Why is Nursing Going into Advanced Practice?

By 1980, the American Nurses Association has (ANA) has declared that “specialization in nursing is now clearly established and that specialization is a mark of the advancement of the nursing profession”. Advanced nursing practice has reached increasing levels of acceptance and demand, interprofessional conflicts increased, with medicine perceiving Clinical Nurse Managers (CNMs) as a competitive threat. According to Hamric (1989), the role of the Clinical Nurse Specialists (CNS) “originated for the purpose of improving the quality of nursing care provided to patients” the historical development of psychiatric CNSs is the oldest and one of the most highly developed CNS specialties. This growth in the psychiatric nursing body of knowledge provided the support for psychiatric nurses to begin exploring new leadership roles in the care of mental health clients in both inpatient and outpatient settings. The impressive development of the psychiatric CNS role helped initiate the growth of other CNS specialty areas.

As the number of Nurse Practitioners (NPs) is increasing in response to the increasing demand, and the NP role has attracted considerable attention from professional groups and policy makers. The Obama Administration’s records on supporting the nursing workforce has stated the following  “…With implementation of the law, we have new opportunities to move to a health care system that focuses on increased access to primary care, improved care coordination and an emphasis on prevention and wellness—efforts nurses have focused on from the beginning. This is what the future of health care looks like, and it makes the work and expertise of America’s nurses more important than ever.”

Advanced nursing practice includes specialization but goes beyond it. The skills we learn in a Masters Program function synergistically to produce a whole that is greater than the sum of its parts. For the many reasons I chose to enroll in the Masters, is because I want to possess advanced health assessment, diagnostic, and clinical management skills that include pharmacological management. I want to feel more autonomous in my direct clinical practice. I have always been dedicated to coaching of patients, families and other health care providers, so, a masters in nursing will legitimize my professional attitude and practice. Another reason that is crucial for me is research, evidenced based practice is the golden frame for us; nurses, so research skills including, utilization, evaluation, and conduct are well taught and developed in the Masters program.

The common rule is that a Masters degree is inevitable for advanced practices nurses (APNs). The role of an APN, whether in primary care or acute care, makes a bigger difference because it challenges the status quo. The role is so expanded that includes, and is not limited to collaboration, leadership, management, and ethical decision-making. 

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Most New Teachers Feel Unprepared to Help Students Deal With Mental Health Problems

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  • Toronto district school board found stress and anxiety to be the most prevalent emotional issues among students
  • More than 100,000 students and 75 secondary school teachers
  • 92% of teachers reported that they had students struggling with mental issues
  • 97.4% of them agreed or strongly agreed that it was part of their job
  • 93.3% felt that their education training did not qualify them for dealing with mental health issues

 

Prevalence of Emotional Issues Among Students of Toronto 

                                                        Grade 7-8                                      Grade  9-12
Positive feelings
Feel good about yourself 80% 70%
Feel reasonably happy 78% 67%
Able to enjoy daily activities 76% 64%
Hopeful about the future 72% 62%
Like the way you look 67% 58%
Physical symptoms
Tired for no reason 58% 76%
Difficulty concentrating 56% 76%
Difficulty making decisions 56% 72%
Losing sleep bcz of worry 38% 57%
Doesnt overcomedifficulties 31% 47%
Feel like crying 21% 29%
Emotional challenges
Feel lonely 29% 43%
Feel down 32% 48%
Losing confidence 32% 48%
Under a lot of stress 40% 66%
Feel nervous/anxious 63% 72%

 

Action Plan:

1- Raising awareness about mental health issues (e. g., teen suicide, and bullying)

2- Providing resources to help students with mental health problems

3- Addressing the need of bachelor programs of student teachers to have a more thorough understanding of mental illness and its consequences

 

References

Sarah, B. (2013). Most new teachers feel unprepared to help students deal with mental health   problems: study. National Post. Retrieved from   http://news.nationalpost.com/2013/06/02/teachers-feel-
unprepared-to-help-students-
  deal-with-mental-health-issues/