An advanced practice nurse (APN) is a nurse with post-graduate education and training in nursing. Nurses practicing at this level may work in either a specialist or generalist capacity. APNs are prepared with advanced didactic and clinical education, knowledge, skills, and scope of practice in nursing.[1]
In the United States, the National Council of State Boards of Nursing along with other nursing authorities and organizations recommend the use of the term and acronym advanced practice registered nurse (APRN) as described in the Consensus Model for APRN Regulation, Licensure, Accreditation, Certification and Education.
APNs or APRNs are intended to demonstrate effective integration of theory, practice and experiences along with increasing degrees of autonomy in judgments and interventions, while remaining under physician supervision. Post-graduate education is designed to teach an APRN to use multiple approaches to decision-making, manage the care of individuals and groups, engage in collaborative practices with the patient or client to achieve best outcomes; provide a supportive environment for colleagues; manage the utilization of staff and physical resources; engage in ethically justifiable nursing practice; protect the rights of individuals and groups; engage in activities to improve nursing practice; develop therapeutic and caring relationships; fulfill the conduct requirements of the profession; act to enhance the professional development of self; and function in accordance with legislation and common law affecting nursing practice.[2]
APRN education forms the basis of four recognized general areas of specialization:
The majority of programs will grant a DNP degree.[3] Because 45% of the nurse anesthesia programs are located in schools of allied health, these programs will award a Doctor of Nurse Anesthesia Practice (DNAP). The DNP will be the direct-entry, minimum academic requirement for advanced practice registered nurses; it is a clinical/practice-based doctorate but because it is not the entry degree for the profession of nursing (which includes advanced practice registered nursing), it is a terminal degree.
Regulationedit
Advance Practice Nursing in the United Statesedit
The preferred regulator term for advanced practice nursing in the United States is Advanced Practice Registered Nurse. Nursing in the United States is regulated at the state level. The National Council of State Boards of Nursing (NCSBN) drafts consensus models of proposed legislation for the individual states to implement. In 2008, the NCSBN's APRN consensus model identified four roles:
In 2020 Pain Medicine found that CNPs prescribe opioids at a rate 28 times higher than physician counterparts in states where they practice autonomously.[6]
Post-nominal initialsedit
The specific titles, credentials and post-nominal initials used by advanced practice nurses will vary greatly by country, state and educational level.
A list of post-nominal initials include, but are not limited to:
ACNP: Acute Care Nurse Practitioner
AGACNP: Adult-Gerontology Acute Care Nurse Practitioner
ANP: Adult Nurse Practitioner
APHN: Advanced Public Health Nurse
APRN: Advanced Practice Registered Nurse (Refers to the four recognized general areas of advanced professional specialization: CRNA, NP, CNM, and CNS)
APN: Advanced Practice Nurse (same as Advanced Practice Registered Nurse but not recommended as a legally recognized title)
ARNP: Advanced Registered Nurse Practitioner (refers to Nurse Practitioners in some states in the US)
C or BC following a title: Certified or Board Certified (i.e., APRN-BC, WHNP-BC, PNP-BC, FNP-C, GNP-C, ANP-BC)
CMCN: Certified Managed Care Nurse
CNM: Certified Nurse Midwife
CNP: Certified Nurse Practitioner
CNS: Clinical Nurse Specialist
CRNP: Certified Registered Nurse Practitioner
CS: Clinical Specialist
CRNA: Certified Registered Nurse Anesthetist
DNP: Doctor of Nursing Practice (the terminal professional degree for APNs)
FNP: Family Nurse Practitioner
GNP: Gerontological Nurse Practitioner
NNP: Neonatal Nurse Practitioner
NP: Nurse Practitioner
ONP: Oncology Nurse Practitioner
PMHCNS: Psychiatric & Mental Health Clinical Nurse Specialist
PMHNP: Psychiatric & Mental Health Nurse Practitioner
^ "Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education" (PDF). www.NCSBN.org.
^Ellenbogen, Michael I.; Segal, Jodi B. (2020). "Differences in Opioid Prescribing Among Generalist Physicians, Nurse Practitioners, and Physician Assistants". Pain Medicine. pp. 76–83. doi:10.1093/pm/pnz005. PMC6953344. PMID 30821817.
External linksedit
Germany Network of Advanced Practice Nurses
Coalition of Advanced Practice Nurses of Indiana
January 01, 1970
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The examples and perspective in this article may not represent a worldwide view of the subject You may improve this article discuss the issue on the talk page or create a new article as appropriate February 2023 Learn how and when to remove this message This article needs additional citations for verification Please help improve this article by adding citations to reliable sources Unsourced material may be challenged and removed Find sources Advanced practice nurse news newspapers books scholar JSTOR February 2022 Learn how and when to remove this message An advanced practice nurse APN is a nurse with post graduate education and training in nursing Nurses practicing at this level may work in either a specialist or generalist capacity APNs are prepared with advanced didactic and clinical education knowledge skills and scope of practice in nursing 1 In the United States the National Council of State Boards of Nursing along with other nursing authorities and organizations recommend the use of the term and acronym advanced practice registered nurse APRN as described in the Consensus Model for APRN Regulation Licensure Accreditation Certification and Education Contents 1 Education accreditation and certification 2 Regulation 2 1 Advance Practice Nursing in the United States 3 Patient outcomes 4 Post nominal initials 5 See also 6 References 7 External linksEducation accreditation and certification editAPNs or APRNs are intended to demonstrate effective integration of theory practice and experiences along with increasing degrees of autonomy in judgments and interventions while remaining under physician supervision Post graduate education is designed to teach an APRN to use multiple approaches to decision making manage the care of individuals and groups engage in collaborative practices with the patient or client to achieve best outcomes provide a supportive environment for colleagues manage the utilization of staff and physical resources engage in ethically justifiable nursing practice protect the rights of individuals and groups engage in activities to improve nursing practice develop therapeutic and caring relationships fulfill the conduct requirements of the profession act to enhance the professional development of self and function in accordance with legislation and common law affecting nursing practice 2 APRN education forms the basis of four recognized general areas of specialization Clinical Nurse Specialist CNS Certified Registered Nurse Anesthetist CRNA Certified Nurse Midwife CNM Certified Nurse Practitioner CNP Each specialty can have concentrations in a specific field or patient population As of 2023 an APRN in the United States may hold a Master of Science in Nursing MSN Doctor of Nursing Practice DNP or Doctor of Nurse Anesthesia Practice DNAP degree In 2004 The American Association of Colleges of Nursing AACN in conjunction with the National Council of State Boards of Nursing NCSBN recommended that advanced practice registered nurses move the entry level degree to the doctorate level by 2015 3 Accordingly all APN training programs are recommended but not required as of yet to convert their master s degree to a Doctor of Nursing Practice DNP degree by 2015 Although the American Association of Nurse Anesthetists approved this recommendation it is not requiring program compliance until 2025 4 The majority of programs will grant a DNP degree 3 Because 45 of the nurse anesthesia programs are located in schools of allied health these programs will award a Doctor of Nurse Anesthesia Practice DNAP The DNP will be the direct entry minimum academic requirement for advanced practice registered nurses it is a clinical practice based doctorate but because it is not the entry degree for the profession of nursing which includes advanced practice registered nursing it is a terminal degree Regulation editAdvance Practice Nursing in the United States edit The preferred regulator term for advanced practice nursing in the United States is Advanced Practice Registered Nurse Nursing in the United States is regulated at the state level The National Council of State Boards of Nursing NCSBN drafts consensus models of proposed legislation for the individual states to implement In 2008 the NCSBN s APRN consensus model identified four roles Certified registered nurse anesthetist Certified nurse midwife Clinical nurse specialist Certified nurse practitioner 5 Patient outcomes editIn 2020 Pain Medicine found that CNPs prescribe opioids at a rate 28 times higher than physician counterparts in states where they practice autonomously 6 Post nominal initials editThe specific titles credentials and post nominal initials used by advanced practice nurses will vary greatly by country state and educational level A list of post nominal initials include but are not limited to ACNP Acute Care Nurse Practitioner AGACNP Adult Gerontology Acute Care Nurse Practitioner ANP Adult Nurse Practitioner APHN Advanced Public Health Nurse APRN Advanced Practice Registered Nurse Refers to the four recognized general areas of advanced professional specialization CRNA NP CNM and CNS APN Advanced Practice Nurse same as Advanced Practice Registered Nurse but not recommended as a legally recognized title ARNP Advanced Registered Nurse Practitioner refers to Nurse Practitioners in some states in the US C or BC following a title Certified or Board Certified i e APRN BC WHNP BC PNP BC FNP C GNP C ANP BC CMCN Certified Managed Care Nurse CNM Certified Nurse Midwife CNP Certified Nurse Practitioner CNS Clinical Nurse Specialist CRNP Certified Registered Nurse Practitioner CS Clinical Specialist CRNA Certified Registered Nurse Anesthetist DNP Doctor of Nursing Practice the terminal professional degree for APNs FNP Family Nurse Practitioner GNP Gerontological Nurse Practitioner NNP Neonatal Nurse Practitioner NP Nurse Practitioner ONP Oncology Nurse Practitioner PMHCNS Psychiatric amp Mental Health Clinical Nurse Specialist PMHNP Psychiatric amp Mental Health Nurse Practitioner PNP Pediatric Nurse Practitioner PNP AC Pediatric Nurse Practitioner Acute Care PsyNP Psychiatric Nurse Practitioner WHNP Women s Health Nurse PractitionerSee also editNurse practitionerReferences edit American Nurses Association Archived from the original on 1997 04 06 AACN Publications Position Statements www aacn nche edu Archived from the original on July 20 2011 a b Aacn Dnp Faqs Archived from the original on 2011 10 01 Retrieved 2008 12 24 AANA Home Consensus Model for APRN Regulation Licensure Accreditation Certification amp Education PDF www NCSBN org Ellenbogen Michael I Segal Jodi B 2020 Differences in Opioid Prescribing Among Generalist Physicians Nurse Practitioners and Physician Assistants Pain Medicine pp 76 83 doi 10 1093 pm pnz005 PMC 6953344 PMID 30821817 External links editGermany Network of Advanced Practice Nurses Coalition of Advanced Practice Nurses of Indiana Canadian Association of Advanced Practice Nurses Information about Advanced Practise Nurses by the Singapore Nursing Board Retrieved from https en wikipedia org w index php title Advanced practice nurse amp oldid 1189643021, wikipedia, wiki, book, books, library,
