Examining Nursing Specialties

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN or PMC program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.

Note
: Unless otherwise noted, initial postings to Discussions are due on or before Day 3, and response postings are due on or before Day 6. You are required to participate in the Discussion on at least three different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting. In addition, you are expected to respond to questions directed toward your own initial posting in a timely manner.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

Reflect on your decision to pursue a specialty within the MSN or PMC program, including your professional and academic goals as they relate to your program/specialization/certification.

By Day 3 of Week 10

Post
an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

By Day 6 of Week 10

Respond
to at least
two
of your colleagues’ posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose.

This topic is closed for comments.

Allison George

Oct 30, 2024 11:06pm
| Last reply Nov 2, 2024 10:59am

Reply from Allison George

Module 6 Discussion Main Post

Nurse practitioners (NP) play a vital role in communities by providing care in various areas of healthcare. NP practices include assessments, ordering, performing, supervising, and interpreting lab and diagnostic testing, making diagnoses, and initiating and managing treatments. NPs can prescribe non-pharmacological treatments and medications, coordinate care, council and educate patients, their families, and communities (American Association of Nurse Practitioners, 2022). Family nurse practitioners (FNP) are nurse practitioners who have received either their Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP) and receive a certification from either the American Nurses Credentialing Center (ANCC) or Academy of Nurse Practitioners (AANP) (Walden University, n.d.). Family nurse practitioners can care for a large spectrum of people from infants to geriatric patients. Depending on the state, some FNPs can work independently and serve as primary care providers. In my state, Illinois, FNPs can practice independently and prescribe anything but controlled substances independently. FNPs need an overseeing physician to prescribe narcotics and controlled substances. To open an independent practice, FNPs must reach certain criteria to apply for an independent practice license, but they still need an overseeing physician for controlled substances and narcotics (Illinois General Assembly, 2018). FNPs can work in many different settings including private practice, community health centers, universities, and health care systems. FNPs can also receive specialization certifications in areas including diabetes, pain, and obesity management (American Association of Nurse Practitioners, 2022).

I knew I wanted to advance my education after receiving my associate’s degree and working in a burn intensive care unit and a community hospital medical-surgical unit. I felt I could provide a unique perspective at a master’s level but I was stuck between nurse anesthetist and family nurse practitioner. After looking more into the professions and what the schooling would be like, I found that an online program that allowed me to do my preceptorship locally would work better for me and my family. I have a three-year-old daughter at home and my husband owns his own hauling business. The closest school for nurse anesthetists was almost two hours away and class was on campus. I chose Walden University because of its’ Accelerated into Masters (AIM) program. I still needed my bachelor’s and I liked that I could incorporate some of the master’s classes in my bachelor’s program and get a head start on my FNP. After looking more into the role of a FNP, I found a new motive to provide care for my rural community. Walden University’s website discussed how there aren’t as many physicians graduating to provide care for the increasing number of baby boomers, therefore FNPs play a vital role in these rural communities. Since pursuing this degree, I have already had three different offers to take over other FNPs practices as they wish to retire soon. I found that very promising and validated my choice.

Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

One professional organization that would help me be an up-to-date, competent practitioner is the National Association of Family Nurse Practitioners. This organization provides many incentives to members, including advocating for FNPs and broadening their scope of practice nationwide, providing clear and consistent FNP education, providing guidance and education for new FNPs, and establishing standards for educational programs (National Association of Family Nurse Practitioners, n.d.). To become a member of this association, there is an annual fee that’s dependent on the type of membership one is getting and an application to fill out.

References

American Association of Nurse Practitioners. (2022).
Scope of Practice for Nurse Practitioners
. American Association of Nurse Practitioners; AANP Website.
https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners
Links to an external site.

Illinois General Assembly. (2018, January 1).
225 ILCS 65/ Nurse Practice Act.
Ilga.gov.
https://ilga.gov/legislation/ilcs/ilcs4.asp?DocName=022500650HArt%2E+65&ActID=1312&ChapterID=24&SeqStart=16500000&SeqEnd=17850000
Links to an external site.

National Association of Family Nurse Practitioners. (n.d.).
Home
. Nafnp.memberclicks.net.
https://nafnp.memberclicks.net/
Links to an external site.

Walden University. (n.d.).
The Varied Roles of a Family Nurse Practitioner | Walden University
.
Www.waldenu.edu
Links to an external site.
.
https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing/resource/the-varied-roles-of-a-family-nurse-practitioner
Links to an external site.

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Justina Chinyere Ibe

Oct 30, 2024 9:33pm
| Last reply Nov 2, 2024 12:32pm

Reply from Justina Chinyere Ibe

Main Question Post.

An Explanation and Description to Specialization Choice.

A few years of my nursing career was in long and short term skilled nursing, and Rehab nursing. The majority of my nursing years have been in Acute care hospital. I enjoy being an acute care RN. This made it easy for me to choose to continue my nursing career as Adult Gerontology Acute care nurse Practitioner (AGACNP). I currently work in a level III trauma hospital as a resource RN. Being a resource RN has given me the opportunity to work in all the units (ED, ICU, surgery units and med/surg units). I have had the privilege of taking care of my patients (young adults to older adults) in their trauma, acute, critical and chronic health situations. I want to continue doing what I am doing, with improved education and skills. “AG ANCNPs are prepared to provide services ranging from disease prevention to critical care to stabilize the patient’s condition, prevent complications, restore maximum health and/or provide palliative care” (NONPF, 2016).

Choosing to be an AGACNP was not difficult for me because I enjoy what I am doing, and want to continue in this field. My second reason for choosing to be an AGACNP is because I plan to obtain my doctorate in acute care nursing and transfer my knowledge and skills to serve my community in my birth country, where qualified doctors and nurses are in shortage.

Professional Organization in Selected Specialization and Membership Details.

American Nurses Association (ANA) is an umbrella organization that includes American Nurses Credentialing Center (ANCC). One of the services of ANCC is to provide nursing specialty certification, including AGACNP certifications. Any nurse, whatever the level can become a member of ANA. Some of the benefits of membership include

State association newsletter

Representation in the state house on critical issues

Local networking opportunities

Education and career development

Career center and job networking ( ANA Member Benefits, n.d.)

According to American Nurses Association (2019) publication, some of the competencies of a gerontological nurse is to demonstrate a commitment to lifelong learning, mentor, maintain a professional portfolio, etc. Any nurse can become a member by registering and paying monthly dues.

References

Adult-Gerontology NP Competencies Work Group. (2016).
Adult-gerontology acute care and primary care NP competencies

https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/NP_Adult_Geri_competencies_4.pdf
Links to an external site.

American Nurses Association. (2019).
Gerontological nursing: scope and standards of practice.
American Nurses Association

https://www.nursingworld.org/membership/member-benefitss/
Links to an external site.

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Marie Christine Magadan Franco

Oct 30, 2024 9:09pm
| Last reply Nov 1, 2024 10:47am

Reply from Marie Christine Magadan Franco

Choosing a nursing specialty has been difficult because it reflects my professional goals and personal interests. My interest lies in becoming a Family Nurse Practitioner (FNP) due to its flexibility and broad scope of care. The ability to manage a variety of patient populations, including children and adults, appeals to my desire to promote holistic health. However, I am also drawn to the Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) role because of my current position in the Emergency Department (ED), where I witness the complexities of acute care firsthand. The challenge lies in balancing my aspiration for broad family-focused care with my acute care interests, leading to an ongoing internal debate about which path to pursue.

One of the primary factors influencing my decision is my experience in the ED. I enjoy the fast-paced environment and the critical thinking skills required to manage acute cases effectively. Research indicates that acute care settings necessitate advanced competencies in patient assessment and management (Mackey & Bassendowski, 2017). I am motivated by the idea of applying these skills in a hospital or urgent care setting. However, I also envision a future where I can integrate wellness practices through a potential wellness clinic. An FNP role would allow me to blend traditional and alternative modalities, providing comprehensive care focusing on preventive health measures (Zaccagnini & Pechacek, 2019).

An important consideration is the professional organizations affiliated with my specialties. The American Association of Nurse Practitioners (AANP) is a prominent organization for FNPs, providing valuable resources for professional development, advocacy, and networking (AANP, 2023). Membership offers access to continuing education opportunities, clinical practice guidelines, and various tools to support FNP practice. To become a member, I need to complete an online application and pay an annual fee, granting me access to a wealth of resources to enhance my knowledge and future career as an FNP.

This reflection highlights the importance of aligning professional goals with personal values and experiences. While I am inclined towards the AGACNP because of my experiences in acute care, I am deeply interested in the FNP role for its versatility and the potential to open a wellness clinic. I plan to integrate my experience in acute care and continue my path into a holistic wellness nursing practice.

References

American Association of Nurse Practitioners. (2023).
About AANP
. Retrieved from
https://www.aanp.org
Links to an external site.

Mackey, S. P., & Bassendowski, S. (2017). The role of nurse practitioners in acute care settings.
Journal of Nursing Practice
, 13(5), 12-18. https://doi.org/10.1016/j.nurpra.2017.02.005

Zaccagnini, M. E., & Pechacek, J. M. (2019).
The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing
. Jones & Bartlett Learning.

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Sheena Chambers

Oct 30, 2024 7:57pm
| Last reply Nov 2, 2024 10:29pm

Reply from Sheena Chambers

Main Post

Reflection on Choosing a Nursing Specialty

I have never been the person who had the ‘story’ as to why they became a nurse. However, I believe the universe had me become a nurse to overcome the challenges that I have faced, and to have the knowledge to handle many personal life decisions. I want to pursue a career in becoming a Psychiatric-Mental Health Nurse Practitioner (PMHNP). I have struggled with mental health all of my life, along with close family members, and had to self-teach majority of the information I now know about the different tribulations that come with it. I would love to be able to help others that suffer from mental health issues, and to guide them into how to cope and manage it. Not only for the patient, but for families as well. As someone who grew up in southern Appalachia, mental health was a taboo subject, and was mostly brushed off. As I got older, and accepted my own diagnosis, I found the beauty in educating and caring for others that have the same. The patience, empathy and work it takes to get well and take care of those with it, is immeasurable. I want to somehow fix that heavy burden and help anyone I can that has dealt with mental health ailments. We all deserve to be kind to our minds, but being validated and educated on the how is important too.

Challenges and Influencing Factors in the Decision

There are a few factors that are influencing my choice. One of the major reasons is the responsibility of prescribing medication. The biggest challenges in that are looking at medication treatment adherence, decision making, and monitoring symptom related outcomes (Mangano et al., 2020). Looking out for those who take psychiatric medication is a huge responsibility, and if patients don’t have family to help support and observe, the responsibility is on the provider who prescribed those medications. Many psychiatric medications can have severe side effects, including black box warnings, so knowing you stuff and being a competent provider is crucial.

Another challenge for me is having the confidence to complete my degree and have that confidence to one day become a provider. Self-reflection is something I can work on as a current nurse, and on day provider. Being able to reflect on ones practice and be willing to give oneself grace important to retain that confidence and strength to keep showing up and making improvements. Ways I can improve my confidence are being kind to myself, saying positive words of affirmation, practice saying no to others, and avoid comparing myself to others. Keeping positive mindsets, accepting compliments, and writing things I love about myself are other ways I can hold myself accountable and remain positive (Mind, 2022).

Professional Organizations Related to My Chosen Specialty

The professional organization I chose would be the American Psychiatric Nurses Association. This website and organization have an open-ended acceptance for those who have an associates, bachelors, masters, or doctorate degree. These settings also include inpatient, community, academic, research, health institutions and high-level administration positions at the state or federal level. The purpose of this organization is to help identify mental health issues, prevent mental health problems, and caring and treating those with mental health issues. The stakeholders promote recovery, assessment, diagnosis, treatment and evaluation of those with mental health disorders (Mind, 20220. I love that this is an open community, and willing to include all those who care about mental health and can come together as one to find a solution to mental health disorders.

References

American Psychiatric Nursing Association. 2024. Welcome to Your Psychiatric Mental Health Nursing Community. Retrieved from: https://www.apna.org

Mangano, E., Gonzalez, Y., & Kverno, K. S. (2020). Challenges Faced by New Psychiatric-Mental Health Nurse Practitioner Prescribers. Journal of psychosocial nursing and mental health services, 58(10), 7–11. Retrieved from: https://doi.org/10.3928/02793695-20200915-01

Mind. 2022. Self-esteem. Retrieved from: https://www.mind.org.uk/information-support/types-of-mental-health-problems/self-esteem/tips-to-improve-your-self-esteem/

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Donna Hopkinson

Oct 30, 2024 7:51pm
| Last reply Nov 3, 2024 1:20pm

Reply from Donna Hopkinson

Hello Professor and Class,

After careful consideration, I have selected to specialize in pediatric nursing. My desire to work with children and their families considers it important and provide early healthcare interventions to shape their lives. Pediatric nursing will allow me to show my love for children with the opportunity to provide critical care. “Pediatric nursing is very different from adult nursing. The primary aim of a pediatric nurse is to provide continuity of care along with the family of the child through the family-centered care approach” (Kaya & Isler-Dalgic, 2020). My profession will involve support for patients who are often vulnerable and need sympathetic care. One of the major difficulties that I faced in choosing this specialty was the large range of nursing fields. This makes the selection typical for me as I was drawn to several areas. “Pediatric nurses can lead policy initiatives and policy changes in several ways. Participating in activities that advance the SDGs is part of their responsibilities by engaging and influencing policy” (Moreland et al., 2023). The common areas that I was considering are including emergency nursing and oncology. Each of these has unique challenges and rewards. However, I understood that my desire lies in nurturing strong development in children. I also struggled with the emotional characteristics of pediatric nursing. I consider that caring for sick children can be important and needed. I understand that sympathy and resilience are the key strengths that will help me navigate these emotional challenges.

The selected professional organization for pediatric nursing is the Society of Pediatric Nurses (SPN). I would prefer to become a member of this organization as it holds strong and effective information. Becoming a member of SPN will bring several benefits like access to educational resources, and networking opportunities. “Excellence in pediatric nursing is characterized by the use of research to enable practice-based evidence for providing safe and effective nursing care to children and their families” (Harrison et al., 2020). It will allow me to have the latest research in pediatric nursing. Membership provides chances for professional growth through conferences and workshops. These workshops are crucial for staying updated in the field.

References

Harrison, T. M., Steward, D., Tucker, S., Fortney, C. A., Militello, L. K., Smith, L. H., Thrane, S., Tubbs-Cooley, H. L., & Pickler, R. H. (2020). The future of pediatric nursing science.
Nursing Outlook
,
68
(1), 73–82. https://doi.org/10.1016/j.outlook.2019.06.020

Kaya, A., & Isler-Dalgic, A. (2020). Evaluating the Job Satisfaction of Nurses Working in Pediatric Clinics in Terms of Eleven Dimensions and the Influencing Factors.
Florence Nightingale Journal of Nursing
,
28
(3), 312–320. https://doi.org/10.5152/fnjn.2020.19101

Moreland, P. J., Rosa, W. E., & Mukeshimana, M. (2023). Enhancing the education of paediatric nurses: A positive step towards achieving sustainable development goals.
Enhancing the Education of Paediatric Nurses: A Positive Step towards Achieving Sustainable Development Goals
,
10
(8), 5017–5023. https://doi.org/10.1002/nop2.1816

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Eloisa Solarana Almaguer

Oct 30, 2024 7:43pm
| Last reply Nov 3, 2024 9:03pm

Reply from Eloisa Solarana Almaguer

Module 6: Discussion

Since the beginning of my career, I have had a steady interest in the field of psychiatry, which has been a driving force guiding my professional decisions. I feel a genuine calling to help people face and overcome emotional and mental challenges. By choosing the specialization as a Psychiatric Mental Health Nurse Practitioner (PMHNP), I envision a unique opportunity to apply my nursing knowledge in an area as essential as mental health, with a comprehensive and patient-centered approach (Walden University, 2024). Among my primary objectives are to develop advanced clinical competencies in the diagnosis and treatment of mental disorders, particularly in highly vulnerable populations; to foster emotional and psychological well-being in my geriatric patients through psychiatric interventions tailored to their individual needs; and to contribute to the community by providing accessible, high-quality psychiatric care, thereby improving access to specialized mental health services (Adult-Gerontology NP Competencies Work Group, 2016).

Choosing a specialty in psychiatry has involved facing several challenges. During the decision-making process, I identified some difficulties, including insecurities about my ability to handle the inherent complexities of mental health, especially when treating patients who may have traumatic backgrounds or severe disorders (Walden University, 2024). Psychiatry requires a compassionate and rigorous approach and represents both a personal and professional challenge. It has become necessary to balance my current work responsibilities with the academic demands of the specialization, making effective time management essential to performing well in both areas. I have also recognized the emotional demands of mental health work, as it requires developing personal resilience and self-care strategies, given that constant interaction with psychiatric patients can be emotionally taxing. These challenges have reaffirmed my commitment to the specialization, motivating me to continue and strengthen my coping skills. I believe this choice will not only enhance my professional growth but also prepare me to make a meaningful difference in the lives of my patients.

A relevant association for this specialization is the American Psychiatric Nurses Association (APNA). According to Shea (2024), this organization plays a vital role in promoting mental health and well-being through the professional development and ongoing education of nurses in the psychiatric field. Membership in APNA offers access to educational resources, networking opportunities, and continuing education programs, which are fundamental for professional advancement in psychiatric nursing. The steps to join APNA include visiting the APNA website to review the membership benefits and requirements, completing the online application form by providing information about my academic background and professional experience, and paying the corresponding annual fee, which will allow me to keep my membership active and access all association resources (Johnson et al., 2024). By joining APNA, I hope to enrich my knowledge and contribute to the development of psychiatric nursing practice, supporting the organization’s mission of promoting mental health care in the community.

My decision to specialize in mental health through the PMHNP program stems from a deep calling to serve and a genuine interest in positively impacting the lives of my geriatric patients. Despite the challenges this path may present, I am committed to the values of the profession and motivated by the opportunities for personal and professional growth this specialization offers.

References

Adult-Gerontology NP Competencies Work Group. (2016).
Adult-gerontology acute care and primary care NP competencies
. Adult-Gerontology NP Competencies Work Group . https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/NP_Adult_Geri_competencies_4.pdf

Johnson, C., Delaney, K. R., Cirpili, A., Marriott, S., & O’Connor, J. (2024). American Psychiatric Nurses Association Position: Staffing Inpatient Psychiatric Units.
Journal of the American Psychiatric Nurses Association
,
30
(5), 886–895. https://doi.org/10.1177/10783903231198247

Shea J. M. (2024). Psychiatric-Mental Health Nurses: Providers of Care Excellence.
Journal of the American Psychiatric Nurses Association
, 10783903241291071. Advance online publication. https://doi.org/10.1177/10783903241291071

Walden University. (2024). Master of Science in nursing (MSN). Walden University. https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing

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Leticia Ariel Hernandez
(She/Her)

Oct 30, 2024 7:31pm
| Last reply Nov 2, 2024 11:07am

Reply from Leticia Ariel Hernandez

Examining Nursing Specialties

Choosing a nursing specialty always involves weighing personal and professional goals. An MSN concentration in the role of Psychiatric Mental Health Nurse Practitioner defines my commitment to providing care for patients, both psychologically and holistically, to make a change in their lives. Among all these academic interests and career objectives, PMHNP is a perfect match for my enthusiasm for patient-centered practice and advocacy. Working off these challenges, factors that influenced me to become a dental hygienist, and the importance of professional organizations will help me to learn and identify the importance of this pathway toward my long-term goals.

Challenges in Choosing Psychiatric Mental Health as a Specialty

It was not an easy task to decide upon PMHNP as my specialty. It took work to choose between the areas of interest within the nursing profession. Because of the large number of nursing professions within the field, with each having its scope, competencies, and practice standards, I had a hard time going through the process (Walden University, n.d.). I was really torn between Psychiatric Nursing and Adult-Gerontology Primary Care because both practice areas involve pressing health concerns among diverse populations. I considered my long-term career goals, passion for mental health, and increased demand for psychiatric services because of greater awareness of psychiatric concerns in our society today.

This decision also required profound detail regarding the role and responsibilities of a PMHNP. Knowledge application regarding mental health disorders, therapeutic intervention, and clinical skills in terms of holistic care is actually necessitated by the American Nurses Association for psychiatric nurses (American Nurses Association, 2015). I was not so sure that I would handle such work, considering the many complexities and emotional challenges that usually come with those who have real mental health crises.

Factors Driving My Decision

Some of the reasons that kept me knowing that I should specialize in PMHNP include increased rates of mental health disorders such as anxiety, depression and substance use disorders, whose demands make it very necessary to have many psychiatric caregivers. For example, Echevarria (2018) stated that the mental health profession is one of the biggest and rapidly expanding areas in health care today. It does; more of the patients are being diagnosed with the diseases than there are caregivers out there.

My academic and professional goals also aligned with PMHNP. I want to learn psychiatric nursing comprehensively in order to provide holistic health services regarding mental and physical health. Other academic interests include evidence-based practice, therapeutic communication, and psychopharmacology, which steered me toward this path since PMHNPs are trained to integrate these aspects into their practice (Echevarria, 2018). My desire to belong to a growing network of professionals dedicated to enhancing mental health services was also of great significance.

Professional Organization: American Psychiatric Nurses Association (APNA)

In choosing psychiatric nursing as a specialty, I became a member of the American Psychiatric Nurses Association. APNA is one such organization that plays a vital role in promoting the specialty through excellence in practice, advocacy, and leadership (Bickford et al., 2015). Benefits of being an APNA member include access to all research publications, discounts on certification programs, and networking with other psychiatric nurses. It also offers the opportunity for continuing one’s education in emerging trends and best practices that come with changes in mental health care.

To join APNA, one needs to complete the application form available on the association’s website, send a document proving nursing credentials, and pay a yearly fee. Because they are PMHNPs, at the discretion of their organization, specialized resources such as clinical practice guidelines about mental health and advocacy will be provided (Cherry et al., 2019). This membership has given me a vast opportunity to enhance my knowledge of psychiatric nursing standards in a way that equips me to actively contribute to shaping the desired changes toward better mental health in my community.

In conclusion, a decision on the nursing specialty is thus quite critical, as it has numerous implications for one’s academic and professional life. Although not every journey toward my dream of psychiatric mental health nursing was devoid of challenges, my professional goals fell in place with my passion for mental health care, aside from the dire need for specialized psychiatric service provision. It was by joining professional organizations like APNA that I was able to gain valuable resources and a supportive community for my growth as a psychiatric nurse.

References

American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2
nd
ed.).
Silver Spring

Bickford, C. J., Marion, L., & Gazaway, S. (2015). Nursing: Scope and standards of practice, third edition – 2015

Cherry, B., Caramanica, L., Everett, L. Q., Fennimore, L., & Scott, E. (2019). Leveraging the power of board leadership in professional nursing organizations.
JONA: The Journal of Nursing Administration
,
49
(11), 517-519.

Echevarria, I. M. (2018). Make connections by joining a professional nursing organization. Nursing, 48(12), 35–38.

Walden University. (n.d.). Master of Science in Nursing (MSN). Retrieved October 30, 2024, from
https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing
Links to an external site.

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Qurita Powell

Oct 30, 2024 5:48pm
| Last reply Nov 2, 2024 11:06pm

Reply from Qurita Powell

The specialty that I chose for this program is Psychiatric Mental Health Nurse Practitioner. My choice is driven and motivated by a desire to contribute positively towards mental health needs across underserved populations. Over the past 15 years, I have worked in various mental health care settings. I have witnessed and felt the urgent demand that exists now for skilled practitioners who can offer empathetic, informed care to those with mental health challenges (Walden University, n.d.). Through my experience of working in this field, I have learned the importance of determining one’s overall health through their mental health. In many cases, stigmas arise from a lack of education regarding mental health and how to care for it. I chose this specialty because I truly have a passion for working with those that struggle with mental health issues and providing education and resources to those individuals as well as their support system on how to care for it.

Though everyone may or may not struggle with maintaining good mental health, we all know someone who has struggled with some form of mental health issues such as depression, anxiety, PTSD etc. I have not been faced with many difficulties in choosing PMHNP as my specialty because due to my passion and drive to help the mental health population. As I have mentioned in many of my posts, the mental health community is an underserved population of people with limited resources and access to them. One professional organization I wish to become affiliated with the American Psychiatric Nurses Association as it supports PMHNP professionals by providing critical resources such as standards of practice, educational mentorship, and professional development opportunities (Tierney, 2020). Membership with APNA gives each PMHNP relevant tools and resources through study curricula and certifications that reflect ever-changing best practices. Further, APNA’s mental health advocacy promotion deepens my clinical expertise and enhances my networks in the psychiatric nursing community. These resources will foster and guide my ability to effectively advocate for mental health needs and be meaningfully involved in the reduction of stigma for the same to ensure broader accessibility to mental health services

References

Tierney, M. (2020). Psychiatric-Mental Health Nurses: Revolutionizing Access to Person-Centered Care.
Journal of the American Psychiatric Nurses Association
,
26
(6), 595–597. https://doi.org/10.1177/1078390320965245

Walden University. (n.d.).
Master of Science in Nursing (MSN)
.
https://www.waldenu.edu/masters/master-of-science-in-nursing
Links to an external site.

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Debra Stone

Oct 30, 2024 5:42pm
| Last reply Nov 3, 2024 9:27pm

Reply from Debra Stone

Main Post

Reflection on Choosing a Nursing Specialty

Choosing to specialize as a Family Nurse Practitioner (FNP) in the Walden MSN program was a challenging and fulfilling decision stemming from my experiences as an emergency department (ED) nurse. In the fast-paced and high-pressure emergency department environment, I am exposed to a wide range of cases that enhance my clinical skills and decision-making abilities. According to the Population-Focused Competencies Task Force (2013), the FNP’s role includes long-term patient management, health promotion, and disease prevention beyond urgent and emergent care. The FNP role emphasizes health promotion and disease prevention, which resonates with my belief in the importance of proactive healthcare. My experience as an ED nurse both posed challenges and provided valuable insight that influenced my decision.

Challenges and Influencing Factors in the Decision

A significant challenge for me is letting go of my identity as an emergency department (ED) nurse. That role has shaped me both personally and professionally, and transitioning to a new identity as an FNP involves a period of adjustment and self-reflection. As a nurse in the ED, I have thrived in fast-paced and high-pressure situations and encountered a wide range of medical conditions, from minor injuries to life-threatening emergencies. It is challenging to adjust my primary focus from acute care to the FNP role and embrace a more holistic, long-term approach. Also, transitioning from RN to FNP may be difficult because of transitioning from an experienced RN to an inexperienced, new NP (Pituskin et al., 2022). I must learn to embrace this change while utilizing the valuable knowledge, experiences, and skills I have acquired while working in the ED.

My experience working in the emergency department has also helped to drive my decision to choose the FNP specialty. Working in a fast-paced setting reveals the importance of quick decision-making and comprehensive patient assessments. FNPs provide comprehensive healthcare services to patients of all ages and can work in various settings, including private practices, clinics, and hospitals. Transitioning to the FNP specialty allows me to leverage my extensive clinical experience while focusing on preventive care and health promotion. Also, if I shift my focus from primary care to emergency care, the FNP specialty will allow me to do that. As an FNP, I can work in urgent care and emergency departments and obtain additional emergency specialty education, such as becoming an emergency nurse practitioner (ENP) (American Association of Nurse Practitioners, n.d.-a).

Professional Organizations Related to My Chosen Specialty

Joining a professional organization like the American Association of Nurse Practitioners can be highly beneficial in staying informed, connected, and supported by other nurse practitioners (Echevarria, 2018). AANP provides a platform for nurse practitioners to connect, exchange ideas, and collaborate with peers nationwide. AANP members can access various continuing education opportunities, including webinars, conferences, and online courses, which help maintain certification and expand clinical knowledge (American Association of Nurse Practitioners, n.d.-b). Membership with AANP offers career resources and professional development tools that assist nurse practitioners in maintaining certifications and expanding clinical knowledge, which are essential for success as FNPs.

Conclusion

The decision to pursue a career as a Family Nurse Practitioner is both an exciting and challenging time. Given the increased demand for primary healthcare providers, the role of the FNP has never been more vital. As I navigate this transition, I am committed to embracing the opportunities for growth and learning while striving to make a meaningful impact on the health and well-being of the patients, families, and communities I serve.

References

American Association of Nurse Practitioners. (n.d.-a).
Are you considering a career as an emergency nurse practitioner?
https://www.aanp.org/news-feed/are-you-considering-a-career-as-an-emergency-nurse-practitioner
Links to an external site.

American Association of Nurse Practitioners. (n.d.-b).
Membership
.
https://www.aanp.org/membership
Links to an external site.

Echevarria, I. M. (2018). Make connections by joining a professional nursing organization.
Nursing
,
48
(12), 35–38.
https://doi.org/10.1097/01.nurse.0000547721.84857.cb
Links to an external site.

Pituskin, E., Albert, M., & Norris, C. (2022). Facilitating successful role transitions from registered nurse to nurse practitioner.
Texto & Contexto – Enfermagem
,
31
.
https://doi.org/10.1590/1980-265x-tce-2022-e001-en
Links to an external site.

Population-Focused Competencies Task Force. (2013).
Population-focused Nurse Practitioner competencies.
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/Competencies/CompilationPopFocusComps2013.pdf
Links to an external site.

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Cenda Hemingway

Oct 30, 2024 5:13pm
| Last reply Nov 2, 2024 10:59pm

Reply from Cenda Hemingway

For over 19 years, I have been continually intrigued by the opportunity to learn new concepts as a nephrology nurse. My primary goal as a nurse is to provide the best possible care to my patients. Working as a dialysis nurse in an outpatient facility challenges me to operate independently, enhancing my clinical skills and learning capacity. I must think critically and make sound decisions regarding patient care, especially since I do not have a rounding physician in the facility at all times. The outpatient dialysis setting has sharpened my thinking and communication abilities when coordinating care with providers.

During the COVID-19 pandemic, there was an intense demand for more nephrology advanced practice family nurse practitioners in our area. The staggering number of patients who experienced kidney failure became overwhelming for the providers, prompting them to experience fatigue and burnout (Mc Keaveney et al., 2021). This increased need sparked my interest in expanding my knowledge and specializing in nephrology as a family nurse practitioner. I witnessed our outpatient dialysis clinic’s admission rates surge, prompting our company to hire full-time nurse practitioners to enhance patient care. Consequently, there is a growing demand for providers, and I am eager to play a significant role in problem-solving and delivering optimal healthcare to all patients. I am excited about expanding my knowledge to become an exemplary clinician. I find it fascinating to understand how processes interconnect, and I take pride in going the extra mile to collaborate with physicians in delivering the best patient care.

Therefore networking is important and continuing to thirst for knowledge is pertinent in this profession which makes it essential to collaborate with other nurse practitioners and providers. The opportunity to participate in organizations that advocate for the profession to ensure we are prepared to offer exceptional patient care is critical to elevating patient care. This collaboration allows for networking with others who share similar goals. The American Association of Nurse Practitioners (AANP) offers memberships to certified nurse practitioners and students enrolled in nurse practitioner programs. The membership fee for certified nurse practitioners is $150 (American Association of Nurse Practitioners. (n.d.). This organization provides educational resources, advocacy information, information about upcoming meetings supporting nurse practitioners’ roles, and in-depth research information. The organization’s goal is to continue to empower nurse practitioners to be leaders and scholars in their profession (Arends et al., 2024).

American Association of Nurse Practitioners. (n.d.).
Membership
. AANP. Retrieved October 29, 2024, from
https://www.aanp.org/membership
Links to an external site.
Links to an external site.
Links to an external site.

Arends, R. , Austin-Ketch, T. , Covelli, A. , Davis, L. , Hallas, D. , Kalmakis, K. , Kirkland-Kyhn, H. , Melillo, K. , O’Reilly-Jacob, M. , Parish, A. , Rawlett, K. , Ricciardi, R. , Tracy, C. , Winkelman, C. & Whitehouse, C. (2024). American association of nurse practitioners research agenda, 2023–2028. Journal of the American Association of Nurse Practitioners, 36 (5), 257-261. doi: 10.1097/JXX.0000000000001011.

Mc Keaveney C, Reid J, Carswell C, Bonner A, de Barbieri I, Johnston W, Maxwell AP, O’Riordan J, Strini V, Walsh I, & Noble H. (2021). Experiences of renal healthcare practitioners during the cOVID-19 pandemic: A multi-methods approach.
BMC Nephrology
,
22
(1), 301.
https://doi.org/10.1186/s12882-021-02500-0
Links to an external site.

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Qiana Felder

Oct 30, 2024 12:56pm
| Last reply Nov 2, 2024 5:26pm

Reply from Qiana Felder

An Explanation and Description of Specialization Choice

Over the past ten years, I have worked in juvenile corrections, and every time I left, my heart pulled me back. This was confounding because it was never my goal to work in corrections while in nursing school. However, I believe everything happens for a reason, and I am where I need to be. I chose to advance my career to become a PMHNP due to the urgent and growing number of youths I have seen who need support. One in seven adolescents aged 10 to 19 is affected by a mental disorder, contributing to 15% of the disease burden within this age group (WHO, 2024)

Factors that drove this decision include the lack of providers, especially in underserved communities, and the continued negative mental health stigma that still exists. Stigma can create fear and reluctance toward mental health services, leading to significant delays in seeking help, even when a person urgently needs support (Ahad, 2023). One of my goals is to reduce the mental health stigma by educating and empowering families to be open-minded and understand that mental health is an essential part of overall health. One difficulty I faced was deciding whether to pursue FNP and then get my PMHNP certificate after working for a few years because of the broader scope of practice that would be available. I am more passionate about mental health, so I first pursued this degree.

Professional Organization in Selected Specialization and Membership Details

The American Psychiatric Nurse Association (APNA) is a professional organization I would love to be part of, as it is a community that welcomes all psychiatric mental health nurses, from advanced practice nurses to student nurses. APNA is committed to enhancing mental health care in communities and influencing health policy to improve mental health service delivery (American Psychiatric Nurse Association, 2020). The organization offers various resources, opportunities for certification, and support. To become a member, one needs to fill out an application, which can be emailed or mailed to the addresses listed on the website. There is also a yearly membership rate associated with this organization, ranging from $35-$145, depending on the chosen membership.

References

Ahad, A., Gonzalez, M., & Junquera, P. (2023).
Understanding and addressing mental health stigma across cultures for improving psychiatric care: A narrative review
. Cureus,
15
(5), 1–8. https://doi.org/10.7759/cureus.39549

American Psychiatric Nurses Association. (2020).
American Psychiatric Nurses Association
. Apna.org. https://www.apna.org/

World Health Organization. (2024, October 10).
Mental health of adolescents
. World Health Organization; World Health Organization. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health

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Joan Chikaodi Clement

Oct 30, 2024 5:23am
| Last reply Oct 31, 2024 12:37pm

Reply from Joan Chikaodi Clement

The nursing specialty that I chose is psychiatric-mental health nurse practitioner (PMHNP). A factor that drove me into selecting the PMHNP is my desire to address the shortage of mental health having witnessed a close relative struggling with access to mental health. Statistics indicate that as of 2023, approximately 160 million Americans lived in areas with mental health professional shortages with more than 8000 mental health professionals needed to address the shortage. The shortage of mental health providers is hindering the ability to get timely care. For instance, in 2021, fewer than half of people with a mental illness were able to access timely care and those with substance use disorders were even less likely (Substance Abuse and Mental Health Services Administration, 2023). The rate of unmet needs is high and this has been worsening mental health. Statistics also indicate that about 7.6 out of 29.3 million adults aged 18 and above with any mental illness in the past year perceived an unmet need for mental health services in 2021 (Health Resources and Services Administration, 2023). These unmet needs drive me to address the gap and provide behavioral health care to underserved areas like rural settings.

I experienced difficulty between PMHNP and family nurse practitioner. This is because FNP has a wide scope of practice as they are trained to provide care across the lifespan and address both acute and chronic illnesses. On the other hand, PMHNPs are restricted to mental health and managing psychiatric conditions which seems like a restricted scope of practice (Kumar et al., 2020). One organization that I can join as a PMHNP is the American Psychiatric Nurses Association (APNA). To become a member, one is required to download a form and mail it to email it to
membership@apna.org
.There are various types of membership such as regular membership which costs $145 per year, student members for $35, and $75 for the retired member (American Psychiatric Nurses Association, n.d.).

References

American Psychiatric Nurses Association. (n.d.). APNA member application. https://myaccount.apna.org/i4a/ams/public/member_start.cfm?mbrAppID=1&pageid=3278&showTitle=1

Health Resources and Services Administration. (2023).
Behavioral Health Workforce Projections, 2023.

https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/Behavioral-Health-Workforce-Brief-2023.pdf

Kumar, A., Kearney, A., Hoskins, K., & Iyengar, A. (2020). The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings.
Archives of Psychiatric Nursing
,
34
(5), 275–280. https://doi.org/10.1016/j.apnu.2020.07.022

Substance Abuse and Mental Health Services Administration. (2023).
2021 National Survey on Drug Use and Health (NSDUH)
.. https://www.samhsa.gov/data/report/2021-nsduh-detailed-tables

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Mishay Brooks

Oct 29, 2024 11:25pm
| Last reply Oct 30, 2024 1:15pm

Reply from Mishay Brooks

Choosing to pursue a specialty in Psychiatric Mental Health Nurse Practitioner (PMHNP) as part of my MSN program represents a carefully considered step in advancing both my professional and personal goals. Driven by an intense desire to bridge gaps in mental health care, particularly for underserved populations, I view the PMHNP role as a unique opportunity to provide compassionate, holistic care. My goal in this specialization is to develop the clinical expertise necessary to support patients dealing with a range of mental health disorders, from anxiety and depression to more complex conditions such as schizophrenia and bipolar disorder, offering not just symptom management but comprehensive, patient-centered treatment. The knowledge I gain in this program will equip me to empower patients through individualized care plans that promote mental well-being and resilience, aligning closely with the core values of the PMHNP role and with the growing recognition of mental health as a critical component of public health (Phoenix, 2019).

Choosing PMHNP as a specialty was not without its challenges. Initially, I debated whether to specialize in family practice, where I have a strong clinical background, or focus on mental health, which has always been a deep-seated interest. Ultimately, my decision was influenced by the escalating demand for mental health providers and the unique interpersonal aspects of mental health nursing that allow for building long-term therapeutic relationships. As a psychiatric nurse, I am often involved in complex cases requiring an understanding of both physical and mental health. This integrative approach aligns with my aspiration to advocate for patients in a meaningful, holistic way. Mental health is deeply stigmatized and under-resourced, especially in marginalized communities, and I am passionate about contributing to a field where more providers can mean better patient outcomes (Johnson et al., 2023).

A crucial factor influencing my choice was the pressing need for specialized mental health care. With nearly 1 in 5 adults in the U.S. experiencing mental illness, the demand for psychiatric professionals is high, and gaps in access to mental health care persist, especially in rural and underserved areas. The shortage of mental health providers makes it essential to fill this void with skilled professionals who understand the complexities of psychiatric treatment and who can provide compassionate, evidence-based care (Johnson et al., 2023). My goal is to not only support individual patients but also contribute to public health initiatives, potentially even policy advocacy, that strive to make mental health services more accessible.

The American Psychiatric Nurses Association APNA is a leading professional organization for psychiatric nurses and provides excellent resources, continuing education, and networking opportunities that will be invaluable throughout my career (Delaney et al., 2019). Membership with APNA offers access to resources tailored specifically to PMHNPs, including journals, practice guidelines, and conferences, which help members stay informed of the latest evidence-based practices. Membership costs vary by level and include options for students, providing a flexible pathway to engage with the community of psychiatric nursing professionals. This network of peers and mentors is essential for career development and provides a platform to advocate for mental health reform at both the local and national levels (Delaney et al., 2019).

References

Delaney, K. R., Drew, B. L., & Rushton, A. (2019). Report on the APNA national psychiatric mental health advanced practice registered nurse survey.
Journal of the American Psychiatric Nurses Association
,
25
(2), 146-155.
https://journals.sagepub.com/doi/abs/10.1177/1078390318777873
Links to an external site.

Johnson, C., Delaney, K. R., Cirpili, A., Marriott, S., & O’Connor, J. (2023). American psychiatric nurses association position: Staffing inpatient psychiatric units.
Journal of the American Psychiatric Nurses Association
, 10783903231198247.
https://journals.sagepub.com/doi/abs/10.1177/10783903231198247
Links to an external site.

Phoenix, B. J. (2019). The current psychiatric mental health registered nurse workforce.
Journal of the American Psychiatric Nurses Association
,
25
(1), 38-48.
https://journals.sagepub.com/doi/abs/10.1177/1078390318810417
Links to an external site.

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Nicole Greco Carl

Oct 29, 2024 10:57pm
| Last reply Nov 2, 2024 6:12am

Reply from Nicole Greco Carl

The specialty I have chosen to pursue is psychiatric mental health nurse practitioner. Most of my life, I have been guided on what to do, and becoming a nurse was one of the things I was pushed to do and not decided on my own. Choosing to become a nurse practitioner and further my education is my own choice and has not been influenced by anybody else in my life. I want to be a “Nurse who takes advantage of continuing-education opportunities to gain professional breadth, broadening their knowledge regarding local and national nursing issues and going beyond the walls of their facilities” (Echevarria, 2018).

So far, as a nurse, I have been given great opportunities to interact with nurse practitioners in every specialty. Based on the ones that I have interacted with and what they have told me about their specialty, I found the most interest in psychiatric mental health. When they explained to me their plan of care and logic when helping patients, it made sense and connected for me. Also, when talking to practitioners and other specialties, I have had some tell me not to go in their specific specialty and, if they did it over again, wish they picked psychiatric mental health.

One challenge I have faced when making my decision is making sure I pick a specialty that I can say “I love my career”. As a current ER nurse, I love the excitement and the ever-changing experiences every day. As a PMHNP, I have options on the type of patient population I want to deal with: either impatient patients who are in manic states or switching to an outpatient job dealing with patients who need help with anxiety and depression and going about their daily lives.

The professional organization that I would like to be affiliated with is the California Association for Nurse Practitioners. This organization can help you “Find inspiration from a supportive network of peers. Add to CANP’s collective voice at the State Capitol. Access events, education, legal advice, and discounts tailored to NPs” (CANP, 2024). To become a member, you must fill out their online membership application. They also have many types of memberships that you can apply for; one being a student meant for ship and another being a membership for nurse practitioners just out of school. Also, another professional organization, the American Psychiatric Nurses Association, offers “APNA members connect with a dynamic community of psychiatric-mental health nurses, exceptional resources and educational programs, and opportunities to advance the PMH nursing profession” (APNA, 2024), with a similar application process of filling out a form and paying a member fee.

References:

APNA. (2024, October 16).
American Psychiatric Nurses Association
. https://www.apna.org/

CANP. (2024).
Membership
. https://canpweb.org/membership

Echevarria, I. M. (2018).
Make connections by joining a professional nursing organizationLinks to an external site.
Links to an external site.
.
Nursing
, 48(12), 35–38.

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Lenore Louise Benton-Bey
(She/Her)

Oct 29, 2024 7:34pm
| Last reply Nov 1, 2024 6:31pm

Reply from Lenore Louise Benton-Bey

Initial Post

An Explanation and Description to Specialization Choice

I have chosen the family nurse practitioner program. I knew from the beginning that the end goal was to become a family nurse practitioner as I can work with a broader population in full to meet the needs of all stages of life. A family nurse practitioner can work with the population through out their stages of life, from newborns to geriatrics. I enjoy working with people of all ages as a registered nurse, however I find myself wanting to advance given back more to the community. As I am practicing in the current fields I am working in my fields of urgent care and OB/GYN. I know two different world but I cannot leave neither fully behind. I have experience in the cardiovascular world which is a plus as that is an advanced field but I have contemplated about one or the other in a true advancement in but I could not come to just sticking with one and with a FNP I can have more flexibility with so much more in practice.

Being an Iowan alleviates my worries of me not practicing to my full potential as there is not limitations and full practice for the state of Iowa. I will not only because to practice my cares but I can contribute to being cost effective in my state and for our country. Supported by a growing body of evidence of the safe and cost-effective provision of care by APRNs (ANA, 2024). There are hopes that the limitations for other states will be put in to place because of the cost effectiveness of the nurse practitioner. Advancing and protecting the scope of practice for nurses, particularly advanced practice registered nurses, is a major initiative at ANA. ANA is working together with our state/territorial affiliates (nurses associations) to remove barriers and secure full practice authority (ANA, 2024).

Professional Organization in Selected Specialization and Membership Details

The main reason professional organizations exist is to further the profession (Echevarria, 2018). Furthermore, this is why I chose to discuss the professional orgazation of the American Nurses Associations. I am a current member and I have explore their resources of what they offer for the advanced practicing nurse and the registered nurses. I am confident in the credentialing and the certifications that they offer for the advancement of my career of an advanced professional.I have access to certifications and articles that can help me stay updated with current evidence-based practices and continuing education. There is access to certifications, where to sign up for testing locally or near by your location. And much more to explore will advancing or in the career as the ARNP. Lastly, I am looking to join the American Women’s Health, Obstetrics, and Newborn AWHONN. These associations will be an excellent resource to follow up on and keep up to date with resources and certifications in this field as well for my newborn and postpartum families.

References

American Nurses Association. (2024). Advanced Registered Nurse Practitioner (ARNP). Retrieved from
https://www.nursingworld.org/practice-policy/aprn/
Links to an external site.
on October 29, 2024.

Assoication of Women’s Health, Obestric, Newborn. (2024).

AWHONN- Association of Women’s Health, Obstetric and Neonatal Nurses

Links to an external site.

Echevarria, I. M. (2018).
Make connections by joining a professional nursing organization
Links to an external site.
. Nursing, 48(12), 35–38.

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John Kirby Tompkins

Oct 29, 2024 1:04pm
| Last reply Nov 1, 2024 8:24pm

Reply from John Kirby Tompkins

Module 6

Discussion Initial Post

An Explanation and Description to Specialization Choice

Ten years as an RN serving adults and children in inpatient mental health crisis settings. Ten more years as a Family Nurse Practitioner reaching the limits of that training trying to meet the needs of a rural underserved population. For example, for ten years there was only one child-adolescent psychiatrist in our county, and now he has retired. So, my choice for further specialization has been made by the logical progression of service to my local population.

The Walden PMHNP specialization program claims to be number 1 in enrollment in the USA and confers expertise in the care for mental and emotional well-being of patients throughout the lifespan, treating psychiatric disorders, brain disorders, and substance abuse issues. (Walden, n.d.).

Professional Organization in Selected Specialization and Membership Details

During my family practice years, I comfortably relied on membership in the American Academy of Pediatrics. This enabled an alignment between my academic and professional development. I expect a similar benefit with membership in the Association of Psychiatric Mental Health Nurse Practitioners. Specifically addressing alignment with ANA Nursing Scope and Standards of Practice are six values explicated by Echevarria (2018.):” professional development, career growth, networking, mentorship, service to the profession, and advocacy”.

References

Echevarria, I. M. (2018).
Make connections by joining a professional nursing organizationLinks to an external site.
Links to an external site.
.
Nursing
, 48(12), 35–38.

Walden University. (n.d.).
Master of Science in Nursing (MSN)Links to an external site.
Links to an external site.
. Retrieved October 23, 2024, from
https://www.waldenu.edu/masters/master-of-science-in-nursing
Links to an external site.

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Veronica Monono

Oct 29, 2024 1:03pm
| Last reply Nov 1, 2024 10:49am

Reply from Veronica Monono

An Explanation and Description to Specialization Choice

Choosing a nursing specialty within the program can be challenging due to the vast number of fields available, each offering unique opportunities for growth and development. A common difficulty is balancing personal interests with career goals, job market demand, and the time commitment required for advanced expertise. My choice of specialty is PMHNP, I have always wanted to further my education in Psychiatric nursing and my second choice was public health, but I decided to pursue my MSN in Psychiatric nursing because mental health illnesses are real and have been neglected by many because of lack of education concerning the reality of mental health crisis and also they have limited access to care, especially those living on underserved areas and they might not have enough mental health facilities in their locality to care for their needs. The community must be educated about the reality of mental health, how it can be recognized in a loved one and the communities and when to seek help. (National Alliance on Mental Illness, 2024)
has been a cornerstone of addressing the challenges faced by millions of Americans living with mental health conditions, through Mental Health Awareness Month which is the month of May. NAMI actively participates in this national movement, dedicated to eradicating stigma, extending support, fostering public education, and advocating for policies that prioritize the well-being of individuals and families affected by mental illness.

Furthermore, the key factors driving my decision include personal interest, career opportunities, work-life balance, skills, and strengths. Concerning Personal interest, I have always had a passion for helping people suffering from mental health illnesses my goal is for the communities to be aware of the reality of mental health, how to recognize it in loved ones and communities, and when to seek help from mental health institutions. In career opportunities, PMHNPs are well paid, and career opportunities are always available in every sector of the health care system. You can work from home, in hospitals, clinics, and community centers, just to name a few. This career opportunity helps to balance work and life, especially working from home or in other settings, which can give you flexible working hours. This career path helps you align your clinical skills in areas of strength with the specialty that would best utilize them. (Psychology Jobs, 2024) states that
Psychiatric Nurse Practitioners can choose to work with adults, adolescents, or children in a variety of settings based on his/her specialty. Many Psychiatric Nurses work in private practice or behavioral health clinics. Other settings include residential treatment centers or general practitioners’ offices. Working alongside other health professionals often means creating an interdisciplinary treatment plan to address patients’ health and wellness.

Professional Organization in Selected Specialization and Membership Details

One of the professional organizations that I would like to be affiliated with, will be the American Association of Nurse Practitioners (AANP
)
. According to (
the American Association of Nurse Practitioners, 2024)
to become a member, I would have to choose a membership level either a student, regular, or an associate, and I will have to pay the membership fee, student memberships are often discounted. I can apply online with proof of student status if applicable. Membership benefits include access to educational resources, networking opportunities, conferences, and professional development tools. In (Cherry et al., 2019) an important factor essential to a nurse’s professional development is active membership in at least one professional organization. And that membership provides exposure and access to educational resources and rewarding networking opportunities with peers and colleagues. Professional organizations provide nurses with a network of experts to share clinical and administrative challenges and gain new ideas and knowledge.

References

American Association of Nurse Practitioners. (n.d.).
Membership
. AANP. Retrieved October 26, 2024, from
https://www.aanp.org/membership
Links to an external site.

Cherry, B., Caramanica, L, Everett, L. Q., Fennimore, L., & Elaine, S. (2019).
Leveraging the power of board leadership in professional nursing organizationsLinks to an external site.
Links to an external site.
.
JONA: The Journal of Nursing Administration, 49
(11), 517-519.

National Alliance on Mental Illness. (n.d.).
Mental Health Awareness Month
. NAMI. Retrieved October 26, 2024, from
https://www.nami.org/get-involved/awareness-events/mental-health-awareness-month/
Links to an external site.

PsychologyJobs. (2024).
Psychiatric nurse practitioner career guide
. PsychologyJobs.com. Retrieved October 26, 2024, from

PMHNP / Psych NP Jobs – Psychiatric Nurse Practitioner Career Guide 2026

Links to an external site.

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Leaticia Onyeise

Oct 29, 2024 1:53am
| Last reply Oct 31, 2024 6:18pm

Reply from Leaticia Onyeise

Reflection on my decision to pursue a specialty in the PMHNP Certification Program

As a registered nurse, I have worked in various areas of the nursing care units. During this journey, I have passionately cared for psychiatric and mental health disorder patients, including clients with depression, schizophrenia, and substance abuse. However, it has been an exciting journey providing services to help alleviate the pains and sufferings these categories of patients face in trying to get adequate care services. Especially those patients from rural and poor communities in our society; they suffer more when there is a lack of providers or disparities and discrimination in the system. As a result, I was motivated to pursue an advanced degree specialty in the psychiatric mental health nurse practitioner program to qualify as a PMHNP. I want to be a catalyst for change in my community in this area of healthcare practice by playing a large role in raising awareness of mental health issues and the disparities in the system through advocacy and education to help close the gaps that exist in the service throughout the communities and society at large.

An Explanation and Description of Specialization Choice

Completing this program with a mental health nurse practitioner certification will be a big achievement and milestone for me. A psychiatric mental health nurse practitioner (PMHNP) is an advanced practice registered nurse specializing in mental health care, providing comprehensive assessments and diagnoses, creating treatment plans, and medication management for patients with psychiatric disorders, including the ability to prescribe medications, depending on the state of regulations (Walden University, n.d.). Other vital facts about a psychiatric nurse practitioner include the scope of practice, educational training, conducting therapy sessions, prescribing medications, performing physical and psychosocial assessments, and developing treatment plans. It also involved engaging in further academic and continuing education training and certifications. Nurse practitioners

may collaborate with psychiatrists, maintain private practice, and work in schools and community mental health centers. Notwithstanding specialty, every nurse practitioner must maintain their continuing education, competency requirements, and license with their state board of nursing to continue and sustain practice.

Professional Organization in Selected Specialization and Membership Details

Professional nursing organizations are key in nursing and patient advocacy (Echevarria, (2018). A professional association can assist nurses in meeting performance competencies, enhancing professional knowledge and skills, continuing education, achieving career growth and promotion, and providing research, mentoring, and networking tools. After my program, I plan to join a professional organization like the American Psychiatric Nurses Association. It is a membership organization dedicated to psychiatric-mental health RNs and APRNs who work in various settings, including inpatient, outpatient, research, education, administration, private practice, military, and more (APNA, n.d.). The association prides itself on being an inclusive organization where all psychiatric-mental health nurses can find a home for the education, resources, and support they need to provide crucial mental healthcare services. In addition, its mission and vision align with my planned practice goal. According to (ANA, n.d.), the APNA membership values are professional development, career growth, networking, mentorship, professional service, and advocacy. These values align with my own values and the nursing scope and standards of practice.

References

Echevarria, I. M. (2018).
Make connections by joining a professional nursing organizationLinks to an external site.
Links to an external site.
.
Nursing
, 48(12), 35–38.

Walden University. (n.d.).
Master of Science in Nursing (MSN)Links to an external site.
Links to an external site.
. Retrieved November 14, 2018, from
https://www.waldenu.edu/masters/master-of-science-in-nursing
Links to an external site.

American Psychiatric Nurses Association. (2024).
About APNA
.
https://www.apna.orgLinks to an external site.
Links to an external site.

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Deco Tanjong

Oct 28, 2024 5:47pm

Reply from Deco Tanjong

Examining Nursing specialties

My decision to persuade my post-master certification in psychiatric mental health nurse practitioner is a journey that took me years to finally make up my mind and follow this route . At the beginning of my nursing career I worked in a nursing home , later on move to a mental health facility where my initial idea was to gain more experience and continue my pathway in to my psychiatric nurse practitioner . At the facility I faced some challenges like one of my patient spilled milk on me when I was trying to guide and correct her. So I left to the Hospital working on a medical and surgical unit where I have been working for the last four to five years.

Choosing to go back to the same pathway of becoming a psychiatric nurse practitioner was because of the rise in the need of metal health providers, and the believe that some people still have, that mental health is not a challenge that a lot of people are facing in live and just sometime need someone to give them a listening ear. Department of Health (n,d).

My goal is to educate people that even though you are a drug addict you still deserve the opportunity to make things right, if you became stressful and depressed the best option is not to commit suicide or kill people you still deserve the right to live and be given the opportunity to make the right choices. And no suicide attempt should ever be dismissed. Mental Health America (n,d).

My prominent professional organization I want to be a member is the American psychiatric Nurse practitioner(APNA) which will help connect me with nurses who understand what I will be doing because they do it too. American psychiatric nurse Association (n,d). Also the APNA will keep me up to dates with every evidence based practice changes as healthcare is a field of change .

Reference:

Bickford, C. J., Marion, L., & Gazaway, S. (2015).
Nursing: Scope and standards of practice, third edition – 2015Links to an external site.
Links to an external site.
. Retrieved from
http://ebooks.iospress.nl/publication/12524
Links to an external site.
.

Scope of practice
. American psychiatric nurse practitioner . (n.d.).

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Lucia Almeida

Oct 28, 2024 11:30am
| Last reply Nov 2, 2024 10:24pm

Reply from Lucia Almeida

Examining Nursing Specialties

Upon much contemplation, I chose Family Nurse Practitioner (FNP) as this option gives more opportunities to address the patient’s unique needs. The scope of practice of FNP includes broader categories in healthcare and the ability to take care of patients of all ages children, adolescents, adults, and the elderly (American Association of Nurse Practitioners [AANP], 2024). Planning entailed reflecting on my previous interactions within the nursing sphere which included aesthetics, IV therapy, and case management – and recognizing patient-centered care as an essential FNP component.

I also changed my mind about choosing Adult-Gerontology Primary Care over FNP because of the higher employment rate and ability to treat an extensive diversity of health problems. At first, I was drawn to adult care because of my responsibilities for handling medical and surgical cases, which provided me with knowledge about the requirements for the main adult groups. Yet, as I gathered information with the help of other experienced practitioners and thought about the needs in my community area, I realized that FNP gave a wider scope for advancements (American Psychiatric Nurses Association [APNA], 2024).

The American Association of Nurse Practitioners (AANP) is a comprehensive online source that provides up-to-date information on FNP practice, current literature and research, and current educational offerings. Through its membership, the AANP offers networking avenues, clinical tools, and advocacy initiatives that support the FNP practice throughout the United States (AANP, 2024). Additionally, the U.S. Bureau of Labor Statistics provides insight into employment rates and the growth potential within the FNP field, indicating a robust demand for FNPs nationwide (U.S. Bureau of Labor Statistics [BLS], 2023). This source highlights that an increasing number of healthcare facilities rely on FNPs to meet diverse health needs, validating my choice in specializing in FNP.

As I researched the FNP path, I encountered several difficulties in transitioning into advanced practice nursing roles, which were more accentuated when identifying courses and clerkships to undertake. Nonetheless, the faculty members and support staff have provided crucial advice on how to proceed, including competencies that still need to be developed and important resources that will be required to become a competent FNP.

References

American Association of Nurse Practitioners. (2024).
American association of nurse practitioners
. American Association of Nurse Practitioners; AANP Website.
https://www.aanp.org/
Links to an external site.

American Psychiatric Nurses Association. (2024).
About APNA
.

Home

Links to an external site.

U.S. Bureau of Labor Statistics. (2023).
Nurse practitioners: Occupational outlook handbook
. U.S. Bureau of Labor Statistics. https://www.bls.gov/ooh/healthcare/nurse-practitioners.htm

An Explanation and Description to Specialization Choice

My decision to pursue a post-master’s certificate to earn my Psychiatric Mental Health Nursing Practitioner (PMHNP) is a journey shaped by personal experiences, professional encounters, educational pursuits, and clinical exposure. The program is designed to prepare registered nurses to support individuals experiencing mental health issues. The focus is on assessment, diagnosis, and treatment of mental health disorders across a variety of settings. Students get advanced training in therapeutic communication, psychopharmacology, and evidence-based practices, alongside gaining practical experience through clinical rotations in mental health facilities.

Choosing to pursue the specialization of PMHNP can present several challenges. It can be daunting to navigate the complexities of mental illnesses, including the stigma associated with them that takes an emotional toll. The rigorous academic and clinical demands of the program have the potential to be overwhelming; therefore, strong time management and self-care practices are needed to avoid burnout. There are a variety of career paths within mental health nursing, such as opening up a private practice, inpatient care, or community health. Weighing options and determining where my passion lies can be a significant source of stress.

Some factors that contributed to my decision to pursue a PMHNP program include a desire to make a difference in the population being cared for, coupled with my experiences working in mental health, which has allowed me to witness the impact of mental health issues on society at large. According to (
van Dusseldorp et al., 2023
) research in somatic health care has shown that patients perceive nurse practitioners as dependable, supportive, and compassionate. They report feeling empowered, calm, and in control when receiving care from PMHNP. The awareness and acceptance highlight the demand for qualified professionals in this area. The evolving field that allows providing holistic care and patient advocacy is also a compelling reason to pursue this specialty (
Questions About Advanced Practice Psychiatric Nurses
, n.d.
).

Professional Organization in Selected Specialization and Membership Details

One prominent professional organization that supports and serves the interests of psychiatric-mental health nurses is the American Psychiatric Nurses Association (APNA). There are various benefits a membership offers, including access to educational resources, networking opportunities, and advocacy initiatives aimed at advancing psychiatric nursing (
Apna Membership Benefits – Join the Apna Community
, n.d.
).

Membership typically requires an annual fee, which grants access to resources such as continuing education courses and professional development programs that include access to journals and publications. Individuals can visit their official website and fill out an online membership application (
Apna Membership Benefits – Join the Apna Community
, n.d.
).

In conclusion, the PMHNP program offers a rewarding yet challenging path for those interested in specializing in mental health nursing. The decision-making process can be complex, but support from professional organizations provides valuable resources for aspiring psychiatric nurses who are often influenced by personal motivations and the realities of the profession (
Aanp Communities
,n.d.
).

References

Aanp communities
. (n.d.). American Association of Nurse Practitioners. Retrieved September 1, 2024, from
Links to an external site.
https://www.aanp.org/membership/aanp-communities
Links to an external site.

Apna membership benefits – join the apna community
. (n.d.). APNA.
Links to an external site.

Why Join APNA?

Links to an external site.

Questions about advanced practice psychiatric nurses
. (n.d.). APNA.
Links to an external site.

Questions about Advanced Practice Psychiatric Nurses

Links to an external site.

van Dusseldorp, L., Groot, M., van Vught, A., Goossens, P., Hulshof, H., & Peters, J. (2023). How patients with severe mental illness experience care provided by psychiatric mental health nurse practitioners.
Journal of the American Association of Nurse Practitioners
,
35
(5), 281–290.
Links to an external site.
https://doi.org/10.1097/jxx.0000000000000867
Links to an external site.

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Caitlin J Mcelhaney

Oct 28, 2024 10:37am
| Last reply Oct 31, 2024 2:30pm

Reply from Caitlin J Mcelhaney

An Explanation and Description to Specialization Choice

In choosing to specialize as a psychiatric nurse practitioner (Psych NP), my journey stems from a deep desire to merge my nursing background with my academic foundation in forensic psychology. My work as a registered nurse in a behavioral hospital exposed me to the realities of mental health care, showing me the critical need for psychiatric professionals trained not only in mental health but also in the complex nuances of patient care across diverse and challenging settings. By integrating these two fields, I aim to address mental health issues with a holistic approach, acknowledging the complex interactions between mental health, trauma, and broader sociological factors.

Although the decision felt natural, I faced challenges in committing fully to this specialty, largely due to the intense demand, high levels of responsibility, and emotional toll involved in psychiatric nursing. The need to stay resilient in the face of difficult cases and patient experiences often requires sustained emotional and professional commitment, which can be daunting (Hammarström et al., 2019). However, my background in forensic psychology and passion for mental health care have consistently reaffirmed my choice. I am committed to fostering a supportive, empathetic, and evidence-based approach to care that aligns with patient-centered goals (American Psychiatric Nurses Association [APNA], 2024).

Professional Organization in Selected Specialization and Membership Details

One of the professional organizations I find valuable in supporting this journey is the American Psychiatric Nurses Association (APNA). This organization is dedicated to advancing psychiatric-mental health nursing through ongoing education, practice resources, and professional development. Membership in APNA requires an active RN license, granting access to a wealth of resources including specialized training, conferences, and certification preparation. These offerings not only foster personal growth but also build the competencies necessary to address the demands of psychiatric nursing (APNA, 2024).

References

American Psychiatric Nurses Association. (2024).
About APNA
.
https://www.apna.org
Links to an external site.

Hammarström, L., Häggström, M., Devik, S. A., & Hellzen, O. (2019). Controlling emotions—nurses’ lived experiences caring for patients in forensic psychiatry.
International Journal of Qualitative Studies on Health and Well-Being
,
14
(1), 1682911. https://doi.org/10.1080/17482631.2019.1682911

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Cynthia Ngozika Ekenta

Oct 28, 2024 8:39am
| Last reply Nov 1, 2024 5:26pm

Reply from Cynthia Ngozika Ekenta

An Explanation and Description of Specialization Choice

From the beginning of my nursing career, I anticipated working with elderly adults and aimed to specialize as an Adult-Gerontology Primary Care Nurse Practitioner. I was attracted to the complexities of aging and the opportunity to address their health issues and enhance their quality of life. However, my current experience on the observation unit has marked a significant transformation in my nursing path.

In my interactions with some psychiatric patients who frequently visit the emergency room, I listened attentively to their narratives. I observed the significant difficulties they encountered, including stigma, access to care, treatment adherence issues, co-occurring conditions, lack of social support, economic challenges, and navigating a complex healthcare system. Their courage in confronting these obstacles resonated profoundly with me. I recognized that mental health is a crucial component of overall well-being, and many individuals, particularly the elderly, often contend with mental health challenges alongside physical ailments (Simmons et al., 2017). This enlightening experience shifted my perspective on nursing and encouraged me to reconsider my career path.

I developed a strong belief in the necessity for specialized mental health care and acknowledged that I could make a significant impact as a psychiatric-mental health nurse practitioner (PMHNP). My goal is to advocate for individuals struggling with mental illness, offering them the essential support and resources they need. The shortage of psychiatrists and other mental health providers has become a major challenge in our communities. Currently, forty percent of individuals with serious mental illness in the United States receive no treatment for their symptoms within one year due to this shortage (Costa & Olfson, 2016).

By choosing to become a psychiatric-mental health nurse practitioner, I aim to assess, diagnose, prescribe treatments, and educate individuals with mental illness and their families, helping to reduce the stigma they face in their communities and within mental health facilities.

Professional Organization in Selected Specialization and Membership Details

To support my professional development in this specialty, I plan to join the American Psychiatric Nurses Association (APNA). This organization is dedicated to the practice of psychiatric-mental health nursing. It promotes health and wellness through the identification of mental health issues, prevention of mental health problems, and the care and treatment of individuals with psychiatric disorders (APNA, n.d.). Membership in the APNA will provide me with valuable networking opportunities, access to continuing education, and resources on evidence-based practices related to assessing, diagnosing, and treating mental health disorders. I will either email the organization about my interest in becoming a member or visit their website to complete the membership form and pay the required fees.

In conclusion, my journey has led me to understand the vital role of mental health in patient care. I am committed to becoming a Psychiatric Nurse Practitioner to advocate for those struggling with mental illness and to make a meaningful difference in their lives.

References

APNA. (n.d.). Your resource for psychiatric mental health nursing. Retrieved from
https://www.apna.org/i4a/pages/index.cfm?pageid=1
Links to an external site.

Costa, C., & Olfson, M. (2016). Shortage of mental health professionals providing mental health care: The author replies.
Health Affairs
, 35, 1934. DOI:10.1377/hlthaff.2016.0933

Simmons, L., Jones, T., & Bradley, E. (2017). Reducing mental health stigma: The relationship between knowledge and attitude change.
European Journal of Mental Health, 12
(1), 25–40.
https://doi.org/10.5708/EJMH.12.2017.1.2
Links to an external site.

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Rebecca Blair Manges

Oct 28, 2024 8:05am
| Last reply Oct 30, 2024 12:46pm

Reply from Rebecca Blair Manges

An Explanation and Description to Specialization Choice

I am pursuing a post master’s certification in Adult Gerontology Acute Care Nurse practitioner. 12 years ago, I graduated from a family nurse practitioner program. I remember contemplating between the FNP and AGACNP program in 2009. During that time NP’s and PA’s were not used in an inpatient setting in my area except as a surgical assistant. I ultimately decided on an FNP program as it made me more marketable. I do not regret my choice as I have had a wide variety of experiences in the primary care arena. I went back to the acute care setting in 2020, and I have found my clinical interest as a hospitalist. I am planning to use my clinical hours to gain more experiences in specialties to enhance my clinical knowledge. These areas include neurology, cardiology and infectious disease. I am also planning some clinical hours in a hospital that I am not professionally affiliated with.

Professional Organization in Selected Specialization and Membership Details

The American Nurse’s Credentialing Center (ANCC) is the one the certifying boards for the AGACNP certification. To obtain the AGACNP-BC certification one must complete a master’s or post master’s program and complete an initial 175 question exam (ANCC, 2020.). This certification is good for 5 years and requires the provider to meet several certification requirements to be eligible or renewal (ANCC, 2020). The American Associations of Nurse Practitioners (AANP) offer a acute care specialty practice group for nurse practitioners with a clinical interest in acute care. This program suggests that the provider have an acute care certification and requires a membership to the AANP (Acute Care Specialty Practice Group, N.D.). I have found involvement in professional organizations is a great way to make professional connections that promote growth and development.

References

Acute Care Specialty Practice Group
. (N.D.). American Association of Nurse Practitioners. https://www.aanp.org/membership/aanp-communities/acute-care

Adult-Gerontology Acute Care Nurse Practitioner Certification (AGACNP-BC) | ANCC
. (2020). ANA. https://www.nursingworld.org/our-certifications/adult-gerontology-acute-care-nurse-practitioner/

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Barbara A Shannon

Oct 28, 2024 7:32am

Reply from Barbara A Shannon

My choice to pursue a nursing specialty in Psychiatric Mental Health stems from a strong desire to address the growing need for mental health services and make a meaningful impact on individuals struggling with mental health challenges. Mental health is a crucial yet often underrepresented area of healthcare, and there is a significant shortage of mental health professionals, particularly in underserved communities (Finley, 2020). Becoming a Psychiatric Mental Health Nurse Practitioner allows me to contribute to filling this gap and providing compassionate, evidence-based care to those who need it most.

Additionally, the holistic approach of the psychiatric mental health specialty aligns with my passion for treating the whole person addressing both mental and physical health needs (Kumar et al., 2020). Psychiatric mental health nursing focuses not only on diagnosing and treating mental health disorders but also on promoting mental wellness, educating patients and families, and advocating for those with mental illness (Kumar, 2020). This comprehensive approach to care resonates with my values as a nurse, as it allows me to build meaningful, long-term relationships with patients and provide continuous, integrated care.

Another reason for choosing this specialty is the growing recognition of mental health as an integral part of overall health. Mental health conditions like depression, anxiety, substance use disorders, and severe psychiatric illnesses are increasingly prevalent, yet many individuals still face barriers to accessing effective care (Kumar et al., 2020). By becoming a Psychiatric Mental Health – Nurse Practitioner, I can be part of the solution, advocating for mental health services, reducing stigma, and contributing to positive change in how mental health is viewed and treated in society.

In choosing to specialize in Psychiatric Mental Health, I encountered a few challenges and considerations that required careful thought. One of the difficulties was balancing my interest in various nursing specialties. As someone with a perioperative nurse background, I initially considered other advanced practice roles such as Pediatric Nurse Practitioner because of my experience with pediatrics. The decision to focus specifically on mental health involved reflecting on the most pressing needs within healthcare and where my skills could make the greatest impact. A major factor driving my decision was the growing recognition of mental health as an essential component of overall wellness and the significant shortage of mental health professionals, particularly in underserved populations (Mangano et al., 2020). Mental health disorders are rising, and more individuals are seeking mental health services than ever before (Mangano et al., 2020). Seeing how much these issues impact communities pushed me toward a role where I could actively contribute to improving mental health access and outcomes. Ultimately, these factors helped me clarify that specializing in Psychiatric Mental Health would allow me to combine my desire for long-term patient relationships, advocacy for vulnerable populations, and commitment to holistic care.

The American Psychiatric Nurses Association (APNA) is a professional organization focused on advancing care for individuals with psychiatric and mental health disorders and supporting the development of psychiatric-mental health nurses (PMHNs). APNA promotes education, research, and policy advocacy to improve mental health care and represents psychiatric nurses at all levels, including Psychiatric Mental Health Nurse Practitioners. It offers resources such as continuing education, webinars, conferences, and certifications to enhance professional development.

To become a member of the American Psychiatric Nurses Association you can go to the website where there are various membership categories based on professional status. Full membership for registered is for registered nurses and advanced practice nurses who are working in psychiatric-mental health nursing. Affiliate membership is for individuals who are registered nurses but have an interest in psychiatric mental health nursing. International membership is for nurses who practice outside the United States. Student membership is for those who are enrolled in a nursing program. Once you select the appropriate membership type, you can fill out the membership application online at the American Psychiatric Nurse Association website. You will need to provide personal and professional information such as contact details, nursing credentials, and employment information. Depending on the membership category you chose, membership dues are due at the time of application completion. Payments can also be made online at the website. The benefits of the membership allow access to various continuing education courses, clinical resources, research publications, conferences, networking opportunities, and advocacy efforts. The membership also comes with a subscription to the Journal of the Psychiatric Nurses Association. By joining APNA, you become part of a professional community that supports psychiatric-mental health nurses and contributes to advancing mental health care.

Finley B. A. (2020). Psychiatric Mental Health Nurse Practitioners Meeting Rural Mental Health Challenges.
Journal of the American Psychiatric Nurses Association
,
26
(1), 97–101. https://doi.org/10.1177/1078390319886357

Kumar, A., Kearney, A., Hoskins, K., & Iyengar, A. (2020). The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings.
Archives of psychiatric nursing
,
34
(5), 275–280.
https://doi.org/10.1016/j.apnu.2020.07.022
Links to an external site.

Mangano, E., Gonzalez, Y., & Kverno, K. S. (2020). Challenges Faced by New Psychiatric-Mental Health Nurse Practitioner Prescribers.
Journal of psychosocial nursing and mental health services
,
58
(10), 7–11. https://doi.org/10.3928/02793695-20200915-01

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Romel Suason

Oct 27, 2024 8:02pm

Reply from Romel Suason

Examining Nursing Specialties

After deciding on the specialty that I wanted to be part of with my MSN degree, I knew that it was the most important move toward taking my career and professional goals in nursing to a higher level. I decided to become an Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) based on substantial thinking over my interest in clinical aspects and the prevailing needs within healthcare. I have always been passionate about caring for the aging population, particularly managing chronic conditions. The role of an AGPCNP aligns with my commitment to improving the healthcare status among the aged population through the prevention, education, and management of chronic diseases (Echevarria, 2018). The specialty also meets my needs because it provides an avenue to deliver patient-centered care, a concept central to my nursing philosophy.

However, it was not an easy choice. Firstly, I needed to narrow my choices within nursing. Two roles that first came to mind were Family Nurse Practitioner and Psychiatric-Mental Health Nurse Practitioner, which had a variety of associated populations and settings. However, weighing my long-term goals with my interest in adult care, I found that the specialty of AGPCNP was best for my career goals. Another obstacle was balancing career growth goals against pragmatic realities like time investment, hard work, and financial burdens related to pursuing a higher degree. Besides the need to continue conducting my current responsibilities, such graduate studies also required a lot of planning and commitment. However, the fact that it offers quality, personalized care within a community I have been especially interested in proved a major aspect that kept me focused.

Several factors guided me toward taking this course. The first influence was the development of the need for primary health care nationwide, especially for the aging population. With the population aging, there comes a dire need for medical practitioners with the appropriate expertise in handling such patients. The AGPCNPs come in handy in meeting these gaps with holistic and evidence-based health care (Bickford et al., 2015). What attracts me to this position is the flexibility it allows a nurse practitioner to practice in various settings, be it outpatient, hospitals, or long-term care. Facilitated by this role, there are provisions for both acute and chronic care management, which further encourages me to establish a long-term relationship with patients and help them through several stages of their illness. What finally inspired me was the independence and leadership role accompanying the position of an AGPCNP. With each passing day, a nurse practitioner is recognized as a leader in health care, thus opening opportunities for me to manage health teams and advocate for policy change that promotes improved accessibility of care for older adults.

One of the large professional organizations associated with the AGPCNP specialty is the Gerontological Advanced Practice Nurses Association (GAPNA). The mission of GAPNA is to promote excellence in advanced practice nursing for older adults (Truant & Chan, 2017). A membership to GAPNA confers a number of benefits ranging from a plethora of continuing education resources to networking with other NPs and policy-supporting quality care of older adults. An active RN license and enrollment or completion of an advanced practice program in gerontology is requisite for being a member (Cherry et al., 2019). Membership includes but is not limited to students, currently practicing AGPCNPs, and other health professionals interested in or committed to caring for older adults. The available resources and support through GAPNA meet my professional goals of enhancing knowledge in caring for older adults and staying current on the best available evidence for practice.

In a recap, though a few factors have been considered when choosing a specialty, the growth in demand and the passion for improving the quality of care for the older population have factored into making it the correct path for me.

References

Bickford, C. J., Marion, L., & Gazaway, S. (2015). Nursing: Scope and standards of practice, third edition – 2015Links to an external site. Retrieved from
http://ebooks.iospress.nl/publication/12524
Links to an external site.

Cherry, B., Caramanica, L, Everett, L. Q., Fennimore, L., & Elaine, S. (2019). Leveraging the power of board leadership in professional nursing organizations Links to an external site. JONA: The Journal of Nursing Administration, 49(11), 517-519.

Echevarria, I. M. (2018). Make connections by joining a professional nursing organization Links to an external site. Nursing, 48(12), 3538.

Truant, R., & Chan, R. J. (2017). Future ready: Strengthening oncology nursing leadership in the context of professional oncology nursing organizations Links to an external site. Canadian Oncology Nursing Journal, 27(1), 2-4.

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Erin Roecker

Oct 27, 2024 4:03pm
| Last reply Nov 2, 2024 2:47pm

Reply from Erin Roecker

I have been a registered nurse for over five years and have done everything from travel ICU to PACU to now being a diabetes nurse educator. I received my BSN online a year after graduating from nursing school. I have always had a personal goal to obtain a master’s degree and finally decided to bite the bullet this year. This was not an easy decision to make as a full-time working parent of two toddlers and now taking on school on top of work and parenting. I decided on the MSN-FNP route because I work closely with FNPs daily as a nurse diabetes educator. Being a family nurse practitioner makes a lot of sense for me not only because of the broad range of patients and disease processes ill see, but also time wise. I’ve always envied critical care NPs or those NPs that specialize in emergency medicine or midwifery, but I can’t go back to the 12-hour shifts that comes with those specialties. FNP provides more of a work-home life balance that better fits my family and achieves my personal goal of an MSN and FNP. Another driving factor for me was how desperately needed both physicians and midlevel’s are in primary care now. “Current research shows that there is a shortage of practicing primary care providers. This predicament is projected to worsen as the United States experiences an unprecedented growth of its elderly population and federal healthcare reform aims to extend access to primary care to millions of new patients. Recent reports indicate that the system will need more than 50,000 additional primary care providers by 2025 (Miner, 2019).” By becoming an FNP I am also helping the provider shortage that is happening nationwide but particularly burdens the rural areas of Alaska. According to an article regarding FNP’s and provider shortages, “Patients are benefiting now more than ever before from the high quality, comprehensive, patient-centered health care services provided by nurse practitioners (PR Newswire, 2019).”

A professional organization that advocates for APRN’s is the American Association of Nurse Practitioners (AANP). According to the AANP website, “A membership gives you the opportunity to receive two digital journals, the latest news on topics that matter, access to a comprehensive library of continuing education (CE) activities for all specialties and experience levels at discounted pricing, advocacy at the state and national level, practice tools and so much more (American Association of Nurse Practitioners, n.d.).” Joining a professional organization like AANP is beneficial for APRN’s because they offer advocacy and support, continuing education, certification support and networking opportunities.

References:

American Association of Nurse Practitioners. (n.d.).
Membership
.
https://membership.aanp.org/start
Links to an external site.

Miner, M. A. (2019). Physicians, Nurse Practitioners, and the Shortage in Primary Care Providers: Professional Autonomy in the Public Discourse.
Sociological Imagination
,
55
(1), 51–67.

PR Newswire. (2019, January 28). Nurse Practitioner Role Continues to Grow to Meet Primary Care Provider Shortages and Patient Demands.
PR Newswire US
.

Examining Nursing Specialties

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