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APN Adult Gerontology Presentation
APN Adult Gerontology Presentation
I. Introduction
1. Definition of Advanced Practice Nursing (APN).
2. History of Advanced Practice Nurses (APNs).
3. Roles of CNS vs. Roles of NPs
4. Consensus APRN regulatory model .
5. Adult Gerontology APNs.
6. History of merging Adult and Gerontology .
(Association, 2016)
&
(“APRNS in the U.S,” 2016)
What is a Clinical Nurse Specialist?
(CNS).
▪ Examples include but are not limited to: Oncology, Older Adults,
Orthopedics, Nephrology, Palliative Care
POPULATION FOCI
Licensure occurs at Levels of Role &
APRN ROLES
Why?
(Resnick, 2010.)
I. Introduction (Cont’)
(Resnick, 2010.)
I. Introduction (Cont’)
(Resnick, 2010.)
I. Introduction (Cont’)
(Resnick, 2010.)
II. Adult Gerontology Clinical Nurse
Specialist (CNS)
1. Definition
(Center, 2016)
2. Settings
(Hunter, 2016)
3. Curricular and Education program
(Cont’)
(Hunter, 2016)
3. Curricular and Education Program (Cont’)
▪ The faculty assesses the clinical experience of the student
by measuring its length, type and settings in order to
ensure that the CNS student is able to deliver care for the
adult gerontology population.
▪ Faculty serves as mentor and provides a variety of
experiences (virtual, case studies, simulation) to ensure
that the student is competent for the Adult Gerontology
CNS role.
▪ The program, encourages the student to focus on different
life stages, wellness and illness of the Adult Gerontology
population. In addition, it broadens the opportunities of the
students to grasp a full idea of the patients’ needs and
experiences.
(Hunter, 2016)
4. Certifications
(Hunter, 2016)
3. Curricular and Education program
(Hunter, 2016)
3. Curricular and Education program
(Cont’)
Graduates of the program are qualified for New York
State NP certification and meet the educational
requirements for national board certification by the
American Nurses Credentialing Center and the American
Academy of Nurse Practitioners Certification Program.
Graduates of AGNP programs are well prepared to offer
comprehensive primary care in ambulatory and
community-based settings.
Like the AGCNS, The faculty assesses the clinical
experience of the student by measuring its length, type
and settings in order to ensure that the CNS student is able
to deliver care for the adult gerontology population.
Life the AGCNS, the faculty serves as mentor and provides
a variety of experiences (virtual, case studies, simulation)
to ensure that the student is competent for the Adult
Gerontology CNS role.
(Hunter, 2016)
4. Certifications
(web, 2014)
4. Certifications
Prerequisites :
(web, 2014)
IV. Competencies of Adult Gerontology
CNSs and NPs
CNS vs NP
Central competency : Core competencies:
Direct care competencies Independent practice competencies
Core competency: Scientific foundation competencies
Consultation competencies Quality competencies
System leadership competencies Practice inquiry competencies
Collaboration competency Technology and information competency
Coaching competency Policy competency
Research competency Health delivery system competencies
Ethical decision making, moral agency and Ethics competencies
advocacy competency
(“Hamric, Spross & Hanson,”2014) (“Adult/Gerontology Clinical Nurse Specialists Competencies,” 2010)
V. Standards of Practice: AGCNS &
AGNP
▪ The Standards of Care for the AGCNS and AGNP are build
upon the Generalist Standards of Care in Nursing’s Scope and
Standards of Practice.
• Should follow national standards of care that are appropriate
for practice in a particular setting
▪ The nursing process is used as a framework:
Standard 1 : Advanced Assessment
Standard 2: Differential Diagnosis
Standard 3: Outcomes Identification
Standard 4: Planning
Standard 5: Implementation
Standard 6: Evaluation
CNS VS NP
Health promotion Health promotion
Holistic assessment Disease prevention
Application of health care policies Health education
Education of healthcare providers Counseling
Collaboration
Diagnosis/management
Laboratory results interpretation
Physical assessment
Access and use of information
Integration of evidence based practices
Screening
Decision making Laboratory/imaging
Integration of gaps in analyses Medications
Referral
(Bell, L. (Ed.),2012). (“Nurse practitioner scope of practice,” 2016)
Restricted Activities for the NP
Adult Gerontology: An
Area of Debate.
(Selway, 2009)
Should Adult and Gerontological
Population be merged or not? What
do you think?
(Selway, 2009)
B.Darlene Byrd, APN,CPC, Certified M.J Henderson,MS,RN,GNP-BC,
Family NP, member of the National Assistant Professor and
Council of States BON.- WITH Gerontology Coordinator, Past
President of the GAPNA- AGAINST
(Selway, 2009)
VIII. Situation in Lebanon
▪ Selway, J. (2009). In the consensus model for APRN regulation, should the Adult-
Gerontology population foci be combined? The Journal for Nurse Practitioners, 5(4),
262–263. doi:10.1016/j.nurpra.2009.02.008. Retrieved October 2, 2017, from:
http://search.proquest.com.ezproxy.aub.edu.lb/docview/1507245581?pq-origsite=sum
mon
▪ Association, the A. N. (2016, July 6). Advanced practice nurses. Retrieved October 2,
2016, from : http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses
▪ Cowen, P. S., & Moorhead, S. (2014). Current issues in nursing. Retrieved October 2,
2016 from https://books.google.com.lb/books?
id=zu4LBAAAQBAJ&pg=PA198&lpg=PA198&dq=merging+of+adult+and+gerontology
&source=bl&ots=eyQIRUI7bd&sig=uAuIThtEtHeLCFhoLXPqGdkSIeE&hl=en&sa=X&ve
d=0ahUKEwiJ896lr7vPAhXKtBQKHX0TDpEQ6AEIKDAE#v=onepage&q=merging
%20of%20adult%20and%20gerontology&f=false
X. Reference Page (Cont’)
▪ Hunter. (2016, October 2). Hunter College - Acalog ACMS™. Retrieved October 2, 2016,
from http://m.catalog.hunter.cuny.edu/#programs_sub
▪ Ventures, S. (2014). Adult Gerontology acute care vs. primary care NP. Retrieved
October 2, 2016, from
http://www.nursepractitionerschools.com/faq/ag-acnp-vs-ag-pcnp
▪ Hamric A.B., Spross J.A. & Hanson C.M., O’Grady E.T. (2014) 5th. Advanced Nursing
Practice: An Intergrative Approach. Philadelphia W.B. Saunders.
▪ Bell, L. (Ed.). (2012). AACN SCOPE AND STANDARDS FOR ACUTE CARE NURSE
PRACTITIONER PRACTICE. Colombia: AACN Critical Care. Retrieved October 4, 2016,
from http://www.aacn.org/wd/practice/docs/acnp-scope-and-standards.pdf
▪ L, 2016, & reserved, all rights. (2003). Clinical nurse specialist (CNS)
certification requirements. Retrieved October 4, 2016, from
http://learn.org/articles/Clinical_Nurse_Specialist_CNS_Certification_Requir
ements_FAQs.html
▪ Dumas, M. A., Finnegan, L., Kapustin, J., & Melander, S. (2011). NATIONAL
ORGANIZATION OF NURSE PRACTITIONER FACULTIES. ACUTE CARE AND
PRIMARY CARE NURSE PRACTITIONER PRACTICE. Retrieved October 5, from
http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/imported/NPPri
maryCareAcuteCarePracticeFINAL.pdf
XI. Guest Speaker