Advanced Professional Nursing Role

AdvancedProfessional Nursing Role

AdvancedProfessional Nursing Role


Inan endeavor to decrease pressures, which are associated with clinicalaction and high patient acuity, as well as to escalate staffeducation, the responsibility of an advanced professional nurse (APN)has been operationalized in several clinical settings. An APN extendsa customary scope of nursing information and contributes toprofessional growth. An integral role of the APN is that of an agentof change, which is comprised of a cooperation and consultation withother healthcare providers. The advanced professional nurse can offerthese services through research, constant education, organizationalleadership, and personal development.

TheAPNs in most cases can serve as knowledgeable advocates for nursesand patients in a setting of palliative care. An APN works as aforefront nurse to synchronize care and devise new strategies tooffer patient and nurse services. He or she can also assist nurses incases of complex patient care and support staff in coping withchallenging situations. It is important that an APN works inconjunction with nurse managers so that they can have their ideasenhanced and accepted in the professional growth of members of staff.Nonetheless, the most significant role of an APN is to work as amentor to nurses who are novice because they help in increasing thecomfort levels of the apprentice nurses which in turn helps toescalate job satisfaction and reduce options for burning out (You etal., 2013).


Accordingto the case study, an APN has always to ensure that all patientrecords are updated before he or she leaves the station of duty. Itis an important thing to do because the nursing standards alsoreiterate that all nurses are subject to the increased inspectionregarding record keeping and as a result, it is essential that theykeep a comprehensive record in healthcare. The legislation of HumanRights Act 1998 together with the Act of data protection clearlyindicates that there is an increased profile for admission to healthrecords, and patients are progressively willing to protest about howtheir care (American Nurses Association, 2010). Whether complaintsget resolved in court or by healthcare providers, comprehensiverecords are important. As a result, an APN has to be updated withthe legal requirements and best practice in keeping records becausethe 2002 professional conduct indicates that proper note taking is animportant instrument in communication between nurses (Kearney, 2015).As the APN leaves in the evening, the APN always has to updaterecords under his or her care so that it can also be useful to theprofessionals who stay on duty after he has left. An APN always hasto ensure that the health records of a patient are accounted foraccurately and written with the involvement of a client where it ispractical and completed the moment an occasion has happened so thatit can offer a rich indication of the decisions made, carepre-arranged and the shared information.

Inthis study, the APN indicates that he always stays on the lookoutwhile on duty. The stay is to safeguard the health of patients, butsometimes it might not be possible to address the patients every timethey cry out because they might be associated with pain, which doesnot indicate that a patient is of poor health (You et al., 2013).However, nursing practice reveals that most patients mostly initiatecalls to their nurses whenever they are in pain, require toiletassistance, when they have intravenous problems and when they needmedication. Therefore, shows that they have a right to be attendedwhenever they need assistance. Failing to see them while on dutyviolates their privileges as patients. Nonetheless, a real lifescenario shows that in most cases an advanced professional nurse canrespond to several calls within an hour, which may sometimes alsohinder him from carrying out other critical aspects, which his rolerequires. In some instances, patients can also develop a habit ofcalling an APN all the time especially where a hospital is equippedwith a call button. Such cases can frustrate an APN and as a result,sometimes ignore or disregard the call of a patient. Worse still, itmakes an APN not perceive the patient seriously. An APN can becomefatigued by the alarm especially when he has responded to a dozen ofthem in the course of the day, particularly which have been false(Kearney, 2015). Conversely, nursing standards require that a nursedoes not ignore such calls because ignoring them violates the rightsof a patient in several places and that is why in mental healthinstitution, an APN will work with this kind of patients to help themuse the button only when there is a serious need.

Beforeleaving duty, an APN is supposed to inform a nurse who has come infor the next shift about a patient who requires close care so thatthe nurse can take the next round of the situation of all patients.An APN also has to outline the number of patients who appear to haveescalated their health problems and need to be observed closely. APNhas to do this all the time so that he or she ensures that the nexthealth care provider who comes on duty will be in a position to solveproblems, which might come up among the clients quickly (AmericanNurses Association, 2010). Proper information about patients as anAPN leaves his duty offers an in-depth handover, which permits thehealthcare provider to head home knowing that the clients are beingtaken care of.

Doinga handover is a tradition that is honored with the nursingprofession, and every incoming shift has to be given a reportregarding the status of patients before starting care. In someinstances, nurses deny tending to patients until a formal handoverhas been reached therefore showing how important the process is toAPNs. Skills for carrying out a handover and offering relevantinformation is not taught in the course of nurse training, but anurse only learns about it through experience in the ward (Kearney, 2015). It is not viewed as an objective event in relaying facts, butit has an understated and sometimes unrecognized function. Thefunction and content of handover vary heavily between clinical areaswhere some handovers offer an occasion to show medical knowledge,exemplary tidiness, or commenting on irrelevant areas regardingpatients and their families. Nonetheless, it allows sharing relevantinformation about a patient, which is not in the medical notes suchas personal circumstances and social factors (Polit &amp Beck,2013).

Innursing practice, there is a need to have this informationtransferred from one shift to the other so that it can offercontinuity, which is consistent with proper patient care. Handover isviewed as a fundamental way in quality nursing whereby omissions anderrors, which are made in the course of the process, can lead todangerous consequences (Masters, 2015).

AnAPN also follows up on laboratories, which are conducted on patients,and this role involves finding out about the results, which have beenconducted on the patients so that proper action can be followed.Also, this follow-up also helps to save on time needed to take careof patients. Effective management of test results is primary toquality patient care because failure to following up on the testresults can result in a patient being harmed. Healthcare researchnotes that test results are handled within a healthcare system thatis complex, and APNs cannot control each variable in the process oftest results. Any failure to follow up on the test results pose therisk of delayed or missed diagnoses, which might lead to suboptimalclinical results with prospective implications. However follow up onlaboratory results is not an easy task because it incorporatesinformation exchanging between doctors, patients, laboratories andnurses using a mixture of information systems which includeelectronic, telephone and paper-based systems together with variousprocedures and policies. With these players, steps and systems ofinformation there is also an environment, which escalates riskfactors and therefore follows up has to be done keenly so that itdoes not result in mix up (Polit &amp Beck, 2013).

Despiteall these activities, an APN also has to ensure that the patient’sbeddings are changed whenever they notice they are dirty. Aside fromensuring that patients who have been admitted to the healthcarecenter are not subject to nosocomial infections, a nurse has alwaysto make sure that the patients are sleeping on clean beddings. Theirbedding has to be changed all the time whenever they appear dirtybecause of blood or any other discharge from the patient because theyhave a chance of causing problems, which might worsen the healthconditions of an admitted patient.

Thereason why changing sheets are important is because it helps toprevent infections for a patient who is in bed and spreading it toothers who are around. Most patients also have physical disabilitiesand therefore changing their bed sheets helps them to have theopportunity of turning so that they do not develop bedsores. Worthnoting is the fact that patients are more comfortable with beddingswhich are clean. Clients who have comfortable beds and clean sheetsare capable of having a positive outlook when they think aboutstaying in the hospital. Therefore, making and changing beds forpatients is a common activity and a routine, which should not beviewed as complicated for the nurses.

AnAPN is also important in the healthcare facility because he helps toensure that patients are given drugs within the required time anddone according to the regimen schedule. Adhering to the regimen ofthe drug is considered significant as it assists to improve thehealth of clients and reduces any drug resistance cases that could berelated to skipping the intake of drugs (Masters, 2015). In thiscase, a nurse always has to make sure that patients have receivedtheir medication within the necessary time so that it is also in linewith quality care provision. Nursing standards require that there isadherence to routine schedule for treatment to be successful. Failureto adhere to these routines causes serious troubles, which do notonly affect the patient but also the healthcare system in general.When medication is not adhered to, it leads to worsening ofdisease-causing death and increasing the costs of healthcare.

Despitethe emphasis on nurses to ensure that patients adhere to theirmedication routine, there are also barriers, which need to beaddressed. For instance the interactions among health system factorssuch as the patient and the provider (Polit &amp Beck, 2013). Whensuch specific barriers are addressed then, suitable techniques areused to overcome with the help of nurses and other healthcareprofessionals. In the end, an APN has to offer proper advice tocaregivers and patients when they are released so that they can havegood care while at home. A nurse has to ensure that he has offeredproper instructions to caregivers about how they are supposed tohandle their patient when discharged. Most of the time finds when thepatient is not healed and therefore has to care for to reach theirnormal state. Having individuals deciding to be caregivers is a hardchoice, and therefore a nurse has to keenly advice such an individualhow to help their loved ones heal. In other occasions, a nurse cantake an active role in calling for patients whose health havedeteriorated to be taken to others wards where they can be awardedspecialized care in case their health has worsened. In the end, allthese practices in nursing help to develop his skills because it hasa big role in growing his capacity to face future challenges in thefield of nursing. In most cases, there are no standard blueprints fora good nurse but skills and characteristics, which a nurse uses todevelop their practice (Masters, 2015). Finally, a nurse has to workwith others in challenging situations especially through consultingin hard occasions so that worthwhile decisions can be made easily.

Moreover,advanced professional nurses, share professional responsibilitieswith other nurses who are in practice but because of their advancedscope of practice, they reach their position with muchresponsibility. Advanced professional nurses in most cases are theprimary caregivers for clients but in cases where they are not, theytake the full liability of some crucial aspects of patient care(Masters, 2015). For instance, anesthetists who are a nurse areresponsible for the safe recovery and induction of their clientsincluding the comprehension about the unique nature of people. Theclinical nurses who are specialized in diabetics are accountable formanagement and education their vulnerable population and for teachingothers.

However,the United States healthcare structure does not seem to favor the APNunder the Affordable Care Act because apparently, the healthprofessionals are worried about the impact the Act will have on theirworkforce making them consider other careers instead of nursing (Youet al., 2013). The Act seems to increase stress on workers and thesystem with part of the complication being to implement massive lawswhile requires that they meet new expectations of performing highlyin offering patient care.


Inconclusion, advanced professional nursing plays a central role in thefuture of healthcare whether a specialist in clinical nursing, nursepractitioners, and nurse midwives. They are the ones offer support topatients when required but the situation might change because of thehealthcare structure, which seems to have put more pressure on theirprofession.


AmericanNurses Association (2010). Nursing: Scope and standards of practice.Nurses book. org.

Kearney-Nunnery,R. (2015).&nbspAdvancingYour Career Concepts in Professional Nursing.FA Davis.

Masters,K. (2015).&nbspRoledevelopment in professional nursing practice.Jones &amp Bartlett Publishers.

Polit,D. F., &amp Beck, C. T. (2013).&nbspEssentialsof nursing research: Appraising evidence for nursing practice.Lippincott Williams &amp Wilkins.

You,L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., … &ampShang, S. M. (2013). Hospital nursing, care quality, and patientsatisfaction: cross-sectional surveys of nurses and patients inhospitals in China and Europe.&nbspInternationaljournal of nursing studies,&nbsp50(2),154-161.