NR 576 Week 8 Reflection, Assignments of Nursing

NR 576 Week 8 Reflection NR 576 Week 8 Reflection

Typology: Assignments

2023/2024

Available from 11/23/2024

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Choose one (1) from EACH category below:
Reflect over the past eight weeks and describe how achieving the course outcomes have prepared
you to meet 1 Program Outcome, 1 MSN Essential and 1 Nurse Practitioner core competency.
Provide a specific example for each category.
MSN Program Outcome
1. Provide high quality, safe, patient-centered care grounded in holistic health principles.
2. Create a caring environment for achieving quality health outcomes.
3. Engage in lifelong personal and professional growth through reflective practice and
appreciation of cultural diversity.
MSN Essential
i. Background for Practice from Science and Humanities
ii. Quality Improvement and Safety
iii. Interprofessional Collaboration for Improving Patient and Population Health Outcomes
iv. Clinical Prevention and Population Health for Improving Health
Nurse Practitioner Core Competencies
a. Scientific Foundation Competencies
These competencies ensure that nurse practitioners graduate with a comprehensive background
in medical sciences. All nurse practitioner students are required to take foundational
pathophysiology and pharmacology, but depending on their specialty, they may take additional
courses. Psychiatric nurse practitioners often take courses in neuroscience whereas neonatal
nurse practitioners take courses in neonatology. Scientific core competencies also include
knowledge and understanding of clinical practice guidelines, evidence-based practice,
translational research, and treatment of vulnerable and diverse patient populations.
The scientific foundation core competencies defined by the NONPF include the following:
1. Critically analyzes data and evidence for improving advanced nursing practice.
2. Integrates knowledge from the humanities and sciences within the context of nursing
science.
3. Translates research and other forms of knowledge to improve practice processes and
outcomes.
4. Develops new practice approaches based on the integration of research, theory, and
practice knowledge.
b. Quality Competencies
Quality care, as defined by the NONPF, refers to the degree to which health services increase the
desired health outcomes consistent with professional knowledge and standards. Quality
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Choose one (1) from EACH category below: Reflect over the past eight weeks and describe how achieving the course outcomes have prepared you to meet 1 Program Outcome, 1 MSN Essential and 1 Nurse Practitioner core competency. Provide a specific example for each category. MSN Program Outcome

  1. Provide high quality, safe, patient-centered care grounded in holistic health principles.
  2. Create a caring environment for achieving quality health outcomes.
  3. Engage in lifelong personal and professional growth through reflective practice and appreciation of cultural diversity. MSN Essential i. Background for Practice from Science and Humanities ii. Quality Improvement and Safety iii. Interprofessional Collaboration for Improving Patient and Population Health Outcomes iv. Clinical Prevention and Population Health for Improving Health Nurse Practitioner Core Competencies a. Scientific Foundation Competencies These competencies ensure that nurse practitioners graduate with a comprehensive background in medical sciences. All nurse practitioner students are required to take foundational pathophysiology and pharmacology, but depending on their specialty, they may take additional courses. Psychiatric nurse practitioners often take courses in neuroscience whereas neonatal nurse practitioners take courses in neonatology. Scientific core competencies also include knowledge and understanding of clinical practice guidelines, evidence-based practice, translational research, and treatment of vulnerable and diverse patient populations. The scientific foundation core competencies defined by the NONPF include the following:
  4. Critically analyzes data and evidence for improving advanced nursing practice.
  5. Integrates knowledge from the humanities and sciences within the context of nursing science.
  6. Translates research and other forms of knowledge to improve practice processes and outcomes.
  7. Develops new practice approaches based on the integration of research, theory, and practice knowledge. b. Quality Competencies Quality care, as defined by the NONPF, refers to the degree to which health services increase the desired health outcomes consistent with professional knowledge and standards. Quality

competencies focus on understanding how to access and use information databases and how to critically evaluate research findings. The quality core competencies include the following:

  1. Uses best available evidence to continuously improve quality of practice.
  2. Evaluates the relationships among access, cost, quality and safety and their influence on health care.
  3. Evaluates how organizational structure, care processes, financing, marketing, and policy decisions impact the quality of health care.
  4. Applies skills in peer review to promote a culture of excellence. 5.Anticipates variations in practice and is proactive in implementing interventions to ensure quality. Answer: Over the last 8 weeks, I have learned so much in my clinical practice. We have worked well to create a caring environment by spending time listening to the patients and ensuring that they feel heard while at their visits. This achieved MSN Program outcome #2. This is shown by a conversation with a patient who was upset at her last interaction with the provider. She was able to speak freely to verbalize her issues and by discussing this, created a more trusting, caring, and therapeutic relationship with the provider. The patient then felt comfortable to share more of her past interactions and mental health issues, which led the patient to a more appropriate treatment plan. I have shown the MSN Essential outcome (III) of interprofessional collaboration with the staff at our office, including the front desk scheduling, medical assistants, social workers, and physicians to ensure that the patient’s received high-quality care. I have been involved with a few different conversations about the best ways to ensure the patient outcomes improve, including the new use of the FIT kit for colon cancer screening, versus jumping right to the colonoscopy. Many patients were showing hesitancy for the colonoscopy, and the FIT kit has been better received over the last few weeks. Finally, I have worked with my preceptor to integrate both my scientific/medical knowledge, and my knowledge of the community/patient demographic to provide quality care. This has been the hardest part. We are taught the medical information and the best practices, but they do not always translate into practice, as the patient may not “fit the mold” of the patient the EBP is created for. Also, looking at a patient’s treatment plan, as far as what insurance will cover, financial issues, and the patient being agreeable to the treatment plan are all huge pieces of this. If any of these are a factor, they can change the treatment plan dramatically. It will take more critical thinking and integration of both the scientific and humanity sides of medicine to improve on this as my clinical rotations continue.