NS5064P Introduction To Advanced Practice Concepts : Essay Fountain


Write about three concepts of advanced practice. Examples of concepts include:

1 Standards and regulation of practice (national and international)

2 independent practice

3 competencies in advanced practice

4 multidisciplinary team

5 autonomy

6 collaboration

7 accountability

8 facilitators and barriers to advanced practice.



There is no one agreed definition of advanced practice shown from the literature, but with different perceptions of advanced practice around the globe, it is possible to have a meaning of advanced training. An advanced practice nurse is the one who is registered and with expert necessary skills with expanded clinical capabilities and well decision-making skills and in touch with the characteristics shaped by the country concerned. This is because various countries vary with their different cultures. The following are three concepts of advanced training:

Standards and regulation of the practice

Standards of practice in the clinical specialty are how. These include protocols for clinical practice, procedures, practice standards, procedures operated in the rules and statements of clinical policy. The clinical policy statements spell out authority and scope related to specifying an action or defining who should do what, when, and with what level of supervision. The policy can be determined at various levels. For example, a state-run panel of nursing can describe the roles to be played by nurses in administering medication, indicating the practitioners who can give out drugs and what to be followed in the mediation process. This policy can be clarified and refined at the institutional level on how to administer medication (Stanley,2016, pg245).These standards and regulations in health care are put in place to ensure the safety of every individual and compliance of the whole health system. Local, federal, and state regulatory organizations regularly create regulations and rules for the industry in health care, and following them is mandatory. Other agencies like those who do accreditation are essential as they establish rankings that serve as complementary oversight and ensures health care agencies give quality care in health. This also includes licensure which is one way of validating knowledge band competence. (Gardner,2015, pg605).  . The National Council State Boards of nursing works to create uniformity and continuation in nursing practice and standards (Standards of Practice for Nurse Practitioners, n.d) This means that advanced nurses have to be licensed so that they can work to enable patient safety. Competencies for Advanced practice incorporate broadly same concepts, standards and scope across nations. By advanced nurses following the rules and regulations, positive health outcomes are achieved. Advanced nurses use this competence through nurse autonomy which ensures positive patient outcomes and maintenance of positive relationships between nurses and doctors. Also, the outer limits to advanced practice are set by legislation, policy and guidelines within which individuals make decisions about their own level of competence and take personal responsibilities and accountabilities for their practice. The professional values and principles create a basis of ethical behavior that guide every RANP’s professional interactions.


Multidisciplinary team

Health care is a profession that is multidisciplinary in the definition in which health professionals, doctors, and nurses from various specializations must cordially work together, share resources, and often communicate. Health teams are made up of different professionals referred to in health care as cadres, each with specialized knowledge and responsibility for various tasks. Teamwork in health can be defined as two or more individuals who network interpedently with a shared purpose, working toward quantifiable objectives. (Beacon, A. 2015, pg76).  Researchers have established that assimilating or integrating services among providers of health is a vital element to improved treatments to populations and communities with restricted access to health care. Teamwork in health care implies the practices of enhanced communication and collaboration to enlarge the roles of health personnel and in making decisions as a unit while working toward a common goal.

A multidisciplinary team is a cluster of care health workers who are affiliates of diverse disciplines, for example, social workers, psychiatrists, and so on, each giving particular services to the patient. The various problems that patients may have been treated independently by team members concentrating on issues according to their specialization (Home – PubMed – NCBI, n.d). These activities of the team are collectively brought in the union by care plan. This harmonizes their services by getting the team working in unison towards specific set goals

As suggested by research, suitable leadership, diversified sufficient disciplines and professions, team dynamics, and support groups are enablers critical to multidisciplinary teams. The Canadian health services foundation established that organizations do their functions better when there is a clear drive and implement procedures and protocols. The other important aspect is the use of meetings and other communication agencies for information sharing, to discuss the results of the patients, and to give suggestions on how to improve performance. For instance, this competency will help nurses to incorporate more programs that will be helpful in ensuring that patients are safe. It improves communication in the team. This helps that advanced nurses to improve outcomes and adds to patient and employee satisfaction. Advanced practice as RANPs show leadership in communicating and working with different members of the multidisciplinary team in their quest for positive patient outcome.  RANPs seek feedback from people who get care, families and staff on their experiences and suggestions for enhancement. They also execute practice transitions through negotiations and consensus building in collaboraton with the multidisciplinary team and people getting care.(Viani, 2012, page 35).


At the heart of nursing is responsibility in all levels and settings of nursing practice. Every health personnel shapes credibility for him or herself by holding themselves accountable. In advanced practice, the health care team is experiencing visibility increase as there are health reforms across the world in managing health care. With this advanced practice increased opportunities, there has been the establishment of new roles that never existed. The responsibilities and functions of these health caregivers crisscross from the general care to specialists to serve a selected population of the patient(White,  et al.,2015, pg610. Nurses can use this concept to provide accurate information regarding the patient so that no mistakes are made regarding their diagnosis and treatment. It underpins the practice of the RANP who show high standards of professional actions and is responsible professionally and accountable for his oe her attitudes and behavior encompassing inactions and omissions. They see the association between professional responsibility and accountability and professional integrity while advocating for the rights of the patients.

In conclusion, the rapid changes in the society with increased chronical diseases, the health care team, especially the nurses, are faced with extra challenges. This calls for health personnel to respond with advanced clinical practice to embrace the increased globalization.



Beacon, A. (2015). Practice-integrated care teams–learning for a better future. Journal of Integrated Care, 23(2), 74-87.

Gardner, G., Carryer, J., Gardner, A. and Dunn, S., 2015. Nurse practitioner competency standards: findings from collaborative Australian and New Zealand research. International journal of nursing studies, 43(5), pp.601-610.

Home – PubMed – NCBI. (n.d.). Retrieved from https://www.ncbi.nlm.nih.gov/pubmed

Standards of Practice for Nurse Practitioners. (n.d.). Retrieved from https://www.aanp.org/advocacy/advocacy-resource/position-statements/standards-of-practice-for-nurse-practitioners.

Stanley, J.M., 2016. Impact of new regulatory standards on advanced practice registered nursing: the APRN Consensus Model and LACE. Nursing Clinics, 47(2), pp.241-250.

Virani, Tazim. (2012). “Interprofessional collaborative teams.” Canadian Health Services Research Foundation, pp30-45.

White, D.E., Jackson, K., Besner, J. and Norris, J.M., 2015. The examination of nursing work through a role accountability framework. Journal of nursing management, 23(5), pp.604-612.

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