Assignment: Pharmacologic Therapies

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Assignment: Pharmacologic Therapies

Assignment: Pharmacologic Therapies

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516 CLINICAL JOURNAL OF ONCOLOGY NURSING OCTOBER 2018, VOL. 22 NO. 5 CJON.ONS.ORG

CJON.ONS.ORG

O Oncology Nurse Practitioner Role Recommendations from the Oncology Nursing Society’s Nurse Practitioner Summit

Heather Mackey, MSN, RN, ANP-BC, AOCN®, Kimberly Noonan, DNP, RN, ANP-BC, AOCN®, Lisa Kennedy Sheldon, PhD, APRN, AOCNP®, FAAN,

Marybeth Singer, MS, ANP-BC, AOCN®, ACHPN, and Tamika Turner, DNP, NP-C, AOCNP®

ONCOLOGY NURSE PRACTITIONERS (ONPs) are advanced practice RNs (APRNs) prepared at the graduate level with high-level knowledge and skills within the specialty of oncology. This preparation enables ONPs to provide expert care for patients across the cancer care continuum. Based on state regulatory requirements, ONPs deliver a comprehensive range of healthcare services, such as compiling health histories, performing physical examinations, ordering and interpreting diagnostic studies, diagnosing and treating acute and chronic medical conditions, managing symptoms related to cancer treatments, and pre- scribing pharmacologic and nonpharmacologic therapies (i.e., chemotherapy, narcotics, counseling, education, and patient support) (American Association of Nurse Practitioners [AANP], 2018a; Brant & Wickham, 2013). ONPs actively collaborate with other members of the interprofessional team to ensure the delivery of quality care for patients with cancer and their caregivers.

The scope of practice for ONPs is regulated by the nursing practice acts defined by the laws and regulations of each individual state. In some states, ONPs have full practice authority, which allows them to practice independently without supervision by physicians, whereas in other states, ONPs have limited practice authority. To date, 22 states and the District of Columbia allow full, autonomous practice for ONPs (AANP, 2018b) (see Figure 1). Legislative efforts are ongoing across the nation with the intent to increase the number of states allowing full ONP practice authority.

Oncology Nurse Practitioner Training and Education The Institute of Medicine ([IOM], 2011) report, The Future of Nursing: Leading Change, Advancing Health outlined the role of nurses in a complex healthcare delivery system. Four essential messages were identified: (a) Nurses should practice to the full extent of their education and training; (b) nurses should achieve higher levels of education and training through an improved educational

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