2.50
Hdl Handle:
http://hdl.handle.net/10755/164345
Category:
Abstract
Type:
Presentation
Title:
Maintaining Advanced Practice Nurse Role Integrity: One Hospital's Journey
Author(s):
Hodges, Melissa
Author Details:
Melissa Hodges, MS, RN, CNS, Good Samaritan Hospital, Dayton, Ohio, USA, email: nacnsorg@nacns.org
Abstract:
Purpose: To align all advanced practice nurse (APN) roles; to educate physicians and administration about APN practice; and to differentiate between the roles of the APN and nurse associate (NA). Significance: Two categories of APNs existed at the facility: hospital-employed APNs and physician-employed APNs. Discrepancies existed between the role functions of these APNs. Physicians also employed NAs who were registered nurses who shared the APN role definition. State law provides APNs with title protection, educational requirements, and quality standards. Hospital-employed APN's position description reflected the APN Practice Act. Physician-employed APNs and NAs had identical position descriptions, reflecting the registered nurse practice act. Design/Background/Rationale: APN orders were inconsistently accepted, delaying medication dispensing and reporting of lab results. NAs dictated History and Physicals without assurances of physician authorship. APNs could not conduct History and Physicals. Methods/Description: A clinical nurse specialist (CNS)-led task force was charted to examine APN scope of practice and recommend process changes. The task force and physician leaders drafted a position paper. The CNS presented the paper to the medical executive and hospital quality committees. Findings/Outcomes: Frank discussion between disciplines broke down barriers and built trusting relationships. APNs showcased differences in their scope of practice. Most of the task force recommendations were approved and implemented. Conclusions: Physician and hospital leadership now recognize the APNs' unique contribution to patient care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
CNS Leadership: Soaring to New Heights
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Salt Lake City, Utah, USA
Description:
Conference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMaintaining Advanced Practice Nurse Role Integrity: One Hospital's Journeyen_GB
dc.contributor.authorHodges, Melissaen_US
dc.author.detailsMelissa Hodges, MS, RN, CNS, Good Samaritan Hospital, Dayton, Ohio, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164345-
dc.description.abstractPurpose: To align all advanced practice nurse (APN) roles; to educate physicians and administration about APN practice; and to differentiate between the roles of the APN and nurse associate (NA). Significance: Two categories of APNs existed at the facility: hospital-employed APNs and physician-employed APNs. Discrepancies existed between the role functions of these APNs. Physicians also employed NAs who were registered nurses who shared the APN role definition. State law provides APNs with title protection, educational requirements, and quality standards. Hospital-employed APN's position description reflected the APN Practice Act. Physician-employed APNs and NAs had identical position descriptions, reflecting the registered nurse practice act. Design/Background/Rationale: APN orders were inconsistently accepted, delaying medication dispensing and reporting of lab results. NAs dictated History and Physicals without assurances of physician authorship. APNs could not conduct History and Physicals. Methods/Description: A clinical nurse specialist (CNS)-led task force was charted to examine APN scope of practice and recommend process changes. The task force and physician leaders drafted a position paper. The CNS presented the paper to the medical executive and hospital quality committees. Findings/Outcomes: Frank discussion between disciplines broke down barriers and built trusting relationships. APNs showcased differences in their scope of practice. Most of the task force recommendations were approved and implemented. Conclusions: Physician and hospital leadership now recognize the APNs' unique contribution to patient care.en_GB
dc.date.available2011-10-27T11:46:39Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:46:39Z-
dc.conference.date2006en_US
dc.conference.nameCNS Leadership: Soaring to New Heightsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionConference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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