Introduction
The advanced nursing practitioner role has become complex and versatile because the current health care industry and patients’ needs have changed drastically during the last decades. However, its core principles rely on and are driven by the educational background, professional expertise, and the system of rewarding. The definition of the role is concerned with the service requirements evaluation, educational needs, the projected outcomes, evidence, accountability, and sustainability (Auerbach, 2012). It should be noted that advanced practitioners should always be held accountable to the control bodies notwithstanding the area of practice.
Roles and Setting
According to the current setting, patient security and safety at such a level of practice are not efficiently seized by contemporary standards. Many researchers claim that proficiency and ethical liabilities should not be the practitioner’s responsibility solely, but the corresponding commissioners should govern them. Thus, as evidenced by the NPSGs, the security will be ensured by sufficient means of control over patient safety. This approach applies to the individual advanced practitioners in combination with a commensurate reply made by them.
Articles
According to the article written by Landsperger, Semler, Wang, Byrne, and Wheeler (2016), the NPSGs distinguish the role as clinical. They underline that advanced practice applies to almost all clinical settings. It is crucial to mention that the article stresses out that the key safety competencies are unique across all contexts, for instance, the practices in the community environment are to be the same as in intensive care.
Many practitioners furnish care provision at an advanced level. Nevertheless, it does not imply that their functions mean specifically clinical role (Landsperger et al., 2016). The authors of the second article support the ideas highlighted in the first article. The second article also mentions that the advanced practitioner should not be perceived as a specialist with a concrete level of expertise but rather a practitioner with a distinct role that was attributed to him or her (Newhouse et al., 2011). Thus, it is not characterized by the clinical area. The role may include other domains as well.
Both articles outline the promotion of patient safety in versatile dimensions. According to the texts, clinical decision-making should be based on judgment and nursing task resolution. Critical thinking is an integral part of all the planned nursing interventions and measures (Landsperger et al., 2016; Newhouse et al., 2011). The clinical problem solving and patient safety is to be incorporated through critical reflection. In turn, it implies that advanced clinical practitioners should possess analytical skills that can be applied to resolving safety issues. Managing safety complexities should be promoted through effective evaluation, diagnosis referral, and discharging. It means that practitioners can exercise autonomy as well as leadership to manage the possible risks after the preliminary evaluation. Besides, the clinical role of the advanced practitioner includes the emergence of therapeutic nursing if it is required to promote safety for the patients.
Expert Opinion
Auerbach, the expert in the field, provided specific safety implications for the advanced nurse practitioners. The main direction that should be considered is the precision of patient identification (Auerbach, 2012). First, the effectiveness of the collaboration of caregivers will improve the overall health care provision. Second, the safety in terms of meds usage is an essential factor that is not guided properly in many health care settings. Third, clinical alarm systems tend to have a detrimental effect on patient health status. Consequently, the risks associated with this factor are to be eliminated. Fourth, the risk of HAIs should be decreased through relevant measures. Many health care institutions have risks that are intrinsic to the population. The identification of such risks with the help of specific tools and policies available to the advanced practitioners will improve the accuracy of case determination. Needless to say that the basic role of all the advanced practitioners regardless of their operational environment is to eliminate the possibility of a wrong procedure. The expert dwelled upon the essentials that have to be monitored by the practitioners in the clinical setting (Auerbach, 2012). They are intracranial pressure, core body temperature alarms, and cardiac. Also, the specialist is liable for assessing the oxygen sensor and intra-aortic balloon pump in which they are the case.
Conclusion
The scope of nursing practice is changing throughout the history of its emergence and development. The tendency in the shift takes the direction for a more autonomous work and roles that the nurses need to take. At present, the nurses operating on the advanced level have to be capable of evaluating and defining the relevant treatment variations and, in general, furnishing more complex care. As described above, a practitioner is responsible for the full process of care starting from examining and diagnosing to discharging the patient. The long process implies various complications and safety issues to be considered by the clinician. The contemporary health care requirements drive specialists for opportunely and optimum care provision through coordination, cooperation, and integration of initiatives.
References
Auerbach, D. (2012). Will the NP workforce grow in the future?: New forecasts and implications for healthcare delivery. Medical Care, 50(7), 606-610.
Landsperger, J., Semler, M., Wang, L., Byrne, D., & Wheeler, A. (2016) Outcomes of nurse practitioner-delivered critical care. Chest, 149(5), 1146-1154.
Newhouse, R., Stanik-Hutt, J., White, K., Johantgen, M., Bass, E., Zangaro, G.,…Weiner, J. (2011). Advanced practice nurse outcomes 1990-2008: A systematic review. Nursing Economics, 29, 230-250.