Nursing Assignment Sample PDF

Nursing Assignment
Nursing Assignment
Name of the Student
Name of the University
Author Note

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Advanced Nursing Profession:
Advanced Nursing Profession is a specialised nursing type, which allows nurses to
provide specialised care for patients, and is different from the regular registered nursing.
Different policies and guidelines frame the works and practice of APN and registered nurses.
The following essay will discuss how technology have affected nursing practice, the skills for
APN, and how APN differs from registered nurses and how regulatory frameworks are
necessary for nursing practice.
Impact of technology in nursing practice:
Information and Communication technologies (ICT) have several implications in the
healthcare industry and also on nursing practice. Rouleau et al. (2015) evaluated the influence
of ICT on nurses and nursing care practice. The authors suggested the ICT can be applied
across different domains, such as: communication and management systems, system for
automated decision support as well as information systems. The effects have been divided
into Primary and Secondary outcomes by the authors. The Primary Outcomes includes effects
on 1. Practice environments: providing autonomy to nursing roles, foster support from co
workers and administration, allow collaboration and decentralized decision making. 2
Nursing process: Helping assessment, evaluation, care planning, education, communication,
care orientation, maintain quality, utilizing updated knowledge. It also helps in clinical
management, discharge planning and in disease prevention/health promotion. 3. Professional
Satisfaction: improving perception of the quality of care given to patients, foster
responsibility, success and growth and to enjoy the work. 4. Improving Nursing outcomes
and patient outcomes: Fostering safety, quality and comfort in care, empowerment of
patients, improving functional status, patient and nurse satisfaction, improving patient
experience. The Secondary Outcome includes improving satisfaction of nurses and patients

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with ICT. Piscotty et al. (2015) also pointed out that in healthcare, IT can mediate the relation
between the nursing care provided and the care that is used, influencing usage of care.
Skills and knowledge of Advanced Practice Nursing:
As per the Nursing and Midwifery Board of Australia (NMBA), Advanced Practice
Nursing (APN) is a strategy of nursing that utilises overall skills, knowledge and experience
in the care of patients. The APN involves the use of advanced knowledge, experiences and
skills, to develop relationship between nurse and patient. The practice is based on the concept
that optimal outcomes in patient health and patient care can be achieved through the
utilization of a high degree of knowledge, experience and skills, along with the combination
of critical analysis with problem solving skills and effective decision making practices. The
Nursing and Midwifery Board of Australia highlights the outlook that nurses practicing APN
should have a master’s level knowledge, and can work in either specialist of a generalist
capacity. The Board also requires three years full time (equivalent to 5000 hours) of
advanced practice to demonstrate necessary clinical focus for APN
(nursingmidwiferyboard.gov.au, 2018; Dunphy et al., 2015).
These ensures that APN have specialised skills and knowledge which can enable them
to provide specialised care, and utilise evidence based practice for the best possible
outcomes. APN can include practice domains such as: support of systems, direct and
comprehensive care, research, education, publication and professional leadership. These can
allow APN’s to provide a comprehensive care and supportive care, as well as act as health
educators, researchers, research authors and healthcare leaders (internationalapn.org, 2018;
Joel, 2017; Blair & Jansen, 2015).
How these skills differ from experienced registered nurses:

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Registered nursing does not require any specialization as in case of APN. A master’s
degree in Nursing can be sufficient to start the practice, and no specialised degree would be
needed. Unlike APN, where the duties can be varied and include wide array of duties,
registered nursing can include routine activities such as taking health histories, assess,
diagnose and treat chronic and acute conditions, and act as primary care provider and give
referrals for specialized care. Registered nurses can also prescribe medications, however, the
types of medication and the level of supervision is controlled by regulatory frameworks of the
profession. Registered Nurses can work in only specific nursing setups such as long term care
facility, private practice, ambulatory clinics, and community clinics only, unlike APN who
can work in virtually every healthcare settings, as well as health education and health policy
settings (nursingmidwiferyboard.gov.au 2018; Jokiniemi et al., 2015).
According to the NMBA, RN practice involves a continued process of critical
thinking and analysis of care and continuance of positive relations. Due to this, the registered
nurses are required to professionally develop and maintain their ability to continue
professional practice. Moreover, RN helps to determine, coordinate and provide safe and
quality care. The practice can include comprehensive assessment, developing care plan,
implementing and evaluating outcomes, and are accountable for supervision and delegation
of nursing activity to enrolled nurses (nursingmidwiferyboard.gov.au 2018; Jokiniemi et al.,
2015).
Importance of regulating Nursing profession:
Regulatory guidelines is one of the methods by which healthcare authorities can
protect and serve the public and it assists to protect the public by focussing the service or care
given to the public to be competent, ethical and meets the standards as is seen acceptable by
the national legal frameworks and society (crnbc.ca 2018). The regulatory standards ensure a)

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set up, monitor and evaluate standards of professional practice, b) setting up conditions or
requirements for registration of nurses and healthcare professionals, c) establishing and
enabling employment registration of nurses as well as procedures related to enquiry and
discipline, d) providing recognitions for education programs and courses of r nurses
(nursingmidwiferyboard.gov.au 2018).
The NMBA outlines several policies, professional standards, position statements, and
frameworks to regulate the nursing practice in Australia. The policies, codes and guidelines
help to understand the expectations and professional requirements of NMBA for nursing and
outline pathways to meet those requirements. These policies can include: social media policy,
exemptions from continuous professional development (CPD), re entry to professional
practice, English language skills registration and standard policy and mothercraft nursing
policy (Masters 2015). The Professional Standards defines the behaviour and practice of the
nurses and midwives, and it outlines the code of conduct, standards for practice and the ethics
code (Blais, 2015). The Guidelines also outlines the expectations and requirements of the
board and outlines pathways to address them. The position statements help to provide
guidance to the nursing professionals and also clarify the views of NMBA on different issues.
The frameworks which includes framework for analysing national competency and standards
of practice, framework for decision making and re entry to procedures, and also helps to
guide the professional practice, outlining the board’s expectations and requirements and help
aspiring professionals to acquire them (nursingmidwiferyboard.gov.au 2018).
Should the National Board of advanced practice nursing regulate Nursing profession?
In Australia, NMBA provides and outlines the regulatory policies, standards,
frameworks and protocols for professional nursing practice. These standards ensure that the
care provided to the patients is of standard quality, ethical, effective and competent. The

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guidelines also sets up the code of conduct that is to be expected from healthcare
professionals, and standards of practice according to the legal and legislative requirements,
and also helps to explain the expectations and requirements of the board from healthcare
professionals such as nurses (nursingmidwiferyboard.gov.au 2018; Nursing and Midwifery
Council, 2015; Maloney, 2017). Since these guidelines enable the development and
maintenance of best practices and fosters development of care and maintenance of quality of
care, it is vital that NMBA should continue to regulate the nursing practice in Australia.
Need for ANCI code of ethics, ANCI standards of practice and Code for Professional
Conduct in nursing practice: 100
The Code of Ethics is aimed to understand the rights of individuals and upholds such
rights in the professional practice. It helps to identify the moral commitments of healthcare
professionals, offer a basis for self reflection on ethical practice, provide guide to ethical
practice and show commonalities in moral standards. It emphasises on aspects such as
accountability, moral agency, responsibility, ethics and ethical problems
(health.sapanta.com.au 2018).
The code is also underlined by the Code of Professional Conduct in Australia. The
code of professional conduct identifies the minimum requirements of the practice in the
profession and also gives focus on the identification of acts of professional misconducts,
which along with the code of ethics forms the frameworks of nursing practice
(health.sapanta.com.au 2018).
Conclusion:
The above discussions show how APN differs from registered nursing, and how
technology helps to advance nursing profession. It also highlights that regulatory frameworks

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are important for maintaining ethical, safe and efficient care for the patients, and help to
improve both patient outcomes as well as foster professional satisfaction.

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References:
Blair, K. A., & Jansen, M. P. (Eds.). (2015). Advanced practice nursing: Core concepts for
professional role development. Springer Publishing Company.
Blais, K. (2015). Professional nursing practice: Concepts and perspectives. Pearson.
crnbc.ca (2018), crnbc.ca, Retrieved: May 9, 2018, from:
https://www.crnbc.ca/crnbc/RegulationOfNurses/Pages/Default.aspx
Dunphy, L. M., Winland-Brown, J., Porter, B., & Thomas, D. (2015). Primary care: Art and
science of advanced practice nursing. FA Davis.
health.sapanta.com.au (2018), health.sapanta.com.au, Retrieved: May 9, 2018, from:
http://www.health.sapanta.com.au/srcn/code.pdf
internationalapn.org (2018), internationalapn.org, Retrieved: May 9, 2018, from:
https://internationalapn.org/category/australia/australia-australia/
Joel, L. A. (2017). Advanced practice nursing: Essentials for role development. FA Davis.
Jokiniemi, K., Haatainen, K., & Pietilä, A. M. (2015). From challenges to advanced practice
registered nursing role development: Qualitative interview study. International
journal of nursing practice, 21(6), 896-903.
Maloney, P. (2017). Looking Back and Looking Forward Through the Lens of the Nursing
Professional Development.
Masters, K. (2015). Role development in professional nursing practice. Jones & Bartlett
Publishers.

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Nursing and Midwifery Council. (2015). The Code: Professional standards of practice and
behaviour for nurses and midwives.
nursingmidwiferyboard.gov.au (2018), nursingmidwiferyboard.gov.au, Retrieved: May 9,
2018, from: http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-
Statements.aspx
nursingmidwiferyboard.gov.au (2018), nursingmidwiferyboard.gov.au, Retrieved: May 9,
2018, from: http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-
Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
nursingmidwiferyboard.gov.au (2018), nursingmidwiferyboard.gov.au, Retrieved: May 9,
2018, from: http://www.nursingmidwiferyboard.gov.au/documents/default.aspx?
record=WD13%2F10753&dbid=AP&chksum=ke%2FhMxMHGxnQev5BI%2B0ueQ
%3D%3D
Piscotty, R. J., Kalisch, B., & Gracey‐Thomas, A. (2015). Impact of healthcare information
technology on nursing practice. Journal of Nursing Scholarship, 47(4), 287-293.
Rouleau, G., Gagnon, M. P., & Côté, J. (2015). Impacts of information and communication
technologies on nursing care: an overview of systematic reviews
(protocol). Systematic reviews, 4(1), 75.