NR510 All Weeks Discussions Latest November 2018

NR510 Leadership and Role of the Advanced Practice Nurse

Week 1 Discussion

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Introduction and NP Practice

Prepare a Power Point presentation 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: level of independence of practice, prescribing authority, any limitations of practice, process for obtaining licensure in your state, certification and education requirements for licensure.

Next, record your ppt. presentation using Kaltura and upload it here.  Please refer to all of the Kaltura guidelines and presentations in this course resources for assistance. Should you have technical issues please contact Tech Support.

Respond to two peers through a written response or using a Kaltura recording by Sunday of week1 by 11:59PM MST.

 

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.

 

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 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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