Advanced Practice Registered Nurses DiscussionIntroductionAPRN nurses are a type of nurses who have

Advanced Practice Registered Nurses Discussion

Introduction

APRN nurses are a type of nurses who have undergone advanced in further education as well as clinical practice. Licensing nurses has numerous advantages for practicing nurses. Practice guidelines offer practicing nurses the opportunity to focus on the provision of quality healthcare. Besides, practice guidelines promote rational use of resources by clinical staff. Evidence-Based Practice Guidelines-CPG are unique statements created to help nursing practitioners to make effective decisions concerning the healthcare provided to patients. Today, EBP is a critical part of nursing practice because it impacts the provision of quality healthcare to patients. CPG not only reduces costs to patients but also impacts patient outcomes.

Advantages of Pursuing APRN Certification

According to the American College of Cardiology-ACC and American Heart Association-AHA., the best methods for measuring the impact of Evidence-based practice Clinical guidelines are through the quality work provided by nurses. The authors assert that the implementation of EBPCG can only work when it is practiced by nurses and patients. The impact factor, in this case, is measured based on the number of citations present in the research or paper.

In this work, such metrics provide a reliable and effective method of measuring the impact that clinical guidelines have on scientific research on evidence-based practice. However, the AHA and ACC point out that the growth of analytical tools used in harvesting information from online databases has helped the research on Evidence-based practice Clinical guidelines to take a multi-disciplinary approach such as sociological approach, scientific approach, structural approach, and technological approach.

The two institutions continue to assert that “most importantly, discoveries in the basic science of AD would be entirely impotent without close collaborations with investigators in translational, clinical, and public health disciplines.’ (American College of Cardiology-ACC and American Heart Association, 2017). This statement is conclusive and takes into consideration the work of individual nurses as critical additions to research on EVPCG.

According to Victoria and her fellow nurses, this research is the first RCT-based test done to find out the efficacy usefulness of web-based online intervention programs for caregivers compared to face-to-face interventions. According to the authors, the results of the test were a great success because control implementation error was taken care of. The authors assert that by controlling the information viewed by caregivers in a specific schedule.

Victoria and her fellow nurses further assert that the contents of the website continued to remain static for the period of the test which further eliminated any errors. According to Garity (2006), the stress in caregivers of people living with Evidence-based practice Clinical guidelines is the same irrespective of the approach used to educate them. Based on this argument, it is not acceptable for Victoria and her fellow nurses to conclude that their research is 100% fault-free.

Reimbursement of APRN Nurse’s

Services by APRN nurses are reimbursed through payments from the Diagnosis-related group. Reimbursement of nurses follows certain principles of Medicare rules. One of the critical principles for reimbursement is that a nurse must meet the credentialing details by the payer. Most importantly, billing must be done using the provider number belonging to the APRN.

Malpractice insurance

Top of the benefits list that made these methods the best fit for use by APRNs is the fact that the APRNs are regulated by a code of ethics that attract punishment if violated. . The researcher got the opportunity to immerse themselves in the world of the women being interviewed and was able to observe both the subject as well as the environment within which the respondents operated from. The observation was particularly pivotal for this research because it allowed the researcher to observe what was going on rather than just relying on what one has been told by the respondents which may be biased in opinion (Reboussin et al., 2018).

These sources also allowed the researcher to be able to narrow down the research to be more specific which in turn helped the researcher to decide the direction of the research and be able to make amendments as necessary before final data could be gathered for analysis. Additionally, these methods were chosen over other methods because they come with a high degree of reliability. They are deemed reliable because the researcher relies on what he has observed and recorded.

Philosophy of Care

For this study, participants were put in two randomized offline parallel groups using a computer-generated list that uses blocking as well as stratification i.e. categorizing the caregivers as either being relatives on non-relatives of the people with Evidence-based practice Clinical guidelines. Each group was given ten-minute training on how to operate the website. Every week, each participant read through an entire session before printing out a questionnaire to indicate how satisfied they were with both the training and the website.

The study was used stress and coping theory by Lazarus and Folkman as well Bandura’s self-efficacy model to ascertain the stress levels, self-efficacy, burden, and health issues in such caregivers (Cristancho-Lacroix, et al, 2015). The findings did not reveal any significant difference in PSS-14 (self-perceived stress) which means that it still needs further research to bring it to acceptable levels. This pilot research aimed to evaluate what impact the Diapason program would have on caregivers as far as helping them to deal with stress is concerned. The program was meant to offer skills, information, training, and a forum for caregivers to find a valuable platform to help them reduce their stress and burden.

Intention-to-treat analysis was the method used to analyze all available data. Calculations for means and percentages or descriptive data were also calculated for each caregiver as the characteristics found in PWADS. Besides, Victoria and fellow nurses relied heavily on Mann-Whitney tests (popularly called t-tests) as well as Spearman correlations were the main method used for identifying correlations between the variables. Face-to-face interventions allow nurses to control the level of bias which is something Victoria and her co-nurses did not achieve with success in their online-based intervention (Whelton et al., 2015). Furthermore, due to the heterogeneous nature of caregivers, future studies must limit the criteria of inclusion.

Tools and Standards of Practice

The nurses are required to use the best tools and technology in collaborating with Evidence-based practice Clinical guidelines. According to Hughes and his fellow nurses, the number of nodes linked to each cluster especially the major cluster is proof of collaboration between nurses. The nurses do agree that their research lacks adequately in the area of statistical power which could pose problems of efficacy to the research. This notwithstanding, the nurses believe that this research has been largely successful in providing an alternative method for providing information and education to caregivers of people suffering from Evidence-based practice Clinical guidelines, especially the informal caregivers.

The nurses believe that they have demonstrated with success that online facilitation of caregivers can help them to acquire functionalities such as personalization, flexibility, socialization, and dynamism which are all important qualities in a caregiver given the stress levels associated with Evidence-based practice Clinical guidelines. Furthermore, the nurses conclude that there was a very limited acceptance of the online Diapason program by caregivers which is a pointer to the fact that the program needs to be rolled out in a structural manner that allows the caregivers to be able to interact with other professionals as well as the broader online community.

The BON rules/regulations for APRNs

Caring for people using Evidence-based practice Clinical guidelines -EVPCG is cost-effective and increases patient outcomes. Over five million Americans and thirty-five million people worldwide suffer from High blood pressure meaning that these people require some form of caring whether formally or informally. Caring for people through Evidence-based practice Clinical guidelines -EVPCG is the best way to combat High blood pressure since people do not even have basic information on how to take care of people suffering from the disease. Caring for people with High blood pressure people takes two approaches; formal and informal care. Authors Victoria Cristancho-Lacroix, Jeremy Wrobel, Inge Cantegreil-Kallen, Timothee Dub, Alexandra Rouquette, and Anne-Sophie Rigaud analyze the efficacy and acceptability of web-based educational programs intended for informal caregivers to people with Evidence-based practice Clinical guidelines using methods of research analysis.

Legal Challenges/ Ethical Considerations

According to Victoria Cristancho and her fellow nurses, the world has seen substantial growth in the number of High blood pressure which presents problems to nations. All of these people require round-the-clock care just to get by. By the year 2017 AHA indicated that over 12 million caregivers gave more than 17.5 billion hours of care (unpaid) which was equivalent to USD 216 billion. Presently, a majority of people with High blood pressure are cared for at home by their relatives which has also seen the emergence of chronic stress in such caregivers. Based on this, Victoria and fellow nurses researched to find out if a web-based intervention program for caregivers is just as good as face-to-face interventions.

References

• Brook, R., & Rajagopalan, S. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal Of The American Society Of Hypertension, 12(3), 238. doi: 10.1016/j.jash.2018.01.004
• Reboussin, D., Allen, N., Griswold, M., Guallar, E., Hong, Y., & Lackland, D. et al. (2018). Systematic Review for the 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. Journal Of The American College Of Cardiology, 71(19), 2176-2198. doi: 10.1016/j.jacc.2017.11.004
• Quirt, J., Hildebrand, K., Mazza, J., Noya, F., & Kim, H. (2018). High blood pressure. Allergy, High blood pressure & Clinical Immunology, 14(S2). doi: 10.1186/s13223-018-0279-0
• Whelton, P., Carey, R., & Aronow, W. (2018). ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association. Task Force on Clinical Practi. KIDNEYS, 7(1), 68-74. doi: 10.22141/2307-1257.7.1.2018.122220

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