NUR 513 advanced practice nursing

Learning how to navigate the online classroom environment is essential to your academic success.

1. Review “Navigating the Online Scavenger Hunt” and search LoudCloud to find the answers.
2. Complete the scavenger hunt while navigating LoudCloud.

You are not required to submit this assignment to LopesWrite.

Note: Please do not submit assignments as PDF files.

Assessment Description

Introduction

Learning how to navigate the online classroom environment is essential to your academic success. GCU’s Learning Management System (LMS) LoudCloud has many resources to help you become a successful graduate student.

ALSO READ: NUR 513 Emerging Roles for Advanced Registered Nursing Specialties

Directions

View the Student Learning Management System Tutorial as well as search LoudCloud to find answers to the questions below. You should complete the guide while navigating the LoudCloud environment. NUR 513 Navigating the Online Environment Scavenger Hunt Slayers

Part B: Highlight the correct response

9. Where are the topic lectures found?
10. The Path
11. Study Materials
12. Main Forum
13. Both A and B
14. From the Resources page of the Student Success Center, which of the following is not found under the “Explore Tools” link?
15. The Writing Center
16. New Student Success
17. Virtual Campus Tour
18. Academic Excellence Center
19. What do Study Materials in Loud Cloud consist of?
20. Lecture Notes, Electronic Resources, and Textbook
21. Computer, Internet, and Software
22. Pens, Paper, and Books
23. The Syllabus, Discussion Forum, and Student Success Center

12. Where do you find“Announcements” for a course in LoudCloud?
13. On the main page of your course in the LoudCloud classroom
14. The Calendar
15. The Syllabus
16. The instructor emails them to you at the start of each week.

13. What would you do if you wanted to ask your instructor a question in which you felt your classmates could benefit from the answer as well?
14. Send him or her a personal email
15. Post the question in the Discussion Forum
16. Post the question in the Private Forum
17. Post the question in the Questions to Instructor Forum

14. Looking at the Forums sectionof your LoudCloud classroom, which section is not listed?
15. Discussion Forum
16. Question to Instructor Forum
17. Assignment Forum
18. Private Forum

15. Where are the weekly topic learning objectives found?
16. On the Calendar
17. Path >> Topic Title
18. In the Main Forum
19. Under the Tasks Tab

16. Where is the syllabus found in Loud Cloud?
17. Under the Calendar tab
18. In the Path
19. In the Main Forum
20. Under the Tasks Tab

DQ 1

Describe how the role of advanced registered nurse transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?

Description of the course

This course addresses nursing theory and the role of ethics for advanced registered nurses from a Christian viewpoint, as well as from a leadership perspective focused on improving health care outcomes. Students investigate advanced registered nurses’ moral/ethical responsibilities, as well as their legal and regulatory requirements in health promotion and disease prevention. Students also learn to traverse scholarly EBP literature, resources, and recommendations while reviewing evidence-based practice (EBP) literature and the research process in relation to their program of study.

Pre-Requisites

None

Co-Requisites

None

NUR-513
IJ Course Materials

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

DeNisco, S. M , & Barker, A. M. (2016 ). Advanc:ed prw::tic:e n ursing: Essential knmvledge fur the prufe ssiun(3rd e d.). Burlington, MA: Jones & Bat1lett Leat·ning. ISBN-13: 9781284072570

Leadership in Nursing Practice: Changing the Landscape of Health Care

Description:

Po1ier-O Grady, T. & Malloch, K. (2018). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Burlington, MA: Jones & Batilett Leat·ning. ISBN-13: 9781284146530

NUR-513 Course Objectives

Description:

In this course, the student will:

1. Determine the current state of advanced specialty nursing practice.
2. Examine nursing theo1y and the role, ethical responsibilities, and legal obligations of the advanced specialty nurse in health promotion and disease prevention from a Christian perspective and as a leader who improves health care outcomes.
3. Navigate GCU’s libraiy and other scholai·ly resources of evidence-based practice (EBP) literature and guidelines.
4. Review evidence-based practice (EBP) and the reseai·ch process.
5. Determine avenues for role development, including identifying relevant professional organizations and professional development opportunities.

II Topic 1: Emerging Roles for Advanced Registered Nursing Specialties
Description

Objectives:

1. Describe the history of advanced registered nursing, including shifts in scope, role, and expectations.
2. Discuss emerging roles for the advanced registered nurse.
3. Discuss the Institute of Medicine’s recommendations for nursing education and the role of the advanced practice registered nurse in the evolving health care system.
Study Materials

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Read Chapters I , 2, and 5 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Leadership in Nursing Practice: Changing the Landscape of Health Care

Description:

Read Chapter 2 in Leuder ship in Nursing Prar.:tir.:e: Chunging the Landsr.:ape uf Health Care.

LoudCloud Walk to Class Tutorial

Description:

Review the tutorial. This tutorial will be used to prepare for the Topic I assignment.

The Future of Nursing: Leading Change, Advancing Health

Description:

Read The Future of Nursing: Leading Change, Advancing Health, by the Co=ittee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing (2011). Download the free PDF from the National Academy of Sciences website.This resource will be used to answer Topic I DQ 2.

APA Resources

Description:

Review the American Psychological Association (APA) writing style guidelines and resources located in the Student Success Center. APA format is required for most assignments, so students should become familiar with these resources to facilitate the successfu l completion of course assignments.

Discussion Forum Guidelines and Example

Description:

Review the “Discussion Forum Guidelines and Example”.

Initial Course Survey

Description:

In an effort for continuous improvement, Grand Canyon University would like you to take this opportunity to provide feedback about your experience with the university. Your participation is appreciated. Click on the link to begin the survey.

II Tasks

Topic 1 DQ 1

Description:

Describe how the role of advanced registered nurse transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?

An advanced registered nurse encompasses many different roles, including nurse midwife, nurse anesthetist, nurse practitioner, and clinical nurse specialist. Primarily focusing on the role of a nurse practitioner (NP), NPs have become more common in the health care setting, with licensure, accreditation, and certification requirements evolving in response to the growing demand of the public (Penn Nursing, n.d). During the 20th century, a major factor that revolutionized the role of an NP was the lack of health services. The ability to specialize in medicine created a shortage of primary care physicians. This shortage affected the rural areas or those who lack access to care in inner cities (Keeling, 2015). Primary care physicians, who did not specialize, decided to recruit registered nurses with clinical expertise and collaborate with them to identify and treat the needs of children and families (Penn Nursing, n.d). In addition, the creation of Medicare and Medicaid allowed low-income children, women, the elderly, and people with disabilities to gain access to health care, thus increasing the need for primary care. This allowed nurses to have more of an expansion in their roles, working parallel with primary care physicians (Penn Nursing, n.d). With the demand for healthcare and more healthcare professionals, the first training program for nurse practitioners was developed in 1965. It was created by Loretta Ford, who partnered with a physician named Henry Silver (Penn Nursing, n.d). This program was used to bridge the gap between physicians and nurses, allowing them to work in a collaborative relationship, and not as a physician substitute.

Early in the 20th century, there was not much regulation as to what nurses did. The Henry Street Settlement (HSS), established in 1893, was a group of 12 nurses who made home visits, providing not only care, but other services including ice, sterilized milk, and meals. The HSS nurses also routinely dispensed physician-prescribed medicines. These medications were obtained from local pharmacists and carried in their nursing bags (Keeling, 2015). This practice was questioned in 1903 with the passage of the state nursing registration act, declaring “Nothing contained in this act shall be considered as conferring any authority to practice medicine or to undertake the treatment of disease” (Keeling, 2015). This act brought up numerous questions as to what nurses were allowed to do. For example, were the nurses able to administer certain medications that were prescribed by physicians? Because the nurses had been routinely doing this during their home visits. Over the years, the HSS grew exponentially. By 1926 these nurses made over 300,000 home visits a year, treating illnesses such as pneumonia, polio, measles, influenza, and tuberculosis (Keeling, 2015). “At the turn of the 20th century, the medical/nursing professional boundaries changed almost daily as new treatments became available and state/federal legislative acts regulated the professions of medicine, pharmacy, and nursing” (Keeling, 2015). Nurse practitioners in the 21st practiced in almost every health care setting, ranging from hospitals, clinics, urgent care, nursing homes, schools, and public health departments. NPs practice autonomously and in coordination with other healthcare physicians, providing healthcare services (Scope of practice for Nurse Practitioners, 2022). NPs are expected to practice with a code of ethics, using best evidence-based practice, and be nationally certified. Their scope of practice includes, “assessment, ordering, performing, supervising, and interpreting diagnostic and laboratory tests; making diagnoses, initiating and managing treatment including prescribing medication and non-pharmacologic treatment” (Scope of practice for Nurse Practitioners, 2022). Over the years, the scope and expectations of a nurse have grown exponentially.

As health care changes, the role of advanced registered nurses will also evolve. With the affordable care of 2010, many demands were placed on health care professionals. The act shifted the focus of healthcare from acute and specialty care to primary care, including care coordination and prevention/wellness (National Academy of Sciences, n.d). This is to help prevent chronic conditions. With the increase in the insured population, there will be more of a demand for nurse practitioners to help close the gap between physicians and physician assistants (National Academy of Sciences, n.d).  In the United States, physicians account for 287,000 of the primary care providers, while NPs account for 83,000, and physician assistants account for 23,000 (National Academy of Sciences, n.d). The education and roles of NPs continue to evolve, allowing nurses to enter the workplace qualified and willing to provide more services than before. NPs work with a team of providers, help to integrate a range of skills, coordinating care from nutrition services, physical therapy, and social work (National Academy of Sciences, n.d). Nurses have come a long way since Florence Nightingale almost 150 years ago and will continue to grow.

References:

Keeling, A. W. (2015, May). Historical perspectives on an expanded role for Nursing. Retrieved August 4, 2022, from https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-20-2015/No2-May-2015/Historical-Perspectives-Expanded-Role-Nursing.html

National Academy of Sciences. (n.d.). Transforming practice – the future of Nursing. Retrieved August 4, 2022, from https://www.ncbi.nlm.nih.gov/books/NBK209871/

Penn Nursing. (n.d.). Nurse practitioners: Shaping the future of Health Care. Nursing, History, and Health Care. Retrieved August 4, 2022, from https://www.nursing.upenn.edu/nhhc/nurse-practitioners-shaping-the-future-of-health-care/

Scope of practice for Nurse Practitioners. American Association of Nurse Practitioners. (2022). Retrieved August 4, 2022, from https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners

Topic 1 DQ 2

Description:

Access The Future of Nursing: Leading Change, Advancing Health. Identify the two reco=endations for nursing education you believe will be most effective or radical in creating change within the industly. Provide rationale based on your experience in practice. Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving. Why or why not?

Describe how the role of advanced registered nurse transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?

Sample Answer for NUR 513 advanced practice nursing

As health care continues to change with the ever-evolving patient population, nursing education needs to be strengthened to better prepare the nurses of the future. “Nursing schools will need to ensure that nurses are prepared to understand and identify the different social determinants of health, have expanding learning experiences and cultural values, and have the competencies to care for an aging and diverse population” (Wakefield, Williams, Menestrel, & Flaubert, 2021). The National Advisory Council on Nurse Education and Practice (NACNEP) recommends population health concepts be incorporated into the nursing curriculum. They also suggest nursing programs should partner with HRSA, the VA, and the Indian Health Services to increase a student’s exposure to different environments and experiences.

I completely agree with this recommendation. My experience in nursing school was secluded to Banner Health facilities. The patient population seen was very predictable, especially on the med-surg floor. As the student, I did many head-to-toe assessments, and then proceed to pass out medication multiple times throughout the day. The population consisted of patients recovering from surgeries, broken bones, an exacerbation of COPD, or, etc. These clinicals felt very redundant and they changed my perspective of nursing until I started as a new grad in the emergency department. With the ability to visit a VA hospital, a student could be introduced to many different disease processes. War veterans have a combination of problems including PTSD, war amputations, drug addiction, mental instability, alcoholism, or other issues complicating their health. These complications allow a student to be exposed and educated on various disease processes. If the nursing school partnered with the Indian Health Services, a student would be introduced to a whole community they are unaware of or unexposed to. During nursing school, there was one patient I took care of who was from the Indian reservation. Having access to different patient populations, a student will be more accustomed to cultures, different age populations, plus rural and urban communities, allowing them to be more rounded as they graduate and enter real-world practice.

With the evolution of incorporating advanced practical registered nurses (APRN) into practice, there are many regulations that control a nurse’s scope of practice. There are private and public health systems restraining an APRN from practicing their full scope, limiting their expertise. Approximately 62% of rural areas have health shortages and would benefit from increased access to APRNs. With limited autonomy in urban areas, APRN can help patients and practice at their licensed ability (Wakefield, Williams, Menestrel, & Flaubert, 2021). I do agree with the report on the evolution of APRN. From personal experience, I was looking into becoming a certified registered nurse anesthetist (CRNA). I was speaking to a CRNA about the education route, and what licenses are needed before applying to CRNA school. She informed me it is very political depending on the state where practiced. Arizona is one of the states where CRNAs are welcome but a state like Colorado, prefer a doctor, and will not hire a CRNA. It amazes me how far nurses have become but there is still a limitation to their ability based on politics.

References:

Wakefield, M., Williams, D., Menestrel, S., & Flaubert, J. (2021). Chapter 7. In Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity (pp. 189–201). essay, National Academies Press.

Online Learning Environment Scavenger Hunt

Introduction

Learning how to navigate the digital classroom environment is essential to your academic success. GCU’s digital classroom has many resources to help you become a successful graduate learner.

Directions

View the Student Learning Management System Tutorial as well as search the digital classroom to find answers to the questions below. You should complete the guide while navigating the digital classroom environment.

 

Part A: Answer Each Prompt

 

1. List the items on the screen when you first enter a course.

We have the Main Tab, which comprises the Calendar, Announcement, Syllabus, and Gradebook Tabs.

Secondly, we have the Forums tab, which consists of discussion forums and class questions.

The Class Materials Tab contains class resources for the various topics outlined.

Another principal tab is the Institutional Resources Tab, which comprises the Library, Student Success Center, Learning Support, and Classroom Policies.

Other minor items worthy of notice are the course name and code, course duration, and the number of students enrolled.

1. Along the left-hand menu, scroll to the bottom of the page and click on “Student Success Center.” Once in the Student Success Center, search for “Classroom Policies” and review GCU’s participation policy. What do you need to do to make sure you are properly participating in the digital classroom?

You must take part in weekly discussions, follow up on classmates’ initial comments, and write thoughtful, well-written messages to your classmates and the teacher in the main forum of the online classroom if you want to be considered a participant.

3. View the “APA 7^th Edition Tutorial,” located in the topic Resources to assist in answering this question. Once you have viewed the tutorial, navigate back to the “Student Success Center” and search for “Style Guides and Templates” to review the APA Style Guide and APA Template (without Abstract)
   1. Why do you think academic writing requires such strict formatting?
   2. If you have trouble formatting your papers, what resources can you access at GCU that will help you with it? List at least two.

ANSWERS

1. I believe that academic writing demands such exact formatting standards since it adheres to the APA Style Guide and APA Template. Additionally, the formatting requirements for academic writing are so strict because graduate students are required to adhere to specific standards.
2. GCU Library’s Citing Sources Guide, The Writing Center

4. Under which section in the Student Success Center can you find official Microsoft Tutorials for their software products?

You can access the official Microsoft Tutorials for their software products under Tutorials and Webinars in the Student Success Center.

5. Within the “Student Success Center,” Click on “Resources,” and then under the “Tools” heading, click on “New Student Success.” Locate “Tutorials and Webinars.” Which “Classroom Success” tutorial or webinar do you think might be most helpful for you?

LopesWrite, as it will help me improve my writing abilities, prevent plagiarism, and allow me to submit high-quality write-ups.

6. From the course home page, find where you can see your current grade in the course.

From the course home page, I can locate my grades under the main tab which has Gradebook just beneath the syllabus.

7. Click on “Syllabus” from the home page in the digital classroom. What are all the different sections found in the syllabus?

The syllabus tab contains the course name and code, instructor name, class resources/materials, topics and timeframe, participation requirements and Course grade scale.

8. Scroll to the bottom of the webpage and click on “Library” from the left-hand menu. Find a time that a GCU Library Introduction webinar tour is available. Write down a time and date that one is offered.

The earliest possible date or a GCU Library Introduction webinar tour is Saturday, August 13, 2022, at 3:00 PM Arizona Time

 

 

 

 

 

Part B: Highlight the Correct Response

1.  From the Resources page of the Student Success Center, which of the following is not found under the “Explore Tools” link?

1. The Writing Center
2. New Student Success
3. Virtual Campus Tour
4. Academic Excellence Center

1. What can be found in the Class Resources?

1. Electronic Resources and Textbook
2. Computer, Internet, and Software
3. Pens, Paper, and Books
4. The Syllabus, Discussion Forum, and Student Success Center

1. Where do you find “Announcements” for a course?

1. On the main page of your course in the digital classroom
2. The Calendar
3. The Syllabus
4. The instructor emails them to you at the start of each week.

1. What would you do if you wanted to ask your instructor a question in which you felt your classmates could benefit from the answer as well?

1. Send him or her a personal email
2. Post the question in the Discussion Forum
3. Post the question in the Announcements
4. Post the question in the Class Questions

1. Looking at the Forums section of your digital classroom, which sections are not listed? (Select all that apply.)

1. Discussion Forum
2. Class Questions
3. Assignment Forum
4. Private Forum

1. Where are the weekly topic learning objectives found?

1. On the Calendar
2. Within the topic itself
3. In the Gradebook
4. Under the Classroom Policies section

1. Where is the syllabus found?

1. Under the Calendar tab
2. In the Announcements
3. On the course home page
4. In Topic 1

Week 1 Announcement