NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

In my own view, our personal worldview can indeed change over time. The way we perceive the world may shift, either positively or negatively, influenced by the variance between what we once thought and what we’ve experienced. The beliefs instilled in us during our prior years might differ from our current practices and convictions, or you might come to the realization that you hold such a belief and wish to preserve it. According to Mayhew et al. (2020), we consider “worldview” as a guiding life philosophy, which may be based on a particular religious tradition, a spiritual orientation, a nonreligious perspective, or some combination of these.

The values imparted by parents, siblings, relatives, peers, teachers, colleagues, and others may evolve as we encounter diverse perspectives. Unless an individual remains isolated in a static environment without exposure to differing beliefs, interactions with a variety of people can contribute to the evolution of one’s worldview.

Despite the challenges we faced during our earlier years, we were taught from a young age the importance of showing kindness and respecting others, especially the elderly. I witnessed this firsthand when my mom generously offered money to our neighbors who were facing eviction like us, helping them start anew. According to Digges et al. (2023), often, caring for others may prompt one’s heart to cling more to Jesus, with the resulting sprouting and growth of the seed into a living plant—spiritual maturity and transformation.

When engaging with our patients and the communities we serve, it’s crucial to uphold the values we believe in. If genuine care for our patients is our priority, we must continuously contemplate the type of service or care that suits everyone, recognizing and celebrating their diversity. By establishing trust with our patients, we create a positive connection that enhances the quality of care provided.

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

What is your personal worldview? Connect your worldview to cultural and spiritual competence. How will your worldview and cultural and spiritual competence affect your future practice and role? Consider both the provision of safe, quality care to diverse populations and interprofessional relationships.

Re: Topic 3 DQ 2

My worldviews have become a melting pot of how I was raised and my own life experiences. I was raised Roman Catholic as a child. I attended both public and Lutheran universities. The state school I attended was extremely diverse, with the vast majority of the student body identifying as non-white.

I was surrounded by people different from myself, and I gained many friends that were able to teach me about their lifestyles, believes and values. It was a very diverse, liberal, and inclusive environment, which shaped my values and beliefs as an adult.

During this time, I also became very involved in politics. I don’t enjoy the concept of anyone trying to push religious beliefs onto others, and I’m not too fond of the idea of religion dictating politics. I am married into a family that is very free-spirited in beliefs and actively practices Nichiren Buddhism. My life is very much an assortment of views that have blended into something beautiful.

Having an understanding of your worldview is essential in nursing. I’m very aware that how I see the world and my personal beliefs can ultimately impact the care I give my patients if I lack mindfulness. As a nurse it is our job to provide care, not pass judgment; but as humans, we all have implicit biases (DeNisco & Barker, 2016).

Inherent biases exist because as humans, we all strive to understand the world through the scope of our lens, views, culture, values, or set of beliefs. DeNisco and Barker state, “Unaddressed cultural difference between the nurse and the patient a result in difficulties with diagnosis, nonadherence, and mutual frustration when the patient or the nurse does not meet the implicit, culturally determined expectations of the other.” (2016, p.581).

DeNisco and Barker talk about how being aware of your own inherent bias and having cultural humility can make nurses more reflective and proactive in their interactions with patients. My future role in nursing informatics is considered a nonclinical role, but I will continue to strive to be open-minded, respectful, and communicative regardless of my role. Language barriers have had the most significant effect on safe quality care and patient satisfaction from my own experience.

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Our patients and patient’s families are sometimes our greatest resource, and being able to communicate effectively is critical in having understanding for all parties involved. I hope to continue to be able to use appropriate translator services and would love to play a role in the improvement of these technologies for bedside nursing.

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

Nurses have a critical role to play in the provision of care that promotes safety, quality, and efficiency. In doing this, they practice in accordance with their worldview. According to Garrett (2018), worldview refers to the sets of assumptions and beliefs that influence the practice of nurses. It represents the manner in which nurses interpret as well as explain their experience. Culture has a significant influence on the worldview of nurses.

It provides them with ontological and epistemic foundation that determines their belief system. Therefore, this essay examines my personal worldview, nursing theory that aligns with my philosophy, and an example in which the theory could help me in addressing a healthcare issue. It also examines the manner in which the worldview will assist me in developing my future practice as a nurse.

Nursing Philosophy

I believe that nursing practice is holistic in nature. It takes into consideration the multiple aspects that interplay to influence one’s response to nursing care. The aspects include religious, spiritual, and cultural elements that influence the uptake of nursing care. Patients have religious practices that must be respected during the provision of nursing care. It is important that nurses incorporate the diverse religious practices of their patients into their plan of care.

This is critical because religious beliefs and practices can influence the uptake of a given approach to healthcare. For instance, it would be appropriate for the nurses to incorporate the services of clergies in situations where a patient believes that the health problem could be solved with a combination of medical and religious interventions (Mauk & Hobus, 2019).

Moreover, I also believe that culture has a significant impact on the provision of quality, safe, and efficient nursing care. Thus, the practice of nursing should take into consideration the cultural values, beliefs, and practices that influence care.

Nurses should demonstrate cultural competence when working with patients from diverse cultural backgrounds. The competence is developed by being aware of the values and beliefs of the patients and respecting them.

Nurses need to work in collaboration with their patients in identifying the cultural aspects that need to be considered in the provision of healthcare and their roles in promoting them (O’Brien, 2018). Through it, nurses will provide holistic care that is not only focused on the patient’s health problem but also the factors influencing the recovery process.

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

Nursing Theory

Theories have a significant influence on the care that nurses offer to their patients. They inform the decisions of care that the nurses embrace. Theories also form the basis of research in nursing. As a result, they also inform evidence-based practice in nursing. One of the nursing theories that inform my practice as a nurse is Virginia Henderson’s theory of need.

The theory asserts that the focus of nursing care should be to enable patients to have the independence to undertake activities that will meet their health needs. Henderson observed that optimum health could only be achieved with the provision of care that meets the fundamental needs of the patients.

The assumptions of Henderson’s theory resonate significantly with my assumptions on nursing practice. According to her, nurses have the professional responsibility of providing patients with care until a period when they are able to take care of themselves. Nurses should also be devoted to their professional practice.

They should explore the ways in which optimum nursing care is provided to match the healthcare needs of the patients. Henderson also asserts in her theory that nurses should be educated for them to provide appropriate care to their patients (Peate, 2019). They should undergo a long period of training to inform their safe, efficient, and quality practice in their settings.

My philosophy is centered on providing care that addresses the basic concepts of nursing care. The concepts include nursing, health, individual or patient, and the environment. These concepts are also evident in the theory of Virginia Henderson. According to her, nursing entails assisting patients in doing things they could have done if they were not sick or ill (Raingruber, 2017).

Individuals are perceived to have fundamental needs that must be met. They may need assistance in situations where they lack the independence in meeting them. Henderson asserts that the environment entails both the internal and external factors that influence health.

As a result, nurses provide patients with environments that promote optimum health and recovery from a disease. The last aspect in Henderson’s theory that influences my practice is the components of needs that nurses must promote in their patient care.

They include ensuring that patients’ breath normally, eliminates wastes, sleeps and rests, moves to their desire postures, and maintain hygiene among other elements (Raingruber, 2017). Therefore, this theory reinforces my practice of nursing by acting as a guide on the manner in which prioritized care is given to those in need. It informs the basis of the decisions that I make in relation to patient care.

Example of Current Practice

An example of current practice that can be resolved using my worldview and nursing theory is the need for 24-hour nursing care for patients in hospital settings. Generally, the provision of nursing care is a continuous process. Nurses engage in the provision of continuous care as a way of ensuring that actual and potential needs of patients are addressed in a timely manner. The need for this practice is informed by my worldview as well as Henderson’s theory.

As shown earlier, nursing practice should be holistic in nature. It should address current and emerging health needs of the patients. The needs can only be identified with the provision of continuous care that aims at responding to immediate needs of the patient for optimum health and wellbeing.

Henderson’s theory also informs the need for continuity of nursing care. According to her, patients have multiple healthcare needs that must be addressed by the nurses (Raingruber, 2017). Consequently, it make it relevant for nurses to engage in continuous care for them to provide care that meet the actual and potential needs of the patients.

How my Worldview and Nursing Theory will help in Developing my Future Practice

My worldview and nursing theory will help in developing my future practice in many ways. Firstly, it will help me engage in research that will contribute to the practice of safe and efficient care. It will also help me engage in care that protects the rights and needs of the patients. The principles of my worldview and the theory will also help me explore the ways in which care in our setting can be improved.

This includes exploring the need for a change in institutional practices and policies to influence the quality of care offered to those in need (Raingruber, 2017). Therefore, I believe that my worldview and nursing theory will influence significantly the development of my future practice as a nurse.

Conclusion

In summary, my worldview about nursing has a significant influence on the care that I provide to the patients in need. It influences the need for a consideration of aspects such as cultural, spiritual, and religious beliefs in the provision of care. Virginia Henderson’s theory has a significant influence on my professional practice.

It informs the values and beliefs that I use in providing my nursing care. Therefore, I believe that the use of nursing theories and my philosophy will influence my future practice as a nurse.

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References

Garrett, B. (2018). Empirical nursing: The art of evidence-based care. Bingley, UK: Emerald Publishing Limited.

Mauk, K. L., & Hobus, M. E. (2021). Nursing as ministry. Burlington, MA: Jones & Bartlett Learning.

O’Brien, M. E. (2018). Spirituality in nursing: Standing on holy ground. Burlington, MA: Jones & Bartlett Learning.

Peate, .(2019). Fundamentals of assessment and care planning for nurses. New York, NY: JOHN WILEY.

Raingruber, B. (2017). Contemporary health promotion in nursing practice. Burlington, MA: Jones & Bartlett Learning.

Hello ,

It is imperative for the nurse to understand that cultural and spiritual competence have a significant impact on the quality-of-care services offered and the ultimate patient satisfaction, and I totally agree with this concept.

I do agree that with a highly diverse population in terms of religious and cultural underpinnings in the US, the healthcare providers are faced with great challenges when it comes to delivering quality healthcare services (Kaihlanen et al., 2019). There are a number of measures that if well incorporated into nurse practice will help in ensuring cultural competence in healthcare systems.

I agree with you that the inclusion of the family members of the patients to participate in healthcare decision making will help the nurse have a greater understanding of the family’s cultural and religious beliefs and be able to offer quality care services that are still in agreement with the patient’s beliefs.

Additionally, I agree with you on the idea that there is need to provide interpreter services to health care facilities to bridge the communication breakdown due to language barrier. Furthermore, the healthcare facilities can strengthen their cultural and religious competencies by employing some staffs from the minority groups to help build awareness among other staff members about the cultural and spiritual beliefs of the groups (Swihart & Martin, 2019).

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References

Swihart, D. L., & Martin, R. L. (2019, May 29). Cultural Religious Competence In Clinical Practice. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493216/

Kaihlanen, A.-M., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: qualitative study of nurses’ perceptions about cultural competence training. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0363-xI

Re: Topic 3 DQ 2

DeNisco & Barker (2016) described cultural frame as the filter through which perceptions of, encounters with, and understandings of the outside world are ordered and made meaningful. It determines how individuals see the world, so it is safe to say my world view is tied to my cultural inclinations.

According to US census Bureau (2008), Nigeria, although a developing country is the one of the most populous country in the world. I am a Nigerian and prior to relocating to the US, I witnessed the poor health care system in the country, and it shaped my desire for a better healthcare accessibility for everybody.

Growing up in a multi-cultural and multi-religious country such as Nigeria also shaped my views in a liberal manner. I am a Christian and the sum of Christianity is loving everybody and treating people as well as you treat yourself. The bible encourages us not to think our opinions more important than that of others.

The impact this has on me is respect and consideration of other people’s views and culture. A nurse who has cultural humility is less likely to be authoritative to a patient which gives the patient the opportunity to experience better health care.

The progression toward cultural understanding, and ultimately to competency, is vital to be an effective nurse in the multicultural twenty-first century (DeNisco & Barker, 2016). It is essential for a nurse to be able to operate in a cross-cultural patient encounter.

The National League for Nursing (NLN, 2011) has identified the role of nursing in global diversity as a critical priority. The NLN is calling for nursing educational institutions to prepare an ethnically and racially diverse workforce, including faculty to mentor future nurses, and researchers to help to find solutions to the issues posed by our global diversity.

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NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284072570

National League for Nursing. (2011). Global/diversity initiatives. Retrieved from http://www.nln.org /aboutnln/globaldiversity/index.htm

U.S. Census Bureau. (2008). International data base. Retrieved from http://www.census.gov/population /international/data/idb/sysmessage.php

I do agree with you that an individual’s cultural background has a significant effect on the individual’s worldview. Our understanding of the world and the people is shaped by how one has been raised up, the religious and cultural practices and beliefs that were instilled in us at an early stage of our life.

However, in the Christian perspective or any other religious perspective, there is a common understanding that the human life is sacred and there is need to handle it with utmost care, showing love, compassion, patience and respect to one another (Isaac et al., 2016). I do agree with you on the fact that in order to develop culturally competent healthcare workers, there is need to incorporate cultural awareness and competence training in the nurse training curriculum (Swihart & Martin, 2019).

The nurse training institutions and schools have the responsibility of preparing the nurse for the future practice by equipping them with relevant soft skills and knowledge to help them navigate through the murky waters of delivering quality healthcare to a highly diverse US population. The US is the melting pot of diversity and therefore, the health workers need to be alive to this fact and be able to deliver equality, and competent care to all the groups regardless of their religion, race, culture or social status.

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References

Isaac, K. S., Hay, J. L., & Lubetkin, E. I. (2016). Incorporating Spirituality in Primary Care. Journal of Religion and Health, 55(3), 1065–1077. https://doi.org/10.1007/s10943-016-0190-2

Swihart, D. L., & Martin, R. L. (2019, May 29). Cultural Religious Competence In Clinical Practice. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493216/

Re: Topic 3 DQ 2

In an increasingly diverse, multicultural society, nurses are challenged to provide effective care to patients of all religions, races, and cultures. My personal worldviews are multidimensional, I have a strong faith in God I believe that is what guides me to be the best human first than nurse.

Culture is a great influence of our behavior, believes and values and to teach how to treat people related to their ethical backgrounds. The religion in my family is predominantly Jehovah witness and their beliefs and values are so different in many facets.

I am Catholic and I am raising my children as Catholics as well. Having been around the Jehovah witness religion I knew about certain things that can or cannot occur. One of the biggest factors is receiving blood. That can be huge ethical dilemma as a nurse because you want to provide the best care possible, but your personal beliefs can interfere with how your own perception can interpret how you care for the patient.

“Jehovah’s Witnesses refuses all blood transfusions. Jehovah’s Witnesses and their relatives are taught by their faith that it is important for them to ‘keep Jehovah’s organization clean’. One of the ways in which they are encouraged to do so is to inform those in positions of authority about the indiscretions of others.

Because family members may also speak to those in authority in the organization, it is important that each patient is asked in private what information may be passed on to relatives. If a patient elects to receive a ‘forbidden’ blood product there could be grave social implications if that decision becomes known.

In such circumstances it may be necessary to make special provisions to ensure that unexpected visitors do not become aware of any treatment. Indiscreet talk between all members of hospital staff should be avoided to guarantee patient confidentiality” (EMAP 2021). Nurses have an obligation to do whatever their patient ask of them including their choices they make about their health decisions.

The worldview in nursing is essential component in healthcare. “Nursing in my worldview is a calling from God to ensure wholeness and healing of those who are sick or in pain. It is involving the responsibility of applying acquired knowledge and skills in care to relief others from pain and distress.

Nursing entails taking responsibility for continuing growth in human connection, character development, and compassion. To grow in nursing art, a nurse needs to be willing to handle the broken parts of their lives by addressing personal weaknesses and working toward personal changes and growth to be able to address the problems of other people” (UWB, 2019).

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References

EMAP, (2021) Nursing with dignity. Part 9: Jehovah’s Witnesses. https://www.nursingtimes.net/clinical-archive/haematology/nursing-with-dignity-part-9-jehovahs-witnesses-23-04-2002/

UWB, (2019). Worldview and Nursing Process Personal Statement. https://uniquewritersbay.com/blog/worldview-and-nursing-process-personal-statement/

RESPOND  HERE

Hello

I do agree with your statement that in an increasingly diverse and multicultural world, nurses are challenged to ensure that they deliver quality healthcare services that upholds all the ethical standards that are sensitive to the cultural and religious differences among the patients.

In order to deliver culturally competent healthcare services, it is imperative first for the nurse to put into consideration the ethical issues in nursing. The confidentiality of the patient health information is paramount to quality and competent care (Milliken, 2018). The patient medical information should not be shared without the consent of the patient.

Therefore, the nurse practice should uphold these standards and ensure that the medical procedures the patient undergoes have been agreed upon based on the patient’s religious and cultural beliefs. This calls for effective communication between the patient and the healthcare providers. The impact of poor communication between the nurses and patients can be detrimental to the quality-of-care services and nurse practice offered (Kwame & Petrucka, 2020).

However, there are general standards of nurse practice that include compassion, patience, love and empathy for the patient. Incorporation of both ethical standards and the cultural and religious competencies in nursing is the ultimate precursor to quality care and improved patient satisfaction.

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References

Milliken, A. (2018, January 31). Ethical Awareness: What It Is and Why It Matters. Ojin.nursingworld.org. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

Kwame, A., & Petrucka, P. M. (2020). Communication in nurse-patient interaction in healthcare settings in sub-Saharan Africa: A scoping review. International Journal of Africa Nursing Sciences, 12, 100198. https://doi.org/10.1016/j.ijans.2020.100198

CAT (150 WORDS, 2 REFERENCES)

Nursing students and nurse educators relates to three main ethical principles that should guide their work. The most important principles from a student’s perspective can be professionalism, justice, and equality.

Share your thoughts if you are a “Nurse educator” considering justice, equality, and honesty as your main ethical principles.

RESPOND TO THE CAT HERE

Nurse practice as a calling, is a career of dignity and calls for a high level of responsibility on the side of the nurse. In order to uphold these standards, it is imperative for nurse educators to ensure that the nurse training is built around the core ethical values of justice, equality and honesty (Khaghanizade et al., 2016).

As a “nurse educator”, the nurse training program on justice calls upon the nurses to deliver quality care with fairness and impartiality. All the patients are offered fair treatment with the available resources regardless of their race, religion, culture or social status.

This concept has to be insisted to the nurse students, throughout their training and the use of case studies and simulations can help create emphasis on this issue. Justice and equality go hand in hand, they are all meant to ensure best possible care is administered to all the patients.

I will enhance the incorporation of these ideas through the didactic immersion to help the nurse students decipher and relate the issues to the real-life situations in their practice. Additionally, the nurse training also entails having the nurse students challenged to reflect on their own cultural and religious beliefs and how they are likely to affect their nurse practice (Ethics Education in Nursing: Instruction for Future Generations of Nurses, 2020).

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References

Ethics Education in Nursing: Instruction for Future Generations of Nurses. (2020). Nursingworld.org. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethics-Education-in-Nursing.html

Khaghanizade, M., Parandeh, A., Mohammadi, E., & Mokhtari-Nouri, J. (2016). Nurses’ human dignity in education and practice: An integrated literature review. Iranian Journal of Nursing and Midwifery Research, 21(1), 1. https://doi.org/10.4103/1735-9066.174750

As a clinical team manager, I had 6 home health aides on my team. There was one young lady that was not communicating with the office, not getting her charting done, and not putting in her time card hours. My upper management was pushing me to continue the process of writing her up.

The manager who was previously over her had started the process before I took over and was one write-up away from being able to fire her. Because I knew this girl was a kind, compassionate caregiver, and had heard from several families how wonderful she was, I wanted to see what I could do to not have to go that route.

I called her in to my office one day, and as soon as I started asking her questions, she broke down and started to cry. She is a single Filipino lady, and she told me that she was pregnant and could not tell her family. When I asked about the father of the baby she said that he had forced himself on her and is not involved, another reason for her shame. She said that she had been very sick and unable to keep up with her expectations for her job.

I spent time listening to her, showing interest in her culture, we discussed her religious beliefs, she is Catholic, and felt that she could not discuss her situation with her priest. All I could do is listen and provide her a safe place to talk openly, which seemed to help some. I was unable to change her situation, or even advise her, but I was able to advocate with my manager for her to take a personal leave of 30 days.

She was able to make decisions, talk with her family. She came back to work with a more positive outlook, and she has since had a son. She remains a hard-working, compassionate part of the team, and her family helps her with child care. You just never know what is going on with a person until you show some interest, and listen. I’ll take that memory into my nursing, and as a nurse educator, I’ll always take the time to listen to my students, especially if one of them appears to be struggling.

In the acute inpatient, bedside nurses frequently admit, transfer, and discharge patients. The discharge instructions are not only a document in the medical record but a reminder for patients. Guide the patient to follow up with their primary provider, outpatient procedure, and follow up with specialists.

Many times, we have patient acknowledge their incidental findings during hospitalization. But no control over their care after discharge; this is a pure discrepancy in our health care system. Our hospital has a customer service that will call patients the day after their release; it’s just customer service and doesn’t cover professional advice or track patient follow-up appointments.

According to Siegmund, incidental finding coordinator or care coordinator is a new role for advanced practice registered nurses (APRN). This care coordinator’s role was to manage a patient with incidental findings and required ongoing coordination of their care. The care coordinator ensures patients keep their appointments, provides patient-based care and coordinates with other healthcare team members.

Their position can potentially reduce inefficiencies and improve patient outcomes, close the gap for lack of tracking of patients, collaborate with the specialist, refer patients to the right place for their incidental findings, and stop the discrepancies in our health care system. (Siegmund et al., 2020)

Siegmund, L., Hamilton, A., & Nespeca, T. (2020). Incidental findings coordinator: A new role for advanced practice registered nurses. OJIN: The Online Journal of Issues in Nursing, 25(2). https://doi.org/10.3912/ojin.vol25no02ppt5422

REPLY

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One of the many resources I have come across is an article that easily explains different opportunities for growth for a nurse. It discusses the four recognized Advanced Practice Registered Nurse (APRN) roles of Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), Certified Nurse Midwife (CNM), and Nurse Practitioner (NP) and offers additional resources to explore more information on each role.

The article also discusses other opportunities for advanced nursing degrees including a Master of Science in Nursing (MSN), Nurse Educator (NE), doctorate of nursing practice (DNP), doctorate of philosophy (PhD), and also mentions certifications for multiple roles. The article also has a table with specialty, course type, online options, credit hours, certifications, and salary that is helpful and easy to compare roles for anyone thinking about furthering their education as a nurse.

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References

McClelland, M. (2014). A Guide to Advanced Practice Registered Nurse Roles. Academy of Medical-Surgical Nurses, 23(4), 10-14. https://eds-p-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=3&sid=fb0c5bcd-f337-45c9-899d-38a125f06a02%40redis

REPLY

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​One resource that helped me understand advanced practice registered nurse roles is titled “Advanced nursing practice roles: closing the knowledge gap.” The authors begin the article by outlining the growing demand for improved patient outcomes. Ko et al. (2019) acknowledge that achieving improved outcomes require recognition of advanced practice roles. The outlined roles include certified RN anesthetists (CRNAs), certified nurse midwives (CNMs), clinical nurse specialists (CNSs), advanced practice RN (APRN), and clinical nurse leaders (CNL).

The article goes ahead to outline that all these four key roles require master’s level and doctoral level degrees. The authors also indicate that advanced registered nurse roles significantly influence patient and healthcare outcomes. In the next ten years, the need for advanced practice nurses will rise by 31%, given the mandate to address the aging population and promote preventive care (Ko et al., 2019). They conducted an educational intervention to obtain knowledge on advanced practice roles in an 877-bed level 1 hospital.

The study results indicate that practice guidelines and toolkits are crucial in guiding advanced registered nurses in their roles. Good leadership is also important in ensuring the appropriate implementation of the four key roles. There is a gap in leadership knowledge of the roles of advanced practice nurses.

However, they should understand that NPs, CNMs, and CRNA deliver high-quality care to patients in diverse settings (Ko et al., 2019). On the other hand, a CNS consults with other nurses on patient care, provides direct patient care, and works to enhance health practices at the macro and local levels. The CNL roles are mainly focused on the micro level with a key focus on safety and care quality.

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? Reference

Ko, A., Burson, R., & Mianecki, T. (2019). Advanced nursing practice roles: closing the knowledge gap. Nursing management, 50(3), 26-36.

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Thanks for sharing. The reference looks good, just remember to include the doi number as well.

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In regard to roles of the advanced registered nurse, a resource that I have found helpful is from New England Institute of Technology. The reason I like this resource is because it briefly explains roles of various master’s prepared nurses: nurse practitioner, nurse educator, nurse anesthetist, nurse midwife, nurse manager, clinical nurse specialist, research nurse, nurse consultant, forensic nurse consultant, nurse ethicist, and health informatics nurse.

Some of the roles listed above are completely new to me, so this has been very helpful. Additionally, this resource also lists basic skills you will acquire from getting your master’s in nursing. Arguably, my favorite part of this resource is that it not only informs you of benefits of becoming a master’s prepared nurse, but it also lists some possible drawbacks of being a master’s prepared nurse (New England Institute of Technology, 2020).

A negative thing I can say about this resource is that is does not go into great detail about each role, but it does give you a general understanding. I enjoy reading resources like this because it is interesting to see all of the roles that a nurse can pursue.

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References

New England Institute of Technology. (2020, September 11). What can you do with a masters in nursing in 2022? https://www.neit.edu/blog/what-can-you-do-with-masters-in-nursing

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I wanted to share this article regarding role of the Advanced Practice Registered Nurse (APRN), although the focus is more on public health. It is relevant to the current topic on health equity as one of the strategies discussed in this article is promoting more APRN to provide primary care in the communities

since they are particularly skilled in collaboration, partnership development, communication, system transformation, engaging across sectors, and other competencies needed for effective systems change to address health equity. (Bekemeier et al., 2021). It also enumerated APRN skills and competencies in relation to the roles they perform.

The COVID-19 pandemic has highlighted the need for nurse leaders who “embrace the interconnection” between medicine and public health. The inequitable impact of COVID-19 on people of color demonstrates the importance of applying expertise from nursing practice and public health systems to work with communities and other professions on complex health issues. (Bekemeier et al., 2021)

The nation needs more advanced practice nurses prepared for leadership roles focused on the health of whole populations, marginalized communities, and the systems and policies that promote their health. APRNs bring into their practice nursing’s relationship-focused and holistic view of health, competencies like analytic assessment, policy development, program planning, communication, cultural humility, financial planning and management, and leadership. (Bekemeier et al., 2021)

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role? References:

Bekemeier, B., Kuehnert, P., Zahner, S., Johnson, K., Kaneshiro, J., Swider, S. (2021) A critical gap: Advanced practice nurses focused on the public’s health, Nursing Outlook, 69 (5), 865-874, https://doi.org/10.1016/j.outlook.2021.03.023.

As a clinical team manager, I had 6 home health aides on my team. There was one young lady that was not communicating with the office, not getting her charting done, and not putting in her time card hours. My upper management was pushing me to continue the process of writing her up. The manager who was previously over her had started the process before I took over and was one write-up away from being able to fire her. Because I knew this girl was a kind, compassionate caregiver, and had heard from several families how wonderful she was, I wanted to see what I could do to not have to go that route. I called her in to my office one day, and as soon as I started asking her questions, she broke down and started to cry. She is a single Filipino lady, and she told me that she was pregnant and could not tell her family. When I asked about the father of the baby she said that he had forced himself on her and is not involved, another reason for her shame. She said that she had been very sick and unable to keep up with her expectations for her job. I spent time listening to her, showing interest in her culture, we discussed her religious beliefs, she is Catholic, and felt that she could not discuss her situation with her priest. All I could do is listen and provide her a safe place to talk openly, which seemed to help some. I was unable to change her situation, or even advise her, but I was able to advocate with my manager for her to take a personal leave of 30 days. She was able to make decisions, talk with her family. She came back to work with a more positive outlook, and she has since had a son. She remains a hard-working, compassionate part of the team, and her family helps her with child care. You just never know what is going on with a person until you show some interest, and listen. I’ll take that memory into my nursing, and as a nurse educator, I’ll always take the time to listen to my students, especially if one of them appears to be struggling.