NR 507 Week 7: Reflection Assignment

NR 507 Week 7: Reflection Assignment
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NR 507 Week 7 Reflection Assignment

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NR 507 Week 7: Reflection Assignment

Week 7: Reflection

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Reflect back over the past 8 weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #1, MSN Essential I, and Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies

Program Outcome #1: Provide high quality, safe, patient-centered care grounded in holistic health principles. (holistic health & patient-centered care)

MSN Essential I: Background for Practice from Sciences and Humanities:

Recognizes that the master’s prepared nurse integrates scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings.

Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies

Critically analyzes data and evidence for improving advanced nursing practice.
Integrates knowledge from the humanities and sciences within the context of nursing science.
Translates research and other forms of knowledge to improve practice processes and outcomes.
Develops new practice approaches based on the integration of research, theory, and practice knowledge.
A Sample Answer For the Assignment: NR 507 Week 7: Reflection Assignment
Title: NR 507 Week 7: Reflection Assignment

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Aug 20, 2018Aug 20 at 1:38pm

Manage Discussion Entry

Hello, Dr. Arredondo and Class

I would like to start by saying this course has been very demanding yet, an enhancing course. The course needed prudent time management so as to complete assignments, readings, quizzes and exams. The advanced pathophysiology course has prepared me to function in an advanced practice role by offering a detailed understanding of the pathophysiological processes, allowing me to predict clinical symptoms, choose evaluative studies, begin appropriate treatments, and plan for possible complications (CCN, 2018).  Insights into the underlying disease process will enable the nurse practitioner for incorporation of current and groundbreaking interventions. Relevant screening and diagnostic testing approaches will also be incorporated.

Program outcome

The MSN course program outcomes included delivering high standard, safe patient centered- care by forging a caring atmosphere and taking part in long lasting personal and professional development and advocating for positive health outcomes in virtue of evidenced-based synergetic advanced nursing practice (CCN, 2018). Course outcomes require exploring pathophysiology processes, investigating the approach in which homeostatic, adaptive and compensative physiologic processes may be sustained or altered through specific interventions, risk factors, and approaches of diagnosis and therapy of health problems in chosen populations and analogous research conclusions to management of patients with multifaceted pathophysiologic dysfunction (CCN, 2018). The course outcomes allow the advance practice nurse to utilize pathophysiology to support clinical decision making concerning diagnosis and therapy of acute and chronic presentations frequently managed by nurse practitioners (CCN, 2018).

MSN Essential
NR 507 Week 7 Reflection Assignment

Essential IV: Interpreting and incorporating scholarship into practice (AACN, 2011). The master’s prepared nurse should apply research findings within the practice environment, solve issues, work as a change advocate and promulgates results (AACN, 2011). The case study assignments we did in this class allowed me to employ evidence, clinical discernment and interpreting methods to enhance related outcomes for patient groups (AACN, 2011). The advanced practice nurse must be able to articulate to a diversity of audiences, the evidence-base for practice determinations, in addition to the reliability of sources of evidence and the pertinence to the practice problem encountered (AACN, 2011).

Nurse Practitioner Competencies

Nurse practitioners have an extensive range of knowledge and expertise, which they bring into play in their appraisals and decision making to begin application of interventions to patients (Stanford, 2016). Their work is all evidence-based (Stanford, 2016). Competencies may be seen as a mixture of practical and academic knowledge that enhances performance or the capability to carry out a specific role (Stanford, 2016).  The word advance practice is suggestive and oftentimes conferred in the context of a degree of practice with autonomy supported through skillful knowledge basis and clinical expertise through expanded and extended roles (Stanford, 2016). As advanced practice nurses we should utilize information in this course and use this information to evaluate patients, make diagnosis, order and translate diagnostic exams and conduct treatment plans in addition to prescribing medications as learnt from this course.

References NR 507 Week 7: Reflection Assignment

American Association of Colleges of Nursing. (2011).The essentials of master’s education in nursing. Retrieved from. www.aacnnursing.org/Portals/42/Publications/MastersEssentials11.pdf (Links to an external site.)

Chamberlain College of Nursing. (2018). NR-507-62413.  Program outcomes [Online lesson] Downers Grove, IL: DeVry Education Group.

Stanford, P. E. (2016). How can a competency framework for advanced practice support care? .British Journal Of Nursing, 25(20), 1117-1122

Aug 20, 2018Aug 20 at 6pm

Manage Discussion Entry

Mwiche,

You correctly identified and addressed the pre-determined program outcomes, MSN essentials, and NP core competencies, but unfortunately, I do not see that you provided two or more examples of how you achieved or had exposure to these outcomes or competencies.

Aug 20, 2018Aug 20 at 4:55pm

Manage Discussion Entry

Hello Professor and Class!

Program Outcome #1: Provide high quality, safe, patient-centered care grounded in holistic health principles. (holistic health & patient-centered care)
This class has helped me to achieve program outcome #1 by focusing on the different ways in which the patient should be part of their own care. By this I mean that in each case study that we worked with, we were asked the ways that we would educate the patient about their illness. Patient education is extremely important so that the patient feels that they are being treated like an actual person instead of just some body that we are trying to fix. By speaking with them and talking things through with them, the patient becomes the most important thing, not the illness.

MSN Essential 1: Background for Practice from Science and Humanities:
Through all of the research that we did in this class for the various case studies and the project that we did, we were encouraged to gather resources from a number of different backgrounds. For example, in my project on Rheumatoid Arthritis, I used sources for nurses, sources that focused on the public health aspect, sources that focused on the psychological aspect of the illness, etc. I did not just look at and use sources directed at nurses. This research showed me that there are many different resources that can help me help the patient in a number of different ways.

Nurse Practitioner Core Competencies #1 Scientific Foundation Competencies: 1. Critically analyzes data and evidence for improving advanced nursing practice
I decided to focus on the first core competency for this discussion. Reading through the case studies that we had each week taught me to look for the most important evidence within a patient history. Sometimes they are going to tell us things that we don’t necessarily need to know and it is up to us to decide what is important for a diagnosis and what is not. With that being said, we need to critically analyze this evidence and apply it to a number of different resources to make sure that we are correctly diagnosing our patients.

Thank you guys for an awesome class!

Aug 20, 2018Aug 20 at 6pm

Manage Discussion Entry

Nakisha,

You correctly identified and addressed the pre-determined program outcomes, MSN essentials, and NP core competencies, but unfortunately, I do not see that you provided two or more examples of how you achieved or had exposure to these outcomes or competencies.

Aug 22, 2018Aug 22 at 11:45am

Manage Discussion Entry

Hello Professor and Class,

I can truly say this class has challenged me over the past eight weeks to become a more effective nurse and a better student.

Program Outcome #1: Provide high quality, safe, patient-centered care grounded in holistic health principles. (holistic health & patient-centered care)

I have learned numerous ways to provide quality, patient centered care based in holistic health principles through the Grand Rounds sessions. These presentations consist of discussing medical problems and treatment methods that benefit the patient on a holistic level. In particular, the Grand Rounds session, “Hypothyroidism,” was extremely helpful in providing information for my week 6 PowerPoint presentation on hypothyroidism. The American Thyroid Association 2017 Pregnancy Guidelines compared to the 2011 Guidelines were noted in the presentation. The presentation made specific mention to the management of hypothyroidism during pregnancy and included recommendations regarding the interpretation of hypothyroidism tests during pregnancy, iodine nutrition, thyroid autoantibodies, complications during delivery, lactation concerns, and fetal and neonatal considerations to include thyrotoxicosis in pregnancy.

Through the weekly readings, I have augmented my understanding of evidence-based research and how it shapes and determines cost-effective and sustainable evidence-based outcomes that promote constructive behavioral changes in high-risk patient populations. The Week 4 reading lesson “Alterations in Renal Function” included information about disease causation. While I knew that urinary calculi (stones) are a common cause of functional urinary obstruction, I learned obstructions must be addressed quickly to prevent backflow of urine into the kidney before the condition results in permanent renal dysfunction. I can discuss with patients who have stones or are at risk for stones the best ways change their diet to balance their urine pH levels since the pH of the urine increases the likelihood of stone formation. I learned a good prevention or screening method is to teach patients the ideal pH levels for urine and what tests they can take to test the pH of their urine and saliva. Low pH increases one’s risk of developing uric acid stones and a high pH increases one’s risk of developing calcium phosphate stones. One of the goals of holistic care is to help patients understand the underlying cause (s) for their diseases and how this plays a role in how diseases are diagnosed and treated. In terms of providing evidence-based holistic care, I have learned that before I apply an intervention, I must decide if it should be directed at the person, agent, or environment. This leads to better patient outcomes and more effective nursing practices.

MSN Essential I: Background for Practice from Sciences and Humanities:

Throughout my graduate course studies, I have learned the importance of integrating scientific findings from various fields of nursing in my writings and in my practice. Healthcare research constantly generates large amounts of results regarding revised treatment methods for nurses and care management for patients. The lessons reiterate that if implemented in practice, scientific findings can help save lives and improve patients’ recovery times and quality of life. For example, the consideration of how culture affects one’s access to and acceptance of healthcare initiatives teaches me that nurses must carefully and thoughtfully analyze sociodemographic trends if they want to make an effective impact on culturally diverse patient populations. Reversing negative health outcomes for vulnerable populations begins with studying scientific findings appropriate to culturally diverse groups and taking the responsibility to acquire cultural competency skills. The weekly discussion posts helped to hone my skills in integrating and applying scientific medical findings. For example, when we learned about cystic fibrosis (CF) in Week 2, I learned the CDC estimates more than 10 million Americans are carriers of a faulty CF gene, but have no idea they are carriers (NCBI & NHLBI, 2018). Cystic fibrosis affects males and females from all racial and ethnic groups; however, the disease is most common among Caucasians, Latinos, and Pueblo and Zuni American Indians (NCBI & NHLBI, 2018). With this information, I can encourage my patients in their childbearing years who fall under the at-risk population category to get screened for the CF gene if they plan on having children.

Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies

I have demonstrated my competency in analyzing, integrating, translating, and developing my understanding of scientific foundation competencies through the papers, weekly discussions, and presentations required in this class. One type of assignment in particular stands-out to me. The weekly faculty question required us to present evidence-based methods to the class and interpret the research question, methodology, results, and conclusions from what we had read and link it to another adverse health condition. This taught me the importance of critically analyzing the information in the article and translating the research. I understand now that the faculty question was meant to teach me the etiology of increased risk to develop another disease or condition when a patient is already being treated for a specific condition or disease is multifactorial and connected to traditional and patient specific symptoms. Furthermore, when gathering the data and information for my Week 6 speech and PowerPoint presentation, I was able to integrate what I had learned about culture and disease progression to determine the best way to approach women who suffer from post-partum about hypothyroidism.

In conclusion, I believe I still need to work on developing new approaches to nursing practice regarding specific diseases and serving various patient populations. To do this not only takes confidence but knowledge and understanding. I will feel more confident about doing this after I graduate and have practiced as an FNP for a few years.

References NR 507 Week 7: Reflection Assignment

National Center for Biotechnology Information (NCBI), & U.S. National Library of Medicine

(NLM). (2018). Cystic fibrosis (CF): Symptoms. Retrieved from PubMed Health website:

https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0022783/ (Links to an external site.)

National Heart, Lung, and Blood Institute (NHLBI). (2018). Cystic Fibrosis. Retrieved from https://www.nhlbi.nih.gov/health-topics/cystic-fibrosis (Links to an external site.)

Grand Rounds session. (August 2018). Hypothyroidism.

Aug 24, 2018Aug 24 at 10:22am

Manage Discussion Entry

You correctly identified and addressed the pre-determined program outcomes, MSN essentials, and NP core competencies, and provided two or more examples of how you achieved or had exposure to these outcomes or competencies.

Excellent job!

Aug 22, 2018Aug 22 at 12:20pm

Manage Discussion Entry

This class has provided an in depth review of the pathophysiology of the major organ systems of the body. Over the course of the class discussions, quizzes, and assignments have provided a platform to meet program outcome #1, MSN Essential I, and Nurse Practitioner Core Competencies #1 Scientific Foundation Competencies.

MSN Program Outcome #1:

MSN program outcome #1 focuses on providing safe holistic patient care. This outcome was achieved through the recorded presentation in week 6 and the discussion in weeks 2, 3, and 5. The presentation that was recorded during week six used evidence based practice and understanding of pathophysiology to provide information and interventions for patients suffering from that disease. In weeks 2, 3, and 5 the discussions provided an opportunity to learn about specific diseases and create a plan of care for the patients in the scenarios. Providing high quality, safe, patient centered care requires an understanding of the pathophysiology of the disease in which the patient suffers from, and using evidence based practice to provide interventions aimed at promoting overall wellness.

MSN Essential I: Background for Practice from Sciences and Humanities

The MSN Essential I: Background for Practice from Sciences and Humanities requires mastered prepared nurses to have an understanding of the implications that scholarly articles and evidence has on practice. Healthcare continues to evolve and improve through the continual pursuit of new information and interventions that serve as evidence to improve patient wellness. Scientific finding were used throughout this course in both discussion and the week 6 recorded presentation. The discussions provided an opportunity to research diseases included DKA and CHF, and provide information on interventions that are essential to improving the patients symptoms. The week 6 recorded presentation was a platform for discovery of evidence that can be used to improve nursing practice. Nurse practitioners provide primary care to a variety of patients with a variety of disease. Week 6 presentation covered IBS and through research it was determined that a thorough history and physical is essential for determining if a patient has IBS or something more serious like colon cancer.

Nurse Practitioner Core Competencies #1 Scientific Foundation Competencies

The Nurse Practitioner Core Competencies #1 Scientific Foundation Competencies focuses on mastered prepared nurses having the ability to critically analyze data, integrate knowledge and data, translate data into evidence based practice, and develop new practice based on research. This competencies was achieved through discussions week 2, 3, and 5, week 6 presentation, and weeks 1-6 quizzes. Discussions required students to research diseases and interventions that improve patients with specific diseases. For instance, in week 5 discussion one a patient with DKA was focused upon. Through research it was discovered that to prevent cerebral edema appropriate fluid resuscitation is essential, and the use of bicarbonate is discourage unless a patients HCO3 is critically low (Kamel & Halperin, 2015). This information is important for creating protocols that can be used in patients who present with DKA. The quizzes provided an opportunity to express the knowledge that was gained throughout the week, and this information can be used to integrate knowledge into practice. The week 6 presentation challenged the student to use evidence from research to provide interventions for patients suffering from a specific disease. Data for patients with IBS showed that those who consumed more foods classified as FODMAP foods suffered from IBS symptoms at a higher rate than those who didn’t (Kortlever, Hebblethwaite, Leeper, O’Brian, Mulder,&Gearry, 2016). This information provided the opportunity to improve practice through evidence.

Kamel, K. S. & Halperin, M. L. (2015). Acid-base problems in diabetic ketoacidosis. The New England Journal Of Medicine. (546-554). doi:10.1056/NEJMra1207788

Kortlever, T., Hebblethwaite, C., Leeper, J., O’Brian, L., Mulder, C.,&Gearry, R. B. (2016). Low FODMAP diet efficacy in IBS patients-what is the evidence and what else do we need to know?. The New Zealand Medical Journal, 129(1442), 75-83

Aug 24, 2018Aug 24 at 10:23am

Manage Discussion Entry

Kathryn,

You correctly identified and addressed the pre-determined program outcomes, MSN essentials, and NP core competencies, and provided two or more examples of how you achieved or had exposure to these outcomes or competencies.

Excellent job!

Aug 22, 2018Aug 22 at 12:25pm

Manage Discussion Entry

Dr. Arredondo and class,

I have learned many things throughout this class and the classes before that I hope will continue to prepare me for the goal I am working to accomplish of the family nurse practitioner. Below I have discussed how this class, as well as classes before, has prepared me for this role and meeting the outcomes, essentials, and competencies in this program.

Program Outcome #1: Provide high quality, safe, patient-centered care grounded in holistic health principles. (holistic health & patient-centered care).

When in the role of the family nurse practitioner it is important to give the safest high-quality care that is patient centered. It is easy to forget that each patient is different and that while the diseases processes might carry certain components, the patient might present in a different manner due to differences in the genes and DNA of the individual person. Over this past 7 weeks I have learned many new things that has allowed me to meet certain components such as program outcome #1. The first example of criteria that I learned to help e achieve this outcome is the study of pathophysiology as it pertains to each body system. Each week we learned about a different body system and how each component of that system works in order to maintain normal function day to day. This will allow for me to understand how the systems should work for all patients that I see. Understanding this will allow for me to recognizes abnormalities and provide quick, safe, and high-quality care when a abnormality arises. The second example of criteria that I learned to assist me in meeting this outcome is gaining knowledge of alterations that arise for the adult and child in each body system. Many disease processes exist, and it is essential to understand the disease processes to provide the best quality if care. Each week we gained knowledge of the disease as well as how the cells perform and malfunction when these disease processes occur. Understanding the alterations will allow for high quality and safe care for all adult and pediatric patients that I might come into contact with as the family nurse practitioner.

MSN Essential I: Background for Practice from Sciences and Humanities:

Recognizes that the master’s prepared nurse integrates scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings.

During this class we focused on the on the pathophysiology of the normal processes of each body system as well as the alterations that can arise in each of these body systems. While understanding the pathophysiology is important, it is also important to understand that healthcare is diverse and information from variety of places is essential to provide proper care. This information is how MSN essential 1 has been met in this course. One example of how this essential has been met is each week when case studies were presented. I had to research the information in the case in a variety of places that also included a variety of views from individuals. In healthcare it is essential to be flexible and search for the most up to date information in order to provide the best care possible. Another example of how this essential has been met is the information gained from the selected disease process by Dr. Arredondo. My assigned disease process was chronic renal disease and in order to find all of the needed information I done research and sorted through a variety of views to put together the presentation. I also focused a small portion on the team approach of managing this disease after being asked about this information by one of my class mates. I learned that team work is essential in treating the patient as a whole. New knowledge occurs daily and studies pertaining to better care is constantly being produced. As the family nurse practitioner, it is essential to stay up to date on the current standard of care in order to provide the safest, best care for the patients.

Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies
Critically analyzes data and evidence for improving advanced nursing practice.

This competency was met every week while preparing the discussion case study answers as well as studying for the weekly quizzes. Having the ability to gain an understanding of the pathophysiology and disease processed from the most of to date data and evidence-based information has prepared me for the role of the family nurse practitioner and providing the most up to date safest care to patients.

Integrates knowledge from the humanities and sciences within the context of nursing science.

This competency was also met every week while performing the assigned readings, lesson, and research for the questions being asked. This class allowed me to gain an in-depth knowledge of each of body system and also the process of the diseases that we commonly see in the healthcare field. Understanding that while treating the disease process, we are also treating an individual person is important in providing the best care as well as establishing trust with the patients. Previous classes have taught of us the importance of patient centered care and that information was often used in this class when discussing the disease processes as it pertained to a specific individual such as in the discussion case studies.

Translates research and other forms of knowledge to improve practice processes and outcomes.

This competency was most met when researching all of information for the presentation of the assigned disease process. While the research was helpful in applying the factual information, using precious knowledge was also important in understanding the role of the nurse practitioner as well as the education that must be implemented in order for the patient to have the highest quality of life independently. It is essential for the nurse practitioner to stay up to date to provide the best care and education for the patients.

Develops new practice approaches based on the integration of research, theory, and practice knowledge.

This class as well as the classes before has prepared me for experiences that I will possibly encounter in the future. Using the knowledge in regard to pathophysiology as well as information such as nursing theory, statistics, and other up to date research, I feel that I have been prepared to continue my knowledge in areas such as pharmacology and anatomy in order to prepare for the upcoming role as the family nurse practitioner. I hope that with all this knowledge I can provide the best care possible to all patients I will encounter.

Aug 24, 2018Aug 24 at 10:24am

Manage Discussion Entry

Paige,

You correctly identified and addressed the pre-determined program outcomes, MSN essentials, and NP core competencies, and provided two or more examples of how you achieved or had exposure to these outcomes or competencies.

Excellent job!

Aug 22, 2018Aug 22 at 5:34pm

Manage Discussion Entry

Week 7 Reflection

Dr. Arredondo and Class,

Program Outcome #1 Provide high quality, safe, patient-centered care grounded in holistic health principles. (holistic health & patient-centered care).

During the weeks of required case-studies, I learned how to search for accurate, scholarly, and peer-reviewed literature to support my responses. Not only did I learn an extensive amount of information on Addison disease, diabetic ketoacidosis, cystic fibrosis, and CHF but I also have a clear understanding of signs and symptoms, lab tests, and recommended teaching for patients. As a nurse practitioner, a holistic approach to patient care is the most fundamental aspect of nursing care and will be a strong foundation in each patient-provider relationship in my career. I appreciate the challenge of the case studies and how it encouragedme to think critically about diagnosing and treating each patient.

The weekly lessons, workbook exercises, and textbook readings provided a solid understanding of each body system and disease process of those systems while inspiring me to continue to seek information about diseases from credible resources such as journals and government agencies. Disease in children such as cancer, pyloric stenosis, congenital heart disorders, and respiratory illnesses may be due to genetics, environmental, or socioeconomic factors, and requires a full patient history including family background related to disease and illness.  Patient education, compliance, and follow-up are keys to positive outcomes. A clear understanding of the disease process, and what is required to improve health must be assessed by the nurse practitioner so that necessary adjustments in the care plan can be made.  Individualized care plans will cover aspects of care such as medications, side effects, follow-up visits, and required routine labs. Each chapter in the class book, Advanced Pathophysiology,included the essential patient treatment and teaching requirements for each disease or condition presented in the text.

MSN Essential I: Background for Practice from Sciences and Humanities: Recognizes that the master’s prepared nurse integrates scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings.

Each assignment given in this class encouraged me to do extensive research for quality scholarly articles relating to subjects such as Addison disease, cystic fibrosis, CHF, diabetic ketoacidosis and more.  I have a clear understanding of how important peer-reviewed scholarly sources provided evidence for providing care to all patients. I understand that many unreliable sources are also available on the internet such as .com sites, and sites that do not have a professional peer review such as a physician’s approval. It is crucial to apply solid evidence-based research in patient care by utilizing proven or gold standard methods.

The U.S. Preventive Services Task Force (USPSTF) is a reliable source for primary care providers and provides valuable information for both healthcare professionals, and consumers.

The USPSTF (2018) is a volunteer panel of national experts in prevention, recommendations, guidelines, and evidence for the health and well-being of all Americans. Guidelines for screening, immunizations, treatment, and education can be found on this website. Volunteers come from many different areas of medicine including, family practice, psychiatric, pediatric, obstetrics, and gynecology. All recommendations are published in journals or on the USPSTF website.

I am glad I learned about this website in this class, and I am confident I have a solid and reliable source to refer to during my career as a family nurse practitioner.

Nurse Practitioner Core Competencies #1:  Scientific Foundations Competencies
Critically analyzes data and evidence for improving advanced nursing practice.
Integrates knowledge from the humanities and sciences within the context of nursing science.
Translates research and other forms of knowledge to improve practice processes and outcomes.
Develops new practice approaches based on the integration of research, theory, and practice knowledge.

I have a clear understanding of what the requirements are for a scholarly, evidence-based article which will provide relevant information for primary care practice. The case studies in this class allowed me to improve on my research methods and recognition of scholarly articles. I was able to find many peer-reviewed journal articles that I used in supporting my case scenario responses for graded discussions and case scenarios.

I also found that research analysis or meta-analysis articles helped to reinforce my documentation by providing evidence of treatment outcomes, diagnostic testing, or subject comparisons and provided a deeper understanding of the current topic. I was able to provide research evidence as evidenced by my in-text citations and reference