apn future considerations reply post 1

Reply to post with addition information. 2 reference within 5 years. APA format

The four roles of Advanced Practice Registered Nurse are clinical nurse specialist (CNS), certified nurse-midwife (CNM), certified registered nurse anesthetist (CRNA), and nurse practitioner (NP) (Joel, 2018). APRNs can distinguish his or her role from each other by the kind of populations they serve, as well as, what kind of service they provide. For example, nurse practitioners may act as primary care provider for their patients while the other roles may not act as PCPs. Certified nurse-midwife will be serving populations consisting of women that need care with gynecological needs, and they may care for their spouses as well. Clinical nurse specialists may be providing care with patients that need help with wound management, pain management, diabetes management, or discharge instructions. Certified registered nurse anesthetist will be dealing with anesthesia and or pain management for post op patients.

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All APRN roles offer increased access to health care, and provide cost-effective quality care to the community. It is important though for Advanced Practice Registered Nurses to distinguish their roles from other APRN roles so as to avoid confusion among patients that they will service. For example, a pregnant woman would prefer to go to a certified nurse-midwife instead of going to see a clinical nurse specialist as the CNM is more specialized with issues surrounding pregnancy. APRNs will be more effective with regards to their performance if the types of patients they are servicing are aligned with the education, experience, and their practiced roles. As mentioned previously, each role may or may not have specific population that they see. It will help APRNs also to deliver care with outmost safety.


Joel, L. A., Flanagan, J., Harris, A., & Jones, D. (2018). Accomplishments,

Trends, and Future Development. In Advanced Practice Nursing Essentials for Role Development (Kindle Edition, p. 387). F.A. Davis Company.

original question:

There are three troublesome issues that have emerged in the advancement of APRN practice. These issues in APRN include: 1) the clear role development and morphed to fill gaps in services; 2) the lack of clarity regarding role uniqueness; and 3) the dearth in nursing specific outcomes. From your readings this week, discuss 1 of the 3 questions. Begin your discussion with the question you will be addressing.

Why might the development and morphing of roles based on gaps in medicine be problematic for advancement of APRNs? What actions might a nurse take to reduce this?
In what ways can an APRN distinguish his or her role from other nursing roles and medical counterparts? Why might this be important?
How can APRNs encourage nursing-based outcome studies?

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