Devry NR510 All Weeks Discussions Latest 2019 JULY

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NR510 Leadership and Role of the Advanced Practice Nurse

Week 1 Discussion

Introduction and NP Practice

Purpose

The purpose of this assignment is for learners to:

Develop professional presentation/communication skills

Introduce yourselves to your student colleagues

Describe your current state's scope of practice as an NP

Demonstrate the ability to analyze the literature and be able to disseminate the information orally

Demonstrate and practice professional communication and leadership, while advancing the education of peers

Course Outcomes

CO#4: Integrate professional values through scholarship and service in health care. (Professional identity)

Due Dates

The initial posting to the graded collaborative discussions is due by Wednesday, 11:59 p.m. MT. Peer and faculty responses are due by Sunday, 11:59 p.m. MT. All posts for Week 8 are due by the close of class on Saturday, 11:59 p.m. MT. Please note that the late assignment policy does not apply to the collaborative discussions.

Requirements

For Week 1, there is no case study given to you by the faculty. Instead, you will be creating a recorded presentation that includes an introduction and your current state's scope of practice as an NP. This presentation will be uploaded into the course via Kaltura (See "How to use Kaltura" below)

Preparing the Assignment

Prepare a PowerPoint presentation offline that addresses the following content:

Your interests, cooking, music, animals, etc.

Your current RN position

Length of time as an RN

Area of the country you reside

Your state’s scope of practice for NPs including the level of independence of practice, prescribing authority, any limitations of practice, the process for obtaining licensure in your state, certification and education requirements for licensure.

Next, record your PowerPoint presentation using Kaltura and upload it here. If you have technical issues, please contact your faculty or Tech Support.

Click here for more information on how to use Kaltura.

The presentation should include a PowerPoint presentation which will be recorded via Kaltura.

Students should create the PowerPoint presentation offline and then open it for use during the Kaltura recording.

Students must practice/recording the presentation more than once to allow for practice and mastery of the content and presentation style. The final presentation of the Kaltura recording should be submitted only. Do not use PowerPoint to record the presentation.

Students should review their presentation for clarity in audio and sound as well as clarity in the information presented before the final submission.

Students should be professionally dressed in business casual attire for the presentation with/without lab coat. Scrubs, sweats, denim, yoga pants, and athletic wear are not considered business casual. Student's face must be visible via the webcam during the presentation.

The presentation should contain appropriate scholarlyevidence to support the information presented per APA format. Use in-text references and have a reference list at the end of the presentation.

PowerPoint slides should be used as cues to topics and key concepts without lengthy sentences and paragraphs- reading information from slides is not professional and therefore not acceptable.

A professional presentation includes an introduction both of yourself and of the topic, the touch points of information you're going to discuss as well as a conclusion.

Students may use any type and size font that works for their presentation. Slides should include bullet points you intend to cover, 4-5 bullet points per slide. The bullet points should be expanded upon with oral information. Direct quotes and paragraphs are discouraged. Speaker notes are not included in the presentation but are used by the presenter as a side-reference.

The student's oral presentation should demonstrate clear understanding of all concepts along with specific examples to represent concepts.

NR510 Leadership and Role of the Advanced Practice Nurse

Week 2 Discussion

Advanced Practice Nursing

In week one, you discussed your scope of practice in your current state as a nurse practitioner. Now, explore the four APN roles in your state (CNP, CNS, CRNA & CNM).

Discuss work environment, level of accountability, patient population, salary, and scope of practice for each of the APN roles. Provide your personal Pro and Con list for each role and provide appropriate citations.

Describe your rationale for choosing the CNP advanced practice role versus any of the other three. What are your plans for clinical practice after graduation? Has your idea of NP practice changed after researching this for your state?

NR510 Leadership and Role of the Advanced Practice Nurse

Week 3 Discussion

Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study

You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for 2 years. The providers in the group include one physician, who is also the owner of the practice, and two other nurse practitioners, who are staff employees (W2 employees). The owner of the practice recently made comments about the need to produce more revenue. You relate with his concerns and feel that you have several strategies that could be helpful. Your contract is up for renewal in 3 months. You are highly satisfied with your job and want to stay with the group. You see 20 patients per day on average and take call every third weekend.

Discussion Question:

What negotiation strategies should you use to propose a contract renewal? How does your role as a 1099 contractor benefit the practice over the W2 employees? What evidence will you present to the practice to reinforce your value in the practice both in terms of revenue and patient satisfaction? Consider any additional services you may be willing to provide under your contract. Use logical reasoning, and provide evidence-based rationales for your decisions.

Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.

NR510 Leadership and Role of the Advanced Practice Nurse

Week 4 Discussion

Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study

You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.

Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient's name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.

Discussion Question:

What are the potential ethical and legal implications for each of the following practice members?:

Medical assistant

Nurse Practitioner

Medical Director

Practice

What strategies would you implement to prevent further episodes of potentially illegal behavior?

What leadership qualities would you apply to effect a positive change in the practice? Be thinking about the culture of the practice.

NR510 Leadership and Role of the Advanced Practice Nurse

Week 5 Discussion

Conflict at the Office Discussion

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.

Discussion Question:

What are the potential ethical and legal implications for each of the following practice members?:

Medical assistants

Nurse Practitioner

Medical Director

Practice

What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?

What leadership qualities would you apply to effect a positive change in the practice? Be thinking about the culture of the practice.

Provide rationales and evidence to support your decisions

NR510 Leadership and Role of the Advanced Practice Nurse

Week 6 Discussion

Open Forum Discussion

This is a required, but not graded open forum. Your post should add further clarity to the assignment and content of the readings and lessons for the week. Please feel free to post questions related to content or assignments.

NR510 Leadership and Role of the Advanced Practice Nurse

Week 7 Discussion

Open Forum Discussion

This is a required, but not graded open forum. Your post should add further clarity to the assignment and content of the readings and lessons for the week. Please feel free to post questions related to content or assignments.

NR510 Leadership and Role of the Advanced Practice Nurse

Week 8 Discussion

Reflection on Achievement of Outcomes

Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #4, the MSN Essential II, and the NP Core Competencies #2.

Program Outcome #4

Integrate professional values through scholarship and service in health care. (Professional identity)

MSN Essential II: Organizational and Systems Leadership

Recognizes that organizational and systems leadership are critical to the promotion of high quality and safe patient care. Leadership skills are needed that emphasize ethical and critical decision making, effective working relationships, and a systems perspective.

NP Core Competencies

# 2 Leadership Competencies

Assumes complex and advanced leadership roles to initiate and guide change.

Provides leadership to foster collaboration with multiple stakeholders (e.g. patients, community, integrated health care teams, and policy makers) to improve health care.

Demonstrates leadership that uses critical and reflective thinking.

Advocates for improved access, quality and cost effective health care.

Advances practice through the development and implementation of innovations incorporating principles of change.

Communicates practice knowledge effectively both orally and in writing.

Participates in professional organizations and activities that influence advanced practice nursing and/or health outcomes of a population focus.

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