So true the shortage of Physicians and non-physicians has allowed APRN to have more professional responsibilities. An Advanced Practice Nurse can work as either a FNP or Midwife with the appropriate training. Although both of these clinical positions are underutilized in some communities, each of these disciplines can facilitate cost saving and effective care when collaborating together (Casey et al., 2017). The FNP works in tandem with the Midwife, the symbiotic relationship can help reduce pregnancy related deaths in the United States (Krishnaswami & Del C Colon-Gonzalez, 2019). The collaboration should foster respect and communication (Smith, 2016).
Maternity patients must receive timely medical care from the perinatal point to the postnatal time frame. A FNP typically provides medical management, family planning and management of patients in the beginning months of their pregnancies (Van Hecke et al., 2019). For complicated cases and pregnancies beyond the first trimester, the FNP can refer the case to the Midwife’s practice or to an obstetrician.
Casey, M., O’Connor, L., Cashin, A., Smith, R., O’Brien, D., Nicholson, E., O’Leary, D., Fealy, G., McNamara, M., Glasgow, M. E., Stokes, D., & Egan, C. (2017). An overview of the outcomes and impact of specialist and advanced nursing and midwifery practice, on quality of care, cost and access to services: A narrative review. Nurse Education Today, 56, 35–40. https://doi-org.ezp.waldenulibrary.org/10.1016/j.nedt.2017.06.004
Krishnaswami, J., & Del C Colon-Gonzalez, M. (2019). Reforming Women’s Health Care: A Call to Action for Lifestyle Medicine Practitioners to Save Lives of Mothers and Infants. American journal of lifestyle medicine, 13(5), 495–504. https://doi.org/10.1177/1559827619838461
Smith, D. C. (2016). Interprofessional Collaboration in Perinatal Care. The Journal of Perinatal & Neonatal Nursing, 30(3), 167–173. doi:10.1097/JPN.0000000000000187.
Van Hecke, A., Goemaes, R., Verhaeghe, S., Beyers, W., Decoene, E., & Beeckman, D. (2019). Leadership in nursing and midwifery: Activities and associated competencies advanced practice nurses and midwives. Journal of Nursing Management. 2019;27(6):1261-1274. doi:10.1111/jonm.12808
Discussion: Different Roles of the Nurse Practitioner
The term ‘history” is broad in meaning. Within that broad framework archeologists tend to focus their careers on various specialties and areas of interest, such as specific historical eras or geographical areas.
So it is with nurses. Within the broad framework of healthcare, nurse practitioners focus their careers on various roles. These roles may in part be based on narrower areas of interest such as women’s health. Careers also focus on selected technical nursing specialties.
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For this Discussion, you will explore your professional interests and those interests are addressed in specific guidelines and competencies. You also examine the different nurse practitioner roles related to women’s health and how these roles might impact the way you work.
- Review the modular structure of this course and reflect on how each module defines the specific skills needed as an advanced Nurse Practitioner (NP).
- Review the ANA guidelines, NP competencies, and the Ethic resources found in this week’s Learning Resources and consider how they impact the work of the NP.
By Day 3
Post a brief explanation about the differences in roles related to a CRNP, a CNM, and a PA and how each of these roles might impact the how you practice as a FNP. Be specific and provide examples.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues’ posts on two different days and provide additional insight to your colleagues related to issues and topics they may want to also consider. Use the Learning Resources and/or the best available evidence from current literature to support your explanation.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!