According to the Gerontological Advanced Practice Nurses Association (2015, p. 8), defined “The APRN Gerontological Specialty as an advanced practice registered nurse who has acquired ongoing education and clinical experience, distinctive expertise, fluency, and advanced clinical decision-making proficiencies for managing the complexities of older adults and their families/carers with multifaceted, multilayered health care needs”.
Given the variation between APRNs and related state statutes, rules and regulations, the NP must understand their role as nurse practitioner. APRNs are an integral part of the healthcare team. Studies have shown that individuals are living longer lives in 2014 “14.5% (46.3 million) of the US population was aged 65 or older and is projected to reach 23.5% (98 million) by 2060 (Healthy people, 2020). In order for me to practice in the state of New Jersey as a nurse practitioner after my MSN, I will need to have a valid APN certification within my specialty from one of the credentialing agencies such as ANCC and AANP (New Jersey Consumer Affairs (n.d.). Then apply for the APRN license to the new jersey board of nursing.
APRN to be competent in their specialty field. I intend to follow the nurse practitioner core competencies to provide best/high quality care to my patient based on new practice guidelines and evidenced based research (NONPF, 2017).
APRNs practice is defined by the Nurse Practice Act and governed by the board of Nursing but the ANA supports full practice authority of the APRN, meaning states practice and licensure laws that allow for nurse practitioners to evaluate patients, diagnose order and interpret diagnostic tests, initiate and manage treatments including prescribe medication (ANA, n.d). However the challenge on this topic is that NP are not permitted to use the full practice authority because of limitations in the scope of practice (ANA, n.d.). For instance, New Jersey is not a full practice authority state thus APRN must work in collaboration with a physician which can be very difficult. As a result if the NP loses the physician collaboration they will no longer be allowed to prescribe medications which limit their ability to fully take care of their patients (NJSNA, 2019).
Certified Midwives (CM): Obtain their certification through the American Midwifery Certification Board (AMCB),and they do not require an undergraduate degree in the medical specialty they just need to fulfill the course requirement (Zhou & Lu, 2018). Certified Nurse Midwives (CNM): Are licensed, independent healthcare providers with prescriptive authority in all 50 states and have completed an undergraduate nursing degree. They also have the ability to prescribe medications and obtain licensure. (Zhou & Lu, 2018). Compare with the Certified Professional Midwife (CPM): Obtain their certification through North American Registry of Midwives and prerequisite to enter into this Midwifery program for this certification is a highschool diploma. Their scope of practice is narrow to prenatal, childbirth and postpartum and 6-8 weeks of care for mother and baby following delivery. (Zhou & Lu, 2018).
American Nurse Association (ANA, n.d). Scope of Practice. https://www/nursingworld.org/practice-policy/scope-of-pracitice/
Healthy people 2020. Retrieved from: https://www.healthypeople.gov.
Gerontology Advance Practice Nurse Association. (2015). Consensus Statement on Proficiencies for the APRN.
New Jersey Consumer Affairs. (n.d). Instruction for Advanced Nurse Practitioner Certification in New Jersey. Retrieved from: https://www.njconsumeraffairs.gov
National Organization of Nurse Practitioner Faculties (NONPF). (2017). Nurse practitioners Core Competencies Content.
Zhou, N., & Lu, H. (2018). A review and comparison of midwifery management and education in five representative countries. International journal of nursing sciences.