NUR 513 Describe how the role of advanced registered nurse transformed over time Assessment Description Describe how the role of advanced registered nurse transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?

 

Transformation of the role of advanced registered nurses over time. 

According to DeNisco & Barker (2021), the advanced registered nurse role has evolved with time to assist the growing needs in the healthcare system. Such functions include Certified Registered Nurse Anesthetist, Clinical Nurse Specialist, Certified Nurse Midwife, and Nurse Practitioners. Since the 1960s, nurse practitioners have helped to supply the paucity of primary care physicians to underprivileged populations in urban and rural settings. Initially, the education process was less than one year; however, as the responsibilities expanded, so did the need for further education (Woodland, Foster, & Robertshaw,2022). Fast forward to the 1990s, and acquiring a master’s degree in nursing became the standard for practice. With the growing trend of increasing comorbidities, aging population, and the predicted physician shortage, the scope of nursing and transition from sole bedside care to more specialized nursing roles is evolving (DeNisco & Barker, 2021).

Shifts in scope and expectations in the 20th and 21st centuries. 

Health care has drastically expanded between the 20th and 21st centuries. Considering the national lifespan of the 21st century has lengthened in comparison to the early 1900s, more specialized services are available to meet individual health needs. For example, nursing in the 20th century was more generalized as one nurse was multifaceted, and primary nursing care and functional nursing care were practiced. However, as the 21st century advanced with complex healthcare needs, nursing has become more specialized. Accor

NURS 8100 Discussion Unintended Consequences of Health Care Reform

ding to the International Council of Nurses (ICN), nursing responsibilities include a broad spectrum encompassing varied environments (Woodland, Foster, & Robertshaw,2022).

Ways in which the advanced registered nurse role changes 

Nursing is the most trusted profession in the United States (American Nurses Association, 2022). With trust comes obligations. The current healthcare system is complex and places more demands on healthcare providers, especially nurses. The complex healthcare system includes an aging population, a rise in chronic diseases, emerging infectious diseases, increasing health care costs, and an acute shortage of healthcare providers (DeNisco & Barker, 2021; Vos et al., 2020). The U.S. spends 18% of its GDP on healthcare costs, which is 3.35 trillion (WHO, 2022). The advanced registered nurses’ roles and responsibilities must continue to evolve to meet the challenges of our healthcare system. A unique and highly skilled workforce is necessary to meet these demands. One way to continue to grow is to advance the knowledge. According to the International Council of Nurses (ICN), advanced nurses hold a master’s degree and possess expert knowledge. The role also continues to evolve through expert coaching, research, specialized care, participation in evidence-based practice, nursing standards, the scope of practice, and professional leadership (Chau et al.,2022).

References

Chaum J. P., Lo, S.H., Lam, S.K., Saran, R., & Thompson, D. R. (2022). Critical elements in nursing graduates’ transition to advanced practice roles and their perceived impact on patient care: an exploratory, descriptive study of graduates and their managers’ perception. BMC Nursing, 21(1), 2-7.  https://doi-org.ezproxylocal.library.nova.edu/10.1186/s12912-022-00907-0

DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284176124

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