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Advance practice nurse practitioner (APRN) 전문간호사의 역할, 정책 등에 대하여 배운 점(APA 7th 반영)

Discussion week 13NameMaster of Science in Nursing, School nameCourse nameProfessor nameNovember 27, 2020I learned many lessons from the role, policy and health care class. Firstly, I understood nursing advocacy. Nurses have advocated for the individual, the family, and the communities to promote health and deal with human rights, justice, and equity (Priest, C., 2013). Still, there are diverse health issues in this highly complex society, and we will encounter more complicated and global concerns like COVID-19. Advanced practice nurse practitioners (APRNs) should be ready to provide care and advocate for patients, community, and public health. Throughout the COVID-19 global pandemic, we learn ways to minimize risks and optimize outcomes and realize the health care system's limits. For improved access and equity, I will never ignore the problems in the health care system. Also, I will influence advanced practice and policy to protecting a vulnerable population.The second learning is the political development of nursing and the policy process. During a group assignment for a health policy brief, I realized many health-related problems that need to change. My team members and I defined the vaping issue in adolescence, researched the problem, developed policy options, and identified multiple stakeholders around the issue. It took lots of time but provided a chance to apply what we learned in the classroom to the real world. I believe that my classmates and I have enhanced policy competencies and leadership competencies through this class, and many APRNs with these competencies will make a difference in public health policy (DeNisco, 2019). I will continuously improve my competencies by participating in education and politically active professional nursing organizations (Taylor, 2016). These organizations will provide information and connection with nurses who have a similar goal. Collegial socialization in these organizations will be beneficial for me when I come back to my country. To establish rights for APRNs in my country, I will collaborate with global leaders in nursing and public health.Lastly, I learned diverse legal cases and risk management strategies. Through group activity, my team members and I identified problems in the case and recommended strategies to prevent negligence and malpractice. Along with the case study, I learned several ways to protect myself. My practice should be evidence-based, and prescriptions should follow the guidelines not to harm my patients. I will never make mistakes on the standard of care. However, I would care for litigious patients, so that malpractice insurance will be necessary for me. I will communicate with patients with authentic listening for desirable outcomes and their satisfaction. I should be familiar with the rules on billing my services and comply with HIPAA (Buppert, 2018). To accomplish these goals, I will dedicate myself to studying every subject in this master program and enhancing the core competencies of APRN.ReferencesBuppert, C. (2018, January 8). 3 ways to protect your career [video]. YouTube. https://youtu.be/Dm7bKwpIP9IDeNisco, S. M. (2019). Advanced Practice Nursing: Essential Knowledge for the Profession (4th Edition.). Jones & Bartlett Learning.Priest, C., (2013). Advocacy in nursing and health care. In Mason, D. J., Leavitt, J. K., Chaffee, M. W. (Eds.), Policy and Politics in Nursing and Healthcare - Revised Reprint (Mason, Policy and Politics in Nursing and Health Care) (6th ed., pp. 31-38). Saunders.Taylor, M. R., (2016). Impact of advocacy initiatives on nurses' motivation to sustain momentum in public policy advocacy. Journal of Professional Nursing, 32, 235-245. Hyperlink "https://doi.org/10.1016/j.profnurs.2015.10.010" https://doi.org/10.1016/j.profnurs.2015.10.010Name PAGE * MERGEFORMAT1

의/약학| 2020.12.27| 4페이지| 3,000원| 조회(142)

APA, 전문간호사, NP, 7th, APRN

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Advance practice nurse practitioner (APRN) 전문간호사의 역할 16

Advance practice nurse practitioner (APRN) 전문간호사의 역할Identify areas of new learning in the past week, demonstrate reflection relative to role expectations & anticipated role changes upon graduation.Set goals (behavioral, specific, measurable, outcomes expected) and expectations based on the above for clinical practice.Share and discuss your new APRN role development plan and its implications?Student 16Areas of new learning for me were truly being educated on the role and responsibilities of the APRN. In a 2007 qualitative study done in Australia and New Zealand, NPs were asked to define the core role of an NP". Participants identified that their role was a blending of the nursing and medical models" (DeNisco, 2021). The three main components identified were: dynamic practice, professional efficacy, and clinical leadership. One of the things that I learned from interviewing an APRN was that it took her a few years to feel semi-comfortable in her new role. She talked about the novice to expert theory, we are all familiar with this theory as we have each experienced it in our everyday practice as Registered Nurses.I think that in order to be the best APRN and have a smooth transition into my new APRN role I can be I have set goals and expectations. I intend to submerge myself in clinical exposure. I have to remain humble and be open to constructive criticism. I have to be comfortable with asking questions and ask for help when I need it. I will also seek any learning opportunity at my current job. By the end of this semester I must be able to clearly identify the role and responsibilities of the APRN. I must be knowledgeable of the resources available to me and I intend in working closely with an established APRN. I have been fortunate to meet one of the kindest APRNs whom has guided me and encouraged me to continue my education. I hope that I can do that for someone else one day.ReferenceDeNisco, S. M. (2021). Advanced practice nursing: Essential knowledge for the profession. Burlington, MA: Jones & Bartlett Learning. Hyperlink "https://calstatela.instructure.com/courses/49384/discussion_topics/323131" o "Mark as Unread" Discussion post 1>Hi XXX. Thank you for sharing your goals and experience, they are truly inspiring especially where you said that you hope you can encourage someone someday the way that the APRN you've met have guided and encouraged you in continuing your education. Further on, you've mentioned your intent of working closely with an established APRN to help with the transition into the new role. I truly agree and in connection with the finding from our group's interview, had noted the importance of a mentor. On the study made by Hart, A., & Bowen, A. (2016), mentoring is the key for the successful transition into practice of a new NP, formulation of evidence-based mentoring program is vital for the accomplishment and must be sought to be established for the players involved that include the mentor, the new nurse practitioner, and the non-NP mentor.ReferencesHart, A., & Bowen, A. (2016). New nurse practitioners’ perceptions of preparedness for and transition into practice. The Journal for Nurse Practitioners, 12(8), 545–552. Hyperlink "https://doi.org/10.1016/j.nurpra.2016.04.018" https://doi.org/10.1016/j.nurpra.2016.04.018

의/약학| 2020.12.27| 2페이지| 2,000원| 조회(111)

전문간호사, NP, APRN

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Advance practice nurse practitioner (APRN) 전문간호사의 역할 15

Advance practice nurse practitioner (APRN) 전문간호사의 역할Identify areas of new learning in the past week, demonstrate reflection relative to role expectations & anticipated role changes upon graduation.Set goals (behavioral, specific, measurable, outcomes expected) and expectations based on the above for clinical practice.Share and discuss your new APRN role development plan and its implications?Student 15The core competencies for Advanced Practice Registered Nurses (APRN) and previous readings are new areas of learning for me from the previous week. After reading about all of the core competencies and the previous reading, the competency that stuck out to me the most was practicing independently, managing previously diagnosed and undiagnosed patients with a list of things that are expected of the nurse practitioner (Thomas, et al., 2017). Based on previous readings and presentation from the previous week, along with the interview, there will be a major role change and expectation once gradeasoning for why I prescribed a certain medication, or why I ordered a certain test. Currently, working as a registered nurse has its own roles and responsibilities, but becoming a nurse practitioner has its own roles and responsibilities as well. I will use my knowledge and independence to order diagnostic and screening tools in treating my clients. I will use this new knowledge in APRN core competencies to better prepare for my new role as an APRN.I have goals and expectations in place for myself based on what I have learned in recent weeks from this class about the APRN role. For example, I expect that once I graduate, within 3 months, I will work in an outpatient clinic setting and inpatient facility setting. I want to get a feel for both roles in different clinical settings. One of my main goals, based on the core competencies, would be related to pathophysiology. I would like to within 3 months of graduating from the program, be able to fully explain the pathophysiology of a certysician or fellow APRN, rather than be on my own within 6 months. Within a year of graduation, I would like to be working independently in multiple settings and providing care to many different clients.I have a new APRN Role Development plan. It will start off by working alongside another APRN or physician whom I can go to for guidance. I would like to identify the role of the APRN in the specific clinical setting and what their expectations are for me. While working as a registered nurse, I will start thinking as if I were already practicing as an APRN, to test myself and feel the difference in the two roles. I would also like to do a self-assessment on my strengths and weaknesses in the APRN role, and get feedback from peers on myself as well to better shape myself as a APRN.ReferencesDeNisco, S. M. (2021). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning.Thomas, A., Crabtree, K., Delaney, K., Dumas, M. Kleinpell, R., Marfell, J.,ource/resmgr/competencies/20170516_NPCoreCompsContentF.pdf" https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20170516_NPCoreCompsContentF.pdf Hyperlink "https://calstatela.instructure.com/courses/49384/discussion_topics/323131" o "Mark as Unread" Discussion post 1>Hi XXX,You have a very precise role development plan and I commend you for that. It is indeed very detailed.You said something very interesting; "I will work in an outpatient clinic setting and inpatient facility setting. I want to get a feel for both roles in different clinical settings."I know ACNP and psych NP can work inpatient and outpatient. However, I know it is difficult for FNP to work inpatient as well as family NP.Are you in ACNP or Psych? or do you plan on doing a post masters so that you may be able to work in both inpatient and outpatient?Thank you in advance for clarifying.OOODiscussion post 2>Hi OOO,Thank you for the feedback. I am in the Psych NP program and I do have a friend who is a Psych to the ACNP program when it opens to get the dual degree in Psych and ACNP. I am very excited to see what the future holds for us all. Good luck to you in this course and in the program. Stay safe.Discussion post 3>Hi XXX,Thank you for clarifying. And yes, as Psych NP you can work in both inpatient and outpatient.I am currently in the ACNP program. I am focused on working inpatient and that is where my passion is.I wish you well in pursuing dual degree in the near future. You definitely can make it, and will be able to help a broader population with your vast knowledge.Discussion post 4>Wow XXX, your role development plan sounds great. I think identifying your role in your specific clinical setting and knowing the expectations will definitely get you off to a right start. By knowing your role and expectations can help guide your care for your patients. You are able to come up with a plan of care that is specific to your patient within your role as a APRN. It makes the transition so muc.

의/약학| 2020.12.27| 4페이지| 2,000원| 조회(117)

전문간호사, NP, APRN

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Advance practice nurse practitioner (APRN) 전문간호사의 역할 14

Advance practice nurse practitioner (APRN) 전문간호사의 역할Identify areas of new learning in the past week, demonstrate reflection relative to role expectations & anticipated role changes upon graduation.Set goals (behavioral, specific, measurable, outcomes expected) and expectations based on the above for clinical practice.Share and discuss your new APRN role development plan and its implications?Student 14As I begin my education to becoming an Advanced Practice Registered Nurse (APRN), I am learning about how my role as a member of the multidisciplinary team may change. One distinct lesson I learned in the past week is that a Nurse Practitioner (NP) in the State of California does not have a scope of practice beyond that of a Registered Nurse (RN). Prior to this lesson, I had thought that a NP had a wider scope of practice than a RN and therefore was able to care for patients to a higher capacity. According to the California Board of Registered Nursing, however, APRNs are able to practice “work. The Standardized Procedures will not only allow me to practice beyond the scope of a RN, but also ensure that I am within the legal bounds of my role as an APRN. This will mean that I will have to go over the facility’s Policies and Procedures thoroughly and be confident in my understanding of what procedures I am legally able to perform.Board of Registered Nursing. (n.d.). General Information: Nurse Practitioner Practice. http://www.rn.ca.gov/pdfs/regulations/npr-b-23.pdf Hyperlink "https://calstatela.instructure.com/courses/49384/discussion_topics/323131" o "Mark as Unread" Discussion post 1>Hello XXX,Thank you for sharing this information. I found your post very useful. I agree that it is very useful to go over the particular facility's Policies and Procedures fully, to be able to fully work at one's full scope of practice. It is interesting that just a little bit of reading changed my views on the roles and responsibilities of an APRN compared to a registered nurse. I will lng your very informative post. Like you and OOO, I am now more aware about the APRN’s in California not having a wider scope of practice, rather with that of an RN and must follow Standardized Procedures per the organization they work for to be able to practice outside the scope. Today in class though, a light had opened to possibilities of APRN’s in California to practice without Standardized Procedures through the AB-890 Bill, awaiting Governor Newsom to either sign the Bill into Law or to veto by September 30, 2020. The Bill is intended to “provide an opportunity for a new baseline scope of practice that does not require standardized procedures.”(California Legislative Information, 2020) I am very interested to find the outcome of the Bill as this impacts our pathway and the future of APRN.ReferencesBill text - ab-890 nurse practitioners: Scope of practice: Practice without standardized procedures. (n.d.). Hyperlink "https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?billechnically don’t have a broader scope of practice than RNs, but are able to practice certain aspects of medicine under Standardized Procedures, which still vary by state. Without them, NPs are legally vulnerable, but I am very interested (as is everyone else) to see what Governor Newsom will decide regarding AB890 on 9/30! This is something that I would have to look into at varying facilities as well!Discussion post 4>Hi XXX,Learning that the NP in CA doesn't have a scope of practice beyond that of a RN was news for me as well. Learning this has actually been a relief, it's nice to know that what we have learned as RN's and the care that we currently provide to our patients, we will be able to carryover as NP's and build on that knowledge. It is also comforting to know that there are standardized procedures to follow when practicing outside of our normal RN scope of practice. Getting familiar with Standardized procedures, as well as making sure we understand and meet the requirements oot have a different scope of practice, would you agree that they have an extended role because they have added responsibilities? According to the article you provided, the Board of Registered Nursing (n.d.) says that APRNs undergo training through a program that involves the study of advanced diagnosing, assessment, and management of illnesses in the primary care setting. This training supports the added responsibilities to the APRN role. Also, with further research, in other states like Hawaii, APRNs have more authority, like verifying workers’ compensation and physical examination forms (Department of Commerce and Consumer Affairs, 2020). It is good to know that there are standardized procedures that will help guide APRNs to stay within their scope of practice. And your goals are very practical. I, too, will apply that same goal since standardized procedures are specific to individual facilities.ReferencesBoard of Registered Nursing. (n.d.). General information: Nurse practitioner pr.pdf

의/약학| 2020.12.27| 5페이지| 2,000원| 조회(117)

전문간호사, NP, APRN

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Advance practice nurse practitioner (APRN) 전문간호사의 역할 13

Advance practice nurse practitioner (APRN) 전문간호사의 역할Identify areas of new learning in the past week, demonstrate reflection relative to role expectations & anticipated role changes upon graduation.Set goals (behavioral, specific, measurable, outcomes expected) and expectations based on the above for clinical practice.Share and discuss your new APRN role development plan and its implications?Student 13Something that I learned since starting this course was that the first nurse practitioners (NPs) were pediatric and evolved out of a lack of medical doctors (MDs) in the area (Stewart, 2019). So, I can also say that another thing that I learned was that NPs could practice independently, apart from the MD, unlike a physician assistant (PA) (Stewart, 2019). My ignorance was that only certified midwives could practice on their own license. My experience as a nurse has been working with NPs, PAs and MDs together with NPs and PAs fulfilling similar roles.As an NP, one of the goals that I have ispecifically are better at this than MDs because of our nursing practice. As a nurse, unless I have an obtunded patient, I will follow up with my patient by talking to them to see how something is working and not just looking at the numbers in the chart, be it labs or vital signs to determine efficacy of an intervention.I think that the easiest way to see if, in my NP practice, I am able to bring more compliance with a patient, is by following a previously noncompliant patient to see if they are now following their care plan. When seeing ‘noncompliant’ in the chart many providers shrug their shoulders and say ‘well, he’s not going to do it anyway but this is my plan…’; the patient may not follow through on the plan but they return to their appointments, or they do not come to their appointments but they take the medication(s). NPs often (not always) are able to work with these difficult patients, even if that means slowly chipping away with each visit (L’Hullier, 2017). The NP, more ofng together to make a workable care plan for the patient with improved outcomes.L’Hullier, S. P. (2017). It’s going to be a bad day: How to care for a non-compliant patient. Clinical Advisor. Hyperlink "https://www.clinicaladvisor.com/home/the-waiting-room/its-going-to-be-a-bad-day-how-to-care-for-a-non-compliant-patient/" https://www.clinicaladvisor.com/home/the-waiting-room/its-going-to-be-a-bad-day-how-to-care-for-a-non-compliant-patient/ (Links to an external site.)Stewart, Julie G. (2019). The nurse practitioner: Historical perspectives on the art and science of nurse practitionering. Jones & Bartlett Learning, LLC.Discussion post 1>Enlightening post XXX. I agree with you that there definitely are patients that are non-compliant with almost the entire interdisciplinary team, and at times it takes the bedside RN or the NP to finally gain some compliance out of them. I think Julie Stewart in her book explains it very well. It definitely do feel like chipping away at a patient each vu have time for them and are not in a rush (even when you are) goes a long way. Again, thank you for your post.Discussion post 2>Hi XXX,I completely agree with you that often times it is a misconception or something that requires some time on the providers end to probe at. I have also found that coming to the patient and being eye level without any distractions also helps (not looking at your phone or computer and keeping your hand off of the door knob). I think other things that have also helped me as a RN is to have the patient tell me in their own words what is happening with them and the plan of care moving forward. I think that as a provider it will be more challenging as I (all of us) will be forming that plan and then looking to ensure that it is being carried out. I hope that my experience and what I learn from the program and my future preceptors and mentors will help continue to mold my skill in this area to ensure the best possible outcome for my patient(s).Discussion post 3ient A&Ox4, alert, not tired, ready to listen and not stressed about another personal situation? Very intuitive post.Discussion post 4>Hi XXX,You bring a lot of great questions regarding possible reasons for a patient to be 'non-compliant.' At the hospital that I work at we are currently still not allowing visitors to come in. This has caused a lot of stress for many reasons across the entire hospital system, as I am sure you have also experienced. The patient population that I work with is oncology, a population that endures its own stresses on a daily basis apart from COVID. In the oncology population one of the 'pillars' of care that we lean heavily on is the family/caregivers. These patients require a village of assistance to get them through their treatments. Coupled with the stress of COVID, the patient diagnosis and treatment and lack of visitors, many patients have regressed and required a lot more attention than they would normally need. When you throw in any language or cultuers.

의/약학| 2020.12.27| 5페이지| 2,000원| 조회(91)

전문간호사, NP, APRN

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