Advanced Practice Nursing

Peer Response
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Citations: At least one high-level scholarly reference in APA per post from within the last 5 years
Peer Post:
The core values and likely the platform on which nurses and advanced practice nurses operate are one and the same, though there are some key differences between the two groups and these are likely to continue to evolve and adapt to society’s healthcare needs and challenges. Challenges in this context include accessibility and costs of care as well as organizational needs and gaps that are occurring as a result of changes in the medical world and in healthcare in general. One key difference pertains to the educational levels, degree and nature of that education between the two groups. Advance practice nurses have a master’s degree or higher education as well as specialized training which allows them to have more autonomy, wider scope of practice which includes the management and directing of patient care through diagnostic and often times prescriptive authority (Advanced Practice Nursing Fact Sheet – NurseJournal.Org, 2020). Nurses have historically been acquiescent to medical doctors or to the protocols and procedures of institutions for which they work though high skilled nurses have gained some degree of autonomy and authority in some cases and settings. Advanced practice nursing moves nursing into the realm of medicine itself (at least in some of the functions and aims of the work) and some argue that this poses a risk to the identity of the nursing discipline while others argue the phenomenon to be only an advanced extension of nursing itself.
Nursing theories have been around for decades and many of these probably were established or developed before the rise and prominence of widespread status of advanced practice nursing though high levels of education and experience where often possessed by many nurse theorists. Watson’s Caring Theory provides a philosophical framework that is useful and applicable for advanced practice nursing through application of the Carative Factors in a variety of clinical and patient situations. Nursing models such as Orem’s Self-Care Deficit Theory and Roy’s Adaptation Model lend advance practice nursing a basis on which to interact and intervene with patients and a platform on which to build nursing practice on. Advanced practice nursing also needs theoretical guidance that is applicable and relevant in practice and vice a versa in that practice itself must be able to validate a theory.


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