NR 510  Complete Week Project Essay Discussions Package

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NR 510  Complete Week Project Essay Discussions Package

NR 510  Complete Week Project Essay Discussions Package

NR 510  Week 1 Discussions Latest

Discussion 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 list to assist Mary in making her decision. Include each role of the APN on the list and be certain to provide appropriate rationales and citations.

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. Topic responses

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?

NR 510  Week 2 Discussions Latest

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.

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.

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.

NR 510  Week 3 Discussions Latest

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.

Discussion 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.

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.

NR 510  Week 4 Discussions Latest

Discussion Part One (graded)

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 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.

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.

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.

NR 510  Week 5 Discussions Latest

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.

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.

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.

NR 510  Week 6 Discussions Latest

Discussion 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.

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.

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.

NR 510  Week 7 Discussions Latest

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.

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 inter professional collaboration? Provide evidence to support your response.

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.

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