Hamric has defined advanced nursing practice which can be applied to any of the Advanced Practioner Nurse roles. Whether it be the role of a Certified Registered Nurse Anesthetist, a Certified Nurse Midwife, or a Nurse Practitioner, Hamric’s definition of nursing practice applies and gives a proper representation of the elements and qualifications these professionals possess. In my opinion, the three elements that are most important of Hamric’s definition of advanced nursing practice are graduate education, evidence-based practices, and leadership. I believe these are the most important elements because they are what creates the basis for a successful Advanced Nurse Practitioner. In my opinion, it is essential to have graduate education in nursing so that one knows the information, such as the human body, diseases, diagnoses, treatments, and other aspects. As mentioned in our textbook, graduate education would fall under the category of direct care which would be considered a “central competency” (Hamric, Hanson, Tracy, & O’Grady, 2014). Having the basic knowledge of advanced nursing practice forms a foundation in which the professional can grow from. I also believe it is essential to be up to date with the latest evidence-based practices so that treatment and patient care can be given following the latest research studies and experiments. Lastly, having leadership skills is essential to have as an Advanced Nurse Practitioner because one has greater responsibilities and needs to be able to delegate tasks to other nurses. Leadership is a quality that Advanced Nurse Practitioners when caring for patients because they need to be able to form a strong foundation for those patients who need an individual to lead them in the path to optimal health. Hamric’s definition of advanced nursing practice entails many elements that are crucial for a successful advanced nursing professional to attain. 


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Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Advanced practice nursing: an integrative approach. St. Louis: Elsevier.

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