Expansion Of The Nurses Roles In Singapore

Expansion Of The draws Roles In capital of capital of capital of capital of capital of SingaporeThere is no such thing as mature pull defy (APN) in Singapore 10 years ago. However, Singapore started to expand the wet- sop ups constituent recently due to ever-ever-changing of medical checkup developments and technology, as well as the plus wellnessc ar hail and waiting time within the wellness fearfulness intentness due to ageing population. It posed a challenge to the health bearing puts in Singapore to compete with other countries.A multidisciplinary team ap masterach and the wisdom of mete out expertise through clinical assimilate outer paths be to a fault important. (Chiargonlla McInnes, 2008).It is wise that Ministry has expanded the role of makes with Masters Degrees. It can uphold breast feeding profession with advanced(a) skills. The instrumentation of APNs can be an advantage to Singapores health take services.Critically analyze the development o f role of APN in SingaporeAn Advanced expend defend (APN) is an umbrella term given to a Registered Nurse who has acquired the expert association base, complex ratiocination-making skills and clinical competencies for extended lend oneself (Ministry of wellness, 2007).The American Nurses Association defines an advanced utilise nurse as a registered nurse with advanced specialize clinical knowledge and skills for providing health vexation (Yarbro, Wujcik Gobel, 2011, p.1846).Rajasoorya (2002) ascertained that the role of APN in Singapore is songed with reference of APNs practices from United realm while United Kingdom, Australia and unused Zealand took the similar approaches.The ability to make decision by having advanced knowledge with proceedership skills, proactive in self-upgrade and actively participating with patients c be management are essential qualities for an APN to lay down.Kjervik and Brous (2010) stated that APNs have sum upd in autonomy and authority oer decision over patients bring off management compared to regular nurses roles.It crossed the boundaries of the traditional nurses roles.APNs are equal to(p) to order a list of medications and investigations such X-rays if it is inevitable for patients treatment. They are up to(p) to provide health assessment to patient where regular nurses doesnt have the bountiful knowledge to fulfil.Kjervik and Brous (2010) agreed that APNs shifted and expanded their roles towards collaboration with medical personnel and specializer as well as providing primary and sustainive business to patients, families and the communities.APNs are not like regular nurses who provide direct clinical care of the patients, but withal discuss with the doctors and suggest alternative treatments that may make headway patients in terms of health and cost. In addition, APNs also collaborate with families on the abilities on managing patients illness so as to minimize the chance of readmission to the hospi tal. APNs also actively participle in research and health teaching to the communities to purify Singaporeans well-being so as to reduce the chance of developing continuing infirmity.The history of APNsLet us look at the history of APNs and encounter how it can make an impact Singapores health care musical arrangement.Arthur (2007) noted that Singapore nurses were control by the highest qualification of being a Diploma holder without local anaesthetic career path to obtain higher(prenominal) qualification until recently, subject field University of Singapore (NUS) commenced the first Master in nurse in Advanced Practice Nurse in 2003.Sheer and Wong (2008) noted that Singapores first batch of calibrated APNs started in 2004 and Singapore established a registry for APNs in 2006.Schober (2010) agrees that the assimilator who is selected by the employer or hospital can be fully funded by Singapore Ministry of Health during the course of considering peak in National Univer sity of Singapore as well as to fulfill a period of bond after graduation after undergoing a period of 1 year of internship in order to registered with Singapore treat Board (SNB) as APN.Grounded in practicum experiences and guided by health care theory, policy, and research, graduates possess the knowledge and competencies to assume the advanced leading roles required in future health care governances (Aduddell Dorman, 2010).The train of having APNsIt is important to understand why Singapore necessitate to have APNs. We forget look into the reasons why the lead of APN is important. I depart covered in 4 terms. Completive, Aging population, providing erupt care and coordinated healthcare,CompletiveChia et al. (2007) labeled Singapore including Hong Kong, Taiwan and South Korea as iv Tigers of Asia countries with a strong competitive advantage by having highly educated and expert men.To be able to compete with countries like Hong Kong in field of healthcare industries, Singapore have to upgrade healthcare workers.According to worldwide parentage Publications (2009), one of the economic development boards plans of Singapore is to develop into world-class medical hub for medical research, education and advanced care in specialized handle and healthcare services.With the pace at which health care is changing, we as breast feeding health care providers need to provide gauge evidenced base health care, which is affordable to our patients (Bettin, 2010).Patients over the world would choose a higher type of care if needed or affordable to. With the help of technology and the skills that APNs have, it will bring in a positive effect on Singapores healthcare industries, be it reputation or economically. Hence it is important to increase the skills and education of the nurses to attract the riches and the needy who in need of healthcare services, and most ultimately to save more than lives by treating or preventing diseases. The institution and inc reasing of APNs in Singapore represents a material milestone in terms of nursing career path and expertise. It also contributes Singapore to form a world-class medical hub.Ageing populationMCYS (2006) reported that the youngster boomers reaches 65 years old in 2012.According to Kannusamy (2006), the need of providing better healthcare service and the nurses to upgrade their skills in the clinical arena is necessary to manage Singapores ageing population and degenerative illness such as diabetes and heart disease and at that placefore, the role of Advanced Practice Nurse is formed.As people ages, people tends to fall sick or develop chronic illness, hence more people are dependent on healthcare services. Advanced skills to provide better careAccording to Schober (2010), Singapore provided the cognomen APN is to retain highly skilled and potential nurses as well as to equip them with advanced skills and knowledge which can fill the gaps in the readiness of healthcare services.Wi th the skills and knowledge that APNs learnt in university, they are able to render specialized care to a patient where supply nurses are incompetent to fulfill these skills.Example Wound nurse APNAPNs plays an important roles as it acts as a bridge between nurses and doctors, as well as other healthcare captains and services.Advanced practice nurses are fetching their place in the psyche of the rapidly changing health care system, developing a uncounted of roles in organizations that submit to provide cost-effective, quality care. (Jansen Stauffacher, 2010, p.3)By putting APNs into more discipline to practice, it relates to the vision of Singapores healthcare delivery.In Singapore, interest is growing in the advanced practice role for both acute and primary care settings, in an effort to alter patient outcomes with the least cost (Kannusamy, 2006).Intergated care of community and hospital (health services) APN roles is to collaborateThe vision for transforming healthcare delivery in Singapore is to develop integrated Regional Health Services (RHS) to provide healthcare from prevention to palliation (Saxena, 2009).It means its aim is to try to collaborate from short term to long term care individual.It shown the urge Singapore demand to procedure more APN to increase the professional level of nurses in Singapore. This will not only increase the standard of nursing in Singapore but also recognized internationally.Sheer and Wong (2008) know that there are plans for Singapore to increase the number of APNs to two hundreds and also to include them into different fields like acute care, community care, mental health care and medical-surgical care. According to Tan Tock Seng Hospital, Ministry of Healths vision is to develop 200 APNs by 2014.A discussion of the influence on nursing in SingaporePostive influence Great professional satifcation.There is evidence that collaboration among advanced practice nurses and physician colleagues improves the qualit y and cost of health outcomes and can lead to professional satisfaction (Maylone, Ranieri, Griffin, McNulty, Fitzpatrick, 2011).Relationships with other health care professionals are important because many advanced practice nursing roles involve a significant element of collaboration (Kannusamy, 2006).Expansion of roles in singaporePostive influence the call for of APNs.According to Ministry of Health (2007) in Singapore, the scope of practice as an APN includes diagnose, treat and management of illness health education to the public initiate and implement changes in health care services according to demands provides education to nursing staffs and healthcare professionals and conduct nursing research.This role is registered and protected by the Singapore Nurse Board The Nurses and Midwives Act.By giving APN authority to practiceThe contemporary nurses role in relation to the jazzNegative shortage of staffLim, Bogossian and Ahern (2010) agreed that Singapore have much shortag e of nurses in the custody compared to Western countries and hence will contribute to increase workload.According to Health hands Statistics (2009), it indicated that there is an increase of roughly 12% of Registered Nurses between 2007 to 2009 in Singapore.Singapore plays an active role by having Ngee Ann Polytechnic (2007) introduced Nursing course in 2005, in addition to Nanyang Polytechnic, where students graduate as a registered nurse 3 years later upon completed of the course. This may explains on the increase of Registered Nurses in Singapore.Changes in the health-care system, shortage of staff and increasing workload may also be affecting stress levels of nurses trying to adapt to progressively higher levels of duty (Lim, Bogossian Ahern, 2010).This will affect how well an APN will perform after graduation.Singapore may need to think twice about the number of APNs to be increase. By increasing APN will only make shortage of Registered Nurses workforce even worst. If th e solution is to upgrade enrolled nurses to registered nurses, who will keep back on the enrolled nurse roles? Singapore needs to increase the number of using up of nurses from schools.Negative Scope confusionRajasoorya (2002) stated that in U.S., most ofttimes APNs may found themselves closely take up the role of the doctors as increase of APNs caused an expand of their practice nature.Doctor may fear and concerned about loss of power over nurses.APNs should be viewed not only if as doctor substitutes but as part of a refreshed approach to address the changing nature of illness care (Kane, 2009).APNs are not necessarily the same as doctors of nursing practice (Kane, 2009).APNs are being trained for a number of different tasks. Some are specialists some are generalists (Kane, 2009).Getting lack of support and collaboration from the doctors or surgeons for managing a group of patients, APNs may found themselves difficulties to fulfill their roles.Singapore need to consider by h aving clear and define roles between APNs, doctors, nurse clinician specialists to prevent overlapping and confusion of individual roles.Practice guided by the concepts of a conceptual model of nursing is more appropriate for advanced practice nursing than practice guided by a medical model (Ruel Motyka, 2009).Conceptual models are the foundation of advanced practice nursing and farm nursing practice at all levels (Ruel Motyka, 2009).The use of conceptual models promotes professionalism which includes self-governing nursing practice, knowledge, and service (Ruel Motyka, 2009).The current and/or potential impact of the free on the health care system.Conclusion focus cost effective, professional increase, integrated healthcare service, aging population.Lim, Bogossian and Ahern (2010) emphasized Singapore healthcare system focus on affordability for Singaporean on healthcare service by restructuring hospitals and the challenges Singapore needs to overcome like rising in healthca re cost and increasing public healthcare services expectation.Advanced Practice Nurses (APNs) are taking their place in the forefront of the rapidly changing health care system, developing a myriad of roles in organizations that aim to provide cost-effective, quality care (Jansen Stauffacher, 2010).Advanced Practice Nurses (APNs) are taking their place in the forefront of the rapidly changing health care system, developing a myriad of roles in organizations that aim to provide cost-effective, quality careJansen Stauffacher (2010) said that in a rapidly chaning health care system, APNs take in roles to provide cost-effective, quality care to patient in a myriad roles in organization.By having APN in polyclinic for consultation for disease such as diabetes, it not only lowers down healthcare cost and also decreases waiting time for doctor consultation.Lacking of nurse workforce in Singapore to accommodate the aging populations healthcare needs, Singapore needs to continuously train more nurses not only to maintain the standard of nursing practice but to increase the standard and advanced their skills so as to cope with healthcare demands.Expansion of APNs workforce and practice to improve integrated patient care with heightened levels of safety and quality, and responsive to patients requirements both in hospital and in community.The implementation of APN roles is having a transformative effect on the healthcare systems of Singapore (Schober, 2010).witnessing a pride in the anticipated increased precondition for nursing associated with academic education and advanced nursing roles while at the same time watching some of the unanticipated struggles that occur with such a significant change (Schober, 2010).APN interns, as they mature in their role, are working in close partnership with physicians and are assuming responsibility for tasks that had been performed traditionally by doctors (Kannusamy, 2006).Conclusion end line.The APN scope of practice will continu e to evolve to match the changing needs of the healthcare system (Wong, 2009).With the changes to and complexity within the health care system, advanced practice nurses need academic preparation in advanced care management of populations and leadership competencies (Aduddell Dorman, 2010).POINT TO CONSIDERPolitics of nursing practice (Community at large, CLUTURE OF INDIVIDUALS, GROUPS, political science regulation.)Power of nursing as APN (more control and directions.)KnowledgeSingapore organization SNB, MOH, ministry of environment, MOM, SHSDifferent perspectives on health care and healthImage of nursesNurse view as cleaning, maid, slave. As APN show different initiative.Legal issue re APN, practicing outside nursing scope.Different perspectives on health care and healthAdvanced Practice Nurses. (n.d.). Tan Tock Seng Hospital. Retrieved March 20, 2011, from http//www.ttsh.com.sg/APN/Aduddell, K. A., Dorman, G. E. (2010). The development of the succeeding(prenominal) generation of nurse leaders. Journal of Nursing Education, 49(3), 168-171.Arthur, D. (2007). Towards an excellent health care system Singapore nursing poised with 2020 vision. Journal of Research in Nursing, 12(6), 591-594.Bettin, T. (2010). Advanced Practice Nurse Forum column. Reflections on the DNP degree. Stat Bulletin of the Wisconsin Nurses Association, 79(1), 7-8.Chia, H. B., Carolyn, E., David, R., Ping, F., Kuo, M. H., Lee, C. H., et al. (2007). Four tigers and the dragon values differences, similarities, and consensus. Asia Pacific Journal of Management, 24(3), 305-320.Chiarella, M., McInnes, E. (2008). 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Stress and coping in Singaporean nurses A literature review. Nursing Health Sciences, 12(2), 251-258.Maylone, M. M., Ranieri, L., Griffin, M. T. Q., McNulty, R., Fitzpatrick, J. J. (2011). Collaboration and autonomy Perceptions among nurse practitioners. Journal of the American honorary society of Nurse Practitioners, 23(1), 51-57.Ministry of Health. (2007). NUS Master of Nursing Pr ogramme. Health Professionals Portal. Retrieved March 24, 2011, from http//www.hpp.moh.gov.sg/HPP/MungoBlobs/318/187/FAQ%20on%20APNs.htmMCYS (2006). Committee on Ageing Issues Report of the Ageing Population. Retrieved March 24, 2011, from http//www.mcys.gov.sg/successful_ageing/report/cai_report.pdfNgee Ann Polytechnic To maintain Health Sciences (Nursing) Course. (2007, December 13). Ngee Ann Polytechnic. Retrieved March 25, 2011, from http//www.np.edu.sg/home/media/release/year2005/jan_mar/Pages/20050119.aspxOBrien, A. P., Arthur, D. G. (2007). 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