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Advanced Nursing

   

Added on  2023-04-21

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Leadership ManagementData Science and Big DataNutrition and WellnessPublic and Global HealthHealthcare and ResearchLanguages and Culture
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Running head: ADVANCED NURSING
Advanced nursing
Name of the student:
Name of the University:
Author’s note
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Exemplar#1:
PO #5: Advocates for positive health outcomes through compassionate, evidence-based,
collaborative advanced nursing practice (Extraordinary nursing)
This program outcome was met by focusing on current evidence based to data to confirm
diagnosis of illness for John. All the data related to different disease leading to sneezing and cold
was analyzed such as common cold, allergic rhinitis and influenza. John’s symptoms were
matched with this evidence to engage in advanced nursing practice. The NP core competencies
mentions comparison of patient data sets with evidence based standards to improve care
(Thomas et al. 2017).
MSN Essential I: Background for Practice from Sciences and Humanities
This MSN essential states that master prepared nurse integrated scientific evidence from
nursing and other diverse fields for continual improvement of nursing care (The Essentials of
Master’s Education in Nursing, 2011). This essential was achieved by using scientific evidence
from CDC to identify common disease with similar symptoms with that of John. This helped to
choose the right diagnosis for John and plan better methods for recovery of patient.
NONPF Scientific foundation Competencies:
This competency deals with the ability of the nurse practitioner (NP) to critically analyze
data and evidence for improving advanced nursing practice and translate research to improve
practice process (Thomas et al. 2017). This was done comparing John’s data set with evidence
based study and using pathophysiology knowledge to enhance patient care.
Concepts identified:
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Evidence based practice:
Evidence based practice or the integration of research evidence provide nurse with an
approach to provide holistic care and synthesize evidence base to develop care plan (Grove &
Gray, 2018).
Critical thinking:
Critical thinking skills enables nurses to apply skilful reasoning skills as a guide to reflect
on clinical question and use it to provide safe and quality nursing care (Zuriguel Pérez et al.,
2015).
Reflection:
By engaging in the process of reviewing John’s current symptom and identifying research
evidence to find several causes behind sneezing and cold, I have developed the skills to apply
scientific evidence into practice. My critically thinking skills and my professional knowledge
helped me to find out whether symptoms and cause of disease like allergic rhinitis and influenza
fit’s with John’s current issue or not. My intellectual reasoning and my focus on linking evidence
with patient’s presenting symptom helped me to identify and confirm diagnosis. This skill will
eventually help me to plan the best care plan for patient and ensure that care delivery is safe and
without any clinical error.
Exemplar#2:
PO#3: Cultural humility
This outcome was met by preparing APN professional Development Plan and giving
proper understanding regarding the need for such plan in clinical setting. In my professional
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development plan, I identified five critical steps to successfully develop the plan. The review of
APN scope of practice also helped to identify my current areas of weakness and future
professional training needed.
MSN Essential IX: Master’s Level Nursing practice
This MSN essential defines how master’s level nursing is achieved and one of the
attributes include development of own plan related to lifelong learning and professional
development. It met this essential by identifying the importance of professional development
plan and evaluating APN scope of practice to identify skills needed to master all relevant skills.
This is relevant with MSN IX essentials that master’s level practice builds upon practice
competencies (The Essentials of Master’s Education in Nursing, 2011).
NONPF Core competencies: Independent Practice Competencies
This relates to the action taken to demonstrate highest level of accountability for
professional practice. I engaged in this action by focussing on step to develop professional plan
and review current professional standards to provide advanced care in the future.
Concepts identified:
Professional development:
The exemplar defines the concept of professional development which involves the role of
ongoing training and education on nurse’s career development and ability to provide quality care.
Professional development helps to maintain competency too (Price & Reichert, 2017)..
Scope of Practice:
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Scope of practice defines professional nursing staffs regarding the desired competency
and attributes needed to accurately fulfill their duties and responsibilities in care. Knowledge in
this area also helps to define the professional boundaries in care (BryantLukosius et al., 2016).
Reflection:
By engaging in the exercise of introducing APN professional development plan, I got to
learn about the significance of making career progress plan. I have become aware regarding the
importance of professional development in providing cost effective care and reducing workload
burden too. The knowledge of using the five steps (self-assessment, professional skill
assessment, assessment or organization needs, exploration of developmental opportunities and
recording and evaluating progress) to be successful in professional development will help me to
follow the process needed for advancing my practice. This knowledge will help me to identify
my weak areas and identify appropriate training to develop my skill base.
Exemplar#3:
PO#2: (Care-focused)
This program outcome was met by doing a task on the significance of clinical guidelines
and how this can be used and interpreted by a hemodialysis nurse. This helped to understand
how clinical practice guidelines can play a role in risk management and promoting safety of
patient.
MSN Essential IV: Translating and integrating Scholarship into Practice
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This essential mainly states that master prepared nurse lead continuous improvement
process by engaging in translational research and applying practice guidelines to improve care
environment (The Essentials of Master’s Education in Nursing, 2011). By completing the
exercise of using clinical guidelines for hemodialysis nurse, I demonstrated the knowledge
regarding the way to use the guideline to prevent infection and adverse outcome for patient.
NONPF Practice Inquiry competencies:
The NONPF practice inquiry competencies states that one of the role of nurse is to
analyze guidelines for individualized application into practice (Thomas et al., 2017). I achieved
this competency by reviewing and using the clinical guideline related to dialysis to understand
how central venous catheter must be inserted and properly handled during actual practice.
Concepts identified
Clinical guidelines:
Clinical guidelines are practice based resource or systematically developed statements
that provide assistance to health care worker regarding health care for specific clinical
circumstances. It can help to promote delivery of high quality care (Jun, Kovner & Stimpfel,
2016).
Knowledge translation:
Knowledge translation is the process of using, dissemination and exchanging health care
related knowledge to improve patient care and provide better health services and strengthen the
care system (Hickman et al., 2018).
Reflection:
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