NR 510 Assignment Reflection on Achievement of Outcomes

I found this course to be very informative in a variety of ways. As a nurse, we learned the different values that we possess, but as a nurse practitioner those may change some. Honestly, the case studies were very helpful. I like to be put into scenarios such as those and have to work through them with the help of classmates. They made me think of ethical decisions that I may have to make as a nurse practitioner. As a nurse, some of those scenarios I have never been in, but obviously as a nurse practitioner, I could be in an uncomfortable situation like some of those that were presented. I had never taken time to figure out HMOs versus PPOs. After reading about them, I feel like they are similar in so many ways, but also have their differences. This information will be helpful when I start practicing.

I also enjoyed doing the research for the scope of practice for each state. I didn’t realize that each state was so different in the types of MSN they recognized, what they allowed them to do, and their licensure requirements. It was good to look into my state to know what I will be looking forward to once we have completed school. The use of Kaltura was rather difficult to figure out how to get the information uploaded, but the presentation itself was interesting to do. I realized how many times I said “um” when I was speaking! It took me multiple times of recording to be satisfied with my recording!

I had never heard of curriculum vitae, so that was interesting to learn about and write. It does look more professional than a resume, so I am glad we learned about the use of that. I was stressed out with the practicum information until this class when we started breaking down each class, what was expected for that rotation of clinicals, and the process of setting up clinical rotations. I feel better about this now and am in the process of getting them set up.

When I did my report, I actually learned the difference between a resume and a curriculum vitae. I have always heard of a resume and rarely heard about a CV. However, it made me aware of the difference between them. I think I will create two different kinds. I think now I will work on having a curriculum vitae and also having a resume at hand just in case employers ask for both. I think it makes more sense to also have a CV because nursing is not just a job but an actually career that people stay a long time in. Becoming more marketable and learning different ways to reach employers is extremely important with obtaining a new job. With this educational program, the idea is to start on a new path as a nurse practitioner. It is important to have both when applying for a nurse practitioner job. Also upon doing the paper I was able to learn the difference. Along with the LACE project and learning the CV, it really set the foundation for the path that I decided to take as a nurse practitioner and learning how it is important to have both on file when applying for a new job. This class was amazing and I appreciate everything we learned. Thank you Professor Storms for teaching this class!

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Throughout this course we have covered a wide variety of scenarios and experiences we will encounter as novice APRN’s. In particular we learned how important developing our own professional identity is. By using all of our resources when approaching different patient scenarios and case studies backed by evidence based research we were able to support our views on various topics. Some of the topics we touched on included bullying in the workplace, holistic patient care, role development, scope of practice by state and many other areas, which fall under the umbrella of the APRN role.

As RN’s continuing our education to APRN’s the number one focus of everything we learned throughout this course was to not forget our underlying goal in everything we do which is to provide excellent, safe, holistic patient care. Early on we worked through ethical dilemmas that put our patients safety at risk when patient information was not relayed in a timely manner. From that specific scenario we delved more into how to lead the office through this commotion and bring it back to our focus on the patient.

In our more recent assignments we’ve explored our scope of practice and the vast differences state to state. Going forward as future APRN’s it is vital for our generation of providers to be aware of these differences and know that there are ways for us to get involved in legislature and promote change. As more people decide to become involved the greater chance APRN’s have for unifying state to state and developing a standardized scope of practice across the US. Until this change happens, we will continue to work at the level in which our state allows, and provide quality healthcare for all patients we able to.

This has been an exciting, challenging, but very well informative course. I found many of the case studies and discussion very realistic, fun, and interesting. I can actually say that for the first time I didn’t have to focus so much on the format, such as APA, word count, and other requirements that many other classes required to give much focus on. Because of this, I was actually able to express and focus on my thoughts, insight, and opinion regarding the weekly discussions, but of course in a professional manner. This, so far, has been one of my favorite FNP courses.

As far as reflecting back over the past eight weeks, the program outcome #4, “Integrate professional values through scholarship and service in health care” has been achieve from this course assignment, discussions, and reading in many ways. For example, many of the case study required me to think of way I will need to handle unethical and unprofessional behavior in my future practice. Because I had many opportunities to evaluate and critically think about the actions I would take to address such issues, it gave me the opportunity to research evidence-base strategies and actions that I should implement to help resolve such issues. While writing and preparing for this week discussion post, the program outcome #4 was learned during week’s 4 case/study. This case study was centered on quality improvement and safety, as I found research article that emphasizes the importance healthcare staff members being compliant with policy, procedures and regulations according to the law.

MSN Essential II: Organizational and Systems Leadership; Recognizes that organizational and systems leadership are critical to the promotion of high quality and safe patient care. Leadership skills are needed that emphasize ethical and critical decision making, effective working relationships, and a systems perspective.

This MSN essential has also been obtain with the help of this course assignments, readings, discussions, and case studies in several ways and with many opportunities. One example of this MSN essential being obtained, was during case study from week three, when we were required to think of ways that leadership is important in practice. For example, the case study were the staff members often displayed rude and unprofessional behavior.

Moreover, the NP core competencies for leadership competencies was understood and obtained in this course in many ways. The NP core competency two, regarding communicating practice knowledge effectively both orally and in writing was demonstrated in this course on several occasions. Our last week assignment, LACE presentation gave us an opportunity to express this part of the core competency being obtained. In addition, the participate in professional organizations and activities that influence advanced practice nursing and health outcomes or a population was also explored and learned during our research paper in week 6 as well as in our LACE power point presentation.

As I mentioned I really enjoyed this course and I wish everyone a successful journey throughout the program.

Sincerely,

Reference

American Association of Colleges of Nursing. (2011). The essential’s of masters education in

nursing.Retrieved from: http://www.aacn.nche.edu/education-resources/MastersEssentials11.pdf

I can honestly say this has been my favorite class so far due to the curriculum and information we have learned in the past eight weeks. With a higher demand for healthcare providers and changing and expanding roles of the APRN, it is important to learn and understand the APRN role better (Englebright, McCurley, & Borum, 2017). This course has prepared us to meet the program outcome number four, MSN essential II, and NP core competencies number two, providing information about the skills and role of an APRN.

For professional value four, we integrated values through scholarship and service through our weekly discussions. We had many scenarios that we may come across as APNs and talked about the values we have and what we could or should do if put in those situations. For MSN essential II, we discussed work relationships, disagreements in the workplace, working under a physician, and leadership skills. We also discussed organizational leadership. Lastly, we fulfilled leadership NP core competencies. We learned about APRN roles in the states we live in and also how we desire a change to allow a practice to full educational scope. We reviewed state policies and collaborative relationships we may have in the future. We reflected on our strengths and weaknesses to improve on. As NPs, we will improve access to and delivery of high-quality care to care to benefit the underserved. We also learned that some states, specifically Georgia where I live, is highly restricted. States like Washington can prescribe and see patients with no restrictions. Unified healthcare is beneficial to all. We wrote a paper, formed discussions, and did a recorded LACE presentation. Public speaking has always been one of my biggest fears. Lastly, we talked about joining professional organizations to network and make a change. This class has been very beneficial to me and I am excited to take this newfound knowledge with me for years to come. Englebright, J., McCurley. J., & Borum, C. (2017). The emerging role of APRNs in hospital nursing practice: Perspectives from a survey of chief nursing officers. Nurse Leader, 15(6), 387-391. doi:10.1016/j.mnl.2017.09.004

I agree with you that this class has been very beneficial. This may have been one of the first classes I have had that used case scenarios (realistic one’s) to guide discussions and help us understanding the importance and reality of a leadership role we will be assuming. I mentioned in my post, I have really hidden behind the essence of an FNP being strictly a provider and not necessarily a leader. This class has largely provided me a greater understanding of the various leadership roles the FNP must encompass, the role theory plays, the role professional organizations play and how they shape the professional to be an accountable ethical one. In addition, as you mentioned learning the various different dynamics each State entails as an FNP provider was very helpful.

Hi Dr. Storms and Class,

This class has furthered my knowledge and leadership abilities, as I prepared to enter the advanced nurse practitioner role. The role of a nurse practitioner and leader are united with a common goal to influence others, creating change and patient care with health promotion and education.

From the inception of nursing, the profession uses interdisciplinary and disciplinary theories and modules to help guide advanced nurses to providing effective quality care and create an autonomous profession. The variation of theories that exist can help practitioners guide how they choose to model their practice and interactions with patients and peers. Nursing theory is a distinct dynamic in the nursing profession that has helped create a professional identity, specific educational requirements, clinical scope and various agencies that shape the nursing profession, roles and responsibilities to system leadership. Nursing theory has guided me as a BSN beside RN provider and is continuing to shape my future skills as an FNP in a leadership role. This class has broadened my understanding on the required skills a FNP must learn to appropriately perform in a new role, one of leadership. Oftentimes I have focused on FNP’s role as being a prescriber of diagnostic images, laboratory examinations, assessments and prescriptions. However, NR 510 has truly allowed me to understand various leadership roles and requirements that a successful FNP must encompass.

As healthcare continues to be reformed almost daily, FNP”s must reformat their scope and how to best delivery health care. As a future leader, FNP’s must lead their organizations through the fray of healthcare policy, reform while remaining true to their role and commitment to patients. FNP’s must be knowledgeable within their foundations and be used as a guide to prioritize leadership skills and behaviors that ensure their organizations are guided accurately and effectively. FNP’s must possess leadership skills to navigate and manage conflict my appropriately bing in a position that promotes transforming healthcare systems, building a healthy environment, displaying compassion, accountability and creating a platform where these dynamics can occur. This class has helped me understand the role and fundamental responsibility of the contemporary leader, FNP. This class has provided knowledge of relevant methods of leadership, and understanding theories of leadership and its useful application to advance my roles.

Reference:

DeNisco, S.M., & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Retrieved from https://bookshelf.vitalsource.com

Before this class I had an idea of the limitations on an APN but I did not realize there were different levels of restrictions. I have also learned and been made to think more about the ethical and legal aspects of being a APN. The case studies really made me think about what I would do I certain situations. I know that a lot of people do get close with the people they work with and it seems to me this can make work life so very difficult at times. No one wants to hurt a friends feelings or not take up for their friend. However, when it comes to the license I have studied and worked so hard for then all friendship aside. If they do not understand I am not willing to put my license in jeopardy then they really aren’t much of a friend. As for the ne about people arguing at work. This seems to be something that happens in a lot of work places. Being in management I know the people who are the friendliest to my face are often the ones with their knives the deepest in my back. I have learned that I do not have to be friends with coworkers. Well, not anything beyond work friends. Once the work day is over we don’t go out and have dinner or drinks. As management this would not be allowed anyway unless it is work related. The case studies in this class have also taught me that just because an employee is a good worker does not mean they will not make mistakes and I have to be willing to discipline for the mistakes as appropriate. I have really enjoyed this class. Even though it seems these computers have tried and tried to keep me from getting all the work done. But here I am, I made it. Thanks for being patient with me.

I want to start by thanking you for teaching this class. I feel that the content and discussions have taught me so much information that is applicable to practice and essential to understand. I felt that I understood the scope of APRN’s (for the most part) until this class made me realize that I really did’t have a good understanding of the scope and how to approach situations that I will be facing. There is a great need for APRN’s and it’s frustrating to see groups that fight to keep the profession from progressing. Every day I take care of patients in the ER that could easily be cared for as outpatients by APRN’s. I frequently hear people say they were sent by their Dr’s office because there weren’t any appointments. It’s hard to see the ER become overcrowded with issues that can be taken care of in a much less expensive and efficient manner. Luckily there has been progress overall, it’s just slow! I live in Illinois and the changes passed this year are promising but still leave issues to address. My favorite part of this class were the discussions. The questions posted were great and forced me to consider real life scenarios that I would not have thought of otherwise. I felt that your responses to the students were very informative and I enjoyed your responses because a lot of them challenged us to consider an alternative scenario.

I feel much more prepared moving forward. Thank you for all of your insight!

Reference:

Buppert, C. (2015). Nurse practitioner’s business practice & legal guide (5th ed.). Retrieved from https://bookshelf.vitalsource.com

DeNisco, S.M., & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Retrieved from https://bookshelf.vitalsource.com

This was one of the most enjoyable classes in my graduate schedule thus far. I think everyone in this class can agree the scenarios and your encouraging teaching style made the discussion and the projects in this class easier to manage. One of the ways Program Outcome #4 has been met is through the “conflict at work” discussion. “Conflict at work” is an under-discussed subject. During this discussion, I learned the most common triggers of conflict in healthcare settings are communication problems, poor organizational structure, role disputes, lack of resources, simple mistakes due to fatigue, indifference and a lack of professionalism (Higazee, 2015). Dealing with conflict can be a negative or positive process, but the goal is to address conflict in a healthy not dysfunctional way (Higazee, 2015). MSN Essential II was met when the class learned about negotiating their contracts. The book Women Don’t Ask states less than 10% of women negotiate their contracts (Babcock & Laschever, 2007). This needs to change since over 85 percent of nurse practitioners are women. NPs must learn to speak up about their salaries because the future of NP salaries depends on it. When APNs feel they are respected and compensated properly, they provide better nursing care because they enjoy their jobs. Self-directed leadership is a way to learn how to be a better boss. If I learn how to stand up for myself, I can be trusted to support my staff’s request when presenting issues or suggesting change to upper hospital management. Leadership Competencies skills are necessary for APN scope of practice to change to full practice authority statewide. When APNs who reside in full practice authority states continue to benefit the patient population, other states will soon follow the model and allow APN nurses to practice without physician oversight.

Reference

Babcock, L., & Laschever, S. (2007). Women don’t ask: The high cost of avoiding negotiation– and positive strategies for change. New York, NY: Bantam Books.

Higazee, M. (2015). Types and levels of conflict experienced by nurses in hospital settings. Health Science Journal, 9(67), 1-6. Retrieved from http://www.hsj.gr/medicine/types-and-levels-of-conflicts-experienced-by-nurses-in-the-hospital-settings.pdf

The purpose of this posting is to reflect on some of the things I have learned regarding the role of advanced practice nurse (APN) I agree with many of the point which others have made about this class and feel it has given me a greater overview of the new world of the APN. It was not too long ago that I started the process of learning nursing. It was a journey which involved many steps to reach a point of some competence. As I realize the significance of moving into this new role I realize that the journey toward competence is starting over again and it is an area of concern. Moving into a provider role brings much more responsibility with it and the drive to be competent is that much more real. I suppose that the good news is that floor nursing experience does help one understand the nursing process and this will reduce the learning curve somewhat. I also have a greater understanding of the differences in law from state to state. This information is very useful when looking at the future. I hope for the best for all of us and am thankful for Dr Storms help on the journey.

NR 510 Assignment Reflection on Achievement of Outcomes