Reflection on learning, Summaries of Nursing

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Reflections on Learning Stephani S. Harp, RN, BSN NR500NP Dr. Krawczyk April 21st, 2022

Week 1 This week I learned there are four different types of advanced practice nurses. This includes nurse anesthetists, nurse midwives, clinical nurse specialists, and nurse practitioners. Our program falls into nurse practitioner. Concepts include leadership in the hospital, advanced knowledge of how to improve nursing practice and outcomes, working cohesively with the healthcare team of a patient, and improving the image of nursing. These roles and concepts are very important in providing holistic and safe patient care. These will prepare me for the advanced practice role because I learn to see a patient as a whole. I understand I will be on the cosmetic/aesthetic side of this. However, it is pertinent that when I am assessing the patient, I take into account their mental and physical health and any health history or current medication that could be contraindicated. If I don’t the client/patient could be unhappy with their outcome or could affect their physical health. Knowing body systems to an advanced degree with help me to be successful. I also want to touch on something important from the reading relating to the current nursing crisis. Reading states, “The Health Resources and Services Administration (HRSA) has projected a large increase in demand for nurses, from approximately 2 million full-time equivalents in 2000 to approximately 2.8 million in 2020. See Table 1-2 (Links to an external site.). Meeting this projected demand will require a significant increase in the number of nursing graduates, perhaps by as much as 40%, to fill new nursing positions as well as to account for attrition from an aging workforce.” (pp. 9) (DeNisco, S.M., & Barker, A. M, 2015). As advanced practice nursing students, these statistics should scare us. We need to create a better work environment for bedside nurses in the field if your family nurse practitioner’s role leads

become a large problem in healthcare. It scares members of the healthcare team enough to put aside care for a patient to focus on what I like to refer to as “charting centered care”. We are often preached to in nursing school that we can easily end up in jail with one medication slip-up or the wrong charting. While I completely agree health care providers should be responsible for their actions, it is hard when so much time is dedicated to charting because if it “wasn’t charted- it wasn’t done” and these charts serve as court documentation should the need arise. I would love to brainstorm ideas to help resolve this issue. In my time ahead I really want to consider different cultures and races to better understand my client's wants. It is so interesting with facial anatomy and injecting how the races can differ. I want to deeper dive and learn more about these differences and how to treat them based on this. Week 4 What I learned this week was very eye-opening. I didn't realize how states have such differing laws on nurse practitioner practices. It may even determine my future state of residency. Full, restricted, and limited access can have so many stipulations before practice. I believe I am a very social leader. I want to know what others think about the work environment. I believe first-hand experiences can be what reflects leadership the best and works to initiate change. If you cannot work to find the root cause of a problem, you cannot change what is causing it. I believe providing a great work environment will earn respect and intern making your peers respect you as a leader. Week 5 It is a little hard for me to analyze Colorado as a state for practice change. This is because I have only lived here for 1 and half years. However, when I read the policies, they seem to lack

definitive explanations of what is legal. I am a nurse injector, so I am currently not affected by the hospital policy that is absent, as you could have guessed, safe staffing ratios. That does not mean that I don't care. We are currently seeing nurses all over the nation taking a stand for safe staffing ratios, especially with the RaDonda trial outcome. Nurses all over are saying no more to being overworked and potential jail time with one medication error. Whether or not the nation is aware, we are already being a part of the change. Nurses are stepping up and using evidence- based practice to prove being overworked can cause critical errors, sometimes even leading to patient death. Beyond the state level, this is an issue that needs to be addressed. I am so pleased to be a part of a generation of nurses that are finally saying no to being abused by the system and using practice models to lead change. Week 6 This week I learned the importance of evidence-based practice. While I was aware we work based on evidence-based practice, once you dive deeper into examining evidence-based projects, you realized just how much work goes into these projects. One of sources from this week’s PowerPoint presentation was a 10-year study, its amazing that there are healthcare professionals willing to dedicate this time to a project for the good of patient outcomes. Engaging in scholarship is so important in the aesthetic/cosmetic field. We need to constantly learn the newest and best treatments for patients. I will continue to learn and grow in this field while learning to care for my patients holistically. Week 7 I am so glad we got to cover incivility this week! Often as nurses or nurse practitioners were supposed to be the image of selflessness, and that's not entirely healthy. We need time to

out of school for 2 years really made it difficult to pick back up on writing strategies and paper formatting. Having the change in references has made it very difficult to not want to refer to the 6 th^ edition (Purdue writing lab, 2022).

References DeNisco, S.M., & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning. NursingLicensure.org (Ed.). (2021, September 21). Colorado APN requirements: How to become a nurse practitioner in co. NursingLicensure.org - A more efficient way to find nursing license requirements in your state. Purdue Writing Lab. Purdue Writing Lab. Retrieved from https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style _guide/general_format.html