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Acute Care Nurse Practitioner

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To become an acute care nurse practitioner one must first earn a degree in nursing from a two to four-year program and be certified as a registered nurse (RN). They then gain experience in the acute care setting, usually two to three years, and return to school to achieve an advanced degree. A Master’s degree in Nursing (MSN) or higher education, such as a doctorate, in nursing is required. The Master’s programs are given through a two-year program. About 40 credit hours of classes is required to achieve this degree, along with hundreds of hours of clinical experience (“What Acute Care…” 2018). This Master’s degree must be a program specific to acute care nurse practitioners (“Your Guide to Certification” 2001). The next step is to become certified by the State Board of Nursing or through a certain agency, such as the American Association of Nurse Practitioners. When certified the new acute care nurse practitioner is able to practice based on the guidelines set by the state they are working in (“What Acute Care…” 2018).

Skills of Acute Care Nurse Practitioners

The skills required to be a successful acute care nurse practitioner can be summarized by Susan Yeager, MS, RN, CCRN, ACNP when giving an interview for the Journal for Nurse Practitioners. Yeager described that the skills needed to be an acute care nurse practitioner build from the foundation of skills required for a registered nurse (“Acute Care Nurse Practitioner” 2010). Skills required of a nurse include flexibility, communication and humility, along with many others such as independence, integrity and compassion (Berman, Kozier, Erb, 2016).

Flexibility or adaptability is a skill needed because often times a problem or change will come up and you will need to be able to adapt to that change. For example, a patient may come in with a broken leg and you begin treating the leg, but then they suddenly begin vomiting. The nurse practitioner must adapt their care plan to the immediate need of the patient, which is to stop the vomiting. Nurse practitioners also have schedules that often change and include night or weekend shifts, even shifts on the holidays.

Communication is an essential skill needed for any health care professional, but an acute care nurse practitioner must be an expert. An acute care nurse practitioner will often be the leader of a health care team therefore good communication is needed for many reasons. Some of these examples include determining if a treatment is working, knowing what the patient is complaining of such as pain, and knowing what medications have been given. Another reason an acute care nurse practitioner needs good communication is because they have to communicate with the patient about their condition and the treatments they will receive. For communication to be effective, the acute care nurse practitioner must also listen to the patient. These professionals will listen to things such as the patient’s concerns, symptoms that they are experiencing, and what actions would make the patient’s care better.

Humility, more specifically cognitive humility, is an important skill for any healthcare professional to have. Cognitive humility is the ability to recognize that you do not know everything. It is important because you will be approached with a problem that you will not have a solution for. It would be better to admit that you do not understand the situation, rather than pretend you know what is going on and possibly put the patient in great danger. This would provide yourself with an opportunity to bring in a more knowledgeable professional to give the patient the best care possible.

This profession works in tense and demanding situations, so they experience many challenges within the workplace. Some of these include constant unplanned interruptions, heightened level of stress with an acute illness, and gathering data from a distressed patient (“Acute Care Nurse Practitioner” 2010). Unplanned interruptions within the health care setting is a normal thing to see, but an acute care nurse practitioner must be flexible and ready when they happen. Nurse practitioners will often be in the middle of a procedure or important conversation with a family and their pager will be going off with a patient in need of their assistance (“Acute Care Nurse Practitioner” 2010).

When someone has an acute illness it is often painful and intense, which can increase the stress of the patient and their family. This can be a challenge because the acute care nurse practitioner must communicate to them the severity and difficulty of illness. An example of this would be having to tell a patient that they must have a risky surgery. This is would cause stress and confusion for the patient and their family (“Acute Care Nurse Practitioner” 2010). Another example would be performing an assessment on an acutely ill patient. When a patient is admitted in the hospital a health care professional must do an assessment on them. In an acute care setting this can be a challenge because the patient is usually in distress and pain. They will not be interested in answering certain questions. The acute care nurse practitioner must then use their skills to relieve some of the patient’s pain and try to get as much information as possible.

Salary

The salary of an acute care nurse practitioner can range depending on the facility and region they work in. The US Bureau of Labor Statistics says that the median income for advanced practice nurses, including acute care nurse practitioners, is $100,910 per year (“Career Profile” 2018). Their salary is also influenced by these professionals specialty. The 2011 National Salary Report published a number of salaries of acute care nurse practitioners based on populations and work settings they chose. Those who work in emergency settings earn the most with a salary of $103,722. Acute care nurse practitioners that specialize in pediatrics earn $82,101 per year. Those who specialize in gerontology earn $94,485 per year (“Acute Care Nurse Practitioner (ACNP)” 2018).

From Their Point of View

Acute care nurse practitioners have been surveyed discussing their point of view of their career choice. In 1999 Ruth Kleinpell sent surveys to those who had recently taken the acute care nurse practitioner exam. Kleinpell conducted this study to find out the role development and employment patterns of newly certified acute care nurse practitioners. The results indicated that these professionals were able to interpret diagnostic tests, examine and clean wounds, initiate discharge planning, among many other skills. Almost all of the study participants stated that they were either “very satisfied” or “somewhat satisfied” with their profession. They also said that they were either “very satisfied” or “somewhat satisfied” with collaborations with physicians and other health care professionals (Kleinpell 1999).

Need and Outlook for Acute Care Nurse Practitioners

Nurse practitioners in acute care settings have become a valuable part of the healthcare facilities. The need for acute care nurse practitioners has increased in past years due to the accessible high-quality care that is needed. With the growing elderly population, due to the aging “baby boomer” generation, this level of care is needed even more in the near future. This population is also primarily based in rural or non-urban areas, so there will be more need in these areas (Berman, Kozier, Erb, 2016).

As stated before, acute care nurse practitioners are able to provide equal or even higher quality of care compared to physicians and physician assistants. Susan Yeager even stated that “the variety of opportunities in unique settings grow. I can envision this leading to an environment where nurse practitioners can consult nurse practitioners” (“Acute Care Nurse Practitioner 2010). Yeager goes on to predict that nurse practitioners will become experts in medical procedures and continue in providing excellent care (“Acute Care Nurse Practitioners” 2010). The role of the acute care nurse practitioner is one that is growing need and in value. It is also expanding in responsibilities. With their flexibility and willingness to learn the future of acute care nurse practitioners is exciting and unlimited.

Conclusion

Acute care nurse practitioners are valuable members of a health care team that provide excellent care to the patients. The profession of acute care nurse practitioner is one that is challenging and offers great reward. They are a valuable member of a healthcare team and they provide excellent care. They are able to work in a number of health care settings and provide care to all types of populations. Acute care nurse practitioners are able to provide the same level of care as other professionals with medical degrees, including physicians and physician assistants. Patients have even said that the care they received from nurse practitioners exceeds that of physician assistants.

The education of acute care nurse practitioners has greatly expanded within the last 20 years. There are now programs available throughout the United States that provide excellent preparation for their career in the medical field. Certification through a test allows the new acute care nurse practitioner to practice. However, they will have to research state regulations to fully understand what they are able to do.

The acute care nurse practitioner is a profession that requires many skills that will help the person to deal with different situations. These include adaptability, cognitive humility and good communication. With these skills mastered and excellent education the need and performance of an acute care nurse practitioner will be first-rate.

References

A Day in the Life of an Acute Care Nurse Practitioner (ACNP). (n.d.). Retrieved October 4, 2018 Career Profile: Acute Care Nurse Practitioner. (n.d.). Retrieved October 4, 2018 Fox, K. (2014). The Role of the Acute Care Nurse Practitioner in the Implementation of the Commission on Cancer’s Standards on Palliative Care. Clinical Journal of Oncology Nursing, 18, 39–44. Haut, C., & Madden, M. (2015). Hiring appropriate providers for different populations: acute care nurse practitioners. Critical Care Nurse, 35(3), e1–e8. Horrocks, S., Anderson, E., & Salisbury, C. (2002). Systematic Review Of Whether Nurse Practitioners Working In Primary Care Can Provide Equivalent Care To Doctors. BMJ: British Medical Journal, 324(7341), 819-823. Kleinpell RM. (1999). Evolving role descriptions of the acute care nurse practitioner. Critical Care Nursing Quarterly, 21(4), 9–15. Morton, P. (1999). A New Role: Acute Care NP. The American Journal of Nursing, 99(8), 24A-24E. doi:10.2307/3472171 What Acute Care Nurse Practitioners Do. (n.d.). Retrieved October 4, 2018 Your Guide to Certification. (2001). The American Journal of Nursing, 101(1), 40-49. Berman, Kozier, Erb, A., Kozier, B., & Erb, G. L. (2016). Kozier and Erbs fundamentals of nursing: Concepts, process and practice. Sydney, N.S.W.: Pearson Australia. Nurse Practitioner Vs. Physician Assistant. (2018, September 06). Acute Care Nurse Practitioner (ACNP). (n.d.). Retrieved October 25, 2018 Acute Care Nurse Practitioner. (2010, May). Retrieved October 4, 2018

       
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