Advanced Practice

This coursework investigates the literature on the conceptualizations of advanced practice in nursing. It summarizes Hamric’s conceptual model of nursing practice and describes how this model can fit into the advanced systems of nursing practice. In addition, this coursework reviews other models, such as Benner’s model, Fenton’s model, Brykczynski’s model, Calkin’s model, and Brown’s framework model. The paper then focuses on Benner’s model and provides an in-depth analyses of how it can be used in modern practice. Further, the paper compares Benner’s model with Fenton and Calkin’s models with particular focus of their applicability in modern practice. According to the literature, conceptualizations of advanced practice are aimed at enhancing the provision of health care and giving the current system of health care adequate legitimacy. It does this by providing a perfect insight into the history of advanced nursing practice, all the supporting theories, and current issues that continue to shape up the entire system.

Hamric’s conceptual model of nursing practice gives a great deal of details concerning the past, present, and the future of nursing practice with a view of improving patient care. It achieves this considerably by offering a comprehensive theory of advanced nursing practice, especially with regard to the APN scope of nursing practice as well as ethical-legal issues that are common in a typical setup of clinical practice. According Hamric, this should encompass the development of all concerned competencies, especially what concerns their application to direct clinical nursing practice. Besides, the quality of patient care provided by the nursing professionals should be enhanced by extensive involvement of consultations as well as clinical guidance to patients. This will not only help to improve their medical conditions but will also reinstate their positive perceptions of life as a valuable gift from the creator. In addition, Hamric’s model seeks to inject a lot of research work into the advanced nursing practice as this will provide a professional face of emerging trends in the clinical setting. Furthermore, this model emphasizes the need to strengthen the leadership amongst medical fraternity and to encourage ethics in decision-making. Ideally, the advanced practice must be able to fit the typical pedigree of ethical requirements in health care, especially with regard to the patient information. This is in respect to the fact that ethics has become a major concern in the recent past, leading to a stream of court cases where medical personnel are charged with violating the rights of patients, especially in regard to the principles of self-determination (Hamric, Sprouse & Hanson, 2009).

Accordingly, Hamric’s model provides an in-depth analysis of academic strategies and how the professional competencies can be developed amongst the upcoming nurses. This is particularly significant considering that it will ensure that future nurses do not struggle to incorporate these competencies as they will form the fundamental aspects of their practice. Besides, this model goes to a large extent in demonstrating how evidence-based research can be used to holistically promote these competencies by constantly fixing the gaps in the system. Further, this conceptual idea elucidates the relationship that exists between the concerned range of competencies and the challenges faced in the clinical setup by the nursing personnel. It does this through the use of real life situations that seek to exemplify the APN competencies as applicable in a real setup. As a matter of fact, this model emphasizes the provision of reliable data with the view of substantiating personal impact of nurses and enhancing their personal skills in order to fit the new quality standards that have been set, especially in regard to informatics. This is particularly in relation to telehealth and how it can form the basis of counseling patients (Benner, Tanner & Chelsea, 2009).

There also exist other models that are basically similar in principle but slightly different in approach. According to literature, Benner developed a typical map that would shape up a novice into a dependable expert as a workable guideline that would ensure the competency in nursing profession. She identified particular areas that should be given priority to; these are, for example, the diagnosis of illnesses, administration of the right therapy, monitoring of patient reactions to drugs, as well as general management of the clinical setting. Accordingly, this approach would yield all-round nurses who would fit into any environment without straining. However, these domains were later expanded on by Fenton and Brykczynski. Although they agreed with most of Benner’s work, they proposed a range of other competencies that would enable nursing professionals to handle health conditions of patients within an ambulatory care setup much better. This would be the best platform to ensure that patients get high quality for their money, especially in a clinical setting where they are under care of nurses (Buchanan,2002).

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