NR 507 Week 7: Reflection

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

NR 507 Week 7 Reflection

NR 507 Week 7 Reflection

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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NR 507 Week 7: Reflection References

American Association of Colleges of Nursing. (2011).The essentials of master’s education in nursing. Retrieved from. (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.

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.

NR 507 Week 7: Reflection 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.

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.

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.

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.

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).