Medical ACNP : AG - Acute Care Nurse Practitioner Exam

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ACNP test Format | ACNP Course Contents | ACNP Course Outline | ACNP test Syllabus | ACNP test Objectives


The Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) Post-Professional Certificate is designed for graduate prepared Nurse Practitioners (NP) or Clinical Nurse certified (CNS) who are seeking to expand their roles via nurse practitioner certification in Adult-Gerontology Acute Care. The curriculum prepares nurse practitioners to function as generalist, principal providers of care for adults and older adults with acute, critical and complex chronic health problems across the continuum of acute care services.

AG-ACNP students may choose a clinical emphasis in cardiopulmonary, critical care, oncology, trauma emergency preparedness or directed study. The directed study allows students to design clinical experiences around a particular area of interest (i.e. internal medicine, general surgery). The curriculum consists of NP and AG-ACNP specialty courses and clinical practice hours.

Graduates of the AG-ACNP Post-Professional Certificate are eligible to sit for the national certification examination in Adult-Gerontology Acute Care offered by the American Nurses Credentialing Center or American Association of Critical Care Nurses. Successful passing of the national certification examination entitles the graduate to apply for certification as a Certified Registered Nurse Practitioner (CRNP) in Adult-Gerontology Acute Care by the State Board of Nurse Examiners of the Commonwealth of Pennsylvania.

Course work may be completed in 3 terms
540 clinical hours
Online or onsite
Students are required to attend 2 onsite laboratory intensives - 2 days in the Summer term and 1 day in the Fall term. Each student will be responsible for the room and board cost during the lab intensives.
Online students will need to arrange for clinical placements and appropriate physician or nurse practitioner preceptors. An Affiliation Agreement between the University and the clinical site is required before clinical hours can begin.

Graduates of the AG-ACNP Post-Professional Certificate are prepared to accomplish the following:

Assume responsibility for promoting, maintaining and restoring health to acutely/critically or complex chronically ill adults and older adults
Identify health risks, promote wellness, and diagnosis and manage acute and chronic illness
Participate in multi-disciplinary research and provide leadership in mobilizing health services



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Medical Acute education

What do nurses in acute trusts deserve to provide mental fitness care? | ACNP Questions and Answers and Free test PDF

a local survey of nurses in acute trusts confirmed the gaining knowledge of development needs and challenges round providing care to sufferers with mental fitness needs among frequent nurses. this text comes with a handout for a journal membership discussion

abstract

A survey of nurses working in seven acute trusts across Wessex was conducted to better consider the discovering development needs and challenges around featuring intellectual health care. The consequences resulted in a regional community being created to bring advancements in the care of patients with mental fitness wants in the acute environment.

citation: Herbert S, Hetherington T (2021) What do nurses in acute trusts need to supply mental health care? Nursing instances [online]; 117: 6, forty four-46.

Authors: Sarah Herbert is divisional head of nursing, institution hospital Southampton NHS foundation believe; Tina Hetherington is deputy chief nurse, Portsmouth Hospitals university NHS believe.

mental sickness is the fifth most standard fitness ailment globally (Whiteford et al, 2013). there's facts that sufferers with mental sickness receiving care in hospitals experience disparities in care and inequities in remedy in healthcare methods (Druss et al, 2011). physical situations in americans with intellectual ailment are standard; figures display they have greater charges of diabetes mellitus, heart problems, pulmonary ailment, infectious disorder and likely styles of melanoma than the usual inhabitants (Hert et al, 2011).

In severe mental sickness, akin to schizophrenia, schizoaffective sickness and bipolar sickness, there is additionally a possibility of non-psychiatric hospitalisation because of self-damage, self-forget and/or decreased healthcare access and medically unexplained signs (Jayatilleke et al, 2018). Druss et al (2011) stated that americans with mental affliction die, on general, eight.2 years earlier than the leisure of the inhabitants – typically from physical comorbidities. considerations concerning the gap between intellectual and physical fitness care were additionally raised by way of the national private Enquiry into affected person influence and dying’s (2017) record, deal with as One.

The NHS long term Plan (NHS England, 2019) identified the magnitude of evaluation and guide for intellectual health wants. It outlined NHS England’s commitment to inserting intellectual fitness care on a level footing with actual fitness features. above all, The NHS future Plan aspects out that patients with intellectual fitness considerations often existing to acute trusts by means of an emergency pathway, because of the shortcoming of ‘core 24’ (ie, accessible 24 hours a day, seven days every week) neighborhood crisis functions. The overarching ambition is:

  • To be certain no acute medical institution is devoid of an all-age intellectual health liaison service in emergency departments and inpatient wards through 2020-21;
  • That at least 50% of those capabilities should still meet the core 24 provider typical as a minimum.
  • there's proof that nurses’ attitudes towards, and skills of, mental illness affects the care they deliver (de Jacq et al, 2016; Clarke et al, 2014). there's stigma and discrimination against these experiencing intellectual ailment, which is a barrier to care and recovery (Sartorius, 2007). the extreme clinic environment may additionally no longer be essentially the most acceptable place for patients with mental fitness needs, as they are sometimes in a susceptible position, require compassionate care that gives a feeling of security in addition to upholding their human rights (Care great commission, 2020). sufferers with intellectual fitness circumstances will also be stigmatised in the acute care system due to a scarcity of realizing, potential and an linked burden of accountability felt by clinical workforce (Perry et al, 2020).

    The CQC (2020) raised considerations that people with mental fitness needs don't always receive the correct level of care. in addition, it recognized an absence of joined-up working between acute and mental fitness services, leading to delays in evaluation; here is compounded through a shortage of mental health beds, which results in longer stays in the acute environment.

    assignment heritage

    As a part of a Florence Nightingale basis leadership Scholarship, two senior nurse leaders in neighbouring acute trusts independently recognized the transforming into challenges of intellectual fitness provision in their corporations. These considerations have been appropriate with these described with the aid of the CQC (2020), Kingston (2019), de Jacq et al (2016) and Clarke et al (2014). there were expanding numbers of clinical incidents relating to the care of mental health patients throughout both trusts that highlighted a deficit in the competencies and self assurance of the nursing group of workers.

    team of workers reported feeling unsupported or unprepared to meet sufferers’ mental health wants. This resonated with the CQC’s (2020) findings that intellectual fitness practicing for group of workers across acute trusts become multiple and focuses on law such as the mental potential Act 2005, as opposed to the mental health Act 1983 or assessing and helping people with intellectual health wants.

    alterations to pre-registration nurse practicing, as outlined within the NMC’s (2018) Future Nurse proficiency requirements, be sure all newly qualified nurses get hold of training in mental fitness care. youngsters, this doesn't tackle the skills, getting to know and building needs within the latest registered team of workers.

    mission aims

    Our goal was to:

  • take into account the gaining knowledge of development needs of our nursing group of workers around intellectual health care;
  • determine challenges throughout the system.
  • We found imperative experiences that highlighted the boundaries to caring for individuals with intellectual health issues in acute care settings – for example, Muir (2017) acknowledged a necessity for increased mental fitness working towards and training for established nurses  – yet we discovered a paucity of facts that nurses working in acute settings had been chiefly asked to highlight their issues about caring for this patient group and the way the issues may be addressed.

    method

    to peer if there become a place-wide appetite for this mission, we reached out to fellow nurse leaders in seven acute trusts in Wessex. We requested even if our event became mirrored of their organizations and, in that case, they would be willing to work collaboratively to better take into account the considerations and make advancements in care provision.

    We created a web survey to acquire nurses’ views on the main challenges they confronted in caring for patients with intellectual health wants. before designing and sharing the survey, we sought enter from clinicians working in intellectual health; this reassured us that the survey questions would provide valuable guidance.

    We asked three questions:

  • Question1: what are your biggest considerations in caring for individuals with mental health wants?
  • question 2: what would aid you Excellerate your care to intellectual health patients?
  • question three: what difference would these improvements make to you and your patients?
  • numerous-alternative alternatives were generated for questions 1 and a pair of based on expert suggestions, and there turned into a free-textual content choice for query 3. The survey become anonymised however particulars of the trust and the banding of the respondent’s position had been accrued. 

    Findings

    The survey turned into sent to the heads of nursing of seven acute trusts in Wessex, who shared it with grownup nursing group of workers. We bought 412 responses from band 5 to band 7 nursing workforce; 409 answered all three questions.

    Planning for patient security and knowledge of intellectual health sections have been both leading areas of subject mentioned by nursing personnel (Fig 1). Nurses said having access to intellectual fitness anticipatory care planning in the adventure of a disaster, in addition to competence-based working towards would enable them to Excellerate care (Fig 2).

    despite the fact there have been small differences throughout trusts, the solutions group of workers gave on their leading concerns have been consistent, permitting us to determine key subject matters. Nurses of a stronger band (band 7) stated the equal issues as those in junior bands (band 5 and 6), suggesting that acute nursing event doesn't equate to improved competence in caring for sufferers with mental sick fitness.

    There became a lot of responses concerning the difference proposed improvements would make. Responders felt any improvement recognized would handiest outcome in superb effects for personnel and stronger patient adventure, equivalent to:

  • reduction in violence and aggression;
  • increased affected person defense;
  • improved patient pathway efficiency;
  • elevated competencies and confidence.
  • dialogue

    Our survey reflects not only some of what has already been pronounced within the literature, but additionally individual nuances of our enterprises. We cited that the desire for mental fitness training and knowledge stated by way of team of workers resonates with Clarke et al’s (2014) observation that registered nurses can lack the quintessential abilities and skills to supply applicable care to those with mental sickness. This became proven by means of our respondents’ desire to know greater element concerning the mental fitness Act 1983 and sectioning.

    It aligns with the argument that nurses in acute care settings think sick-organized to care for humans with both physical and intellectual disorder (hall et al, 2016). Kingston (2019) made an additional crucial argument, which concerned the need for a much better realizing of the relationship between training and education, and negative attitudes and bias amongst nurses.

    Our findings additionally identified that although literature is purchasable on mental fitness or well-known nurses’ attitudes and expertise of intellectual fitness (Clarke et al, 2014; de Jacq et al, 2016; Kingston, 2019), much less is regular about the similarities and adjustments between degrees of adventure. Our survey discovered that, even with band, the challenges mentioned had been the identical.

    eventually, our survey recognized the need for stronger use of anticipatory care plans to aid nurses lacking expertise in this enviornment when caring for patients with mental fitness wants in acute settings. Anticipatory care plans (known as crisis plans in intellectual health) are common in community settings however are sometimes not shared with acute care settings; they provide nurses the tips required to support individualised techniques to patients in disaster.

    Implications for practice and future plans

    These survey results are a reminder of the inequities and disparity of care that people with intellectual disease may also event as a result of an absence of abilities, advantage or self belief in the evaluation and guide of their mental fitness needs, the requirements of the mental health Act, and beliefs and attitudes against intellectual illness. We should be aware, in our daily observe, that care for an individual with intellectual disease need to combine evaluation and administration of physical and intellectual health needs; it's critical to be aware about the parameters of our individual talents, in addition to seeing that the stigma and discrimination a person may also face.

    The effects have been shared and discussed with collaborating trusts. A collaborative working network was agreed to increase a consistent regional approach to the evaluation and care of mental fitness patients. The Wessex Regional community construction community became then established, and hyperlinks fashioned with the patient adventure teams of a intellectual health company believe in our system. this is in keeping with the principle of putting the affected person experience at the centre of all development work. The purpose of the network is to share top of the line practice, competencies and event to enable nurses to deliver remarkable care to sufferers with mental health considerations.   

    as a result of our survey  we identified gaps in the capabilities and knowledge of our nursing personnel. This challenged us to consider what decent care capacity from our patients’ factor of view, and how to include the lived event of patients in our nursing education curriculum for intellectual health. we are planning to increase principles of care, coproduced with sufferers, that outline what care those with mental health needs should still are expecting to acquire in the acute surroundings. We also plan to develop a self-assessment tool for acute trusts to permit them to establish, at a local stage, the alternatives to support their group of workers to continually carry these principles of care.

    Key facets
  • Nurses recognise they may also lack capabilities and advantage in looking after sufferers with intellectual health wants
  • stage of experience in acute nursing does not equate to better competencies or competence in mental health care
  • Nurses can establish what would increase the care they bring to patients with intellectual fitness needs improvements would advantage each sufferers and group of workers
  • Collaborative working across a much broader regional gadget offers better figuring out of an issue and creates a more compelling case for change
  • References

    Care great fee (2020) How are americans’s mental health wants Met in Acute Hospitals, and how Can This be greater? CQC.

    Clarke D et al (2014) Emergency department personnel attitudes in opposition t intellectual fitness consumers: a literature review and thematic content material evaluation. foreign Journal of intellectual fitness Nursing; 23: three, 273-284.

    de Jacq k et al (2016) the variability of nursing attitudes toward mental sickness: an integrative overview. Archives of Psychiatric Nursing; 30: 6, 788-796.

    Druss BG et al (2011) figuring out extra mortality in humans with mental sickness: 17-year follow up of a nationally representative US survey. scientific Care; 49: 6, 599-604.

    hall A et al (2016) instructing emergency branch nurses about trauma advised look after americans proposing with mental fitness disaster: a pilot examine. BMC Nursing; 15: 21.

    Hert MDE et al (2011) actual ailment in sufferers with extreme intellectual problems I: prevalence, affect of medicinal drugs and disparities in health care. World Psychiatry; 10: 1, 52-77.

    Jayatilleke N et al (2018) Acute generic clinic admissions in individuals with severe intellectual ailment. Psychological medicine; 48: 16, 2676-2683.

    Kingston MB (2019) An Examination of the relationship between Nurses’ Attitudes toward folks with mental disease, Prior practising, and Self-pronounced Behavioral health skills. Doctoral dissertation for tuition of the Sciences in Philadelphia (ref: 13856652). Ann Arbor, MI: ProQuest Dissertations Publishing.

    Muir D (2017) forget of the intellectual health complications in acute popular health center inpatients. Nursing times [online]; 113: 6, 48-49.

    national exclusive Enquiry into affected person influence and dying (2017) deal with as One: Bridging the hole Between intellectual and physical Healthcare in generic Hospitals. NCEPOD.

    NHS England (2019) The NHS long term Plan. NHS England.

    Nursing and Midwifery Council (2018) Future Nurse: necessities of skillability for Registered Nurses. NMC.

    Perry A et al (2020) Stigmatisation of these with mental health situations in the acute normal health facility atmosphere: a qualitative framework synthesis. Social Science and drugs; 255: 1112974.

    Sartorius N (2007) physical ailment in people with intellectual problems. World Psychiatry; 6: 1, 3-four.

    Whiteford HA et al (2013) global burden of disease brought on by intellectual and substance use problems: findings from the global Burden of ailment look at 2010. The Lancet; 382: 9904, 1575-1586.


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