Peer 1 discussed three important issues for the family nurse practitioner (FNP) role: increased autonomy, faculty shortages, and high job demand. They also discussed the positive impact of the FNP role on patient outcomes through improved access and more time-conscious care options. Peer 2 discussed the importance of advancing formal education and developing leadership skills for the FNP role. They emphasized continuing education and research to improve patient care through evidence-based practice. Both peers emphasized the importance of upholding ethics and following legal and regulatory statutes as healthcare providers.

1. Reply to my peers
In your participation responses to your peers, comments must
demonstrate thorough analysis of postings and extend
meaningful discussion by building on previous postings.
Peer 1
The top three issues I believe to be most important in my
chosen role as a Family Nurse Practitioner (FNP) are increased
autonomy, faculty shortages, and high job demand. The issue of
increased autonomy for the nurse practitioner (NP) is very
controversial. Some physicians believe nurse practitioners are
allowed to do too much without being medical doctors, while
others believe that NP’s don’t do enough in the medical field.
These days, nurse practitioners have the ability to practice
independently (without physician oversight) in twenty-one
states, despite objections from the physician community
(DeCapua, M., 2019). The second issue concerning my chosen
role is faculty shortages. Some programs must turn down
students because they don’t have enough instructors, and some
student NP’s reported having to sit out a semester due to a lack
of preceptors. This issue affects the NP job field tremendously.
The third issue is high job demand. According to DeCapua
(2019), three years ago, the NP field wasn’t in the top twenty
high demand jobs; now, it is the fifth most in-demand medical
specialty. This increased demand could result in people getting
into the field for the wrong reasons, thus driving down the
quality of care received from nurse practitioners.
The impact the role has on patient outcomes has proven to be
incredibly positive. Nurse practitioners have improved health
care tremendously. This field has made healthcare more

2. accessible and affordable for many patients. Also, giving them
more time-conscious options, such as being seen at an urgent
care facility run by NP’s versus going to the emergency room
waiting hours to be seen (Tracy & O'Grady, 2019).
Implementing my knowledge regarding values' theory, ethics,
legal and regulatory statutes, my philosophy for a career as an
advanced practice nurse includes the following pillars: treat
patients with respect considering their culture and ethnicity,
perform my duties or scope of practice with integrity, always
being honest, truthful, accountable, and dependable. Finally,
continuing my education to provide quality patients care using
current evidence-based practices. This philosophy reflects in
some way the way I want to handle myself as an advanced
nurse. It is essential to stay positive and proactive regarding
knowledge, ethics, and legal practices regulations because we
hold people’s lives and health in our hands as healthcare
providers. Assuming a nurse practitioner's role or any advanced
practice role gives students more responsibility, it is always
crucial to maintain our values and ethics all time (Tracy &
O'Grady, 2019).
References
DeCapua, M. (2019).
21 Trends for Nurse Practitioners in 2016
. Nurse Practitioner Schools.
https://www.nursepractitionerschools.com/blog/21-trends-for-
nurse-practitioners-to-monitor/
Tracy, M., & O'Grady, E. (2019). Hamric and Hanson’s
Advanced Practice Nursing: An Integrative Approach, (6th ed.).
St. Louis, MO: Elsevier/Saunders.

3. Peer 2
Going into the family nurse practitioner (FNP) specialization it
is important to understand the current trends that are most
important to this role. These trends include, advancing formal
education, developing and acquiring leadership skills and being
active in new models of leadership (Strech & Wyatt, 2013).
With advanced formal education and being an active leader in
the medical field you are able to improve patient care outcomes
through evidenced-based practice and extensive research on the
best plans of care. With the ability to assess, diagnose and
prescribe medications and other treatment plans it is necessary
to be aware of role regulations and requirements for this
position. The American Nurses Association (ANA) provides a
Code of Ethics for Nurses. The ethics and legal statutes as a
healthcare provider include respecting human dignity,
professional boundaries, protection of patient rights,
accountability, personal health promotion, responsibility for the
healthcare environment and so many others (Toney-Butler &
Martin, 2020).
The philosophy I plan to stick to in my career as an advanced
practice nurse is to go above and beyond for my patients in
ways of research and educating them on their plan of care. I
want my patients to not only receive the best care possible but
understand what is going on in their body and why the plan will
be helpful. I also plan to continue my education as advancing
my knowledge will only further benefit my patients. “Nurses
with doctorate degrees provide the profession with a valuable
leadership skill set to conduct research and analyses that
promote the practice of nursing and the understanding of
nursing’s effect on patient care outcomes and the health care
system overall” (Strech & Wyatt, 2013).
References

4. Strech, S., & Wyatt, D. A. (2013). Partnering to lead change:
Nurses' role in the redesign of
health care.
Association of Operating Room Nurses.AORN Journal, 98
(3), 260-6.
doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1016
/j.aorn.2013.07.006
Toney-Butler TJ, Martin RL. (2020). Florida Nurse Practice Act
Laws and Rules. Retrieved from