NUR 512 Barriers for Advanced Practice Nursing

Module 1 Discussion

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icon Barriers for Advanced Practice Nursing


Describe three barriers that have slowed down the progress of advanced practice nursing and strategies to help overcome these barriers. (Saunders, 2014)

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 
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Barriers to the Advanced Practice Nursing

Advanced nursing practice is the ultimate solution to effective healthcare delivery because it ensures that the masses have access to high-quality care that is affordable. However, several barriers prevent advanced practice nurses from practicing optimally. The first  barrier that slows down the progress of advanced practice nursing is regulatory barriers (Kleinpell et al., 2022). Although advanced practice nurses are trained comprehensively and equipped with the competencies needed to perform the roles traditionally allocated to physicians like prescribing, diagnosing, and ordering for diagnostic procedures, many states put restrictions on the extent to which they can discharge these duties in the clinical setting (Kleinpell et al., 2022). The barrier negatively affects their practice because it deters them from optimizing their potential by serving patients fully including those who lack adequate healthcare services, including low-income families and marginalized communities who often lack the services of medical experts.

            The second barrier that slows down the progress of the advanced nursing practice is inappropriate operational structures and cultural tendencies in the healthcare system that may negatively impact inter-professional collaboration. Those present in the healthcare setting including physicians and nurses may tone down the high competency levels of advanced practice nurses and the vital role they play in healthcare delivery (Torrens et al., 2020). Failure to acknowledge this significant aspect is damaging to the process of disseminating care because the professionals are not given the opportunity to utilize their skills and competency fully in meeting patient’s needs. Another considerable barrier that limits the practice is the failure to instigate consistent training protocols for the professionals. Different educational institutions have varying program requirements and curriculum structures that result in APNs having differing practice competencies (Kleinpell et al., 2022). This aspect negatively impacts advanced nursing practice because it causes the professionals to have varying skills that can compromise other healthcare provider’s impression of the profession.

            The strategies that can be used to overcome the barriers that have negatively impacted the advanced nursing practice by slowing down its progress include advocating for the removal of barriers that limit the practice mandates of the professionals. Different entities including professional organizations for advanced practice nurses should solicit changes in the practice mandates of the professionals by enlightening policymakers about the need to remove unprecedented restrictions imposed on them and allowing them to practice independently (Torrens et al., 2020). The step is vital because it will help in eliminating restricting regulatory stipulations such as those that require the professionals to practice under the supervision of a physician. It will allow them to practice independently and optimize their potential.

            Another strategy that plays a fundamental role in eliminating the barriers is introducing a culture that promotes cohesive inter-professional interactions between advanced practice nurses and other healthcare professionals. The process of fostering shared clinical experiences between the professionals will help enlighten them on how they can create effective teams through which they can provide high-quality, holistic care to patients that aligns with their needs (Torrens et al., 2020). The barriers can be eliminated by creating a well-structured training standard that should be followed when educating advanced practice nurses to ensure that they are all adequately prepared to provide comprehensive care to the patient population. It also includes ensuring that the training is provided by accredited institutions that are familiar with the standard curriculum that is essential in equipping the professionals with the competencies that will allow them to perform their roles appropriately.

In conclusion, there are notable obstacles that slow down the progress of advanced practice nursing. However, effective strategies such as advocating for the removal of unnecessary restrictions, enhancement of training standards and promoting collaborative interactions will promote comprehensive encapsulation of the profession into the healthcare setting.

References

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. http://journals.lww.com/naqjournal

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. https://doi.org/10.1016/j.ijnurstu.2019.103443

Grading Rubric 


Your assignment will be graded according to the grading rubric.

Discussion Rubric
CriteriaRatingsPoints
Identification of Main Issues, Problems, and ConceptsDistinguished – 5 points
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.
Excellent – 4 points
Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.
Fair – 2 points
Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.
Poor – 1 point
Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.
5 points
Use of Citations, Writing Mechanics and APA Formatting GuidelinesDistinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.
3 points
Response to Posts of PeersDistinguished – 2 points
Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.
Fair – 1 point
Student constructively responded to one other post and either extended, expanded or provided a rebuttal.
Poor – 0 points
Student provided no response to a peer’s post.
2 points
Total Points 10