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Advanced Practice Nurse Reflection

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Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients. …show more content…

The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care. Integrating humanities and sciences in nursing is important and allow individuals to enhance their knowledge and critical thinking skills in their nursing practice. The information I learn in this course has taught me that evidence-based research findings can be used to shape future practice settings going forward. As a change agent, I will change and implement new evidence-based care to my practice to deliver high-quality

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VA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team.

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Navi, It is unfortunate that the consequence of Julie Thao’s decision to work overtime to help the hospital actually did the opposite by affecting her health and caused a fatal medical error. I completely agree with your 3 weapons against healthcare harm: leadership, safe practice, and technology. As Advanced Practice Nurses, I strongly believe we must to be accountable, responsible, and approachable in order to be an effective healthcare role model and leader. Our priority should always be patient safety as we assess, diagnose, and implement interventions. APNs should conduct continuous research for self-knowledge, to educate staff members, and to educate the patients.

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They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age

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it is imperative that nurses maintain a current knowledge of evidence-based practice to best care for their patients, families, communities, and the health care system itself. The Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine released The Future of Nursing: Leading Change, Advancing Health which has eight recommendations to help shape the future of nursing. The sixth recommendation is to ensure that nurses engage in lifelong learning. (Institute of Medicine, 2010).

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My knowledge in the Doctor of Nursing Practice (DNP) continues to expand as I progress through the DNP program. The knowledge I have attained while in the study of the DNP I and DNP II is priceless. For example, recognizing stakeholders and utilizing networking has helped me to progress on my DNP project (Gokenbach, 2012). I also have a better understanding as well as the purpose of a DNP project. My mentors have been great in directing me in remaining on the right track.

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Hello 901231637, Your interview along with your thoughts on how your interview impacts you was very interesting to read. Hearing about your NP 's struggles during her education was an unfortunate, but common, experience. It is good to know that professionals we look up to have also experienced the same feelings we have as new nurses. Some of the barriers NPs face are "limited number of clinical sites and preceptors, concentration of educational programs in urban areas, and limited funding" (Fitzgerald 2012). I would like to know if these, or any other barriers, were a problem for your NP and what steps she took to overcome them.

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Many current issues and health policies in the health system in America today are impacted by a multitude of healthcare providers. One current issue that has yet to be highly publicized yet impacts all aspects of quality for clinicians is errors in diagnosis. This issue results in various client impacts from economical and additional strain on healthcare, to potential death of patients and social, ethical and potential aspects of neglect (Toker, 2013). Economically the provider’s misdiagnosis can cause the patient substantial cost through repeated tests, procedures or poor outcomes. Misdiagnosis can also cause multiple consults for subspecialties, additional medications, procedures and unanswered questions to diagnosis and results.

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Thank you for sharing your experiences, Dustin. Living in a rural area like Terrace when there will times when nurses care for family or friends which “requires caution, discussion of boundaries and the dual role with everyone affected and careful consideration of alternatives” (College of Registered Nurses of British Columbia, 2013). As a student nurse, there were hand full of times that I have to provide care to family members, friends, and former co-workers. In Nursing 330 extended practicum, a family member was admitted to acute care floor medical issues and along with deterioration of mental status between my two sets.

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Brittany Sandoval West Coast University Literature Review Nursing 492 Abstract The nursing field is ever changing and new discoveries always appear. The staff that works in the medical field must keep up to date with current practice, but sometimes that is not always the easiest due to work schedules and life in general. Fortunately for medical staff, there are many organizations that inform the vast number of nurses along with providing support in the most cutting-edge research that is tailored to their specific specialty.

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Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.

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Description. During that day I worked on morning shift. I worked with another 3 staffnurses and 1 attachment staff. Usually on a busy day,we will have 6 bedded occupied with 6 ventilated patient with 4 staffnurses onduty.

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Introduction This essay is a reflective piece of writing about the critical indecent of a medication error that occurred during my placement. It is a very concise piece of writing due to limited word count of 1500 words. Duke and Appleton (2000) did a literature review and devised a framework of critical reflection, which illustrates eight stages as compare to Gibbs’s (1998) reflective model that consist of six stages. I chose Gibbs reflective model not only it is easy to comprehend but also to illustrate a critical incident.

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“One of the movement’s major aims is promotion of best practice in healthcare based on the best available evidence” (Daly, Speedy & Jackson, 2010, p.140). As in any research the ethical dilemma is present. So research subjects (patients) have got rights to autonomy, confidentiality and are protected from any harm (Craven & Hirnle, 2009). As Erica calls attention to nursing is a long lasting learning. So her colleagues and herself stay up with the latest with new advancements and research accessible in her field to convey the most ideal treatment to her patients.

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Reflection has been strongly advocated by the English National Board for Nursing & Midwifery (1994), United Kingdom Central Council (UKCC) (1996), and a wealth of nursing literature over the past decade to improve nursing practice. Reflection is an in-depth consideration of events or situations outside of one-self, solitary, or with critical support. Burnard (1995) argues that, reflection has its roots in experiential learning, as it forms the second stage of the experiential learning cycle. Active reflection gives nurses the confidence in terms of clinical decision making. It can also be a meaning of identifying strengths and weaknesses in practice and enabling nurses to learn from their mistakes.

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Evolution from Novice to a Beginning Professional Nurse Looking back when I started my nursing school, I can proudly say that I have evolved both physically and psychologically. I was not sure if nursing was the right choice for me at first because I had difficulties interacting with people outside my family circle. The first semester was challenging for me because I did not know how to interact with my class mates and felt isolated each time there is a class activity. I joined a study group later that semester and it has been an excitement ever since.

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