NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing

ST. Thomas University NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing  –Step-By-Step Guide

This guide will demonstrate how to complete the ST. Thomas University NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing   assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing                                                   

Whether one passes or fails an academic assignment such as the ST. Thomas University NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

 

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing                                                 

The introduction for the ST. Thomas University NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing   is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing                                                 

After the introduction, move into the main part of the NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing   assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

 

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing                                                 

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing                                                   

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing

According to the American Nurses Association (2023), advanced practice nurses (APNs) ought to have access to a platform to fully apply the knowledge and abilities they have acquired via education and training. However, the current obstacles prevent nurse practitioners from fully utilizing their expertise in practice. At the state and federal levels, APNs face several practice barriers.

Advanced practice nurses have a limited role due to collaborating with physicians for hospital admissions and prescription power. It is important to note that some medical practitioners can ruin their cooperative relationship with APRNs by being confrontational or refusing to assist them, such as by opting against signing off reports (Kleinpell et al., 2021). Furthermore, some doctors believe APRNs are encroaching on their domain and cutting into their expertise (Kleinpell et al., 2021). The traditional healthcare model has consistently positioned doctors as the experts; as a result, doctors who are used to this approach exhibit opposition.

According to Kleinpell et al. (2022), the American Association of Nurse Practitioners (AANP) defines three practice contexts: decreased authority, restricted practice, and full practice. Nurse practitioners (NPs) have full practice authority, which allows them to diagnose patients, order and interpret diagnostic tests, write prescriptions, and manage patient care (Kleinpell et al., 2022). However, NPs’ participation in at least one aspect of NP practice in settings with less authority is limited by licensure requirements and practice.

Lastly, the two-level pricing structure is still a barrier even though the Primary Care Health Practitioner Incentives Act permits NPs to be compensated for their services (Torrens et al., 2020). Since independent practice is outside the purview of nurse practitioners, despite their entitlement to full reimbursement for incident-to-services, it presents an additional barrier to the growth of autonomous practices and patient accessibility to advancements. In some cases, reimbursement can get even more complicated when APRNs are required by a collaborative agreement to bill services under a doctor’s name.

Interprofessional education promotes a collaborative environment between APRNs and doctors to enhance patient outcomes. The training will raise understanding and appreciation of the skills and abilities of APRNs (Kleinpell et al., 2021). Handling concerns regarding the scope of practice will help doctors and APRNs understand their respective roles and duties (Kleinpell et al., 2021). Through interprofessional education, doctors can better appreciate the contributions advanced practice registered nurses (APRNs) make to healthcare and realize that the goal of the modern health model is to enhance patient care.

States are currently putting Full Practice Authority (FPA) into effect after making some of the short-term adjustments made during the COVID-19 pandemic permanent (Giovenco, 2021). In the future, perhaps, more states should pass laws that remove restrictions on advanced practice registered nurses (APRNs’) practice and allow them to practice to the fullest extent permitted by their education and certification (Giovenco, 2021). This is because patient care and outcomes will increase in FPA states, encouraging restrictive governments to loosen their limitations.

Nursing leaders and organizations should advocate for equitable APRN reimbursement by scrutinizing and enhancing existing regulations. As more states enact laws that support and acknowledge advanced nursing practitioners, advancements in resolving payment concerns will be made gradually; advancements can also be made by persistent and ongoing lobbying.

References

American Nurses Association. (2023). Advanced Practice Registered Nurses (APRN). ANA. https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/

Links to an external site.

Giovenco, M. (2021). Lessons the Long-Term Care Industry Can Learn from the COVID-19 Pandemic. Stetson L. Rev., 51, 123.

Kleinpell, R., Myers, C. R., Schorn, M. N., & Likes, W. (2021). Impact of COVID-19 pandemic on APRN practice: Results from a national survey. Nursing outlook, 69(5), 783-792.

Kleinpell, R., Myers, C. R., Likes, W., & Schorn, M. N. (2022). Breaking down institutional barriers to advanced practice registered nurse practice. Nursing Administration Quarterly, 46(2), 137-143.

Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, M., Cunningham, M., … & Maxwell, M. (2020). Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: a scoping review. International journal of nursing studies, 104, 103443.

Sample Answer 2 for NUR 512 Module 1 Discussion Barriers for Advanced Practice Nursing

Nurse practitioners have numerous barriers to overcome within healthcare. Three top barriers have slowed the progression of advanced nursing practice: regulatory, state, and institutional (Kleinpell et al., 2022).  State laws impact APRN practice, disabling nurse practitioners to practice within their total capacity of educational training and board certification. In contrast, the other half is split between reduced and restricted practice areas (Kleinpell et al., 2022).  The state laws are guided by the federal statutes from the Centers for Medicare and Medicaid Services and then, dependent on nongovernmental policies and practices across organization groups, could have even more scrutinized limitations applied to nurse practitioners that are generally not limited to medical doctors (Kleinpell et al., 2022).  Finally, further policies within institutions may adopt both state and federal regulations and private insurance companies’ guidelines limiting the practices of advanced nurse practitioners (Kleinpell et al., 2022).  Strategies are introduced within each barrier listed below.

Federal Barriers

Federal statutes, such as the Nurse Practice Acts, have been enacted for 100 years to protect consumers and provide control of rules through the nursing board with full authorization (Toney-Butler, 2023). For example, the legal definition under section 464.003 states that specific actions such as diagnosis, treatment, and prescriptions are authorized so long as they are under established supervision (Toney-Butler, 2023).  Most federal barriers that could cause obstacles are mostly handed down to the state regulators, who happen to be the board of nursing for each state (Toney-Butler, 2023).  The biggest strategy that did progress some of these obstacles of practice for APRN is when COVID-19 started, and since then, these temporary rules have been pushing forward to permanent rules (Toney-Butler, 2023).

State Barriers

State regulations require APRNs to provide their certification (Toney-Butler, 2023). In Florida, they can obtain a provisional state certification if the board is given information regarding education entities that are acceptable to the specific state (Toney-Butler, 2023). To further understand how this works, APRNs must understand the laws in each state they practice in (Toney-Butler, 2023).  The strategy behind this is to function by understanding and acknowledging the state laws and providing proper certification to practice to their full extent if applicable for each state (Toney-Butler, 2023).

Organization Barriers

Workload and workforce are drivers of expanding nursing roles, but the time and complexity of collaboration of multidisciplinary teams can hinder progress (Torrens et al., 2020). Depending on the state for best practices, the APRNs may have little autonomy within teams regarding what constituted activities are allowed, what is to be supervised, or whether they can apply practice activities independently from supervision (Torrens et al., 2020). Nurse leaders and some MDs can assist in breaking down these obstacles for APRNs so long as they have relationships within the multidisciplinary teams or even with the board and organization itself (Kleinpell et al., 2022).

References

Kleinpell, R., Myers, C. R., Likes, W., & Schorn, M. N.(2022 April-June). Breaking Down Institutional Barriers to Advanced Practice Registered Nurse Practice. Nursing Administration Quarterly 46(2),137-143, DOI: 10.1097/NAQ.0000000000000518.

Toney-Butler, T.J. (2023, January 2). Florida Nurse Practice Act Laws and Rules. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gv/books/NBK532859/

Links to an external site. .

Torrens, C., Campbell, P.., Hoskins, G., Strachan, H., Wells, M., Cunningham, M. P., Bottone, H., Polson, R., & Maxwell, M. (2022, April 1). Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies. https://doi.org/10.1016/j.ijnurstu.2019.103443

Links to an external site.