• Develop a personal philosophy and framework acknowledging professional and accrediting agency competencies relating to the role and scope of practice of the family nurse practitioner. Identify a nurse theorist that you align your current/ planned practice and how they provide the foundation for this philosophy development.
• Describe the type of educational courses and professional requirements required for APRN professional certification and licensing within the state that you will practice.
• Identify the precise application process for your certification exam, your state regulations for application for prescriptive authority/practice, and issues related to APRN practice within your state.
• Evaluate and discuss APRN roles and prescriptive privileges and impact on client safety and care
• Compare the differences between prescriptive authority, credentialing, and clinical privileges and how each of these impact client safety and care
• Evaluate the development of the advanced practice nurse role from a global perspective.
My personal philosophy and framework for the role of the Family Nurse Practitioner is to always strive for excellent quality of care, utilizing evidence-based practice and patient-centered approaches. In my current or planned practice, I recognize that it is essential to uphold all professional standards set forth by accrediting agencies such as the American Academy of Nurse Practitioners (AANP) in order to ensure safe, high-quality care. My commitment to this philosophy is further strengthened through my alignment with nursing theorist Dorothea Orem’s Self Care Theory (Schubert & Thomas, 2014). Orem’s theory proposes that individuals are responsible for their own self-care needs and should be enabled by healthcare providers to become independent in caring for themselves. This aligns with my belief that a nurse practitioner should act as an advocate and educator while empowering patients to take ownership of their health. The Self Care Theory provides a foundational basis from which I can develop my approach when offering optimal family nurse practitioner services; allowing me to focus on providing comprehensive preventive education in order for families and communities achieve maximum wellness.
First, it is never just to intentionally kill innocent people in wars, supported by Vittola’s first proposition. This is widely accepted as ‘all people have a right not to be killed’ and if a soldier does, they have violated that right and lost their right. This is further supported by “non-combatant immunity” (Frowe (2011), Page 151), which leads to the question of combatant qualification mentioned later in the essay. This is corroborated by the bombing of Nagasaki and Hiroshima, ending the Second World War, where millions were intently killed, just to secure the aim of war. However, sometimes civilians are accidentally killed through wars to achieve their goal of peace and security. This is supported by Vittola, who implies proportionality again to justify action: ‘care must be taken where evil doesn’t outweigh the possible benefits (Begby et al (2006b), Page 325).’ This is further supported by Frowe who explains it is lawful to unintentionally kill, whenever the combatant has full knowledge of his actions and seeks to complete his aim, but it would come at a cost. However, this does not hide the fact the unintended still killed innocent people, showing immorality in their actions. Thus, it depends again on proportionality as Thomson argues (Frowe (2011), Page 141).
This leads to question of what qualifies to be a combatant, and whether it is lawful to kill each other as combatants. Combatants are people who are involved directly or indirectly with the war and it is lawful to kill ‘to shelter the innocent from harm…punish evildoers (Begby et al (2006b), Page 290).However, as mentioned above civilian cannot be harmed, showing combatants as the only legitimate targets, another condition of jus in bello, as ‘we may not use the sword against those who have not harmed us (Begby et al (2006b), Page 314).’ In addition, Frowe suggested combatants must be identified as combatants, to avoid the presence of guerrilla warfare which can end up in a higher death count, for example, the Vietnam War. Moreover, he argued they must be part of the army, bear arms and apply to the rules of jus in bello. (Frowe (2011), Page 101-3). This suggests Frowe seeks a fair, just war between two participants avoiding non-combatant deaths, but wouldn’t this lead to higher death rate for combatants, as both sides have relatively equal chance to win since both use similar tactics? Nevertheless, arguably Frowe will argue that combatant can lawfully kill each other, showing this is just, which is also supported by Vittola, who states: ‘it is lawful to draw the sword and use it against malefactors (Begby et al (2006b), Page 309).’
In addition, Vittola expresses the extent of military tactics used, but never reaches a conclusion whether it’s lawful or not to proceed these actions, as he constantly found a middle ground, where it can be lawful to do such things but never always (Begby et al (2006b), Page 326-31). This is supported by Frowe, who measures the legitimate tactics according to proportionality and military necessity. It depends on the magnitude of how much damage done to one another, in order to judge the actions after a war. For example, one cannot simply nuke the terrorist groups throughout the middle-east, because it is not only proportiona