NR510 Full Course 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.

 

NR510 Leadership and Role of the Advanced Practice Nurse

Week 6 Assignment  

APN Professional Development Plan Paper

Purpose

The purpose of this assignment is to provide the student an opportunity to explore the role of the advanced practice nurse (APN) and develop an APN professional development plan.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

CO1: Analyze the historic development of advanced practice roles including the impact of advanced practice nursing on  healthcare delivery from the perspective of selected current reports (i.e., LACE, IOM, etc.) (PO 3)

CO3: Explore how leadership styles influence healthcare delivery and organizations.  (PO 4)

CO5: Reflect on personal and professional growth toward achieving competence as a family nurse practitioner. (PO 3)

Due Date: Sunday 11:59 p.m. MST at the end of Week 6

Total Points Possible: 225

Requirements:

To complete this application, you will need to access to the following databases: CINAHL, MEDLINE, Cochrane Library, and the Joanna Briggs Institute. You may access these databases through the Chamberlain College of Nursing Online Library.

The APN Professional Development Plan paper is worth 225 points and will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

Create your manuscript using Microsoft Word, which is the required format for all Chamberlain College of Nursing documents.

Follow the directions and grading criteria closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.

The length of the paper is to be no less than 6 and no greater than 8 pages excluding title page and reference pages. In some cases, students may need to exceed this page number.

APA (2010) format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Introduction to the APN professional development plan- Discuss the goals and purpose of an APN professional development plan

APN Scope of Practice – This pertains to NP practice in your state.

Personal Assessment using Benner’s Self-Assessment Tool

Networking and Marketing Strategies

CV / resume

Conclusion

Preparing the paper

The following are best practices for preparing this paper:

Review Chapter 30- Role Transition: Strategies for Success in the Marketplace in

DeNisco and Barker (2015).

Nurse practitioners need to take into account the state rules and regulations that guide advanced practice. Research and review the Nurse Practice Act and APN scope of practice guidelines in your particular state. Identify information regarding educational requirements, licensure and regulatory requirements, as well as practice environment details. Review information regarding full, limited, or restricted practice limitations as well as prescriptive authority (This is similar to what you created in your week 1 Kaltura presentation). .

Review Guidelines for APN Role Transition Using Benner’s Self-Assessment Tool in Course Resources. Identify and discuss your position on Benner’s Novice to Expert ladder. Prior to engaging in pursuit for employment, APNs should complete a comprehensive, honest, personal assessment to identify their strengths and weaknesses as well as their goals and objectives. Research assessment tools, conduct a personal assessment, and reflect upon your strengths, weaknesses, goals, and objectives.

To complete the transition from students to expert nurse practitioners working in the healthcare field, graduating APN students will need to secure their first position. Research local and national professional organizations that advertise employment opportunities for APNs. Identify networking and marketing strategies and provide a rationale for your selections. Be specific.

Write your Curriculum Vitae (CV) or current resume. Refer to the template on pages 772-773 in DeNisco and Barker (2015). Your CV / resume should not exceed 2 pages in length but will, vary for each student. If you have not done some of the components of the CV/resume, i.e. research, publications, presentations, then do not include them.

When concluding the paper, summarize important aspects of the APN professional development plan.

 

 

NR510 Leadership and Role of the Advanced Practice Nurse

Week 7 Assignment

Recorded LACE Presentation

Purpose

The purpose of this assignment is for learners to:

Develop professional presentation/communication skills.

Demonstrate an advancing understanding of the political landscape of APN practice.

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

Analyze the development of advanced practice nursing roles from a historical perspective including the impact of advanced practice nursing on the healthcare delivery system from the perspective of selected current reports (i.e. LACE, IOM, etc.)

Critically analyze how healthcare systems and APN practice are organized and influenced by ethical, legal, economic and political factors.

Requirements

 

For Week 7, there is no case study given to you by the faculty. Instead, you will be creating a recorded presentation that demonstrates your understanding of LACE principles and their influence on APN practice. This presentation will be uploaded into the course via Kaltura (please see course resources for directions).

Address the following Topics/Questions:

How do licensure, accreditation, certification, and education (LACE) considerations differ for all four APN clinical roles (CNP, CNW, CRNA, CNS) for these three states: California, Washington, and Illinois? Provide evidence for your response.

Discuss what evidence-based strategies should be implemented to achieve continuity between state regulatory boards? Provide evidence for your response.

Is independent NP practice allowed in your state? Discuss your opinion regarding independent NP practice in your state. Should NPs be allowed to practice independently? Provide evidence for your response.

Presentation Guidelines:

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. Students should be professionally dressed in business casual attire for the presentation with/without a 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 be approximately 15-20 minutes in recorded length. It will vary from student to student but should adequately address the material.

The presentation should contain appropriate scholarly evidence 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 may be included in the presentation or used by the presenter as a side-reference.

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

Technology Requirements

The presentation must be recorded using Kaltura.  Do not use PowerPoint to record the presentation. The presentation should be saved in MP4 format.

This assignment will follow the late assignment policy specified in the course syllabus.

 

 

 

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