Msn essential iv translating and integrating scholarship into practice

Reflection

Apr 24, 2021 8:42PM

Raven Jinks

Reflecting on how the course outcomes have prepared me to meet the MSN program outcome #4, the MSN Essential IV, and the Nurse Practitioner Core Competencies # 7.

The MSN program outcome #4 which is to Integrate professional values through scholarship and service in health care (Professional identity): Expanding on one’s professional identity is a necessity in one’s career. In the role of the Advanced Registered Nurse Practitioner (ARNP), it is evident because concept and preparation are dynamic to nursing education and the building of one’s professional identification. From my experience, these are the ways and manners in which the nurse develops professionally and personally while applying perceptions and core principles that are essential to the profession. The essence of my personal and professional identity while rendering safe, ethical and highest level of care is autonomy, respecting cultural diversity, ethical practice and inter-professional collaboration. Interprofessional collaboration is essential to improve healthcare delivery (Goldsberry, 2018). I make certain that while providing excellent care, I pride myself on standing by ethical beliefs whilst acknowledging the patient’s autonomy, values/beliefs and cultural diversity.

MSN Essential IV: Translating and Integrating Scholarship into Practice Recognize that the master’s-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.

Knowing the MSN essential IV in this course has aided me in my profession whereas I examined and investigated within the clinical setting. The American Association of Colleges of Nursing (AACN) (2011) suggested that nurses need a questioning/inquiring attitude toward their practice and the care environment. This competency was achieved in the course by researching peered reviewed journal articles weekly and in the clinical setting by implementing such evidence-based research into practice for a more favorable patient outcome. During clinical I was able to bring my knowledge of the American Society for a Colposcopy and Cervical Pathology (ASCCP) clinical guidelines into practice. When we had a patient in the clinic have a pap smear and the results came back with unsatisfactory cytology for a woman under 30 years old. Because I had recently read the guidelines, I was able to notify my preceptor that the management for unsatisfactory cytology is different for women under 30 than those over 30 per ASCCP guidelines.

Nurse Practitioner Core Competencies # 7

Health Delivery System Competencies

The nurse practitioner core competencies set forth by the National Organization of Nurse Practitioner Faculties (NONPF) recognized that all nurses should be equipped with upon graduating (Thomas et al, 2017). These competencies have helped me to understand the distribution of healthcare and its impact within the healthcare system based on the organizational composition, finances, safety problems and the community being served.

1. Applies knowledge of organizational practices and complex systems to improve health care delivery.

As providers of healthcare, we know how difficult it is maneuvering one’s way throughout a healthcare organization that is complex due to its countless networking sections. That is why guidelines or standards of the day to day operations are implemented to ensure that optimum care is being provided. This course has provided me with the necessary information on how to apply such knowledge towards the already convoluted organizational practices so that our patients can profit and in the clinical setting, I learned the organizations’ function and adhere to such policies.

2. Effects health care change using broad based skills including negotiating, consensus-building, and partnering.

Being apart of the collaborative team is essential because the result is what is best for the patient. This lecture instilled in me the importance of being a part of the decision and change making process and knowing when to refer patients to other healthcare professionals.

1. Minimizes risk to patients and providers at the individual and systems level.

As a healthcare provider, my intent is to do no harm while giving high level quality care to patients. This course and clinical have taught me that patient safety is one’s highest priority and care should be rendered to the best of my capabilities. Being highly hands on with patients such as educating them on medication safety and learning from my preceptor on assessing the patients the minute you encountered them and ensuring that the right treatment is given.

1. Facilitates the development of health care systems that address the needs of culturally diverse populations, providers, and other stakeholders.

Healthcare organizations have catered to the needs of the communities that they serve whether it based on gender, religion, languages and they provide community-based clinics for a fee to those who are uninsured. This competency was achieved by giving care to the diverse population that comes to the clinic such as providing a translator for patients who do not speak English and providing teaching materials in their native languages whether through printed materials or online. For instance, teaching a new mom about the importance of immunization. ARPNs are influential in the communities in which they serve by fighting for the rights of the community members, identify problem, advocating for change, and implementing strategies for change. I also at my clinical site, I had the opportunity to participate on increasing the access to care for the underserved people by participating in a health fair committee.

5. Evaluates the impact of health care delivery on patients, providers, other stakeholders, and the environment.

Patients are being surveyed on the care that was given to them. They are in the know and know what is expected. Having satisfied patients is at the top of providers priority because it depicts the quality of care received based on patient’s perception.

6. Analyzes organizational structure, functions and resources to improve the delivery of care.

In my clinical environment, understanding how the company runs, its purpose and the availably resources have help me to appreciate the significance of how a OBGYN office functions day to day. I was able to learn firsthand, how the front office staff assist with the scheduling of appointments and getting the patients ready to see the preceptors and ensuring that students show up according to their schedule.

7. Collaborates in planning for transitions across the continuum of care.

Interdisciplinary teams are effective in the delivery of care. In continuity of care, it is evident that each provider is on board and communicate effectively with the patient about what is the best course of treatment. I achieved this competency during my clinical by calling in a prescription to a pharmacist to ensure that there will be no contraindications such as dosing, allergy or copayment issues. I collaborated with the preceptor in formulating differential diagnoses and I have reached out to Maternal Fetal Medicine to collaborate on a patients plan of care.

References

American Association of Colleges of Nursing. (2011). The essentials of master’s education in nursing. Retrieved from http://www.aacnnursing.org /portals/42/ publications /masters essentials11.pdf

Goldsberry, J. W. (2018). Advanced practice nurses leading the way: Interprofessional collaboration. Nurse Education Today, 65(6), Pages 1-3. https://doi.org/10.1016/j.nedt.2018.02.024

Thomas, A., Crabtree, K., Delaney, K., Dumas, M. A., Kleinpell, R., Marfell, J., &…Wolf, A. (2017). Nurse practitioner core competencies. Retrieved from https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.pdf (Links to an external site.)