NR 500 Week 2 Reflection on Learning

NR 500 Week 2 Reflection on Learning

NR 500 Week 2 Reflection on Learning

Reflection on Week 2 Lesson

In week 2, I learned about the four APRN practice specialties, including CNP, CNS, CRNA, and CNM. The roles of CNPs include: Assessing and diagnosing patients, ordering and interpreting diagnostic tests, developing treatment plans, prescribing pharmacological and non-pharmacological treatments, providing patient education, and keeping patient health records (Mounayar & Cox, 2020). CNS are obligated to guide other nurses, provide nursing leadership, and research and implement new patient care policies. The roles of CRNAs include assessing patients and their medical history to determine the appropriate course of anesthesia, make plans for anesthesia delivery, and administer anesthesia (Mounayar & Cox, 2020). Lastly, CNMs provide primary, gynecological, and reproductive health care services.

In my new role as an NP, I look forward to practicing to my full scope of training, including treating and diagnosing health conditions, managing chronic diseases, and educating the general public on health issues. Besides, I look forward to taking part in continuous education to remain up-to-date with advancements in healthcare and continuously improve the quality of patient care and health outcomes.

My concern about transitioning to the NP role is whether, as a new NP, my employer will allow me to perform clinical duties per the scope of practice. I was surprised that the NPs’ roles are unique from other APRNs since they view patients’ health and well-being from a holistic perspective (Urbanowicz, 2019). I was amazed by NPs’ vital role in helping to address the increasing primary care shortage, alleviating healthcare costs, and enhancing patient satisfaction.

NR 500 Week 2 Reflection on Learning References

Mounayar, J., & Cox, M. (2020). Nurse Practitioner Post-Graduate Residency Program: Best Practice. The Journal for Nurse Practitioners. https://doi.org/10.1016/j.nurpra.2020.10.023

Urbanowicz, J. (2019). APRN transition to practice: Program development tips. The Nurse Practitioner, 44(12), 50-55. https://doi.org/10.1097/01.NPR.0000605520.88939.d1

NR 500 Week 2 Reflection on Learning Grading Rubric Guidelines

Performance Category	10	9	8	4	0
ScholarlinessDemonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisionsEvaluates literature resources to develop a comprehensive analysis or synthesis.Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.Evaluates information from source(s) to develop a coherent analysis or synthesis.Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.Information is taken from source(s) without any interpretation/evaluation.The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge -Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.Applies concepts to personal experience in their professional setting and or relevant application to real lifeInteractions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real lifeDoes not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.Posts are superficial and do not reflect an understanding of the lesson contentDoes not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignoredNo discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive DialogueReplies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.(5 points possible per graded thread)	Exceeds minimum post requirementsReplies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.Replies to a post posed by faculty and to a peerSummarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate daysReplies to a question posed by a peerSummarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days.The main post is not made by the Wednesday deadlineDoes not reply to a question posed by a peer or faculty	Has only one post for the weekDiscussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the threadNo connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APANote: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.Points deducted for improper grammar, syntax and APA style of writing.The source of information is the APA Manual 6th Edition	2-3 errors in APA format.Written responses have 2-3 grammatical, spelling, and punctuation errors.Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format.Writing responses have 4-5 grammatical, spelling and punctuation errors.Writing style is somewhat focused.	6-7 errors in APA format.Writing responses have 6-7 grammatical, spelling and punctuation errors.Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format.Writing responses have 8-10 grammatical, spelling and punctuation errors.Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format.Written responses have more than 10 grammatical, spelling and punctuation errors.Writing style does not facilitate communication.The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirementsper discussion thread	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirementper discussion thread	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Wednesday. Any assignments and all discussion requirements must be completed by 11:59 p.m. MT Wednesday of the eighth week.

I have been actively reflecting on the exciting journey that lies ahead as I prepare to transition into my new role as a Nurse Practitioner (NP). One aspect that truly excites me is the opportunity to make a meaningful impact on patient care. As an NP, I look forward to developing strong patient-provider relationships, engaging in comprehensive assessments, and taking a holistic approach to healthcare. This role grants me the autonomy and responsibility to diagnose, treat, and educate patients, and I’m eager to contribute to improved healthcare outcomes for my future patients. 

However, as I embark on this path, I do have some concerns about the transition. One of my primary concerns is the steep learning curve and the responsibility that comes with it. It’s a significant shift from being a registered nurse to an advanced practice provider, and I want to ensure that I am well-prepared and confident in my clinical decision-making abilities. Additionally, I’m mindful of the ongoing commitment to continuing education and staying updated with the latest advancements in healthcare, which is vital to providing the best care possible. 

As for surprises related to the Advanced Practice Nurse (APN) roles, I’ve been struck by the wide range of responsibilities that NPs can have in various healthcare settings. The versatility of the NP role, from primary care to specialized fields, is both impressive and inspiring. It emphasizes the importance of ongoing learning and adaptability in this profession. Moreover, the emphasis on patient-centered care and the growing role of NPs in filling healthcare gaps are aspects that have resonated with me, reaffirming my choice to pursue this path. 

What I look forward to in my new role as a NP would have to be caring for patients on a provider standpoint. I think prior patient care experience will help translate what is going on with the patient and would be helpful upon transitioning to NP. What concerns me is being from the “nursing frame of mind” to the “medicine frame of mind”. However, I believe this would be quite the adjustment the first couple of years or so. I plan on obtaining some mentors along the way to help with the transitioning process. I am always eager to learn new things, help and take care of my patients so I feel this would be a positive transition and experience. 

I look forward to building interpersonal relationships with my patients and other healthcare providers. Collaboration is the most critical tool to promote a safe and effective patient care plan. There may be things you have misunderstood as an APN about a disease process or medication that another healthcare provider can provide insight about. A patient may need clarification about why a particular medicine is being prescribed, such as off-label usage, and this is where education can occur and allow the patient to be involved in their care as much as possible. This fosters the development of an essential interpersonal relationship where the patient develops trust in the healthcare system.   

Nurse Practitioners are divided into different specialities. I am looking forward to give my best as nursing practitioner and I really feel that knowledge and experience gained by doing this course will be very helpful to me in my career as a nursing practitioner. 

I am aware of the fact that I have to deal with various kinds of patients who may be frustrated, depressed and anxious because of their mental and physical conditions. It is very necessary that they should be treated nicely and nursing staff has to keep calm and smiling in every situation. I think this will be my concern about the transitioning to the new role. 

No, I think there is anything to surprise about the role of APN. I know that the tasks will be more challenging and complex but I am very sure that with the help of advance level of training and education, I will be able to handle it. 

After reflecting on the four APN roles and what each entails, I am confident I have made the right decision for my future career. Through my research, I believe the CNP track has the most versatility with age groups, clinical settings, and areas of specialty.  Therefore, I am most looking forward to deciding where I want to be and how my passions may change throughout the course of my career. One thing that surprised me while researching these four tracks is that many make note that some areas of practice or employers may prefer a DNP over a master’s prepared nurse. I do not believe I will have trouble finding a job but I felt more comfortable in knowing there are also many MSN to DNP tracks out there! 

When I started my journey in the healthcare business, I never thought that one day I would think about advancing my knowledge, autonomy, competency, and skills to a such high level of APN. There’s nothing I want more than to make an impact in my patient’s lives. I want to help them better themselves in their care. I want to see them live long healthy lives. I want to be their primary care provider and I want to help them in any way I can. My primary care provider is a nurse practitioner, and I can see the difference it makes to have an NP versus a Medical doctor. My NP provider has time for me, he listens to my concerns and reaches out whenever I call the office for clarification, advice, or recommendation. 

Yes, there is always a concern when transitioning from less to higher-skill jobs. The new pathway is always stressful regardless of how knowledgeable or how confident I am.   I am worried about not knowing enough, that I might miss something important; and as a foreigner, I am worried about not the language barrier but the accent barrier, I would say implicit bias is real in the healthcare industry. Some patients and even staff are reluctant to foreign providers. I can only hope that my peers will be welcoming and help me with any obstacles I encounter in my transition. 

It took me years before I chose to continue my education as an NP. I did a tremendous amount of research on my own to see what options I had in obtaining a master’s degree. I knew a significant amount of most of the roles, but the one I was surprised with was the role of a certified nurse specialist. I had never heard of the role until I did my readings and began my assignment. Despite all the challenges I may encounter throughout this journey, I am so pleased and so fortunate to be part of this class. I believe with courage and determination, I will overcome all the obstacles lined up on my pathway. 

What I look forward to most in my new role as an NP is having a leadership role that promotes health and maintenance. I am looking forward to diagnosing and treating patients appropriately. Concerns I have in the CNP role is being a brand-ne