Mn 502 :nursing Model Application Unit 3 Discussion

Guidance and Coaching is a Core Competency of Advanced Nursing PracticeGuidance and coaching is a core function of both an advanced practice nurse and a registered nurse. Both of these concepts involve a complex, collaborative, and holistic process that is mediated by the APN or RN (Spross & Babine, 2016). In patient education, guidance is usually done by the nurse while in coaching the patient is empowered to manage their illness or injury. Guidance and coaching done by an advanced practice nurse is informed by assessments, experience and the ability to prescribe medication (Spross & Babine, 2016). Concordance describes the partnership that exists between an advanced practice nurse and their patient where an exchange of knowledge is promoted based on medication through coaching and guidance, utilization of the patient or nurse expertise and shared decision making (Cashin, Buckley, Newman & Dunn, 2009, p.13). Nurse practitioner patient education differs from that of a registered nurse because the advanced nurse has prescribing authority which allows them to provide holistic, patient-centered care where guidance and coaching in drug treatment for patients is promoted (Cashin, Buckley, Newman & Dunn, 2009, p.13). Because registered nurses cannot prescribe medication, they are limited on how to guide