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NR510
Week 1 Discussion 1,2 & 3 Latest 2017 March
dq 1Discussion Part One (graded)
Mary, a baccalaureate prepared registered
nurse, has been practicing for fifteen years. Throughout her nursing career,
she worked in pediatric, surgical, and emergency departments. She worked as a
floor nurse, charge nurse, and was recently offered a position as a nursing
supervisor. A stipulation for becoming a nursing supervisor is that Mary must
attain a Master of Health Administration degree within 2 years of accepting the
position. The offer prompted Mary to contemplate her career. She is interested
in returning to college, but she realized that she does not want to pursue
working in administration and away from patients. Mary decided to become an
Advanced Practice Nurse (APN). Mary knows that working as an APN will allow her
the opportunity to make a larger contribution to individuals, environment,
health, and nursing. She researched graduate nursing programs and discovered
that there are four roles of the APN. Mary must choose one role and apply to a
program, but she is unsure about the different roles and their individual
scopes of practice.

Discussion question:

How
would you decide? Develop apros and cons
listto assist Mary
in making her decision. Include each role of the APN on the list and be
certain to provide appropriate rationales and citations.

dq 2
Discussion Part Two (graded)
A clear definition for the various roles of
CNM, CNP, CNS, and CRNA has been convoluted by various state definitions that
confuse the roles and often obscure their intended meaning. Such state
definitions reveal further confusion with regard to role separation,
competency, emphasis, approach, and variation. This misunderstanding extends to
nurse educators, providers, reimbursement, and even the public. The lack of
clarity regarding initial role preparation versus current certification serves
to further frustrate accreditors, consumers, and employers alike.

Discussion question:

How does your state define the role and scope
of the CNP? Provide a correctly formatted citation for your reference resource.

dq 3
Discussion Part Three (graded)
Mary expressed that she wants to work directly
with patients. She is familiar with working in a large hospital system, and
prefers to remain in her current town when she graduates. She has considerable
clinical experience in pediatric, surgical, and emergency nursing.

Discussion question:

Based on Mary’s experience and interests,
which role would you choose for her, and why?

NR510
Week 2 Discussion 1,2 & 3 Latest 2017 March
dq 1
Discussion Part One (graded)
Mary, a registered nurse, decided that she
wants to become a CNP. She applied and was accepted to the Family Nurse
Practitioner program at Chamberlain College of Nursing. She received a course
curriculum which outlined the courses necessary to complete her degree. One of
the early courses in the program curriculum is NR-501 Theoretical Basis for
Advanced Nursing Practice.
You are a student colleague of Mary’s enrolled
in the same class. On the class Q&A discussion board, Mary posted, “I took
nursing theory classes fifteen years ago in my bachelor’s program. I don’t
understand why I need to take theory classes again.”
Discussion
Question:
How would you respond? Develop a logical response
to Mary’s post. Provide evidence to support your arguments.
dq 2
Discussion Part Two (graded)
Mary wrote, “All nursing theories are the same
and certainly there is no connection to APN practice.”
Discussion
Question:
How would you respond? Develop a logical
response to Mary’s post. Provide evidence to support your arguments.

dq 3
Discussion Part Three (graded)
The
following response on the discussion board was posted by the course instructor:
“The
advanced practice roles of CNM, CNP, CNS, and CRNA require an intensive set of
clinical skills, understandings, and integrative abilities that synthesize
advanced practice nursing knowledge.”
Discussion
Question:

What does the course instructor mean by “integrative abilities”? Provide
evidence to support your response.
NR510
Week 3 Discussion 1,2 & 3 Latest 2017 March
dq 1
Discussion Part One (graded)
You are
a Family Nurse Practitioner (FNP) employed as a contact employee 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. 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 in 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? Use logical reasoning and provide evidence based
rationales for your decisions. Keep in mind that your negotiation terms and
conditions must be within the legal scope of practice for an ANP.

dq 2Discussion Part Two (graded)
As
revenue generators, NPs must be aware of how their work contributes to the
overall revenue of the clinical practice. You see 20 patients per day on
average, and take call every third weekend. According to Buppert (2011), an NP
who sees 15 patients per day at $56 per patient visit, on average, brings in
$840 per day. Allowing 1 week off for continuing education, 1 week off for
illness, and 4 weeks off for vacation, this NP will bring in $193,200 a year,
potentially. However, not all bills are paid. With a 90% collection rate—a
reasonable collection rate for an efficient practice—this NP actually will
bring in $173,800 per year. An NP who sees 24 patients per day will bring in
$1344 per day, or $309,120 per year in accounts receivable. With a 90%
collection rate, this NP will bring $278,208 to the practice (Buppert, 2011).
Discussion
Question:
In this scenario, what are you “worth” to the
practice? Use logical reasoning and provide evidence based rationales for your
decisions. Keep in mind that your negotiation terms and conditions must be
within the legal scope of practice for an ANP.
dq 3
Discussion Part Three (graded)
Establishing
a salary can be a challenge for NPs. Deducting 40% of the NP’s gross generated
income for overhead expenses (rent, benefits, continuing education, supplies,
malpractice, lab expenses, and depreciation of equipment) leaves $104,280 for
the 15-patient-per-day NP and $166,925 for the 24-patient-per-day NP. Further
deducting 15% of that figure to pay a physician for consultation services
leaves $88,638 in salary for the 15-patient-per-day NP and $141,887 in salary
for the 24-patient-per-day NP. Deducting 10% for employer profit leaves $79,775
in salary for the 15-patient-per-day NP and $127,699 for the 24-patient-per-day
NP (Buppert, 2011).
Discussion
Question:
What salary would you propose for the
contract renewal? Use logical reasoning and provide evidence based rationales
for your decisions. Keep in mind that your negotiation terms and conditions
must be within the legal scope of practice for an ANP.

NR510
Week 4 Discussion 1,2 & 3 Latest 2017 March
dq 1
Discussion Part One (graded)
You are
a Family Nurse Practitioneremployed 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 one 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 is your next logically sound course of action? Provide evidence to support
your response.

dq 2
Discussion Part Two (graded)
Upon
further investigation, you learn that Stephanie spoke with the patient and
called the medication into the patient’s pharmacy without consulting with a
provider. Stephanie claimed that the patient was insistent about needing a
prescription. Since Mrs. Smith was coming into the office the following week
for an appointment, she didn’t think you would mind if the patient received the
prescription early.
Discussion
Question:

What are the ethical-legal concerns associated with this situation? Provide
evidence to support your response.

dq 3
Discussion Part Three (graded)
Due to
the incident, you are concerned with office policies and procedure. Upon
investigation, you find there isn’t a policy in place to address non-urgent patient
requests for prescriptions.
Discussion
Question:

What quality improvement strategies might you implement as an APN in this
practice to safeguard your role and assure patient safety? Provide evidence to
support your response.

NR510
Week 5 Discussion 1,2 & 3 Latest 2017 March
dq 1
Discussion Part One (graded)
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 have heated
arguments with each other, sometimes in patient areas. Today, one of the back
office assistants didn’t come to work. Unfortunately, this pattern of behavior
is not unusual in this practice. Your clinical schedule is especially busy.
Working without appropriate office staff will negatively influence your ability
to spend time with patients, impede the flow of patients through the office,
and could impact patient safety.
Discussion
Question:

How should you logically respond in this situation? Provide rationales and
evidence to support your decisions.

dq 2
Discussion Part Two (graded)
Leadership
is not random. It is multifaceted and must be communicated as a stated plan to
effect a change. Organizational leaders provide a vision and move others toward
a common goal.
Discussion
Question:

In this scenario, what evidence-based organizational strategies and management skills
might you employ to resolve co-worker conflict? Provide evidence and rationales
to support your decisions.

dq 3
Discussion Part Three (graded)
According
to Buppert (2011), quality improvement and patient safety are inextricably
intertwined. A work environ­ment
that sup­ports teamwork and respect for other people is essential to promote
patient safety and quality of care. Unprofessional behavior is disruptive and
adversely impacts patient and staff satisfaction, the recruitment and retention
of healthcare professionals, communication, teamwork and undermines a culture
of safety. Unprofessional behavior is therefore unacceptable.
Discussion
Question:

How does teamwork increase patient safety? Provide evidence and rationales to
support your decisions.
NR510
Week 6 Discussion 1,2 & 3 Latest 2017 March
dq 1Discussion Part One (graded)
You
have completed your nurse practitioner education, likely one of the most
challenging tasks you have ever undertaken. Several of your graduated
colleagues live in different states, including California, Washington, and
Illinois. After a year of primary care practice in your respective states, you
get together for a reunion and share your practice perspectives. It is apparent
that your experiences are not equal.
Discussion
Question:
How do licensure, accreditation,
certification, and education (LACE) considerations differ for APN clinical
roles for these three states: California, Washington and Illinois? Provide
evidence for your response.

dq 2
Discussion Part Two (graded)
Inconsistent
regulation of APN role and scope prevent a seamless healthcare system in which
APN can practice.
Discussion
Question:

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

dq 3
Discussion Part Three (graded)
Once a
seamless entry into practice is achieved, it will become more likely that
independent practice will follow.
Discussion
Question:

Is independent NP practice allowed in your state? Discuss your opinion
regarding independent NP practice. Provide evidence for your response.
NR510
Week 7 Discussion 1,2 & 3 Latest 2017 March
dq 1
Discussion Part One (graded)
You are
attending a large continuing education conference for primary care providers.
In the audience are physicians, nurse practitioners, and physician assistants
from all over the country. Seated at your table are physicians and nurse
practitioners. Following the lecture on teamwork and interdisciplinary
collaboration, a debate ensues at your table. One physician stated:
I am
against nurse practitioners who want to take my job. There is a huge difference
in the two professions. Primary-care physicians receive extensive and diverse
medical education and clinical experience. The nurse practitioner should not
function as an independent healthcare provider…they should only function in
an integrated practice arrangement under the direction and responsible
supervision of a practicing, licensed physician.
Discussion
Question:

How would you respond to the physician’s statements? Use logical reasoning and
evidence from the literature to support your response.

dq 2
Discussion Part Two (graded)
A
fellow NP at the table responded:
An
increasing number of practices are scrapping the traditional one-on-one
doctor-patient relationship. Instead, patients are receiving care from a group
of health professionals who divide up responsibilities that once would have
largely been handled by the doctor in charge. While the supervising physician still
directly oversees patient care, other medical professionals—nurse
practitioners, physician assistants and clinical pharmacists—are performing
more functions. These include adjusting medication dosage, ensuring that
patients receive tests and helping them to manage chronic diseases.
Discussion
Question:

What are your thoughts on interprofessional collaboration? Provide evidence to
support your response.

dq 3
Discussion Part Three (graded)
The
Federal Trade Commission has weighed in on several state battles over scope of
practice, arguing that physician groups have no valid reason for blocking such
laws other than to thwart competition.
Discussion
Question:

How does “restraint of trade” apply to NP practice limitations? Provide
evidence for your response.

NR510
Week 8 Reflaction Latest 2017 March
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 #5, the MSN Essential IX, and the NP Core Competencies #2.
Program Outcome #5
Develop a plan for lifelong personal and professional growth
that integrates professional values regarding scholarship, service and global
engagement.
MSN Essential IX: Master’s-Level Nursing Practice
Recognizes that nursing practice, at the master’s level, is
broadly defined as any form of nursing intervention that influences healthcare
outcomes for individuals, populations, or systems. Master’s-level nursing
graduates must have an advanced level of understanding of nursing and relevant
sciences as well as the ability to integrate this knowledge into practice.
Nursing practice interventions include both direct and indirect care components.
NP Core Competencies
# 2 Leadership Competencies
1. Assumes complex and advanced leadership roles to initiate and
guide change.
2. Provides leadership to foster collaboration with multiple
stakeholders (e.g. patients, community,
integrated health care teams, and policy makers) to improve
health care.
3. Demonstrates leadership that uses critical and reflective
thinking.
4. Advocates for improved access, quality and cost effective
health care.
5. Advances practice through the development and implementation
of innovations incorporating principles of change.
6. Communicates practice knowledge effectively both orally and
in writing.
7. Participates in professional organizations and activities
that influence advanced practice nursing
and/or health outcomes of a population focus.

NR510 Week 3 APN
Leader Interview Project Latest 2017 March
Interview Suggestions and Tips
STEP1:Research,research,research. Thenresearchsomemore. The
onlywaytocome upwith goodquestionsis toknoweverything thereis toknowaboutyoursubject.
STEP2: Contactthe personyouwishto interview
.Askwhenagoodtimewouldbetodothe interview. Be
polite!Say”please”and”thankyou.”Trytosetuptheinterviewinperson.
If thisisn’t possible,thensetupaphoneinterview.
STEP3:Readoveryourresearchandbrainstormalistof 15questions.
Themorespecificyour questionsarethe better!Andneverask questions
thatcanbeansweredwithasimpleyesorno. Makeyourintervieweetalk!Besuretowriteall
yourquestionsdowninanotebook,thenpractice asking themwithapartner.
Becomeveryfamiliarwithyourquestionsbeforeyougointothe interview.
STEP4: Arrive preparedwith writing or recording materials. If
you plan to use a recording device, always ask permission before recording the
interview.Evenifyouarerecording aninterview,take notes
STEP5: Arriveatyourinterviewwithplenty of timetospare. Ifyou’ve
neverbeen tothe placewhereyourinterviewis taking place,goearlyandscoutitout.
Youcanalsousethetimeyouarewaiting tomake notes aboutthesurroundings.
Youwon’trememberdetailslater,sowritethem down.
STEP6: Conduct yourinterviewinanorganized,timelymanner. During
theinterview:Becourteous toyourinterviewee. Always
taketimetoaskforanexplanationaboutthingsyoudon’tunderstand. Don’t
beafraidofuncomfortablesilencesandpauses. Lettheinterviewtakeitsnatural course.
Lookthe personintheeyewhenasking questions. Alwayslistencarefullytotheanswers.
Eachanswer could leadtomore
questionsorincludeananswertoaquestionyouhaven’taskedyet. Don’taska
questionthathasalready beenanswered.
STEP7: Don’ttrytowriteeverywordsaid. Justtake downthe
highlights. After theinterview,whilethe detailsarestill
freshinyourmind,writeeverything downyoucanrememberaboutthe personyou
interviewee.Athome,expandyournotesbyfollowing upon
thingsyoulearnedinyourinterviewwithmoreresearch!
STEP8:Reviewyourresearchandyourinterview notes. Circle
orhighlightquotations thatyouthink will begoodforyourassignment.
Nowyou’rereadytobeginwriting!
Reference
Scholastic Inc. (2014).How to conduct an interview.
Retrieved from http://www.scholastic.com/teachers/lesson-plan/how-conduct
interview

NR510
Week 7 APN Professional Development Plan Latest 2017 March
APN Professional Development Plan
Guidelineswith Scoring Rubric
Purpose
The purpose of this application is to provide
the student an opportunity to explore the role of the advanced practice nurse
(APN) and develop an APNprofessional development plan.
Course Outcomes
Through this assignment, the student will
demonstrate the ability to:
CO1: Synthesize knowledge and concepts from
advanced practice nursing with supporting disciplines as a foundation for
APN/specialty nurse practitioner practice that is culturally competent and
population-specific (PO #1).
CO3:Assimilate primary care competencies into
APN/specialty nurse practitioner practice that exemplify professional values,
scholarship, service, and culturally competent global awareness and support
ongoing professional and personal development.(PO #5)
CO5: Contribute to the body of advanced
practice nursing knowledge through participation in systematic inquiry,
utilization of evidence-based practice, and dissemination of findings to
support high-quality care and healthcare innovation.(PO #9)
CO9: Evaluate strategies for contract
negotiation, CV/resume writing, credentialing, national board certification,
hospital privileges, and reimbursement (PO #8).
CO 10: Develop visionary leadership skills
that combine best evidence with nursing expertise to support quality
improvement, safety, and change across healthcare organizations and systems (PO
#1, 3, 8, and 9).
CO 11: Differentiate leadership strategies
that strengthen interprofessional collaboration and incorporate an ethic of
care, values, and ethical principles into the role of the nurse leader across
healthcare organizations and systems (PO #2, 4, 5, 6, and 7).
Due Date:Sunday 11:59 p.m. MT at the end of
Week7
Total Points Possible: 200
Requirements:
1. 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.
2. The APN Professional Development Plan paper
is worth 200 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.
3. Create your manuscript using Microsoft Word
2007 (a part of Microsoft Office 2007), which is the required format for all
Chamberlain College of Nursing documents. You can tell that the document is
saved as a MS Word 2007 document because it will end in “.docx”
4. Follow the directions and grading criteria
closely. Any questions about this paper may be posted under the Q & A
Forum.
5. The length of the paper is to be no less
than 6 and no greater than 8 pages excluding title page and reference pages.
6. 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):
a. Introduction to the APN professional
development plan
b. APN Scope of Practice
c. Personal Assessment
d. Networking and Marketing Strategies
e. Conclusion
Preparing the paper
The following are best practices for preparing
this paper:
1. Review Chapter 30- Role Transition:
Strategies for Success in the Marketplace in
DeNisco and Barker (2015).
2. 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.
3. ReviewGuidelines for APN Role Transition
Using Benner’s Self-Assessment Tool inCourse Resources. Prior to engaging in
pursuit for employment, APNs should complete a comprehensive, honest,
affirmative 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.
4. 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.
5. Write your Curriculum Vitae (CV). Refer to
the template on pages 772-773 in DeNisco and Barker (2015). Your CV should not
exceed 2 pages in length.
6. When concluding the paper, summarize
important aspects of the APN professional development plan.

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