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Acute Care Nurse Practitioner in Gerontology Essay

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Updated: Aug 9th, 2020


The person interviewed for the paper is employed at a local nursing facility and works as a Clinic Nurse Manager. For confidentiality purposes, the interviewee is referred to as Alison. Alison has a Registered Nurse qualification and the corresponding level of competency. In the identified facility, Alison coordinates administrative activities. Particularly, she supervises the work of the employees, including FPNs and ANPs. Alison views the role of an Advanced Practice Nurse (APRN) as that one of a nurse and an educator. In other words, raising awareness among the target audience about essential health concerns is an important part of an APRN’s duties (Quill and Abernethy 1174).


The interviewee seems to have a rather good concept of the differences in the competencies and roles of an APRN, an FPN, and an ACNP. For instance, Alison makes it quite clear that an APRN should be considered primarily with addressing the availability of information to the patients, whereas the FPN should research family history and help family members build stronger ties, and an ACNP must address the emerging issues threatening the patients in the ICU (Goldman and Schafer 651).


The experience that Alison has is truly priceless, as it sheds light on not only the clinical concerns but also the communication dilemmas that nurses often have to address, along with managerial issues. For instance, the interviewee brought up the subject of successful communication between the nurses as the platform for creating a framework for continuous improvement in quality.

Indeed, there is evidence that the lack of appropriate tools for information acquisition and transfer triggers numerous misunderstandings and misconceptions including the threat of misinterpreting or omitting an essential part of the patient’s health record or personal information. Therefore, it is imperative to introduce the tools that will help store the patient’s information, retrieve and, and transfer it successfully (Cowen and Moorehead 290).

Additionally, the significance of emotional intelligence (EI) has risen among the nurses operating in the ICU environment. Seeing that the conditions of an emergency room (ER) require a quick and efficient response, an ACNP must be able to identify the problems that the patient faces in a manner as timely and efficient as possible. At this point, EI becomes a primary tool in locating the sources for concern and addressing them correspondingly (Bloomer et al. 758).


The credentialing model employed at the facility follows the standard requirements. The education records together with the certificate and a license are viewed as a necessity. Additionally, the employment history and the clinical references of the candidate are considered very closely. The evidence for liability insurance is also required, as well as the proof of being a member of professional nursing organizations.

Furthermore, the analysis of the evidence of the candidate’s practice is also considered a part and parcel of the certification process. Although skill performance and the related records are not viewed as a crucial part of the model and are not necessarily reviewed in the course of the cementation, the provision thereof is a welcome addition to the pieces of evidence proving the person’s competency levels (Dahlin and Ferrel 60).

Number of APRNs

Since the facility is rather small, the number of staff members working in it is quite humble. At present, there are 47 APRNs employed. The facility also has a rather high employee turnover rate, which is partially due to the intense workload.

Number of FNPs

At present, the facility employs 27 FNP. However, according to the interviewee, the number of nurses employed in the facility changes regularly due to the high workplace burnout and employee turnover rates. Therefore, there are clear indications that the identified nursing environment requires better management, as Alison explains.


The process of reporting used at the organization is rather simple. The reports summarize the essential outcomes of the therapies and interventions provided to the patients. After the essential information has been arranged in the required manner, it is submitted electronically to the Service Director following the company’s policies. Thus, the data is processed adequately, and the implications for further actions are identified.

Hospital Practices vs. the Board of Nursing Statements

The current framework of managing the work of APRNs, FNPs, and ACNPs aligns with the National Council of State Boards of Nursing (NCSBN). For instance, the significance of focusing on the individual needs of each patient and promoting successful communication between nurses are considered crucial elements of the NCSBN policies (National Council of State Boards of Nursing par. 4).

Implications for Improvements

Although the facility members have created an up-to-date environment, in which patients feel comfortable, there are certain issues to be addressed. For instance, the workload of the nursing staff needs reconsideration. Unless proper measures are introduced, an increase in workplace burnouts is expected. Therefore, a sustainable strategy must be incorporated into the company’s financial strategy so that the number of staff members could be increased.

Works Cited

Bloomer, Melissa J, Ruth Endacott, Margaret O’Connor and Wendy Cross. “The ‘Dis-Ease’ of Dying: Challenges in Nursing Care of the Dying in the Acute Hospital Setting.” A qualitative observational study. Palliative Medicine 27.8 (2013), 757-764. Print.

Cowen, Patrick S., and Sue Moorehead. Current Issues in Nursing. Elsevier Health Sciences, 2014. Print.

Dahlin, Constance, and Betty P. Ferrel, Advanced Practice Palliative Nursing. Oxford: OUP, 2016. Print.

Goldman, Lee, and Andrew I. Schafer. Goldman-Cecil Medicine. New York, NY: Elsevier Health Sciences, 2015. Print.

National Council of State Boards of Nursing. . 2016.

Quill, Timothy E., and Amy p. Abernethy. “Generalist Plus Specialist Palliative Care – Creating a More Sustainable Model.” The New England Journal of Medicine 368.13 (2013): 1173-1175. Print.

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