week 4-transtition to NP

Choose a state and review the scope of practice for the advanced practice nurse. How does it compare to Florida?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.

discussion2

 

This activity will focus on:  Emotional and Intellectual Wellness

Créate a reply to the following discussion as a DNP student, use at least 400 words, and different (from post) scholarly references no older than 5 years old

Reply to Will

Nursing practice must be grounded in mid-range theories to promote quality improvements and ensure evidence-based, patient-centered care. One such middle-range theory that can be instrumental in developing a proposed quality improvement project is the Empowered Holistic Nursing Education (EHNE) Theory, created by Dr. Katie Love. This theory emphasizes the integration of holism and empowerment within nursing education to enhance professional practice, cultural competence, empathy, and overall patient care outcomes. The EHNE Theory is a midrange theory that I would implement as it is relevant to nursing when considering quality improvement initiatives aimed at addressing the growing concerns related to the lack of holistic perspectives of health providers within healthcare practice (Love, 2019).

In addition to the EHNE Theory incorporating experiential learning and reflective practices, it also emphasizes nurse empowerment as a key component of effective education (Patton, 2020). For a person to experience transformational learning, they must have various experiences within their nursing education, which can facilitate a growth mindset and, ultimately, a change in their worldview (Patton, 2020). By fostering holistic and culturally competent approaches, this theory addresses gaps in nursing education where task-oriented clinical training often overshadows empathy and holistic care (Love, 2019).

In order for the EHNE theory to be effective, nurses must be educated on how to recognize relevant experiences and build on them for future patient care situations. The ability of a nurse to be successful is contingent on their ability to view a patient as a complete whole. That is understanding that the patient’s mind, body, and spirit are all interconnected in regard to their care. Understanding these concepts helps nurses develop resilience, emotional well-being, and empathetic skills to better care for their patients and themselves.

This theory aligns well with the DNP Essential I, which emphasizes integrating nursing science with other disciplines to improve healthcare outcomes (American Association of Colleges of Nursing [AACN], 2006). Essential II is also addressed since the EHNE Theory promotes educational models that promote resilience, empathy, and cultural competence, which have been identified as key elements of quality improvement initiatives (AACN, 2006). Essential VIII is also relevant as it emphasizes the importance of developing, implementing, and evaluating interventions that improve healthcare outcomes.

The EHNE theory focuses on a nurse’s experiential learning and emphasizes reflective practice in order to provide a robust framework for developing quality improvement initiatives that enhance their ability for patient-centered care through empathy and cultural competence (Love, 2019). This is especially relevant to those populations that are marginalized and vulnerable. By implementing the EHNE Theory, nurses can further leverage their experiential learning, thereby increasing their empathy, resilience, cultural competence, and patient care outcomes.

References

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice.https://www.aacnnursing.org/DNP/DNP-Essentials

Love, K. (2019). Empowered holistic nursing education as the philosophical framework for an RN-BS program: A six-year impact evaluation study. Nursing Education Perspectives, 40(6), 358-360. https://doi.org/10.1097/01.NEP.0000000000000500

Patton, C. M. (2020). Phenomenology for the holistic nurse researcher: Underpinnings of descriptive and interpretive traditions. Journal of Holistic Nursing, 38(3), 278-286. https://doi.org/10.1177/0898010120919554

discussion

 https://www.nso.com/Learning/Artifacts/Legal-Cases/nurse-and-medical-malpractice-case-study-with-risk 

  1. Did the nurse follow hospital policies?  Why or why not?  Please explain. 
  2. Do you think the nurse is the only one who should be responsible for the patients’ fall? Please explain. 
  3. Is there anything else the nurse could have done, to prevent the patients fall? Please explain. 
  4. We know that nurses are advocates for patients and for their safety.  Could the nurse have escalated her concerns about her assignment?  How would the nurse do this? Please explain. 
  5.  How do you feel about the nurse being reported to the National Practitioner Data Bank?  need apa style with 2 refernces

Peds Clinical Experience

Describe your clinical experience for this week.

  • Did you face any challenges, any success? If so, what were they?
  • Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
  • Mention the health promotion intervention for this patient.
  • What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
  • Support your plan of care with the current peer-reviewed research guideline.

Policy

 A mid-term Policy Impact / Healthcare Narrative Interview will be due.  The interviewee must be someone who has had health problems, or works with someone with health problems that impact their life expectations. The interviewee may be a family member, but not the student themselves! If you choose to interview a patient, do not violate any HIPAA policies or collect any protected health information (PHI). And if you choose to interview someone under 18, parents must be present during the interview and questions may be reworded as needed to be age appropriate for the child or parent.  

 

Use the interview Template attached below and follow APA grammar and formatting as close as possible for the midterm interview. 

The template provides a title page to fill in, an introductory section, questions to ask the interviewee, and your own reflective summary and analysis.  You may add more questions as needed. While an in-person interview is most common, to accommodate busy schedules, the questions may be asked and answered via telephone, and even email. But you must document the appropriate title page information to validate your interview. 

Due to the nature of interviewing, the interview content may use informal phrases and be written in first or third person, at the student’s discretion. Word count of the student and interviewee responses only is expected to be 1,000-1,500, and does NOT include references, title page, or the questions provided in the template. 

Responses

 In response to your peers, offer feedback on ways to address their issues. 

Speak in first person

nursing judjement outcome

Reflective Journal

Objectives:

  1. Reflect on thoughts, ideas, ex­periences, and insights related to the course.
  2. Examine personal skills, frames of reference, and assumptions about the provision of care.
  3. Gain insight on how student views themselves in relationship to others when engaged in therapeutic and professional communication.
  4. Identify areas for students to further develop their abilities and understanding related to bedside practice.

Directions: (Professional Identity and Spirit of Inquiry)

Respond to at all four of the questions below using the same bullet points. Responses must be double-spaced in a Word document. Entry should be a minimum of 1500 words and NOT more than 2000 words.

  1. Journal prompt 1 (Human Flourishing, Professional Identity)
  2. What are your feelings as you begin this clinical experience? Make sure you identify feelings, not thoughts. Complete the following statement: “l feel…”
  3. What past experiences, perceptions, and thoughts might be contributing to the above feelings?
  4. What personal qualities, strengths, and talents do you bring to this clinical experience?
  5. Identify one goal for the semester related to your personal self-awareness and growth.
  6. Journal prompt 2 (Human Flourishing, Professional Identity)

As you begin your clinical experience, it is important to be aware of how you communicate and how you respond to the communication styles of others. This awareness is essential to working with the healthcare team to provide care to residents that is personalized, evidence-based, and safe.

  1. What is your communication style? Are you direct, passive, etc.?
  2. How do you try to come across to others when communicating?
  3. How do you think you are perceived by others when communicating?
  4. Describe two strategies to improve your communication skills during this clinical experience.
  5. Journal prompt 3 (Human Flourishing, Professional Identity)

Judgment is making opinions as to the value of someone or something. How we perceive others is influenced by our personal beliefs, assumptions, and values. Professional nurses operate within a Professional Code of Ethics and Standards.

  1. Examine the values, assumptions, and beliefs (address all three) that shape your behavior. Provide specific examples.
  2. Explore how your values, assumptions and beliefs influence your relationships with residents and families.
  3. Journal prompt 4 (Spirit of Inquiry)

Locate on NTC library site one peer-reviewed journal article within the past five years that address healthcare needs of the geriatric population. Suggestions include health management, polypharmacy, safety, caregiver role strain, etc.

  1. Briefly summarize the article including key points and conclusion.
  2. Analysis: what is the role of the nurse in addressing this issue?
  3. Use in-text citations to give credit to the author and provide a reference list APA citation for the article at the end of your journal entry. Faculty to assist as needed.
    1. In-text citation example:
      1. A recent study found that geriatric healthcare needs are growing (Smith, 2018).
    2. Reference list citation example:
      1. Last, F. M. (Year Published). Article title. Journal Name, Volume(Issue), pp. Page(s). doi:#

Reflective Journal Grading Rubric (10 points)

Level 5

Level 4

Level 3

Level 2

Level 1

Complete (5 points)

  • Thoroughly addresses all 3 questions.
  • Entry is at least 1500 words and not more than 2000 words long.
  • Addresses all 3 questions with fair amount of depth.
  • Entry is at least 1250 total words or exceeds the 2000 word limit.
  • Somewhat addresses at least 2 of the 3 questions.
  • Entry is at least 1000 total words.
  • Somewhat addresses 1 question.
  • Answers are not complete.
  • Entry is at least 750 total words.
  • Entry does not clearly address any of the questions provided.
  • Entry is a recitation of significant experiences in clinical, OR
  • Entry is less than 750 total words.

Reflection

(5 points)

  • Reflection demonstrates insight and ability to connect personal experience with theory on all questions.
  • Discussion on all questions draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth.
  • Reflection usually (2 of 3) demonstrates insight and ability to connect personal experience with theory.
  • Discussion usually (2 of 3) draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth.
  • Reflection at times (1 question) demonstrates ability to connect personal experience with theory but 2 of 3 questions are superficially answered.
  • Discussion at least once draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth.
  • Entry does not reflect application of theory or genuine insight on behavior.
  • Objectively shares experience, but reflection is vague, lacks depth or insight.
  • Does not draw upon self- knowledge, self-awareness, or experience to enhance professional growth.
  • There is minimal evidence of reflection
  • No evidence of ability to draw upon self-knowledge, self-awareness and past experience to gain insight.
  • Entry merely recites what was done/ learned during clinical.