Advanced Practice Roles and Its Elements in Nursing

The Role of the Nurse Practitioner

A nurse practitioner assists with every part of patient care, as well as a verdict, description of the medical treatment, and sessions. They can labor in not only inpatient but outpatient situations as well; moreover, they can hold their practice self-sufficiently or as an element of an action group. In general, nurse practitioners complete the heavy-duty of enlightening the people who need medical treatment about preemptive maintenance and suggested treatments. They also can hold physical exams, order examinations, and have the role of a patient’s chief health care supplier. Individual nurse practitioners can prescribe medications as well. The required education for nurse practitioners is a bachelor’s degree in registered nursing and a master’s degree as a nurse practitioner (Naylor & Kurtzman, 2010). Primary care nurse practitioners are the general workers who are employed in family health clinics or hospitals. They deliver broad-spectrum and preemptive care, hold physical exams, give treatment for diseases, mandate lab examinations and advise medicine for youngsters and grown people.

The Role of the Nurse Educator

Clinical nurse educators provide assistance for not only patients but their colleagues as well. From a healthcare point of view, nurse educators have a position of a model and deliver instructions and training to their co-workers. They attempt to advance patient care and are estimated to implement managerial choices. Due to the augmented accountabilities for the occupation of a nurse educator, the participants are obliged to go through a nurse educator preparation, which could be an aspect of an advanced level nursing graduation platform. The required education for nurse educators is a master’s degree in registered nursing.

The Role of the Nurse Informaticist

The primary roles of the nurse informaticist are spread among the following areas: applying statistics in order to manufacture information, notify result sustenance, and accomplish results along with nomenclatures; providing services both inside or outside as a supply; serving for establishments in order for them to meet every nationwide rules and regulation; interpreting employer necessities into resolutions; helping as the interpreter between the workers and IT specialists; being present as a promoter for customers, hospital elements, and the organization in total; also assisting in forming strategies and principles at the municipal, nationwide and administrative stage; and guiding investigation in a diversity of informatics themes, which influence both nurses and customers. The required education for a nurse informaticist is a master’s degree in IT.

The Role of the Nurse Administrator

A nurse administrator is accountable for the organization of the nursing workers in a health care institution. Nurse administrators are qualified listed workers who over and over again have progressive training and knowledge in the treatment area. A graduate degree is characteristic of this occupation, and therefore, the representatives of this profession can chase voluntary accreditation. The required education for a nurse administrator is a bachelor’s degree in nursing at least; most often representatives of this profession have master’s degrees and a postmaster’s diploma (Naylor & Kurtzman, 2010).

Regulatory and Legal Requirements for Michigan

The Board distinguishes three nurse specialty certifications: “Nurse Anesthetist, Nurse Midwife, and Nurse Practitioner (the Board accepts Clinical Nurse Specialist certification for Nurse Practitioners)” (Steps, 2015, para. 7). In advance of training in a nurse field accreditation in Michigan, an applicator has to possess a Michigan Registered Nursing certificate.

The assignments for the nurse practitioners will be constructed upon the populace specialty, in my case, this is a family nurse practitioner. It will frequently consist of the following subjects: Statistics, advanced pathophysiology, advanced health assessment, advanced pharmacology, primary care, and management practicum/clinical experience (most programs need a minimum of five hundred hours of administered medical practice in my field of family nurse practitioner) (Steps, 2015).

The Michigan Board of Nursing yet failed to advance an opportunity of preparation for advanced practice registered nurses. Nevertheless, the applicant has to accept the subsequent scopes of practice that are resolute by regulation of the state for advanced practice registered nurses along with the political accreditation association. Anything that is above the registered nurse scope of practice has to be administered by a medical doctor (such as carrying out operations, intrusive measures, assembling physical rehabilitation, and advising medicines).

The Professional Organizations Available for Membership

One of the examples of the professional organizations available for membership for the family nurse practitioner is the Michigan Council of Nurse Practitioners, which is also known as MICNP. “The Michigan Council of Nurse Practitioners is a product of two nurse practitioner (NP) groups from the Metro Detroit area coming together in September 2000. It is through the efforts of these pioneers that MICNP has become the voice of nurse practitioners in Michigan” (MICNP, 2014, para. 2). The Council appears to be the only nurse practitioner association in the state of Michigan to signify every department in the nurse practitioner area, including family nurse practitioners.

These cutting-edge frontrunners were contributory to implementing the foundation for both constancy and development of the association. Under their direction, the Michigan Council of Nurse Practitioners evolved into a non-earning, tariff exempted object that has the regulations, which describe the target of the nurse practitioner organizations. The objectives of these innovators were to deliver the nurse practitioners of the state with the management and properties in order to advance their training atmosphere by the means of tutoring of its associates and the community, endorsing admission to nursing practitioner facilities, and legislative accomplishment as soon as it is applicable.

The Michigan Council of Nurse Practitioners endures to develop and extend its impact within the health care area. The Michigan Council of Nurse Practitioners associates is present on a diversity of boarding and advisement commissions. Furthermore, they are present when resolutions on health care are conducted and participate in governmental workspaces when professional attitudes are required. The Michigan Council of Nurse Practitioners has developed from hardly any open-minded and contemporary nurse practitioners to more than fifteen hundred supporters within fourteen chapters. Sustained development, economic constancy, and augmented discernibility of the association are obligatory in order to encounter the requirements and demands of the associates of the Council. The critical objective of the Michigan Council of Nurse Practitioners is to endorse training environs, which maintains the capability of nurse practitioners to deliver care to the sheer magnitude that their training and skills permit.

The vision statement of the Michigan Council of Nurse Practitioners is ‘Nurse Practitioners Working Together with One Voice’ (MICNP, 2014, para. 1). The duty of the Michigan Council of Nurse Practitioners, as an associate-determined company, is to endorse a healthy population of Michigan by the means of several actions. Firstly, the objectives are achieved through supporting the superiority in the preparation of the nurse practitioners, their edification, and inquiries. Secondly, the organization is determining the prospect of health care with the help of the progression of the health strategy. Moreover, guaranteeing the capability of nurse practitioners to deliver care to the sheer magnitude that their training and skills permit and constructing an optimistic appearance of the role of the nurse practitioner as a frontrunner in the public, and federal health care communal will lead to achieving the primary goals of the facility.

There are several values of the Michigan Council of Nurse Practitioners. First of all, vigorous nurse practitioner training environs lead to a healthy population of Michigan. Furthermore, the method of care for the nurse practitioner patients is appreciated, and admission to health care is imperative for every resident of the state. Extraordinary superiority and price-operative health care are vital for a dynamic economy in the state. The consequences for a patient could be amended with a resilient nurse practitioner association such as the Michigan Council of Nurse Practitioners, which supports the healthiness of the population of the state.

The goals of the association are: to endorse the municipal status and discernibility of the Michigan Council of Nurse Practitioners; to sponsor the superiority of nurse practitioners in the medical area and institute the Michigan Council of Nurse Practitioners as a frontrunner in healthcare establishments; to improve and endorse the practice of nurse practitioners at all stages by the means of development of the supervisory environs; to approve nurse practitioner medical training as a vital constituent of healthcare in the state, and to increase and expand the involvement while upholding the superiority of amenities for the participants and subdivisions.

Required Competencies, Including Certification Requirements

The nurse practitioner core competencies, which are also referred to as NPCC, participate and construct upon present Master’s and Doctorate of nursing practice’s core competencies and appear to be the guiding principles for scholastic agendas that are aimed to organize nurse practitioners to apply the complete range of training in a role of an approved and qualified self-regulating medical practitioner. The competencies that will be discussed below are examples of indispensable performances of all nurse practitioners. These proficiencies are established upon completion irrespective of the populace emphasis of the agenda and are essentially a for a nurse practitioner to encounter the compound challenges of interpreting intensifying understanding into preparation and occupation in an altering health care setting promptly. Nurse practitioners, former students possess awareness, assistance, and aptitudes, which are crucial for autonomous medical training. The core competencies of a nurse practitioner include scientific foundation skills, leadership skills, quality skills, practice inquiry skills, technology, and information literacy skills, policy skills, health delivery system skills, ethics competencies, and independent practice skills (Thomas, Crabtree, Delaney, & Dumas, 2011).

The family nurse practitioners are obliged to receive advanced nursing training that will deliver them with proper preparation and skills to evaluate, provide treatment, counsel, and screen the healthcare of the families. They can give medicines, mandate examinations, denote patients, and provide treatment for safe life disorders.

Certification necessities for the family nurse practitioners diverge by state. My state Michigan entails no less than a Master of Science in Nursing; moreover, Doctor of Nursing Practice pieces of training are a possibility as well (Geiser, 2015). Besides, the family nurse practitioners are obliged to have beforehand accomplished recorded nursing training and received a license as registered nurses. They also require finishing ongoing tutoring to maintain certifying and accreditation.

The Organization and Setting, Population, and Colleagues

To my opinion, as an urgent care nurse practitioner, I would be employed in a walk-in or a private clinic in Michigan. The population of the private clinic will be small. I imagine that I will be employed at the hospital, where there would be several benefits, such as reasonable recompense, travel-related expenditures enclosed, highly ranked medicinal unprofessional conduct cover delivered, and industry foremost certifying and credentialing sustenance provided. My colleagues will appear to be experienced licensed professionals, who would be able to exchange their skills with me.

Leadership Attributes of the Advanced Practice Role

According to the research, leadership consists of directive, supportive, participative and achievement-oriented dimensions. A leader has to appraise his workers and determine whether they are capable of performing and fulfilling the task in order to evaluate the effects of the leadership. So, to my opinion, the situational-specific factors elect the directedness or support of the leader to meet the shifting requirements of the employees. Moreover, the influence on leadership results in the interest in productive and efficient work, thus altering the level of the development of the workers.

The leadership style that suits the practice of a family nurse practitioner best is participative leadership. “The primary goal of participative leadership is consulting with employees regarding preferences in performing job requirements. Here, subordinates are directly involved in the decision-making process” (Cross, 2014, para. 2). Participative leadership involves the methods of the leaders of motivating and encouraging their employees. The primary target of this approach is to improve the performance of the team members of the company and the contentment of the followers by directing the efforts towards the inspiration of the workers. The central point of this attitude is focusing on the motivation and appraise of these followers and employees in different situations. From this angle, in order to be an effective leader, the person is expected to construct his style of leadership up various circumstances that would motivate the followers

Leadership Attributes

My personal leadership attributes to achieve my goals are high motivation, integrity, organization, detail-orientation, creativity, and confidence. Honesty and a distinct perception of integrity are the essential qualities of a nurse practitioner, as he would maintain confidential personal information and treatment plans. With integrity, I would make sure that my customer will follow all regulations in order to remain in the framework of the prescribed treatment. Furthermore, I am a highly coordinated and organized individual, which is why it would be convenient for me to perform in a highly structured environment. This leads to my next strength – detail orientation. Even though a profession of a nurse practitioner requires amenities with a highly structured environment, I am also creative and innovative. New ideas and theories often occur to me, helping to resolve difficult situations or complications.

Evaluation of Missing Attributes

At the moment, I have two major traits that I would like to improve. Weaknesses that I must work on are impatience with co-workers that enjoy arguing and time management. In my honest opinion, improving my time management would bring more benefits to the roles of both leader and follower. One cannot return lost time back; it is irreversible and can do extensive damage to the company if not used right. However, time can work for the employee if it is organized efficiently.

In order to achieve the highest efficiency, the leaders would be forced to level down and collaborate with other members of the team; while the followers would need to enhance their work and assert the leadership. If at least one link of the leader-follower relationship were not working properly, it could compromise the work of an entire team. I believe that there are a few workshops that I can visit to work on both time management and dealing with difficult situations with co-workers. The critical and the most prominent element of leadership is to relate yourself to the other members of the team by acceptance of different points of view; thus I need to learn to remain calm when someone offers help by means I do not approve.

Health Policy and the Advanced Practice Role

There are several health policy issues in the Robert Wood Johnson Foundation: enforcing mental health parity, rebalancing Medicaid long-term services and supports, and launching the FDA’s Sentinel initiative (Robert Wood Johnson Foundation, 2004).

Conventionally, insurance suppliers and companies have enclosed cures for mental health and medicine usage situations inversely than treatment for other medicinal disorders. The coverage regulations completed mental health and medicine usage welfares as considerably less liberal than welfares for other therapeutic illnesses.

There are vital organizational alterations in the Medicaid program that can disturb the rapidity of improvement for definite populaces. For instance, nursing facility amenities are obligatory due to centralized Medicaid law, while established facilities for people with mental or developing incapacities, a classically newer populace, are an elective amenity. This can provide states with more suppleness in an organization strategy for newer populaces. The broad difference in the project of home and community-based services as they have progressed across numerous state renunciations has elevated apprehension that the substitutes may not permanently be as operational in assistance to complete incorporation into the wider community for entities with incapacities.

There still exists an abundant amount of citizens who fall into the category of people that are not entitled to the insurance offered by the Affordable Health Care Act. This fact can be attributed to the inability of this group of people to afford the protections as these citizens are not enabled for the Medicaid programs of their country. For the short period, an alternative existed, which implied the ability of the states to receive assets in order to broaden their Medicaid programs. To this day, the administration of the country failed to provide any advancement towards initiating considerable changes, despite diligent advertising. “It is the responsibility of the President to enforce this policy and to disclose any conflicts of interest to the Chairman of the Board. The Board of Trustees may, on a case-by-case basis, authorize exceptions to this policy for good cause shown” (Robert Wood Johnson Foundation, 2004, para. 10).

For the first time since Lyndon Johnson established Medicare and Medicaid, the United States will implement compelling adjustments towards the improvement of medical attention. The most excellent indication of the accomplishments of the policy changes would be the contrasting between the citizens with and without insurance in the following years. The AHCA will decrease the number of citizens without insurance; make health insurance affordable for most of the citizens, and improve the health outcomes for the young generation; moreover, to my opinion, the AHCA will impact the decrease in the wasting money in the healthcare area.


Cross, V. (2014). The path-goal theory of leadership in companies. Web.

Geiser, C. (2015). Nurse practitioner knowledge, use, and referral of complementary/alternative therapies. Journal of the American Association of Nurse Practitioners, 27(7), 380-388.

MICNP mission & values. (2014). Web.

Naylor, M., & Kurtzman, E. (2010). The role of nurse practitioners in reinventing primary care. Health Affairs, 29(5), 893-899.

Robert Wood Johnson Foundation. (2004). Conflict of the interest policy statement. Web.

Steps to becoming an APRN in Michigan. (2015). Web.

Thomas, A., Crabtree, M., Delaney, K., & Dumas, M. (2011). Nurse practitioner core competencies. Web.

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