NR 507 Week 7: Reflection

Chamberlain University NR 507 Week 7: Reflection– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 507 Week 7: Reflection assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 507 Week 7: Reflection

Whether one passes or fails an academic assignment such as the Chamberlain University NR 507 Week 7: Reflection depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 507 Week 7: Reflection

The introduction for the Chamberlain University NR 507 Week 7: Reflection is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 507 Week 7: Reflection

After the introduction, move into the main part of the NR 507 Week 7: Reflection assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 507 Week 7: Reflection

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 507 Week 7: Reflection

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 507 Week 7: Reflection

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

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 (S

tanford, 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.

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References

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.

NR 507 Week 8: Genomes, Genetic Alterations, and Reproductive Disorders

Sample Answer 2 for NR 507 Week 7: Reflection

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.

Incivility in the workplace is a pertinent issue with detrimental effects and needs sustainable solutions. Learning about this rarely addressed workplace issue has been informative and eye-opening. Some commonly encountered uncivil behaviors include rudeness, disrespect, verbal abuse, threats, humiliation, and criticism (Bambi et al., 2018). Incivility is a stressor that causes effects on physical, psychological, and occupational health like psychological distress, burn-out, fragmented workplace relationships, absenteeism, resignation, stress, job dissatisfaction, and self-esteem issues (Di Fabio et al., 2019). Incivility in the workplace has negative implications on my perception of the nursing profession as a prestigious field. This is attributed to the associated effects and the potential for reduced quality of care. Those outside healthcare may view the nursing profession as a threat to patient safety and adverse health outcomes stemming from uncivil behaviors.

As a nurse practitioner, various strategies can to foster a positive civil work environment. These include raising workplace awareness about the issue, promoting tailored prevention campaigns, availing resources to adequately address conflicts, devising zero-tolerance policies against any incivility, and engaging in proper courteous communication (Bambi et al., 2018). Clear mechanisms should also be put in place for reporting and ensuing investigation of incivility (Clark et al., 2018). These measures will promote a culture of respectful interactions and civil behaviors.

Cyber incivility is a rising issue with the integration of technology in clinical practices during communication among healthcare professionals. Cyber incivility can be associated with more detrimental effects and psychological distress as compared to in-person incivility attributed to publicity and wider access to social media platforms (Kim et al., 2020). Curbing this issue warrants responsible use of online platforms. Engagement in professional communication for self and others is also essential.

The promotion of optimal personal holistic health requires proactive engagement in certain self-care practices in the professional and personal context. These include workload self-regulation, adequate breaks in between demanding tasks, personal leaves especially during ill health, sufficient sleep, healthy diet, rest, and spiritual practices (Mills et al., 2018). It is also important to maintain harmonious and supportive social relationships while embracing self-reliance. A balance between professional and personal life should be stricken to avoid unnecessary disruptions.

References

Bambi, S., Foà, C., De Felippis, C., Lucchini, A., Guazzini, A., & Rasero, L. (2018). Workplace incivility, lateral violence, and bullying among nurses. A review of their prevalence and related factors. Acta bio-medica : Atenei Parmensis, 89(6-S), 51–79. https://doi.org/10.23750/abm.v89i6-S.7461

Clark, C. M., & Ritter, K. (2018). Policy to Foster Civility and Support a Healthy Academic Work Environment. The Journal of nursing education, 57(6), 325–331. https://doi.org/10.3928/01484834-20180522-02

Di Fabio, A., & Duradoni, M. (2019). Fighting incivility in the workplace for women and all workers: The Challenge of Primary Prevention. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.01805

Kim, S. S., Song, H. J., & Lee, J. J. (2020). Cyber incivility experience of Korean clinical nurses in the workplace: A qualitative content analysis. International Journal of Environmental Research and Public Health, 17(23), 9052. https://doi.org/10.3390/ijerph17239052

Mills, J., Wand, T., & Fraser, J. A. (2018). Exploring the meaning and practice of self-care among palliative care nurses and doctors: A qualitative study. BMC Palliative Care, 17(1). https://doi.org/10.1186/s12904-018-0318-0

Sample Answer 3 for NR 507 Week 7: Reflection

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

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.

Sample Answer 4 for NR 507 Week 7: Reflection

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 page in each graded discussion assignment.

I feel confident that any research I do in the future regarding patient care, I will fully recognize true evidence-based findings and data related to my inquiry. I understand scientific evidence is the foundation for all patient care and must be expanded upon by furthering research efforts and through my contribution to nursing science and quality patient care.

Reference

U.S. Preventive Services and Task Force. (n.d.). About the USPSTF. Retrieved August 2018, from U.S. Preventive Services and Task Force: https://www.uspreventiveservicestaskforce.org