Week 1 discussion
DQ1 Barriers to
Practice Discussion
What are the barriers to APN practice identified in the
article? Describe these barriers in your own words.
What are your impression of the barriers to APN Practice?
(Are you surprised by these barriers? Is this new information to you? Have you
ever been involved at the legislative level in nursing? Do these barriers
concern you or motivate you toward becoming an APN?)
Do these barriers represent Restraint of Trade? Why, or why
not?
Your thoughts on how nurses can influence these barriers.
DQ2 Historical
Development of Advanced Practice Nursing and Evidence-Based Practice Discussion
Jessica, a baccalaureate prepared registered nurse, has been
practicing for 8 years. Throughout her nursing career, she has worked in
pediatric, surgical, and emergency departments. She worked as a floor nurse, a
charge nurse, and she was recently offered a position in Nursing
Administration. A stipulation for becoming a nurse administrator is that
Jessica must attain a Master of Science in Nursing degree within 2 years of
accepting the position. The offer prompted Jessica to contemplate her career.
She is interested in returning to college, and wants to have greater impact on
patient care but isn’t sure she will find that in an Administrative role, nor
is she sure is ready for the responsibility of becoming a Nurse Practitioner.
Jessica has decided to explore the advance practice roles available in nursing
in order to determine the best MSN track for her. Jessica must choose one role
(CNP, CRNA, CNS, CNM) and apply to a program, but she is unsure about the
different roles and their individual scopes of practice. One colleague states,
“You know, Jessica, working as an NP is great because you can diagnose and
write prescriptions, and the accountability will fall on the physician you are
working with.”
Discussion questions:
Is Jessica’s colleague right? Why or why not?
Explore the four APN roles, and compare and contrast the
pros and cons of each role against each other in order to determine the best
choice for Jessica. Consider issues such as work environment, level of
accountability, patient population, salary, and scope of practice. Include each
role of the APN on the list, and be certain to provide appropriate rationales
and citations.
