Our Previous Samples

9)

Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)

Leads others in professional identity

NR 718 Week 1 Discussion Evaluating Leadership Competencies for the Advanced Practice Nurse

Evaluating Leadership Competencies for the Advanced Practice Nurse Example

Leadership competencies are essential for advanced practice nurses (APNs) as they play a vital role in healthcare delivery. Effectively leading and managing healthcare teams can significantly impact patient outcomes. APNs must possess various leadership competencies, including clinical, professional, and health systems leadership competencies (Chair et al., 2023). This paper aims to examine these competencies and identify strengths and areas for development.

Clinical leadership competency involves providing leadership and liaising with other health agencies and professionals to improve patient care (Heinen et al., 2019). This competency is one of my strengths in my current psychiatric mental health nurse practice. This competency has enhanced my effective communication and collaboration with the interdisciplinary team to provide patient care. It has also enhanced my skills in analyzing organizational systems for barriers and promoting enhancements that affect client healthcare status.

Professional leadership competency is my second strength, and it involves participating in professional organizations and activities that influence advanced practice nursing (Heinen et al., 2019). As an APN in psychiatry and mental health, I am interested in advancing the nursing profession and have actively participated in professional organizations. This has enhanced my knowledge and skills in advanced practice nursing.

My third strength is health systems leadership competency, which involves demonstrating leadership in enhancing group dynamics and managing group conflicts within the organization (Heinen et al., 2019). In my current practice as a psychiatric mental health nurse, I have experience in managing conflicts and fostering a positive work environment, which has improved teamwork and, ultimately, patient care.

As a DNP-prepared psychiatric and mental nurse, I am interested in further developing my clinical and health systems leadership competencies, specifically in advanced communication skills, health policy, and creating a supportive organizational environment. I aim to enhance my ability to effectively lead quality improvement and patient safety initiatives using advanced communication skills and processes (Howick et al., 2019). I am also interested in applying business, finance, economics, and health policy principles to develop and implement effective plans for practice-level and system-wide initiatives that improve the quality of care delivery (Heinen et al., 2019). Lastly, I advocate for and create an organizational environment supporting safe client care, collaborative practice, and professional growth.

NR 718 Week 1 Discussion Evaluating Leadership Competencies for the Advanced Practice Nurse References

Chair, S. Y., Wong, F. K. Y., Bryant-Lukosius, D., Liu, T., & Jokiniemi, K. (2023). Construct validity of advanced practice nurse core competence scale: An exploratory factor analysis. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01203-1

Heinen, M., Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of Advanced Nursing, 75(11), 2378–2392. https://doi.org/10.1111/jan.14092

Howick, J., Moscrop, A., Mebius, A., Fanshawe, T. R., Lewith, G., Bishop, F. L., Mistiaen, P., Roberts, N. W., Dieninyt?, E., Hu, X.-Y., Aveyard, P., & Onakpoya, I. J. (2019). Effects of empathic and positive communication in healthcare consultations: A systematic review and meta-analysis. Journal of the Royal Society of Medicine, 111(7), 240–252. https://doi.org/10.1177/0141076818769477

Also Read:

NR717 Week 1 ErnestYoung Leading Culturally and Linguistically Appropriate Healthcare Discussion

NR 718 Week 1 Discussion Evaluating Leadership Competencies for the Advanced Practice Nurse Instructions

Purpose

The DNP-prepared APN works to affect change in practice to provide safe and high-quality patient care. The purpose of this discussion is to evaluate the leadership competencies of the APN.

Instructions

Review the lesson and readings from this week and the following article:

Heinen, M., van Oostveen, C. Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice.Links to an external site. Journal of Advanced Nursing, 75, 2378-2392. https://doi.org/10.1111/jan.14092 (see Table 2)

Then, respond to the following:

1. Identify and evaluate three competencies that are a strength for you in your current practice.
2. Identify and examine three competencies that you are interested in further developing as you prepare for your role as a DNP-prepared nurse.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

• Link (webpage): DNP Discussion Guidelines.

Program Competencies

This discussion enables the student to meet the following program competencies:

• Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
• Appraises current information systems and technologies to improve health care. (POs 6, 7)
• Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)

Course Outcomes

This?discussion?enables the student to meet the following course outcomes:?

1. Identify advanced practice leadership competencies. (PCs 2, 4, 5; POs 2, 6)

NR 718 Week 2 Advanced Practice Nurse Clinical Leadership: Identifying Grants to Fund Practice Change Initiatives Discussion

Purpose

The purpose of this discussion is to demonstrate your understanding of a literature synthesis of the practice problem. The DNP-prepared nurse uses the information to identify and seek grant funding to financially support the project and to begin writing a successful grant proposal.

Instructions

Review the lesson and readings from this week and respond to the following:

1. Use a synthesis of research study evidence and non-research evidence to introduce the implications of the practice problem including the significance, mortality, and economic ramifications of the problem.  
2. Present your practice change idea to address your practice problem.
3. Identify a potential non-research grant to support your evidence-based practice change initiative (these can often be in the form of quality improvement funding). Tip- look at the different nurse practitioner organizations for grant funding.  
4. Present a summary of the grant proposal requirements of the grant funding agency with deadline dates as applicable.  

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

• Link (webpage): DNP Discussion Guidelines.

Program Competencies

This discussion enables the student to meet the following program competencies:

1. Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)
2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
3. Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)
4. Appraises current information systems and technologies to improve health care. (POs 6, 7)
5. Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)
6. Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

1. Identify advanced practice leadership competencies. (PCs 2, 4, 5; POs 2, 6)
2. Translate research into clinical practice to provide optimal wellness and disease prevention throughout the patient population. (PCs 1, 3, 5, 7, 8; POs 1, 3, 4, 9)
3. Critically appraise research as it applies to evidence-based practice to provide the most current and effective care to patient populations. (PCs 1, 3, 5, 8; POs 3, 4, 9)

NR 718 Week 3 Advanced Practice Nurse Health Systems Leadership to Ensure Culturally Competent Care to Address Health Inequities Discussion

Purpose

The purpose of this discussion is to examine the role of the APN as a leader in healthcare delivery of high-quality, evidence-based care to culturally diverse populations who experience health inequities.

Instructions

Review the lesson and readings from this week and provide an example of how health system leaders can reduce health inequities to improve quality and outcomes.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

• Link (webpage): DNP Discussion GuidelinesLinks to an external site.

Program Competencies

This discussion enables the student to meet the following program competencies:   

1. Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)
2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
3. Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)
4. Appraises current information systems and technologies to improve health care. (POs 6, 7)
5. Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)
6. Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)
7. Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

1. Identify advanced practice leadership competencies. (PCs 2, 4, 5; POs 2, 6)
2. Apply various strategies to improve access to quality, cost-effective healthcare. (PCs 5, 7, 8; POs 1, 4, 9)
3. Translate research into clinical practice to provide optimal wellness and disease prevention throughout the patient population. (PCs 1, 3, 5, 7, 8; POs 1, 3, 4, 9)
4. Critically appraise research as it applies to evidence-based practice to provide the most current and effective care to patient populations. (PCs 1, 3, 5, 8; POs 3, 4, 9)

Advanced Practice Nurse Leadership to Ensure Culturally Competent Care Example

Health inequities refer to disparities in healthcare outcomes resulting from systemic, social, and economic factors that are avoidable, unfair, and unjust and can create unequal health opportunities (Lee et al., 2020). Culturally competent care is crucial in reducing health inequities. Advanced practice nurses (APNs) can significantly address health inequities by assuming leadership positions in healthcare systems. APNs are uniquely qualified to lead efforts to reduce health inequities by promoting culturally competent care.

Advanced practice nurse health system leaders are essential in reducing health inequities by implementing strategies that ensure culturally competent care to diverse populations. APNs can identify and address language barriers, cultural beliefs, and practices that may impact patient care (Swihart & Martin, 2022). They can also ensure culturally competent care by hiring a diverse workforce that reflects the patient population to be served. Culturally competent care must also be integrated into healthcare policies, procedures, and practices.

One example of how APN health system leaders can reduce health inequities is by addressing the mental health needs of culturally diverse populations. APNs can lead efforts to develop and implement evidence-based interventions that improve mental health outcomes for diverse populations by ensuring that mental health services are culturally appropriate and address the unique needs of patients from different backgrounds. APN leaders can also promote cultural competence by ensuring that interdisciplinary teams are trained in cultural sensitivity, communication, and awareness of the social determinants of health (Liu et al., 2022). Furthermore, APNs can advocate for policy changes that address health inequities by engaging in advocacy efforts to reduce healthcare disparities in underserved communities, such as policies on improved access to care for vulnerable populations.

As discussed above, advanced practice nurses can play a crucial role in reducing health inequities and ensuring culturally competent care. APN health system leaders can lead efforts to identify and address language barriers, cultural beliefs, and practices, hire a diverse workforce, and develop evidence-based interventions that are culturally appropriate. APN leaders can also engage in advocacy efforts to reduce healthcare disparities in underserved communities. These actions can help ensure all patients receive accessible, equitable, and culturally competent care.

References

Lee, H., Kim, D., Lee, S., & Fawcett, J. (2020). The concepts of health inequality, disparities, and equity in the era of population health. Applied Nursing Research, 56, 151367. https://doi.org/10.1016/j.apnr.2020.151367

Liu, T.-T., Chen, M.-Y., Chang, Y.-M., & Lin, M.-H. (2022). A preliminary study on the cultural competence of nurse practitioners and its affecting factors. Healthcare, 10(4), 678. https://doi.org/10.3390/healthcare10040678

Swihart, D. L., & Martin, R. L. (2022, November 14). Cultural religious competence in clinical practice. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493216/

NR 718 Week 3 Leading Evidence-Based Practice Change: Part 1 Assignment

Purpose

The purpose of this assignment is to demonstrate clinical and health systems leadership by writing a grant proposal for an evidence-based practice change project to address a practice problem. You will use the practice problem identified in previous courses. This assignment focuses on the first part of a grant proposal:

• Specific Aims
• Background and Significance
• Translational Science Model
• Setting

Instructions

Review feedback from the discussion and write the beginning of the grant proposal that includes the following required content:

1. Introduction (maximum of 1 paragraph): Provide a brief introduction that describes the following:
   1. Introduce the paper’s purpose and the importance of the practice change project.
   1. Describe intended accomplishments and long-term project goals.
   1. Provide a brief and defining statement of what will be discussed in the paper.
2. Specific Aims (maximum of 1 paragraph)
   1. Describe what is hoped to be accomplished with the project, such as increased access or quality of care, etc.
3. Background and Significance (maximum of 2 pages): This section lays out the reason for the grant proposal. It should make a clear, concise, and well-supported statement of the problem. The information provided should be both factual and directly related to the problem addressed by the grant proposal. The following should be addressed in this section:
   1. Define the purpose for developing the grant proposal.
   1. Identify the problem and address why this is a problem.
   1. Describe the nature of the problem. Provide as much evidence as possible, including the non-research data along with the research findings. Provide a synthesis of research study evidence and non-research evidence to introduce the implications of the practice problem that include the significance, mortality, and economic ramifications of the problem.
   1. Describe the stakeholders, who they are, and how they will benefit from the practice change project. 
   1. Describe the specific way the problem(s) might be solved using the grant funding. 
4. Translational Science Model (maximum of 1 paragraph)
   1. Identify and briefly describe an appropriate translational science model to guide the project implementation.
5. Setting (maximum of 1 paragraph)
   1. Describe the setting to include the type of organization (e.g., hospital, clinic, long-term care facility, etc.).
   1. Describe the specific population served by the organization.
   1. Describe the ethnic, racial, and cultural diversity of the community.

APA Guidelines 

Use the current American Psychological Association (APA Manual) and the Chamberlain Guidelines for Writing a Professional Papers (located in the APA Basics section of the Writing Center) to complete this assignment.?Follow these guidelines when completing each component. Contact your course faculty if you have questions.  

1. Use the APA Paper Template (located in the Writing Center) to format this assignment.  
2. Turn on Grammarly to check the correctness of the grammar and punctuation as you write. (Note: if you have not already done so, please download the free version at Grammarly.com before construction of the assignment.)  
3. Construct a title page using the APA paper template (Example: The Nurse Educator and Leading Social Change).  
4. Use the following prescribed Level I headings for the paper:  
   1. Title of the paper for Introduction 
   1. Specific Aims 
   1. Background and Significance 
   1. Translation Model 
   1. Setting 

Writing Requirements (APA format)

• Length: 3-4 pages (not including title page or references page)
• 1-inch margins
• Double-spaced pages
• 12-point Times New Roman or 11-point Arial font
• Headings and subheadings
• In-text citations
• Title page
• Reference page
• Standard English usage and mechanics
• Organized presentation of ideas 

Program Competencies

This assignment enables the student to meet the following program competencies:   

1. Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)
2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
3. Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)
4. Appraises current information systems and technologies to improve health care. (POs 6, 7)
5. Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)
6. Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)
7. Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)

Course Outcomes

This assignment enables the student to meet the following course outcomes:

1. Identify advanced practice leadership competencies. (PCs 2, 4, 5; POs 2, 6)
2. Apply various strategies to improve access to quality, cost-effective healthcare. (PCs 5, 7, 8; POs 1, 4, 9)
3. Utilize translation science to affect evidence-based practice change to impact quality and safety of patient care. (PCs 1, 3; POs 3, 5)
4. Translate research into clinical practice to provide optimal wellness and disease prevention throughout the patient population. (PCs 1, 3, 5, 7, 8; POs 1, 3, 4, 9)

NR 718 Week 3 Assignment Grading Rubric

Week 3 Assignment Grading RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeIntroduction Requirements:
1. Introduce the paper’s purpose and the importance of the project.
2. Describe the intended accomplishments and long-term project goals.
3. Provide a brief and defining statement of what will be discussed in the paper.20 pts Includes all requirements and provides an excellent introduction. 18 pts Includes all requirements and provides a very good introduction. 16 pts Includes fewer than all requirements and/or provides a basic introduction. 0 pts Includes fewer than all requirements and/or provides a poor introduction.20 ptsThis criterion is linked to a Learning OutcomeSpecific Aims Requirements:
1. Describe what is hoped to be accomplished with the project such as increased access or quality of care, etc.20 pts Includes all requirements and provides an excellent description of the specific aims. 18 pts Includes all requirements and provides a very good description of the specific aims. 16 pts Includes fewer than all requirements and/or provides a basic description of the specific aims. 0 pts Includes fewer than all requirements and/or provides a poor description of the specific aims.20 ptsThis criterion is linked to a Learning OutcomeBackground and Significance Requirements:
1. Define the purpose for developing the grant proposal.
2. Identify the practice problem and address why this is a problem.
3. Describe the nature of the problem. Provide as much evidence as possible, including the non-research data along with the research findings. Provide a synthesis of research study evidence and non-research evidence to introduce the implications of the practice problem that include the significance, mortality, and economic ramifications of the problem.
4. Describe the stakeholders, who they are, and how they will benefit.
5. Describe the specific way the problem(s) might be solved.50 pts Includes all requirements and provides an excellent description of the background and significance. 45 pts Includes all requirements and provides a very good description of the background and significance. 40 pts Includes fewer than all requirements and/or provides a basic description of the background and significance. 0 pts Includes fewer than all requirements and/or provides a poor description of the background and significance.50 ptsThis criterion is linked to a Learning OutcomeTranslational Science Model Requirements:
1. Identify and briefly describe an appropriate translational science model to guide the project implementation.30 pts Includes all requirements and provides an excellent discussion of the translational science model. 27 pts Includes all requirements and provides a very good discussion of the translational science model. 24 pts Includes fewer than all requirements and/or provides a basic discussion of the translational science model. 0 pts Includes fewer than all requirements and/or provides a poor discussion of the translational science model. epidemiology.30 ptsThis criterion is linked to a Learning OutcomeSetting Requirements:
1. Describe the setting to include the type of organization.
2. Describe the specific patient population served by the organization.
3. Describe the ethnic, racial, and cultural diversity of the community.30 pts Includes all requirements and provides an excellent discussion of the setting. 27 pts Includes all requirements and provides a very good discussion of the setting. 24 pts Includes fewer than all requirements and/or provides a basic discussion of the setting. 0 pts Includes fewer than all requirements and/or provides a poor discussion of the setting.30 ptsThis criterion is linked to a Learning OutcomeReferences Requirements:
1. Identify and list scholarly sources and other sources on the reference pages.
2. List sources in alphabetical order.
3. Use correct hanging-indent format.10 pts Includes all requirements and provides excellent references. 9 pts Includes all requirements and provides very good references. 8 pts Includes fewer than all requirements and/or provides basic references. 0 pts Includes fewer than all requirements and/or provides poor references.10 ptsThis criterion is linked to a Learning OutcomeAPA Style and Organization for Scholarly Papers Requirements:
1. Use prescribed Level I headers as described in the assignment guidelines.
2. Reference and citations are in current APA style.
3. Paper length is 3-4 pages, excluding title and reference pages.10 pts Includes all requirements and provides excellent APA style and organization. 9 pts Includes all requirements and provides very good APA style and organization. 8 pts Includes fewer than all requirements and/or provides basic APA style and organization. 0 pts Includes fewer than all requirements and/or provides poor APA style and organization.10 ptsThis criterion is linked to a Learning OutcomeClarity of Writing Requirements:
1. Use of Standard English usage and mechanics
2. No spelling or typographical errors
3. Organized presentation of ideas30 pts Includes all requirements and demonstrates excellent clarity of writing. 27 pts Includes all requirements and provides very good clarity of writing. 24 pts Includes fewer than all requirements and/or provides basic clarity of writing. 0 pts Includes fewer than all requirements and/or provides poor clarity of writing.30 ptsTotal Points: 200

NR 718 Week 4 Advanced Practice Nurse Clinical and Health Systems Leadership in Action: The Evaluation Plan Discussion

Purpose

The purpose of this discussion is to develop an evaluation plan for the grant proposal.

Instructions

Review the lesson and readings from this week. Continuing with the practice problem you identified in the Week 3 Assignment, respond to the following:

1. Identify the primary outcome(s) for your evidence-based intervention.
2. Describe how this will be measured (i.e., how the evidence-based intervention will be evaluated when it is fully implemented).

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

• Link (webpage): DNP Discussion Guidelines.

Program Competencies

This discussion enables the student to meet the following program competencies:   

1. Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)
2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
3. Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)
4. Appraises current information systems and technologies to improve health care. (POs 6, 7)
5. Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)
6. Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)
7. Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

1. Identify advanced practice leadership competencies. (PCs 2, 4, 5; POs 2, 6)
2. Apply various strategies to improve access to quality, cost-effective healthcare. (PCs 5, 7, 8; POs 1, 4, 9)
3. Utilize translation science to affect evidence-based practice change to impact quality and safety of patient care. (PCs 1, 3; POs 3, 5)
4. Translate research into clinical practice to provide optimal wellness and disease prevention throughout the patient population. (PCs 1, 3, 5, 7, 8; POs 1, 3, 4, 9)
5. Critically appraise research as it applies to evidence-based practice to provide the most current and effective care to patient populations. (PCs 1, 3, 5, 8; POs 3, 4, 9)

NR 718 Week 5 Advanced Practice Nurse as Clinical and Health Systems Leader to Promote Quality and Safety Discussion

Purpose

The purpose of this discussion is to examine the role of the APN as a clinical and health systems leader to promote quality and safety.

Instructions

Review the lesson and readings from this week and respond to the following:

Examine a quality or safety initiative at your organization. Explain how the problem was identified and what evidence-based inte

NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary

NR451 CAPSTONE PROJECT MILESTONE 1 PRACTICE ISSUE AND EVIDENCE SUMMARY

Capstone Project Milestone 1:

Practice Issue and Evidence Summary Worksheets

NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Directions

1. Refer to the guidelines for specific details on how to complete this assignment.

2. Type your answers directly into the worksheets below.

3. Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.

4. Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.

NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Practice Issue Worksheet

• List the topic and include the citation for the systematic review you have selected:
• What is the practice issue you have identified related to the topic you have chosen?
• Define the scope of the practice issue:
• What is the practice area?

___ Clinical

___ Education

___ Administration

___ Other (List):

• How was the practice issue identified? (check all that apply)

___ Safety/risk management concerns

___ Unsatisfactory patient outcomes

___ Wide variations in practice

___ Significant financial concerns

___ Difference between hospital and community practice

___ Clinical practice issue is a concern

___ Procedure or process is a time waster

___ Clinical practice issue has no scientific base

__ Other:

• Describe the rationale for your checked selections:
• What evidence must be gathered? (check all that apply)

___ Literature search

___ Guidelines

___ Expert Opinion

___ Patient Preferences ___ Clinical Expertise

___ Financial Analysis

___ Standards (Regulatory, professional, community)

___ Other

• Describe the rationale for your checked selections:

NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Worksheet

Directions: Please type your answers directly into the worksheet.

• Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:
• Type the complete APA reference for the systematic review article you chose from the list provided, It must be relevant to the practice issue you described above.
• Identify the objectives of the article.
• Provide a statement of the questions being addressed in the work and how they relate to your practice issue:
• Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.
• Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome. Consider the relevance to your project proposal for the Milestone 2 project paper.
• Outline evidence-based solutions that you will consider for your project.
• Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project.

Capstone Project Practice Issue and Evidence Summary – NR 451

NR 451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

NR 451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Course Outcomes

This Capstone Project assignment enables the student to meet the following course outcomes:

• CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)
• CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

NR 451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Due Dates

Milestone 1 consists of the completion of ONE form with two worksheets called the.courselearn.net/lms/content/1500/50031/NR451/NR451_W3_Milestone1_Evidence_Worksheet2.docx”>Practice Issue and Evidence Summary Worksheets. (Links to an external site.)Links to an external site. Complete both worksheets and submit the form by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

Milestone 1 is worth175 points(75 points for the Practice Issue and 100 points for the Evidence Summary).

Practice Issue Worksheet Directions

1. A tutorial with tips for completing this Capstone Project: Practice Issue and Evidence Summary – NR451 assignment may be viewed
2. Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from
3. Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.
4. Use the worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
5. Your practice issue will be the same for all three Milestone assignments in this course.
6. Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

1. Develop an evidence summary by following the grading criteria below.
2. Document this on the evidence summary portion of the worksheet.
3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
4. Please type your answers directly into the worksheet.

Academic Integrity Reminder

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this Capstone Project: Practice Issue and Evidence Summary – NR451 assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

List of Approved Systematic Reviews

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NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Project

Directions: Please choose ONE topic and its corresponding systematic review that is of most interest to you, or most relevant to your practice. This systematic review will be the basis for your capstone project. Please refer to the guidelines for each milestone for more details.

Obstetrics/Delivery

Gupta, J. K., Sood, A., Hofmeyr, G. J., & Vogel, J. P. (2017). Position in the second stage of labour for women without epidural anaesthesia. Cochrane Database of Systematic Reviews,Issue 5, Art. No.: CD002006.

Strobel, N. A., Arabena, K., East, C. E., Schultz, E.M., Kelaher, M., Edmond, K. M., … Chamberlain, C. (2017). Care co-ordination interventions to improve outcomes during pregnancy and early childhood (up to 5 years) (Protocol). Cochrane Database of Systematic Reviews, Issue 8. Art. No.: CD012761.

Health-Associated Infections (HAI)

Verbeek, J. H., Ijaz, S., Mischke, C., Ruotsalainen, J. H., Mäkelä, E., Neuvonen, K., … Mihalache, R. C. (2016). Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database of Systematic Reviews, Issue 4. Art. No.: CD011621.

Dumville, J. C., Gray, T. A., Walter, C. J., Sharp, C. A., Page, T., Macefield, R., … Blazeby, J. (2016). Dressings for the prevention of surgical site infection. Cochrane Database of Systematic Reviews, Issue 12. Art. No.: CD003091.

Wound Care

Walker, R. M., Gillespie, B. M., Thalib, L., Higgins, N. S., & Whitty, J. A. (2017). Foam dressings for treating pressure ulcers. Cochrane Database of Systematic Reviews, Issue 10. Art. No.: CD011332. DOI: 10.1002/14651858.CD011332.pub2.

Childhood/School Health

Hodder, R. K, Stacey, F. G., Wyse, R. J., O’Brien, K. M., Clinton-McHarg, T., Tzelepis, F., … Wolfenden, L. (2017). Interventions for increasing fruit and vegetable consumption in children aged five years and under. Cochrane Database of Systematic Reviews, Issue 9. Art. No.: CD008552. DOI: 10.1002/14651858.CD008552.pub3.

Parab, C. S, Cooper, C., Woolfenden, S., & Piper, S. M. (2013). Specialist home-based nursing services for children with acute and chronic illnesses. Cochrane Database of Systematic Reviews, Issue 6. Art. No.: CD004383. DOI: 10.1002/14651858.CD004383.pub3.

Hospital Readmissions

Hall, K. K., Chang, A. B., & O’Grady, K.F. (2016). Discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness (Protocol). Cochrane Database of Systematic Reviews, Issue 8. Art. No.: CD012315. DOI: 10.1002/14651858.CD012315.

NR451 Milestone 2: Design for Change Proposal

Purpose

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Project worksheet (PDF uploaded). Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.

Rubric (PDF also uploaded)

Click to view and download the NR451 Milestone 2: Design for Change Proposal Rubric.

Points

Milestone 2 is worth 225 points.

Directions

1. A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=b0c912eaf53b4aabb1347a026466c60e
2. Review the feedback you received from your instructor for worksheet, and use it to develop this milestone.
3. Create a proposal for your Design for Change Capstone Project. Open the Milestone 2 Design Proposal Template. (PDF also uploaded)Use this to write your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.
4. The format for this proposal will be a paper following the Publication manual of APA6th
5. The paper is to be five pages.
6. As you organize your information and evidence, include the following topics.
   1. Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.
   2. Change Model Overview: Overview of the ACE Star model (the model we have been discussing this session); define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
   3. Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
   4. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.
   5. Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.
7. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.
8. Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.

NR 451 Week 6: Capstone Project: Milestone 3: Educating Staff (graded) Assignment

Capstone Project Milestone 3: Educating Staff: Implementing Change Guidelines

NR 451 Week 6: Capstone Project: Milestone 3 Purpose

The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.

NR 451 Week 6: Capstone Project: Milestone 3 Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

• CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO2)
• CO3: Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO3)
• CO7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO7)

NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary Due Date

Milestone 3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit the PowerPoint file by Sunday, 11:59 p.m. MT by the end of Week 6.

Points

Milestone 3 is worth 200 points.

NR 451 Week 6: Capstone Project: Milestone 3 Directions

1. A tutorial with tips on completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=8912a4b3268463312e115abf9e73efd6 (Links to an external site.)Links to an external site.
2. Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project.
3. The format for this proposal will be a PowerPoint presentation.
4. Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx. The Chamberlain Student Success Strategies (SSPRNBSN) offers a module on Computer Literacy that contains a section on PowerPoint. You can access SSPRNBSN from  your Canvas course list.
5. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.
6. Below are the main topics or bullet points for your slides:

1. Title slide
2. Description of the Ace Star change model that you have used for this project.
3. Practice Issue
4. Scope of the problem—use basic statistics from what you know of the problem in your work area.
5. Your team/stakeholders
6. Evidence to support your need for change—from your Evidence Summary
7. Action Plan
8. Timeline for the plan
9. The nurse’s role and responsibility in the pilot program
10. Procedure (what steps are to be taken to complete this change process, from start to finish?)
11. Forms that will be used (if applicable)
12. Resources available to the staff—including yourself
13. Summary
14. References

6. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible websites.

NR 451 Week 6: Capstone Project: Milestone 3 Guidelines

• Application: Use Microsoft PowerPoint 2010 or later.
• Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slides).
• Submission: Submit your by 11:59 p.m. Sunday by the end of Week 6.
• Late Submission: See the Policies on late submissions.
• Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx. The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under your course list in the student portal.

Best Practices in Preparing a PowerPoint Presentation

The following are best practices in preparing this presentation.

1. Be creative.
2. Incorporate graphics, clip art, or photographs to increase interest.
3. Make easy to read with short bullet points and large font.
4. Use speaker notes (found under the section View and “Notes” in the PowerPoint template you choose. These are for your personal use to use as a reference if you are giving your presentation to an audience and they help faculty identify what you will speak to your audience about.
5. Review directions thoroughly.
6. Cite all sources within the slides with (author, year) as well as on the Reference slide.
7. Proofread prior to final submission.
8. Spell check for spelling and grammar errors prior to final submission.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NR451 Capstone Project Systematic Reviews

List of Approved Systematic Reviews

NR451 Capstone Project

Directions: Please choose ONE topic and its corresponding systematic review that is of most interest to you, or most relevant to your practice. This systematic review will be the basis for your capstone project. Please refer to the guidelines for each milestone for more details.

Promoting breastfeeding

Sinha, B., Chowdhury, R., Sankar, M. J., Martines, J., Taneja, S., Mazumder, S., … Bhandari, N. (2015). Interventions to improve breastfeeding outcomes: A systematic review and meta-analysis. Acta Paediatrica, 104, 114-134. doi:10.1111/apa.13127.

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Preventing central venous catheter-related infections

Lai, N. M., Lai, N. A., O’Riordan, E., Chaiyakunapruk, N., Taylor, J. E., & Tan, K. (2016). Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database of Systematic Reviews, (7), CD010140. doi:10.1002/14651858.CD010140.pub2.

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Increasing health insurance coverage for vulnerable populations

Jia, L., Yuan, B., Huang, F., Lu, Y., Garner, P., & Meng, Q. (2014). Strategies for expanding health insurance coverage in vulnerable populations. Cochrane Database of Systematic Reviews, (11), 1-41. CD008194. doi:10.1002/14651858.CD008194.pub3.

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Preventing teen pregnancy and sexually-transmitted disease

Mason-Jones, A. J., Sinclair, D., Mathews, C., Kagee, A., Hillman, A., & Lombard, C. (2016). School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents. Cochrane Database of Systematic Reviews, (11), CD006417. doi:10.1002/14651858.CD006417.pub3.

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Reducing hospital readmissions

Mistiaen, P., & Poot, E. (2006). Telephone follow-up, initiated by a hospital-based health professional, for post discharge problems in patients discharged from hospital to home. Cochrane Consumers and Communication Group. (4), CD004510. doi:10.1002/14651858.CD004510.pub3.

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Obstetrics/Delivery

Lemos, A., Amorim, M. M. R., Dornelas de Andrade, A., Souza, A. I., Calbral Filho, J. E., & Correia, J. B. (2017). Pushing/bearing down methods for the second stage of labour.  Cochrane Database of Systematic Reviews 2017, Issue 3. Art. No.: CD009124. DOI: 10.1002/14651858.CD009124.pub3.

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Moore, E. R., Bergman, N., Anderson, G. C., & Medley, N. (2016). Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews 2016, Issue 11. Art. No.: CD003519. DOI: 10.1002/14651858.CD003519.pub4.

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Health-Associated Infections (HAI)

Webster, J., & Osborne, S. (2015). Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane Database of Systematic Reviews 2015, Issue 2. Art. No.: CD004985. doi:10.1002/14651858.CD004985.pub5.

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Wound Care

Moore, Z. E. H., Webster, J., & Samuriwo, J. (2015). Wound-care teams for preventing and treating pressure ulcers. Cochrane Database of Systematic Reviews 2015, Issue 9. Art. No.: CD011011. doi:10.1002/14651858.CD011011.pub2.

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Childhood/School Health

Janicke, D. M., Steele, R. G., Gayes, L. A., Lim, C. S., Clifford, L. M., Schneider, E. M., & … Westen, S. (2014). Systematic review and meta-analysis of comprehensive behavioral family lifestyle interventions addressing pediatric obesity. Journal of Pediatric Psychology, 39(8), 809-825.

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Hospital Readmissions

Leppin, A. L., Gionfriddo, M. R., Kessler, M., Brito, J. P., Mair, F. S., Gallacher, K., & … Montori, V. M. (2014). Preventing 30-day hospital readmissions: a systematic review and meta-analysis of randomized trials. JAMA Internal Medicine, 174(7), 1095-1107. doi:10.1001/jamainternmed.2014.1608

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Fox, M. T., Persaud, M., Maimets, I., Brooks, D., O’Brien, K., & Tregunno, D. (2013). Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults: A systematic review and meta-analysis. BMC Geriatrics, 13(1), 1. doi:10.1186/1471-2318-13-70

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NR501 Theoretical Basis for Advanced Nursing Practice Discussion Essays

NR501 Theoretical Basis for Advanced Nursing Practice Discussion Essays

NR501 Week 1 Discussion

Nursing Theory

For many? Students enrolled in NR501, this is an initial nursing course? Theory.? So, let’s have a debate.? Is nursing theory important to the? Nursing profession? In particular, is it important for nurse practitioners? Does theory inform nurse practitioner practice??

If you believe it is important, explain why it is? useful.? f you do not believe it is useful, explain why nursing theory. Is not necessary to the profession?

NR501 Week 2 Discussion

Ways of Knowing

Nursing knowledge is classified in various ways, one of which is Carper’s Patterns of Knowing (Carper, 1978). Carper’s framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978). NR501 Theoretical Basis for Advanced Nursing Practice Discussion Essays

Through intentional reflection using Carper’s Patterns of Knowing, nurses can process experiential learning and knowledge acquired through practice NR501 Theoretical Basis for Advanced Nursing Practice Discussion Essays.

This assignment aims to reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience.

Criteria for Content

Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.

Select an important nursing issue/topic inherent to the identified situation NR501 Theoretical Basis for Advanced Nursing Practice Discussion Essays.

Briefly? explain the situation

Identify the nursing issue inherent in the identified situation

Use Carper’s Patterns of Knowing to analyze the situation as a method of refection. In your discussion, address ONE of the following Patterns of Knowing:

• What do you think was the underlying reason for the situation? (Esthetics)
• What were your thoughts and feeling in the situation? (Personal)
• What was one personal belief that impacted your actions? (Ethics)
• What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

What new insights did you gain through this reflective practice opportunity? How will this apply to your practice as a nurse practitioner? Be sure to use scholarly literature to support your position NR501 Theoretical Basis for Advanced Nursing Practice Discussion Essays.

NR501 Week 3 Discussion Steps of Concept Analysis

At the end of Week 3, your concept analysis is due. This discussion provides an opportunity to start this assignment. Select a nursing concept supported by a nursing theory, and address the following components included in a concept analysis:?

• Definition of concept and discussion of the concept in the nurse practitioner role?
• Identification of three attributes of the concept?
• Description of one antecedent and one consequence of the concept?
• Identification of two empirical referents?
• A brief explanation of theoretical applications of the concept (How is the concept relevant to a nursing theory?)?

This information does not have to be comprehensive but provides a foundation for the upcoming assignment. Be sure to include scholarly references NR501 Theoretical Basis for Advanced Nursing Practice Discussion Essays.

NR501 Week 4 Discussion Nursing Theory

Identify your specialty area of NP practice. Select a nursing, borrowed, or interdisciplinary theory provided in the lesson plan or one of your findings. Address the following:

• Origin
• Meaning and scope
• Logical adequacy
• Usefulness and simplicity
• Generalizability
• Testability

Finally, provide an example of of how the theory could be used to improve or evaluate the practice quality in your specific setting. What rationale can you provide that validates the theory as applied to the role of the nurse practitioner?

NR501 Week 5 Discussion

Culture and Caring Theories

Which of the culture and caring theories most resonates with you for your practice as an NP? How does the theory integrate the nursing paradigm?? What parts of the theory do you identify with? How does the theory help to meet CLAS standards to advance health equity?

NR501 Week 6 Discussion Literature Review

Locate a scholarly journal article that uses either a health behavior theory or the Praxis Theory of Suffering as the basis for evidence-based research. Choose an article DIFFERENT than those provided in the weekly readings.

Summarize the research presented. How was the theory used? How do the research findings either support or refute the use of the theory in practice? How could you use the research in your practice as an NP?

NR501 Week 8 Discussion

In Week 7, you posted your Kaltura presentation to the Week 8 discussion area. This week, you will view and comment on peer presentations. For full credit, view and comment on at least TWO peer presentations by Saturday at 11:59 PM MT.

Your post should be substantive and professional and include at least one scholarly resource.

NR501 Theoretical Basis for Advanced Nursing Practice Discussion Essays References

Carper, B.A. (1978). Fundamental patterns of knowing in nursing. Retrieved 8 September 2019 from

https://www.google.co.ke/url?sa=t&source=web&rct=j&url=https://pdfs.semanticscholar.org/8871/eb88fb06168bb31e20e9c54e57920e575a47.pdf&ved=2ahUKEwje0JrqscHkAhVClFwKHYXzAgsQFjAQegQICRAB&usg=AOvVaw0CEuuz-eqnIwVMqcmUI55E

Haswell, N. (2019). The four ethical principles and their application in aesthetic practice. Journal of Aesthetic Nursing, 8(4), 177-179. Doi: 10.12968/joan.2019.8.4.177 NR501 Theoretical Basis for Advanced Nursing Practice Discussion Essays

Schmidt, L.A., Nelson, D. & Godfrey, L. (2003). A clinical ladder program based on Carper’s fundamental patterns of knowing in nursing. JONA, 33(3), 146-152. Doi: 10.1097/00005110-200303000-00005

Quaglietti, S., Blum, L. & Ellis, V. (2004). The role of the adult nurse practitioner in palliative care. Journal of Hospice and Palliative Nursing, 6(4), 209-214. Doi: 10.1097/00129191-200410000-00009 NR501 Theoretical Basis for Advanced Nursing Practice Discussion Essays

NR501 Week 2 Reflective Assignment Carper’s Pattern of Knowing Reflective Essay

Fundamental Nursing Lessons Learnt from a Difficult Situation in Practice: Carper’s Pattern’s of Knowing in Nursing.

The Practical Situation Experienced

Nursing is about promoting health, preventing illness, and restoring hope. However, there are situations in which a nurse can find themselves almost helpless with regard to all the three above. A case in point is the prospect of having to reassure a patient with terminal illness by giving them hope yet you know very well that they may not have long to live.

Even more daunting is the task requiring you as the nurse to convince the patient and her relatives that they will benefit from hospice care. This is the situation I once found myself in. I was faced with this situation of a 37 year-old who had advanced ovarian cancer with a very poor prognosis. It was obvious that what she needed most in her…

Week 2 Assignment: Reflective Essay

Purpose

Nursing knowledge is classified in a variety of ways, one of which is Carper’s Patterns of Knowing (Carper, 1978).  Carper’s framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978).

Through intentional reflection using Carper’s Patterns of Knowing, nurses can process experiential learning and knowledge acquired through practice.  This assignment aims to reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience.

Course Outcomes on NR501 Week 2 Reflective Assignment

Through this assessment, the student will meet the following Course Outcomes:

• Demonstrate logical and creative thinking in analyzing and applying theory to nursing practice. (CO #1)
• Examine broad theoretical concepts as foundational to advanced nursing practice roles. (CO #3)

Requirements

Criteria for Content

1. Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.
2. Select an important nursing issue/topic that was inherent to the identified situation.
3. As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In a two- to three-page paper address the following:
4. Briefly explain the situation
5. Identify the nursing issue inherent in the identified situation
6. What do you think was the underlying reason for the situation? (Esthetics)
7. What were your thoughts and feeling in the situation? (Personal)
8. What was one personal belief that impacted your actions? (Ethics)
9. What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
10. What new insights did you gain through this reflective practice opportunity?

Preparing the paper

1. Application: Use Microsoft Word 2016™ to create the written component of this assessment.
2. Length:
   1. The paper (excluding the title page and reference page) should be at least two but no more than three pages.
3. A minimum of two (2) scholarly literature sources must be used.
4. Submission: Submit your file to the Canvas course site by the due date/time indicated.

Best Practices in Preparing the Reflective Essay

The following are best practices in preparing this reflective essay.

1. Review directions thoroughly.
2. Follow assignment requirements.
3. Make sure all elements on the grading rubric are included.
4. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scholarly writing.
5. Because the paper is a reflective essay, first person is acceptable for this assignment.
6. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
7. Ideas and information that come from scholarly literature must be cited and referenced correctly.
8. A minimum of two (2) scholarly literature sources must be used.
9. Abide by CCN academic integrity policy.

Example Reflective Assignment on Aboriginal People

As a nurse, my beliefs and attitudes rely massively on my culture because I often apply various socio-cultural principles when delivering patient care. One of the most profound cultural aspects that shape my profession is religion. As a Christian, I have a different worldview regarding diseases and healing. In this sense, I believe that God created humans in his image to enjoy his companionship and favor.

However, human’s sinful nature destroyed their relationship with God. As a result, God punishes human races through diseases and other calamities because they shifted from mainstream guidelines (Choudry et al., 2018). Consequently, the only way to rekindle the lost love and companionship is through repentance and acknowledging Jesus’s role in restoring humankind.

Alongside Christian narratives of creation, fall, redemption, and restoration, my culture requires people to show impartiality, justice, and love to others. Arguably, these ethical guidelines blend well with the principles of evidence-based nursing practices.

In this sense, the evidence-based practice model (EBP) requires healthcare professionals to encourage justice, beneficence, nonmaleficence, and patient autonomy (Lulé et al., 2019). The ability to incorporate my beliefs and attitudes into the nursing profession is fundamental in enhancing my cultural competence to understand other people’s needs without providing biased care.

Cultural competence is crucial for care providers because it helps them understand and integrate cultural intelligence into healthcare delivery operations. Jongen et al. (2018) argue that healthcare professionals must improve cultural competence to serve the needs of a diverse population. On the other hand, Nair and Adetayo (2019) present cultural competence as “the ability to collaborate effectively with individuals from different cultures, and such competence improves healthcare experiences and outcomes.”

I believe that understanding other people’s cultural values and beliefs is the basic step of incorporating social determinants of health in mainstream care delivery. As a result, it is possible to understand factors that affect the underserved populations facing various healthcare concerns because of socio-economic issues, including low-level education, poverty, low income, and discrimination.

My cultural beliefs and attitudes enhance the desire to work with Aboriginal and Torres Strait Islander people because I feel that we share core values, including the role of religion in promoting people’s health and wellness. According to Davy et al. (2017), Aboriginal and Torres Strait Islander communities share cultural aspects that validate the synergies between culture, land, community, and family in determining people’s well-being.

In this sense, the definition of health for such native communities extends beyond physical and psychological dimensions (Dew et al., 2019). When considering social institutions that promote people’s interpretation of health and well-being among Aboriginal and Torres Strait Islander communities, it is valid to argue that any healthcare intervention should focus on capitalizing on unique connections and social institutions.

As a professional nurse determined to work with vulnerable and underserved populations, I believe that process honesty, respect for diversities, effective communication, and awareness are fundamental factors for understanding social determinants for these communities. Fortunately, my cultural beliefs and values encourage commitment, persistence, humility, and honesty when interacting with people from different cultures.

Social Responsibility to Work for Changes in Aboriginal Health

As a nurse, I have a social responsibility to work for changes in Aboriginal health because native communities face various challenges when accessing mainstream healthcare services. According to Davy et al. (2017), Aboriginal and Torres Strait Islander people experience a similar prevalence of chronic diseases to people in developing countries, although Australia is a developed country with a relatively well-funded healthcare system.

In this sense, chronic diseases such as cardiovascular conditions and diabetes are the leading causes of death in these communities. Also, kidney diseases pose higher risks to Aboriginal and Torres Strait Islander people compared to non-Indigenous Australians.

Arguably, many reasons explain health disparities among indigenous Australians, such as Aboriginal and Torres Strait Islander people. Wilson et al. (2020) argue that such large gaps in disease and life experiences between indigenous and non-Indigenous Australians rely massively upon poorer determinants of health, discriminatory practices, and the history of marginalization.

Undoubtedly, these factors compromise people’s access to health care and highlight the essential role that healthcare professionals should play in enabling Aboriginal patients to participate in quality healthcare services.

Although the history of marginalization, discriminatory practices, poor social determinants of health, and exclusion affect how native Australians access healthcare services, it is essential to approach such a situation from a positive perspective. In this sense, evaluating community potentials and avenues that determine their well-being is fundamental.

According to Wilson et al. (2017), Aboriginal and Torres Strait Islander people have a robust and rich history because they are among the oldest cultures in the world. Essentially, their endowed cultural values and beliefs are vital in demonstrating strength, resilience, and tenacity. Also, these communities rely massively upon social systems and cultural institutions such as religion and families as the primary aspects of health and well-being.

Undoubtedly, the presence of firmly held socio-cultural beliefs and practices among indigenous Australians presents various viable opportunities for allied health professionals to create changes. Firstly, I believe that allied health professionals (HPs) and Aboriginal health workers should collaborate in determining the trajectories of healthcare systems.

However, working closely with Aboriginal health workers and community members requires cultural competence because of the potentially varying socio-cultural aspects (Jongen et al., 2019). One of the basic requirements for allied health professionals working with indigenous communities is understanding the implications of colonialism history to health.

Taylor et al. (2020) argue that colonization had a devastating impact on traditional lifestyles because it led to lower education levels, unemployment, shorter life expectancy, and health disparities. As a result, nurses should understand these historical developments to develop informed healthcare frameworks for addressing poorer social determinants of health.

As I endeavor to work with Aboriginal and Torres Strait Islander people, I must deconstruct the conflicting opinions that allied health professionals lack culturally appropriate healthcare frameworks to mainstream care services to the underserved population in Australia. For instance, I believe that such a perception persists because of normalizing discriminative healthcare services, where indigenous people receive poor services compared to non-Indigenous Australians.

As a result, effective collaboration between healthcare professionals, high-level cultural competence, and evidence-based practice are crucial approaches to reducing health disparities among native communities (Nash & Arora, 2021). I am confident that I have a social responsibility to act as a change agent in improving the health trajectory of Aboriginal and Torres Strait Islander people by engaging them in nursing research, advocating for their inclusion in mainstream Australian healthcare, and encouraging high-level cultural competence.

NR501 Week 2 Reflective Assignment References

Choudry, M., Latif, A., & Warburton, K. (2018). An overview of the spiritual importance of end-of-life care among the five major faiths of the United Kingdom. Clinical Medicine, 18(1), 23-31. https://doi.org/10.7861/clinmedicine.18-1-23

Davy, C., Kite, E., Sivak, L., Brown, A., Ahmat, T., & Brahim, G. et al. (2017). Towards the development of a wellbeing model for Aboriginal and Torres Strait Islander peoples living with chronic disease. BMC Health Services Research, 17(1). https://doi.org/10.1186/s12913-017-2584-6

Dew, A., Barton, R., Gilroy, J., Ryall, L., Lincoln, M., & Jensen, H. et al. (2019). Importance of Land, family, and culture for a good life: Remote Aboriginal people with disability and carers. Australian Journal of Social Issues, 55(4), 418–438. https://doi.org/10.1002/ajs4.96

Jongen, C., McCalman, J., & Bainbridge, R. (2018). Health workforce cultural competency interventions: a systematic scoping review. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3001-5

Jongen, C., McCalman, J., Campbell, S., & Fagan, R. (2019). Working well: strategies to strengthen the workforce of the Indigenous primary healthcare sector. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4750-5

Lulé, D., Kübler, A., & Ludolph, A. (2019). Ethical Principles in patient-centered medical care to support quality of life in amyotrophic lateral sclerosis. Frontiers In Neurology, 10. https://doi.org/10.3389/fneur.2019.00259

Nair, L., & Adetayo, O. (2019). Cultural Competence and Ethnic Diversity in Healthcare. Plastic And Reconstructive Surgery – Global Open, 7(5), e2219. https://doi.org/10.1097/gox.0000000000002219

Nash, S., & Arora, A. (2021). Interventions to improve health literacy among Aboriginal and Torres Strait Islander Peoples: a systematic review. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10278-x

Taylor, E., Lyford, M., Parsons, L., Mason, T., Sabesan, S., & Thompson, S. (2020). “We’re very much part of the team here”:  A culture of respect for the Indigenous health workforce transforms Indigenous health care. PLOS ONE, 15(9), e0239207. https://doi.org/10.1371/journal.pone.0239207

Wilson, A., Kelly, J., Jones, M., O’Donnell, K., Wilson, S., Tonkin, E., & Magarey, A. (2020). Working together in Aboriginal health: a framework to guide health professional practice. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05462-5

Fundamental Nursing Lessons Learnt from a Difficult Situation in Practice: Carper’s Pattern’s of Knowing in Nursing

The Practical Situation Experienced

Nursing is about promoting health, preventing illness, and restoring hope. However, there are situations in which a nurse can find themselves almost helpless with regard to all the three above. A case in point is the prospect of having to reassure a patient with terminal illness by giving them hope yet you know very well that they may not have long to live.

Even more daunting is the task requiring you as the nurse to convince the patient and her relatives that they will benefit from hospice care. This is the situation I once found myself in. I was faced with this situation of a 37 year-old who had advanced ovarian cancer with a very poor prognosis. It was obvious that what she needed most in her last days would be round-the-clock hospice care for especially pain relief.

The task, therefore, of convincing her together with her relatives to follow this route fell on me. Needless to say, I felt not only unprepared, but also uncomfortable because I knew there was no hope of her surviving for long. Yet I had to give her a reason to look forward to the next day.

The nursing issue inherent in this situation was the need for apt, caring and tactful guidance and counselling as an important role of me as the nurse in this end-of-life situation. I had to not only help the patient and her relatives make the right decision of checking into a hospice, but also give them convincing reasons why they needed to do so. This was not an easy mission to accomplish.

Reflection on the Situation Based on Carper’s Patterns of Knowing

Four facets of nursing knowledge have been identified as empirics or the scientific basis of nursing, esthetics or the consideration of nursing as an art, ethics or the morality in nursing, and the personal knowledge component of nursing (Carper, 1978; Schmidt et al., 2003). On empirics, therefore, I needed to be armed with evidence that hospice care indeed is beneficial for this patient and her family.

This is the evidence that I needed to base my argument on in trying to convince them to accept hospice care. Quaglietti, et al. (2004) have stated that the palliative care offered in the hospice takes care of the patient’s and her family’s expectations in terms of care. They continue that nurse practitioners (NPs) are well placed to meet these expectations.

On esthetics, empathy is the single most important factor in mastering the art of offering nursing care to patients (Carper, 1978). This was the underlying reason for the situation – need for empathy. Experience had taught me that to gain the patient’s trust and confidence; I as the nurse must feel genuine empathy for them. This way they will make less effort to accept any proposal such as going into hospice care.

On personal knowledge, Carper (1978) identifies interpersonal interaction as the barometer with which this knowledge is measured and gained. In this scenario, my personal feeling was that I had to relate with both the patient and her relatives at a personal level by establishing a personal bond with them. In doing this, I had to first know myself and confront my own personal fears and shortcomings.

Last but not least on ethics, I had to be aware that I had a moral obligation to only offer suggestions that would bring the greatest good to the patient and by extension her family (beneficence). Also, whatever suggestion or intervention that I suggested had to be devoid of the possibility of causing harm to the patient (nonmaleficence). But, most importantly, it dawned on me that I had to respect the decision of the patient and her relatives at the end (respect for autonomy) (Haswell, 2019).

Summary     

This experience was indeed rich in knowledge for me. I learnt that the four factors of nursing knowledge are present in all practical nursing situations. Thus the double insight I got was the importance of evidence-based practice decisions and the power of empathy. Intentional reflective nursing practice is therefore imperative for improved future care.

References on NR501 Week 2 Reflective Assignment

Carper, B.A. (1978). Fundamental patterns of knowing in nursing. Retrieved 8 September 2019 from

https://www.google.co.ke/url?sa=t&source=web&rct=j&url=https://pdfs.semanticscholar.org/8871/eb88fb06168bb31e20e9c54e57920e575a47.pdf&ved=2ahUKEwje0JrqscHkAhVClFwKHYXzAgsQFjAQegQICRAB&usg=AOvVaw0CEuuz-eqnIwVMqcmUI55E

Haswell, N. (2019). The four ethical principles and their application in aesthetic practice. Journal of Aesthetic Nursing, 8(4), 177-179. Doi: 10.12968/joan.2019.8.4.177

Schmidt, L.A., Nelson, D. & Godfrey, L. (2003). A clinical ladder program based on Carper’s fundamental patterns of knowing in nursing. JONA, 33(3), 146-152. Doi: 10.1097/00005110-200303000-00005

Quaglietti, S., Blum, L. & Ellis, V. (2004). The role of the adult nurse practitioner in palliative care. Journal of Hospice and Palliative Nursing, 6(4), 209-214. Doi: 10.1097/00129191-200410000-00009

the three required elements below

economic and political factors (CO2)

Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3)

Advocate for institutional

NR506NP Full Course Assignments

NR506NP Healthcare Policy and Leadership

NR506NP Full Course Assignments Week 1 Discussion

Barriers to Practice

Purpose

Discuss barriers to practice as an APN in one’s state from both a state and national perspective.  Research methods to influence policy change from various forms of competition, state legislative and executive branches of government and interest groups.

Activity Learning Outcomes

• Through this discussion, the student will demonstrate the ability to:
• Discuss the history of policy development and policy making in nursing (CO1)
• Examine different types of policy and their relationships to healthcare policy (CO1)
• Explain current barriers to practice for advanced practice nurses (CO2)
• Discuss health policy and methods of lifting barriers to practice (CO2)

NR506NP Full Course Assignments Requirements:

• Using the readings from this week as well as outside reliable resources to:
• Identify and describe practice barriers for APNs in your state and discuss these barriers on a state and national level.
• Identify forms of competition on the state and national level that interfere with APN’s ability to practice independently.
• Identify the lawmakers at the state level (i.e., key members of the state’s legislative branch and executive branch of government)
• Discuss interest groups that exist at the state and national levels that influence APN policy.
• Discuss methods used to influence change in policy in forms of competition, state legislative and executive branches of government and interest groups.

NR506NP Healthcare Policy and Leadership Week 2 Discussion

Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study

Purpose

The purpose of this discussion is to discuss organizational changes and ethical-legal influences in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and ethical and legal implications for members of the heath care team as a result of illegal behaviors.  Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture  NR506NP Full Course Assignments.

Activity Learning Outcomes

• Through this discussion, the student will demonstrate the ability to:
• Demonstrate effective leadership styles in the management of organizational change (CO3)
• Interpret various forms of ethical theories and application into practice (CO4)
• Discuss practice guidelines and malpractice prevention (CO2)

NR506NP Full Course Assignments Requirements:

You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners.

The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies NR506NP Full Course Assignments.

Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.

Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago.

You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice NR506NP Full Course Assignments.

Case Study Questions:

What are the potential ethical and legal implications for each of the following practice members?

• Medical assistant
• Nurse Practitioner
• Medical Director
• Practice

What strategies would you implement to prevent further episodes of potentially illegal behavior?

What leadership qualities would you apply to effect a positive change in the practice?? Be thinking about the culture of the practice.

Week 3 Discussion

Review the Hedis Measures and select ONE (1) measure. Briefly discuss the measure. Discuss how each intervention can result in improved patient outcomes and cost savings for the practice. Provide evidence to support your discussion.

Discuss how each intervention can result in improved patient ratings (an NP’s patient scorecard). Provide evidence to support your discussion.

Use the provided APA Paper Template to complete the assignment.

Review writing for grammar and mechanics. Consider using academic writing resources to support writing. Your paper should include a title page, introduction with a purpose statement, body with citations to support assertions, conclusion addressing the findings of the paper, and reference page.

Review APA formatting. Consider using APA resources to support citation and reference formation.

Enjoy the learning and reach out to me if you have questions.

Week Three Faculty Assignment Orientation Presentation

Access the Webex Recording

Access the Webex Recording

Purpose

The purpose of this assignment is to have students research the measurement tools of NP performance. Through the use of quality patient outcomes, student will l ist and discuss three different patient interventions and how they would specifically measure the outcomes and h o w these primary care interventions result in improved patient outcomes and cost savings for the practice . In addition, students will discuss how these interventions result in improved patient ratings .

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

Employ strategies to impact the development, implementation, and consequences of holistic healthcare policies using evidence-based practice principles (CO1)
Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2)
Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3)
Analyze social, historical, ethical and political contexts of healthcare policies and advanced practice leadership (CO4)
Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO5)
Due Date: Sunday of week 3 by 11:59 PM MST.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

Total Points Possible: 200

Requirements:

The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards.

Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:

Effectiveness of Care.
Access/Availability of Care.
Experience of Care.
Utilization and Risk Adjusted Utilization.
Health Plan Descriptive Information.
Measures Collected Using Electronic Clinical Data Systems
You may access the 6 domains of care by clicking this link:

(NCQA, n.d. https://www.ncqa.org/hedis/)

As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.

Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page.

You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal and Postpartum care, etc.

Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.

How would these primary care interventions result in improved patient outcomes and health care cost savings?

How can these interventions result in improved NP patient ratings?

Grading Rubric

Category

Points

%

Description

List and discuss three different patient interventions and how you would specifically measure the outcomes.

60

30%

From the National Committee for Quality Assurance (NCQA) website, discuss three patient interventions for the one performance measure.

Develop a measurement tool to track patient outcomes.
How would these primary care interventions result in improved patient outcomes and cost savings for the practice?

60

30%

Discuss how the interventions can result in improved patient outcomes and cost savings for the practice.

How can these interventions result in improved patient ratings?

60

30%

Discuss how these interventions can result in improved patient ratings (an NP’s patient scorecard).

180

90%

Total CONTENT Points= 180 pts

Category

Points

%

Description

Clarity of Writing

10

5%

Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning.

APA Format

10

5%

APA format, grammar, spelling, and/or punctuation are accurate.

20

10%

Total FORMAT Points= 20 pts

200

100%

ASSIGNMENT TOTAL= 200 points

NR 506 Week 3 Quality Healthcare: Measuring Nurse Practitioner Performance Sample Paper

Healthcare professionals play a significant role in improving patient and community health and well-being. However, healthcare professionals face multiple challenges, including increased demands for quality care, nursing staff shortages, a high prevalence of chronic conditions, and the need to integrate technology into clinical practice. These issues can affect care providers’ performance, prompting the need to measure nurse practitioners’ performance consistently.

According to Kahya & Oral (2018), assessing the performance of healthcare professionals is a profound strategy for guaranteeing high-quality care and achieving the desired medical outcomes. The National Committee for Quality Assurance (NCQA) provides a set of standards for improving care quality and measuring patient outcomes consistent with nursing interventions. Consequently, this paper discusses BMI (Body Mass Index) assessment as a performance measure and identifies strategies for improving patient outcomes, cost saving, and enhancing patient ratings.

Patient Interventions

Adult body mass index (BMI) assessment is a profound approach for enabling people to maintain healthy body weights and preventing multiple overweight-associated conditions. According to the National Committee for Quality Assurance [NCQA) (n.d), BMI remains the most useful population-level measure of obesity and overweight. When justifying the rationale for frequent adult BMI assessment, it is vital to consider obesity as a significant population health problem that results in detrimental consequences, including a high prevalence of chronic conditions like diabetes, cardiovascular diseases (CVDs), and premature deaths.

The National Committee for Quality Assurance (n.d) contends that obesity contributes to approximately one in five deaths in the United States. Other consequences associated with obesity and overweight include social stigma, psychological stress, compromised quality of life, and increased care costs (Gutin, 2017). As a result, weight-for-height screening (BMI assessment) enables healthcare professionals to estimate and identify the amount of body fat.

Equally, careful BMI monitoring helps healthcare professionals to identify at-risk populations and develop individualized interventions for preventing and treating obesity, including involving adults in regulated physical exercises, practicing diet control mechanisms, and educating them on self-care interventions. Arguably, it is possible to ensure appropriate BMI assessment and improvement of patient outcomes by obtaining, documenting, and frequently updating records regarding weight, height, and BMI for all outpatient adults, educating at-risk populations on interventions for managing healthy body weights, and developing follow-up plans to ensure long-term effects of the enacted strategies for preventing obesity and overweight.

Obtaining, Documenting, and Updating Records for Adults BMI

Healthcare professionals can adopt various ways of assessing adults’ BMIs and identifying at-risk individuals. According to Khanna et al. (2022), strategies for measuring and evaluating the body mass index include establishing the percentage of the body or visceral fat, measuring the waist circumference, and computing the waist-to-hip ratio. These criteria are fundamental in defining obesity and overweight. The World Health Organization [WHO] (2021) defines obesity as a body mass index (BMI) greater or equal to 30kg/m², while overweight represents a BMI greater or equal to 25kg/m². Based on the World Health Organization’s definitions of obesity and overweight, it is possible to detect the levels of risk and proximity to the risk factors for obesity and overweight.

After assessing adult BMI based on waist-to-hip ratios, waist circumference and computing the percentage of the body or visceral fat, healthcare professionals are responsible for keeping accurate documentation and frequently updating records to establish the effectiveness of interventions in preventing and treating overweight and obesity. Healthcare professionals should ensure accurate documentation of BMI by using electronic medical record systems (EMRS).

Verberne et al. (2018) contend that electronic health records (EHRs) contain complete and structured patient health status information documentation. Also, these technology-mediated modalities allow clinicians to accurately compute adult BMI by automating the process and leveraging data regarding patients’ heights and weights. Therefore, they enhance procedure accuracy and convenience. After applying these strategies to compute and assess adult BMI, it is possible to track and measure patient outcomes by creating spreadsheets and updating the team consistent with results from subsequent BMI assessments.

Educating At-risk People on Effective Strategy for Managing Weight

The second population-level intervention for improving BMI assessment and preventing obesity is educating at-risk people on appropriate strategies for managing weight and addressing risk factors for obesity and overweight. Hartmann-Boyce et al. (2018) contend that individual-level efforts for preventing and treating obesity are transferable to the broader population, providing opportunities for reducing the burden of obesity-related diseases, including cardiovascular conditions, some types of cancer, and diabetes. In the same vein, the World Health Organization [WHO] (2021) presents obesity as a multifactorial public health problem that prevails due to various risk factors, including an increased intake of unhealthy foods (high in fat and sugars), physical inactivity, and sedentary lifestyles. A lack of knowledge and awareness of self-management practices can increase an individual’s susceptibility to obesity and other associated problems.

Amidst the need to improve individual and population health literacy and awareness of preventive behaviors and activities, it is essential to tailor an educational program to enlighten people about self-management interventions. According to Hodgkinson et al. (2019), obesity awareness campaigns and educational programs focus on socio-behavioral factors that cause obesity. For instance, educating individuals and the community improves people’s knowledge of healthy diets and physical activity levels. It would be essential to assess the outcomes of this intervention by using Kirkpatrick’s evaluation model that evaluates educational programs based on participants’ training experience, learners’ learning outcomes, change in behavior and improvement, and the overall impacts of the educational program (Heydari et al., 2019). This approach can evaluate the program’s impact on staff satisfaction, behavior, and learning.

Developing Follow-up Plans

Although accurately recording BMI measurements and educating people about obesity and preventative measures can enhance interventions for preventing and treating obesity, these efforts are unsustainable if a proper follow-up plan is lacking. Welzel et al. (2018) argue that healthcare professionals should assist patients in continuous weight management. A comprehensive and well-timed follow-up can improve patient outcomes by fostering meaningful relationships with healthcare organizations, improving adherence to preventative and treatment options, and enhancing effective communication to support care coordination.

Improved Patient Outcomes

Implementing the identified population-level interventions aims to improve patient outcomes by reducing their susceptibility to obesity and overweight-associated conditions, such as cardiovascular diseases (CVDs) and diabetes. Also, early BMI assessment, community-based educational programs, and follow promote preventive behaviors by providing opportunities for early obesity detection, emphasizing preventative measures, and adherence to treatment interventions. According to Hodgkinson et al. (2019), educational interventions targeting at-risk populations can improve their health literacy, influence and promote preventive behaviors and activities, and enable people to sustain preventive and treatment strategies, including healthy diets and physical exercise. As a result, it is valid to associate the identified patient interventions with improved patient outcomes.

Cost Savings

Obesity and overweight inflict a massive cost burden on individuals, families, and healthcare systems. According to the Centers for Disease Control and Prevention [CDC] (2022), obesity costs the United States government approximately $173 billion annually. More essentially, a high prevalence of obesity-related diseases, including cardiovascular conditions, some types of cancer, and diabetes, exacerbate and increase care costs. As a result, implementing the identified measures can reduce care costs by promoting preventive behaviors and acts, providing early obesity screening and detection opportunities, and improving people’s health literacy.

Patient Ratings

Patient ratings are products of consumer experiences and satisfaction levels. Positive experiences and highly satisfactory healthcare services can improve care acceptability, appropriateness, and utilization. The proposed patient interventions for preventing and treating obesity are engaging and evidence-based. Hong et al. (2019) argue that obesity is a stigmatized condition that leads to weight-based discrimination. As a result, engaging patients and at-risk people in early BMI assessment, education programs, and follow-up plans can enhance their health, reduce susceptibility to obesity-related conditions, and curtail care costs. Participative and practical approaches can improve patient safety and contribute to care acceptance.

Conclusion

Healthcare professionals encounter various tools for measuring their performance amidst dynamics in healthcare. Consistent measuring nurse practitioner performance is a profound approach to improving health quality and patient outcomes. The National Committee for Quality Assurance (NCQA) provides a set of standards for improving care quality and measuring patient outcomes consistent with nursing interventions. For example, adult BMI assessment is the primary measure of obesity and overweight. This performance measure enables healthcare professionals to identify at-risk adults and develop/implement evidence-based, population-oriented services. This paper discusses BMI (Body Mass Index) assessment as a performance measure and identifies strategies for improving patient outcomes, cost-saving, and enhancing patient ratings.

References

Centers for Disease Control and Prevention. (2022, July 14). Why it matters. https://www.cdc.gov/obesity/about-obesity/why-it-matters.html#

Gutin, I. (2017). In BMI we trust: Reframing the body mass index as a measure of health. Social Theory & Health, 16(3), 256–271. https://doi.org/10.1057/s41285-017-0055-0

Hartmann-Boyce, J., Aveyard, P., Piernas, C., Koshiaris, C., Velardo, C., Salvi, D., & Jebb, S. A. (2018). Cognitive and behavioral strategies for weight management in overweight adults: Results from the Oxford food and activity behaviors (OxFAB) cohort study. PLOS ONE, 13(8), e0202072. https://doi.org/10.1371/journal.pone.0202072

Heydari, M. R., Taghva, F., Amini, M., & Delavari, S. (2019). Using Kirkpatrick’s model to measure the effect of new teaching and learning methods workshop for health care staff. BMC Research Notes, 12(1). https://doi.org/10.1186/s13104-019-4421-y

Hodgkinson, A., Abbott, J., Hurley, M. A., Lowe, N., & Qualter, P. (2019). An educational intervention to prevent overweight in pre-school years: A cluster randomized trial with a focus on disadvantaged families. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-7595-2

Hong, Y.-R., Pavela, G., Lee, A. M., Williamson, V. G., & Cardel, M. I. (2019). Satisfaction with health care among individuals with overweight and obesity: A nationally representative cross-sectional study. Journal of General Internal Medicine, 34(8), 1397–1399. https://doi.org/10.1007/s11606-019-04939-2

Kahya, E., & Oral, N. (2018). Measurement of clinical nurse performance: Developing a tool including contextual items. Journal of Nursing Education and Practice, 8(6), 112. https://doi.org/10.5430/jnep.v8n6p112

Khanna, D., Peltzer, C., Kahar, P., & Parmar, M. S. (2022). Body mass index (BMI): A screening tool analysis. Cureus, 14(2). https://doi.org/10.7759/cureus.22119

National Committee for Quality Assurance. (n.d.). Adult BMI assessment. Retrieved November 11, 2022, from https://www.ncqa.org/hedis/measures/adult-bmi-assessment/

Verberne, L. D. M., Nielen, M. M. J., Leemrijse, C. J., Verheij, R. A., & Friele, R. D. (2018). Recording of weight in electronic health records: An observational study in general practice. BMC Family Practice, 19(1). https://doi.org/10.1186/s12875-018-0863-x

Welzel, F. D., Stein, J., Pabst, A., Luppa, M., Kersting, A., Blüher, M., Luck-Sikorski, C., König, H.-H., & Riedel-Heller, S. G. (2018). Five A’s counseling in weight management of obese patients in primary care: A cluster-randomized controlled trial (INTERACT). BMC Family Practice, 19(1). https://doi.org/10.1186/s12875-018-0785-7

World Health Organization. (2021, June 9). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

NR506NP Healthcare Policy and Leadership Week 4 Discussion

This is a required, but not graded open forum. Your post should add further clarity to the assignment and content of the readings and lessons for the week. Please feel free to post questions related to content or assignments.

NR 506 Week 4 Presentation Assignment

This presentation needs speaker notes with the presentation, since I have to present the power point presentation. please add speakers notes.

Now on to week four. Start by viewing the Student Assignment Recording in the week 4 assignment area.

Research healthcare issues that have been identified in your local community. Develop a power point presentation with speaker notes. You will then use the power point during your Kaltura recording. Structure a health policy analysis presentation that addresses the following topics particular to your health problem.
Problem Statement
Background
Landscape
Options
Recommendations
Next, record your Kaltura presentation showing your power point and yourself speaking. Upload your Kaltura presentation into the week 4 assignment. How to use Kaltura resources are in Home/Resources/Technology Resources.

Posting your recording:

This week you will be producing a power point on a health policy analysis. From what you learned in week three about national data on healthcare issues, you will now examine one healthcare issue that is predominant in your local community. From your weekly readings (be sure to read chapter 14 from the Teitelbaum text in detail) you will:

Structure a health policy analysis presentation that addresses the following topics particular to your health problem. Develop a PowerPoint offline to address:

Problem Statement
Background
Landscape
Options
Recommendations

Important: This is not a patient treatment plan. This is a change in health policy to prevent secondary and tertiary effects from a health problem or unhealthy behavior.

Next, record your Kaltura presentation and upload it into the week 4 assignment. Recorded instructions on how to use Kaltura is imbedded under Resources on the left side, then Technology Resources.

Purpose
This assignment will focus on developing a health policy analysis presentation that includes a problem statement, background, landscape, options and recommendations from the week’s readings. The health policy analysis presentation is based upon an identified healthcare issue in one’s local community.

Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:

Employ strategies to impact the development, implementation, and consequences of holistic healthcare policies using evidence-based practice principles (CO1)
Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2)
Analyze social, historical, ethical and political contexts of healthcare policies and advanced practice leadership (CO4)
Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO5)

NR506NP Healthcare Policy and Leadership Week 5 Discussion

Ethical and Legal Implications

Purpose

Discuss potential complications in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and implications for members of the heath care team as a result of conflict among the healthcare team.  Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

• Recognize potential areas of conflict in NP clinical practice (CO1)
• Determine methods of data collection to assess the conflict (CO3)
• Examine corporate compliance and its effect on clinical practice (CO2)
• Understand risk management in clinical practice (CO4)

Requirements:

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened.

You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas NR506NP Full Course Assignments.

You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.

Case Study Responses:

Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:

• Medical assistant
• Nurse Practitioner
• Medical Director
• Practice
• What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?
• What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

NR506NP Healthcare Policy and Leadership Week 6 Discussion

Scope of Practice and Patient’s Healthcare Accessibility

Purpose

The purpose of this assignment is to identify the scope of practice in one’s state including level of independence of practice, prescribing authority, any limitations of practice, process for obtaining licensure in your state, certification and education requirements for licensure.  Next, students will discuss how the level of independence of practice in their state, i.e., reduced, restricted or full practice, affects patient’s access to care in their local community.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

• Understand NP practice as defined by law (CO2)
• Determine legislation as defined by legislation, statutes and regulations (CO2)
• Identify barriers to ensuring patient’s rights (CO3)

NR506NP Full Course Assignments Requirements

Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including:

• Level of independence of practice
• Prescribing authority
• Any limitations of practice
• Process for obtaining licensure in your state
• Certification and education requirements for licensure.

If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers?  For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent ca

NR506NP Week 5 Ethical and Legal Implications Papers

This is a graded discussion: 100 points possible

Week 5:Ethical and Legal Implications (orig post due Wednesday, responses due Sunday)

Purpose 

Discuss potential complications in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and implications for members of the heath care team as a result of conflict among the healthcare team.  Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture. 

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to: 

1. Recognize potential areas of conflict in NP clinical practice (CO1) 
2. Determine methods of data collection to assess the conflict (CO3) 
3. Examine corporate compliance and its effect on clinical practice (CO2) 
4. Understand risk management in clinical practice (CO4) 

 Due Date: Wednesday by 11:59PM MST of Week 5 

Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT.  Students are expected to submit assignments by the time they are due.

 A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 5, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0). 

Total Points Possible: 100 

Requirements:

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. 

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. 

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
   • Medical assistant 
   • Nurse Practitioner 
   • Medical Director 
   • Practice 
2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? 
3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.
4. A scholarly resource must be used for EACH discussion question each week.

DISCUSSION CONTENT Category Points % Description Potential ethical & legal implications for healthcare team members 30 30% Provides relevant evidence of scholarly inquiry of the potential ethical and legal implications for each of the practice members. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. Strategies to prevent further dangerous patient outcomes 30 30% Provides relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially dangerous patient outcomes. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. Leadership qualities to effect positive change 15 15% Provides relevant evidence of scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.  75 75% Total CONTENT Points= 75 pts DISCUSSION FORMAT Category Points % Description Interactive Dialogue 20 20% 4 Required Elements:  Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;  Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)  Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)  Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts. Grammar, Syntax, Spelling, & Punctuation 5 5% Grammar, syntax, spelling, and punctuation are accurate.   25 25% Total FORMAT Points= 25 pts    DISCUSSION TOTAL=100 points 

Legal and Ethical Implications of Conflicts in Healthcare Sample Solution

Being a workplace like any other, conflicts in the healthcare setting are common. These conflicts have dire consequences on care quality both directly and indirectly. Team conflicts directly affect care quality by delaying care provision and failure to provide essential care to patients. Indirectly, team conflicts may demotivate healthcare professionals, thus making them exhibit a negative attitude towards patients and their families (Cullati et al., 2019). This discussion focuses on the legal and ethical implications of conflict to the care team, strategies to prevent conflicts that lead to undesirable patient outcomes, and the leadership qualities to effect positive change.

Conflicts have potential legal and ethical implications for each healthcare team member. To begin with, the nurse practitioner can be faced with ethical cases of negligence and work overload when tasks are not delegated. The medical director, who should be in charge of the team, may face legal implications when conflicts lead to negligence and the institution issued for it. On the other hand, the medical assistant can be met with legal implications of malpractice. For instance, in the case study, a patient with very low blood pressure had not been attended to. Practice can be faced with an ethical issue of inappropriate nurse-patient relationships, which would lead to loss of clientele due to arguing inpatient areas.

I would implement strategies to prevent further episodes of potentially dangerous patient outcomes: staff training, clearly outlining duty roasters, setting clear goals, and having conflict resolution guidelines. These would help prevent conflicts among the healthcare team members and inform them of the steps to take in case of a dispute arises.    

The leadership qualities I would apply to effect positive change include change management. I would steer the team towards cultivating a conflict-free working environment. I would also ensure effective communication to avoid conflicts arising from a communication breakdown. Effective communication enhances interpersonal and professional relationships, preventing conflicts (Katz et al., 2020).

Conflicts in the healthcare setting should be avoided at all costs. They alter team dynamics and communication, decrease trust, and reduce team performance. As discussed above, conflicts also have legal and ethical implications for the team members. Team members should work together to minimize and manage conflicts.

References

Cullati, S., Bochatay, N., Maître, F., Laroche, T., Muller-Juge, V., Blondon, K. S., Junod Perron, N., Bajwa, N. M., Viet Vu, N., Kim, S., Savoldelli, G. L., Hudelson, P., Chopard, P., & Nendaz, M. R. (2019). When Team Conflicts Threaten Quality of Care: A Study of Health Care Professionals’ Experiences and Perceptions. Mayo Clinic proceedings. Innovations, quality & outcomes, 3(1), 43–51 https://doi.org/10.1016/j.mayocpiqo.2018.11.003

Katz, N. H., Lawyer, J. W., Sosa, K. J., Sweedler, M., & Tokar, P. (2020). Communication and Conflict Resolution Skills., 1-161. Retrieved from 30th May 2022 from https://nsuworks.nova.edu/shss_facbooks/177

NR506NP Week 6: Scope of Practice and Patient’s Healthcare Accessibility

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Purpose 

The purpose of this assignment is to identify the scope of practice in one’s state including level of independence of practice, prescribing authority, any limitations of practice, process for obtaining licensure in your state, certification and education requirements for licensure.  Next, students will discuss how the level of independence of practice in their state, i.e., reduced, restricted or full practice, affects patient’s access to care in their local community.  

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to: 

1. Understand NP practice as defined by law (CO2) 
2. Determine legislation as defined by legislation, statutes and regulations (CO2) 
3. Identify barriers to ensuring patient’s rights (CO3) 

Due Date: Wednesday by 11:59pm MST of Week 6 

Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT.  Students are expected to submit assignments by the time they are due.

 A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 6, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0). 

 Total Points Possible: 100 

Requirements: 

(State virginia)

1. Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including:
   • Level of independence of practice **In California, NPs are required to practice under Standardized Procedure Guidelines. If CA is your intended practice state, please provide details on how Standardized Procedures Guidelines are developed in California and an example of a California SPG.
   • Prescribing authority 
   • Any limitations of practice 
   • Process for obtaining licensure in your state 
   • Certification and education requirements for licensure. 
2. If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers?  For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?   
3. How does access to NPs impacts any healthcare disparities?  
4. A scholarly resource must be used for EACH discussion question each week.

DISCUSSION CONTENT Category Points % Description Scope of practice and NP requirements 30 30% Provides relevant evidence of scholarly inquiry of their state’s NP scope of practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. Practice barriers and access to healthcare 30 30% Provides relevant evidence of scholarly inquiry of whether their state is a reduced, restricted or full practice state and the impact on the local community with respect to healthcare access. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. Healthcare disparities 15 15% Provides relevant evidence of scholarly inquiry of how access to NPs impacts healthcare disparities. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.  75 75% Total CONTENT Points= 75 pts DISCUSSION FORMAT Category Points % Description Interactive Dialogue 20 20% 4 Required Elements:  Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;  Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)  Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)  Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts. Grammar, Syntax, Spelling, & Punctuation 5 5% Grammar, syntax, spelling, and punctuation are accurate.   25 25% Total FORMAT Points=25 pts    DISCUSSION TOTAL=100 points 

NR506NP Week 7: APNs as Healthcare Policy Leaders

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Purpose 

The purpose of this assignment is to discuss healthcare policy of the APN profession and how Transformational Leadership can help to influence policy changes. This week’s assignment focuses on the APN as a Health Policy Leader, one of the nine NONPF NP competencies.  Students will analyze how health policy may affect NP practice and how Transformational Leadership can help to influence policy changes.  

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to: 

1. Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2) 
2. Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3) 
3. Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO4) 

Due Date: Wednesday of week 7 by 11:59PM MST 

Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT.  Students are expected to submit assignments by the time they are due.

 A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 7, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0). 

Total Points Possible: 100 

Requirements: 

Criteria for Content 

• Explanation of how healthcare policy can impact the advanced practice nurse profession 
• Explanation of why advocacy is considered an essential component of the advance practice nurse’s role
• Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change
• A scholarly resource must be used for EACH discussion question each week.

DISCUSSION CONTENT Category Points % Description Explanation of how healthcare policy can impact the advanced practice nurse profession   25 25% Research healthcare policy for APNs on a state and national level and the impact on the APN profession Explanation of why advocacy is considered an essential component of the advance practice nurse’s role   25 25% Describe advocacy in healthcare terminology.  Discuss how advocacy is an essential role of the APN and the impact on patient care.       Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change   25 25% Define Transformational leadership.  Discuss how Transformational Leadership may have an effect on influencing policy change    Total CONTENT Points= 75 pts DISCUSSION FORMAT Category Points % Description Interactive Dialogue 20 20% 4 Required Elements:  Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;  Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)  Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)  Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts. Grammar, Syntax, Spelling, & Punctuation 5 5% Grammar, syntax, spelling, and punctuation are accurate.       Total FORMAT Points= 25 pts    DISCUSSION TOTAL=100 points 

APNs as Healthcare Policy Leaders Example Solution

Universal and state healthcare policies enormously impact the advanced practice nurses (APN) profession. These policies may enhance or limit their practice. However, advanced practice nurses can play a role in changing unfavorable policies. This discussion focuses on the impact of healthcare policy on the advanced practice nurse profession, the concept of advocacy in nursing and its effect on patient care, and transformational leadership and policy change.

 Healthcare policy considerably impacts the advanced practice nurses’ profession on state, regional and national levels. Due to their scope of practice, advanced nurses should ideally bring healthcare services closer to the populations. However, healthcare policies in some states limit this by having restrictions on the practice of APNs. Advanced practice nurses can carry out comprehensive nursing interventions, thus helping a state achieve universal health coverage (Sevilla et al., 2022). Healthcare policies that allow APNs to run their healthcare institutions encourage APN professionals to fully use their knowledge and education in practice. Favorable healthcare policies can promote the growth of the advanced nurse practice profession. Healthcare professionals should advocate for healthcare policies that favor the practice of advanced practice nurses.   

Advocacy in nursing has been defined as the act of nurses expressing patients’ needs and preferences to the hospital staff on their behalf (Kalaitzidis &Jewell, 2020). Advocacy is one of the roles that advanced practice nurses must play. Advocacy is considered an advanced practice nurse’s role since nurses are the ones who interact with the patients most compared to other healthcare providers’ team members. Therefore, they are best suited to know the patients’ preferences and needs. They are also best suited to link the hospital staff and the patients due to the strong nurse-patient relationships created when giving care to the patients. The nurse is the patient’s voice; thus, it is an obligation to advocate for their needs to other stakeholders in the healthcare department. Advocacy in nursing has had a significant positive impact on patient care. It has influenced service delivery and the overall quality of care in healthcare institutions, leading to better patient outcomes and patient satisfaction. Advocacy can also influence change of policies in healthcare, thus better care delivery.

Transformational leadership in nursing is a management concept that entails the motivation of nurses to have ownership of their roles and perform them beyond the minimum expectations. Transformational leadership enhances better demonstration of moral values and integrity in practice by cultivating teamwork among care providers. Transformational leaders focus on stimulating and inspiring followers by developing good relationships and enhancing change by emphasizing values (Giddens, 2018). The four pillars of transformational leadership are individualized consideration, idealized influence, intellectual stimulation, and inspirational motivation. These four-pillar pillars are integral for policy change.

Change of policy requires first understanding individual stakeholders of the policy, especially the policymakers and influencers, as well as the people affected by the policy and how the policy affects them. Policy change is hen followed by a planned strategy of how to influence the policymakers to change it. It also requires carefully devised logical and intellectual evidence of why the policy should be changed. In addition, the pillar of inspirational motivation would impact policy change by showing the policy makers how the change of policy would positively impact the people affected.

 Advanced practice nurses can use advocacy to improve patient care and satisfaction in their institutions. They should also be on the frontline in applying transformational leadership to influence the change of policies that influence them, thus improving care delivery in their institutions and the entire healthcare field.     

References

Giddens, J. (2018). Transformational leadership: What every nursing dean should know. Journal of Professional Nursing, 34(2), 117-121. https://doi.org/10.1016/j.profnurs.2017.10.004

Kalaitzidis, E., & Jewell, P. (2020). The concept of advocacy in nursing: a critical analysis. The Health Care Manager, 39(2), 77-84. https://doi:10.1097/HCM.0000000000000292

 Sevilla Guerra, S., Zabalegui, A., Comellas Oliva, M., Estrem Cuesta, M., Martín?Baranera, M., & Ferrus Estopa, L. (2022). Advanced practice nurses: Analysis of their role from a multicentre cross?sectional study. International Nursing Review, 69(1), 30-37. https://doi.org/10.1111/inr.12706

NR506NP Week 8: Week 8: Reflection on Achievement of Outcomes

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Purpose 

The final week will focus on Global Policy Reform and the impact on patient care.  Students read the Berwick article and respond to the required discussions.  In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses.  

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to: 

1. Understand the role of advanced practice nursing in the International Context (CO2) 
2. Research global aspects of healthcare and the effect on the US healthcare system (CO5) 
3. Discuss the implications of global health on your clinical practice (CO5) 

 Due Date: Wednesday by 11:59pm MT of week 8 

Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT.  Students are expected to submit assignments by the time they are due.

 A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 8 by 11:59PM MST, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Saturday (i.e. student will receive an automatic 0). Week 8 discussion closes on Saturday at 11:59pm MT. 

Total Points Possible: 100 

Requirements:

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. Journal of American Medical Association, 320(13), 1317-1318. 

Read the Berwick article and reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Reflections should include: 

1. How to make informed decisions on nursing practice and patient outcomes on a global basis.? In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.?  
2. Describe how one will apply content from NR506NP to the upcoming clinical courses. 

DISCUSSION CONTENT Category Points % Description Making informed decisions 40 40% Provides relevant evidence of scholarly inquiry sharing insights as how to make informed decisions on nursing practice and patient outcomes on a global basis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. Application to Clinical Practice 35 35% Provides relevant evidence of scholarly inquiry stating how one may apply content learned in this course to future clinical practice.  Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.          Total CONTENT Points= 75 pts DISCUSSION FORMAT Category Points % Description Interactive Dialogue 20 20% 4 Required Elements:  Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;  Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)  Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)  Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts. Grammar, Syntax, Spelling, & Punctuation 5 5% Grammar, syntax, spelling, and punctuation are accurate.     Total FORMAT Points= 25 pts    DISCUSSION TOTAL=100 points