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APRN (Advanced Practice Research Nurses) are one of the major work forces in the United States of America and with the number of 267000 professionals associated with this profession provides guidance to the healthcare system of the country (Spross, 2014). The Consensus Model for the APRN was established in the country to interrelate the licensure, accreditation, certification and education or LACE with that of the future of advanced practice nursing (McClelland, McCoy & Burson, 2013). Therefore, this is the regulatory model which helps to increase the level of holistic approach of nursing and enhance patient care. The Consensus modelis comprised of 40 nursing organizations around the country and all these APRN nursing organization behaviour helps to create a common regulation so that increased compliance to care strategies and interventions could be achieved (Rounds, Zych & Mallary, 2013). This assignment will be discussing the APRN regulatory essential elements such as the licensure, accreditation, certification and education or LACE and their importance in the advanced practice nursing. Further, the roles of population focused programs for the certification for APRNs in the consensus model will be discussed with the ways this model can help in the advancement of the practice of advanced practice nursing. Finally, the barriers related to APRNs practice in the states will be discussed.
LACE and its importance
LACE is the advance practice using the which the advanced nursing goals are decided and the professionals use their critical thinking and comply with the strategies so that holistic care could be provided to the patients. LACE is the way using which the advanced practices nursing professionals can regulate their profession, its members and their performances (Spross, 2014). These four aspects of consensus model have different purposes and different philosophies as well as have diverse legal standings. Therefore, using this in the advanced practice nursing, professionals can regulate their role, their abilities and their aspects in nursing profession without any confusion (Oliver et al., 2014).
Licensing provides a detail about the granting level or ability of the professional about the practice. Therefore, asper the consensus model, it is the duty of the licensing and accreditation department of the nursing to provide license to the nursing professionals so that they can take part in the care process as per their ability (Rounds, Zych & Mallary, 2013). On the other hand, accreditation so the process using which complete nursing schools in the states are examined and evaluated so that essential readings and syllabus to prepare advance practice nurses could be evaluated. Further, certification is the evaluation and assessment of an individual’s knowledge skills and ability about the profession (Farrell, Payne & Heye, 2015). Licensing and certification are interrelated processes. Whereas, education is related to the educational sessions for advanced practice nurses so that their mental health, psychological approach about their profession and their ability to implement clinical learnings could be assessed. Using these aspects of consensus model, healthcare organizations can determine one specific process and practice that should be operated in different healthcare organizations (McClelland, McCoy & Burson, 2013). Further, it helps to influence other new post graduate nursing professionals so that they can feel the consistency ands stability in this profession and provide their complete support to make the process fruitful (Oliver et al., 2014)l.
Population focused roles for certification for APRNs
Certification is the process using which licensing and authorization is provided to the advanced practice nurses depending on their competence level with the strategies and policies of the consensus model (Oliver et al., 2014). Besides the four aspects mentioned in the previous section, the model also discusses the six population focuses that the state board of nursing and the national certification organization uses to determine their licensing and certification related issues (Hass, 2016). These focuses are: neonatal care, pediatrics, women and their reproductive health, mental and psychiatric health, adult geronto0logy and the family or individual care across the lifespan. Therefore, these are the six aspects depending on which the nursing professionals should be trained, and license should also be provided depending on their chosen population focus (McClelland, McCoy & Burson, 2013). Furtherthis also limits the certification and licensing of nursing professions in other population focus other than such as palliative care, oncology related care, or substance abuse (Oliver et al., 2014). However, it also provides a relaxation or chance to the healthcare professionals who want to take these other population focus as their career option and determined the fact that after special training and educational the professional can earn national certification, state license or the authority to care for the designated population (Hass, 2016).
Ways that the Consensus Model can help in the advancement
Consensus model helps the APRNs to develop or advance their practice due to the presence of LACE or associated factors. The LACE policy of the consensus model helps in the determination of formal eduycatio9n and guidance so that students can become responsible and skilled advanced practice nurses (Rounds, Zych & Mallary, 2013). Therefore, it provides the nursing colleges and universities with pre-approval and pre-accreditation status so that the students can understand the level of university of college they are choosing for their admission (Farrell, Payne & Heye, 2015). Therefore, it helps to upgrade the education system and make them competent to the nursing profession and APRN guidelines. Further, the consensus system also develops advance pharmacological system which includes pharmacodynamics and pharmacotherapeutic so that everything can come under one authority or governing body, increasing the authenticity and reliability (Rounds, Zych & Mallary, 2013).
Barriers in APRN
The barriers for APRN practice in the states are related to the tension between the federal state, APRN practices and the institutional limits so that delays in care cost of care and availability of the patient in primary care unit can be increased (Trigueros-Preciado, Pérez-González & Solana-González, 2013). Further, APRN related practices and its limitations were removed few years back which is working as a shortcoming for the process and its authenticity. Moreover, there are situations in which policies and regulations are not followed in the APRH nursing process, which works as a barrier to the process (Hain & Fleck, 2014).
In the final summary it could be stated that consensus model is a organized structure of more than 40 nursing organizations on USA that creates, improves modifies and develops the policies and regulations in the nursing profession and then provides guidelines to follow. In this aspect, barriers related to APRN and their practice, the ability of consensus business model to determine the advancement of the process and the population foci in the consensus model was discussed.
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