competence. Wong, Stewart, and Gilliss (2 ) reported a need and method forevaluating advanced practice nursing care; this would assist the FNP indetermining areas in need of further research or increased knowledge.Assessment of this type is recommended since it organizes data forimprovement of quality of care, guides research, and helps with nurse-patient outcomes. One method of increasing the experience for the FNP is to joininterest groups. The California Board ofRegistered Nursing Continuing Education Program offers a comprehensive lookat program qualifications and regulations (National Council of State Boardsof Nursing [NCSBN], 2 ). Worldwide Nurse. L. Alternative options include expansion ofthe FNP's experience portfolio by the joining of interest groups,involvement in case studies, studying of other research projects, andreview of evaluation techniques. 17). SpringNet. (2 ). Partners for the future. Available OptionsContinuing Education Programs. (1997). Professional journals and the internet provide many resources toassist the FNP in the search for current information related to theirpractice or additional education. Recertification requirements also demand continuededucation. Available online at:http://www.state.il.us/dpr/who/ar/NURSE.HTM Nursing organizations on the Net. 1). For persons licensedunder this Title, 5 hours of continuing education per 2-year licenserenewal cycle are required. Nursing practice evaluation is part of thenursing regimen (NCSBN).Professional Journals. Requirements for NPs who are certified by the American Academy ofNurse Practitioners Certification Program to become recertified, include aminimum of 1 hours of clinical practice in the area of specializationand 75 hours of continuing education relevant to this area (AmericanAcademy of Nurse Practitioners [AANP], 2 , p. Gerrish, K., & Papadopoulos, I. The Nurse Practitioner: The American Journal of Primary Health Careis a monthly scholarly journal that presents research findings withpractical applications, and news regarding topics such as drugs, casereports, and continuing education. SpringNet, found online, offers resources for the following areas:nurses, nurse managers, nurse practitioners, nursing students, emergencynurses, critical care nurses, career opportunities, continuing education,reference library, wound care, Springhouse catalog, journals, conferencelistings, financial services, and product information. Alternative Options Beyond Requirements Andrews (1999) reports alternative options beyond professionalrequirements regarding continued education for the maintenance of currentknowledge and skills for all NPs. Course examples for patient care wouldinclude advanced courses in patient monitoring equipment or courses dealingwith grief, human sexuality, nutrition, counseling, or crisis intervention(NCSBN). References Andrews, S. Available onlineat: http://www.nursingcenter.com/journals/page1.cfm National Council of State Boards of Nursing. The Nurse Practice Act ContinuingEducation Course and examination can be found online. NP ownership of home care, long-term care,assisted living, and community care. The FNP knowledgebase includes a background in family health with a focus on the familyunit, including interaction, coping styles, health, and categories such asstructural and functional aspects (Sherwood, Brown, Fay, & Wardell, 1997,pp. FAMILY NURSE PRACTITIONERS & KNOWLEDGE/SKILL MAINTENANCE Introduction This research paper presents an overview of maintaining currency ofknowledge and skills for family nurse practitioners. (2 ). Nurse practitioners (NPs) are those registered nurses trained at amaster's level. Ventura (1998) reports on The Florence Project determinedto bring better health care to the public. NPs areindependently licensed, 2 states allow complete autonomous practice and 48states allow some form of prescribing authority (Pickwell, 1997, p. Course objectives mustbe stated. Available online at: http://www.cinahl.com/mainentry.htm Papenfus, H., & Audrey, A. Pediatrics, 1 5(1), 277-285. Also provided are listings for the following:Health Information Gateways; Nurse Practitioner/Nursing Resources; ClinicalPractice Guidelines; Primary Care; Pediatrics; Adolescent Health; School-Based Health Care; Women's Health; HIV/AIDS; Complementary and AlternativeHealth Care; Case Studies and Interactive Tutorials; Evidence-Based HealthCare; Government Agencies; and Pharmacology. One hourof theory equals one continuing education contact hour. One continuingeducation unit equals 1 continuing education contact hours. DefiningNurse Practitioner scope of practice; expanding primary care services. Other inappropriate courses includethose that are economic for financial gain, those that focus on other areasunrelated to patient care such as music and art, and those concerningpersonal appearance (NCSBN). Research into family concerns also provides a method of furtheringand maintaining current knowledge. Nursing 2 is a monthly journal that is considered the leadingsource of practical clinical and professional information for the nursingprofession with both a human and professional side; included in its volumesare topics such as continuing education, current drug news, equipment, andtechniques for direct caregiving nurses. (1999). 1454-1455). RN,61(7), 47-5 . Available online at:http://www.springnet.com/jrdescr/journals.htm Ventura, M. (2 ). Involvement in this and othergroups enhances the FNP's experience portfolio to include an awareness ofthe many issues that face the family in their search for adequate care.Sharp (1999) further reports that the advanced practice nurse must take aleadership role in the community to insure the adequacy of care to theirchosen care-population. A multicultured societydemands that nurses become ethnically sensitive and appropriate whendealing with families. Any group or individual with the resources to providea relevant continuing education for NPs and agrees to adhere to set lawsand regulations may apply for approval; this can include any person,partnership, association, educational institution, or governmental agency(NCSBN). Numbers and types of assistance believed to be useful wereinvestigated. Can these nurses make a difference? Advances in Wound Care: The Journal for Prevention and Healing is abimonthly journal showing current wound care research with practiceapplication and new products. 184-188). (2 ). Nurse Practitioners' Home on the Net.Available online at: http://www.npeducation.com/index.htm American Academy of Nurse Practitioners. Course content must be relevant to the practice of registerednursing; it must be related to scientific knowledge or technical skillsthat are needed for the practice of nursing or patient care. NPs with specific specialties needadditional knowledge related to their target population. Availableonline at: http://www.ispub.com/journals/Ijanp/vol1n2/scope.htm Springhouse Journals. For example, Perrin, Lewkowicz, andYoung (2 ) report findings of fathers, mothers, and pediatriciansregarding the unmet needs of children suffering from chronic healthconditions. The Californiaprogram demonstrates the strict qualifications which must be followed forany instructional program. Pickwell, S. Shared vision: Concordance among fathers, mothers, and pediatricians about unmet needs ofchildren with chronic health conditions. Nurse practitioners. Resources available on the internet for the maintenance of currentknowledge and skills for FNPs are numerous. National Council. (2 ). NPs scope of practice include health care services to individuals,families, groups, and communities, with a focus on promotion of health anddisease prevention. The maintenance of currency of knowledge and skillsfor the all NPs is controlled by the professional requirements forcontinued education, set forth by The Nursing and Advanced Practice NursingAct for each state. Available online at: http://www.wwnurse.com Nurse Week/Health Week. Nurse Practitioners' Home on the Net, provides an internet link withtopics such as Nurse Practitioner, Nurse Practitioner Education, and NursePractitioner Updates. Certification from the American Nurses Association or aspecialty nursing group is provided in most states. NPs need to demand their role in all areas of homecare (p. JAMA, 277(13), 1 94. Tannscultural competence:The challenge for nurse education. Nursing Management reports monthly regarding management concerns,legal issues, and health care industry. This care includes the identification andassessment of people and their health status as well as the providing oftreatment and counseling. Nurse practitionerresources. Internet resources for nursepractitioner students. Nurse Practitioner Resources; School of Nursing.Available online at: http://nurseweb.ucsf.edu/www/arwwebpg.htm Sharp, N. Nurses' involvement ininterdisciplinary team evaluations: Incorporating family perspective intochild assessment. Success of nurse-family interactions and care can beassessed leading to research questions for further knowledge. Available online at:http://www.nurseweek.com Online Journal of Clinical Innovations. 1453-5). (1999). C., Lewkowicz, C., & Young, M. 277--284). The state of Ohio provides an overview of theNPs scope of practice which includes identification and assessment ofpeople and their health status as well as the evaluation of nursingpractice. This site provides information to meet educationaland up-to-date educational information and materials as well as currentinformation on a range of topics.
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