In the first essay, the key distinction that exists between nursing and advanced nursing practice is the historical evolution of the two roles. The responsibility of nurse practitioners (NPs), mostly women during the 1800s, was to provide holistic compassionate care intended to prevent illnesses and improve wellbeing (McNett, Tucker & Mazurek, 2019). Distinctively, the nursing profession evolved to advanced nursing practice dominated by male practitioners during the 1900s. I think nursing practice evolved to advanced nursing practice to establish a foundation for the introduction of evidence-based clinical practice implemented by advanced practice nurses (APNs). Importantly, evidence-based practice requires APNs to rely on various theories to advance care and make significant clinical care decisions. These theories include Nightingale’s theory of the environment, King’s Theory of Goal Attainment, and Orem’s Self-Care Deficit Nursing Theory (Kesten, White, Heitzler, Chaplin & Bondmass, 2019). I believe the focus of the nursing profession has changed as APNs rely on theoretical evidence to advance the quality of care, as well as improve the wellbeing of patients.
In the second essay, the main distinction between nursing and advanced nursing practice lies in their definitions. American Nurses Association (ANA) defines nursing as the practice of protecting and optimizing health and disabilities as well as alleviating illnesses and disease (Burtson & Sticklers, 2010). Conversely, advanced nursing practice is the provision of care anchored on comprehensive skills, knowledge, and evidence-based support systems. The APNs transcend the traditional boundaries of NPs to provide comprehensive care facilitated by growth in the knowledge base, execution of complex decisions, and highly developed clinical competence (Burtson & Stichler, 2010). I equally concur with the assertions that nursing theories are essential to nurses because it guides them to enhance the quality of care. Nursing theories are consistent approaches and guidelines that guarantee the execution of the best clinical practices. Per Nikfarid, Hekmat, Vedad & Rajabi (2018), APNs rely on Jean Watson’s Human Caring to help patients embrace their productive energy in mind, body, and soul. I believe patients should be supported to optimize their ability to actively participate in the provision of healthcare services. This enhances holistic care.
Burtson, P., & Stichler J. (2010). Nursing work environment and nurse caring: Relationship among motivational factors. J Adv Nurs., 66(8), 1819–1831.
Kesten, K., White, K., Heitzler, E., Chaplin, L., & Bondmass, M. (2019). Perceived Evidence-Based Practice competency acquisition in graduate nursing students: Impact of intentional course design. The Journal of Continuing Education in Nursing, 50(2), 79-86.
McNett, M., Tucker, S., & Mazurek, B. (2019). Implementation science: A critical strategy necessary to advance and sustain Evidence‐Based Practice. Worldviews on Evidence-Based Nursing, 16(3), 174-175.
Nikfarid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm concepts in human caring theory and Persian mysticism: A comparative study. Journal of Medical Ethics and History of Medicine, 11, 6.