NSG5000 Full Course Latest 2019 January (NO Week 4 Project) Question # 00599200 Course Code : NSG5000 Subject: Health Care Due on: 03/08/2019 Posted On: 03/08/2019 11:07 AM Tutorials: 1 Rating: 4.7/5

NSG5000
Role of the Advanced Practice Nurse

Week 1
Discussion

AP Role

How well do you know your future role in advance practice?

The elevator door opens; you step on and find yourself face
to face with a known skeptical colleague, who inquires “what are you doing in
your profession”? It’s your chance to share, define and possible persuade this
person about your chosen role of nursing in advance practice. You have 10
floors, roughly 90 seconds to make an impression. Draft an “Elevator Speech”
(approximately 300 words) reflecting the conversation about your future role in
your program of study. In three detailed
paragraphs, address why you have chosen this role (your passion) and define
steps to ascertain the role including certification criteria and how the role
will impact patient outcomes (how you will make a difference).

Support your work with evidence based research. For example,
in conversation you tell the person A recent study by Taylor in 2016 showed
that NPs were efficient as MDs at treating primary care problems. (Reference at
the end) Respond to at least two of your cohorts, faculty and continue the
dialogue with those that responded to your initial post. Use references in your
responses.

NSG5000
Role of the Advanced Practice Nurse

Week 2
Discussion

Discussion Questions

Faculty will assign you either DQ 1 or DQ 2. Please answer
all parts of the DQ.

Discussion Question Response: By, post your complete
response to one of the discussion questions in the appropriate threads in the
Discussion Area by due date assigned.

Participation Responses: No later than the due date
assigned, review and comment on the discussion question responses posted by at
least two of your peers and faculty. Continue to monitor your question and
responses until the end of the week.

Guidelines: Support your responses with scholarly academic
references using APA style format. Assigned course readings and online library
resources are preferred. Weekly lecture notes are designed as overviews to the
topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive
response that illustrates a well-reasoned and thoughtful response; is factually
correct with relevant scholarly citations, references, and examples that
demonstrate a clear connection to the readings.

In your participation responses to your peers, comments must
demonstrate thorough analysis of postings and extend meaningful discussion by
building on previous postings.

Discussion Question 1

Answer the following:

Coaching and
mentoring should be a core competency of nurses prepared at the graduate level.
Do you agree or disagree with this statement? Defend your response.

Based on your
graduate specialization, identify one coaching activity that you can do in this
advanced practice role. What strategies would you employ for this activity?

Describe one
mentoring activity you might complete with a mentor that would help you to
acclimate to your new advance practice role. Should this activity be structured
or unstructured?

Discussion Question 2

Consultation is a core competency of graduate nursing.
Answer the following:

Differentiate
consultation from supervision?

Are consultation
and collaboration synonymous? Defend your response.

Give an example on
how you have seen the consultation competency practiced in your current nursing
area. Explain if the practice followed the graduate competency criteria.

NSG5000
Role of the Advanced Practice Nurse

Week 3
Discussion

Ethical Dilemma

Faculty will lead the discussion by posting first.

After reviewing The Invisible Patients documentary,
define/describe in detail an ethical dilemma that was experienced by the NP.
Please note, there are several ethical issues, so there should be diversity in
the responses. Explain how you would
have handled the situation.

How is the NP in the documentary a Disruptive Innovator?

Discuss if there is a relationship between your personal
beliefs and values and this ethical dilemma/barrier.

Describe at least one mechanism to overcome the barrier
discussed.

Examine the potential cost and benefits to this barrier.

Remember there is no right or wrong answer for this ethical
question. Suggested reference Look at the Nuremburg Code (US Department of
Health & Human Services, 2005; Washington, 2012) as it was the major start
of ethics in research and that can carry over to nursing practice.

US Department of Health & Human Services. (2005). The
Nuremberg code.

Retrieved from
http://www.hhs.gov/ohrp/archive/nurcode.html

Note: Review South University’s Online Participation Policy,
Helpful Tips, and Late Work Guidelines available by clicking on the South
University Policy and Guidelines navigation tab under Course Home. The late
policy applies to late discussion question responses.

NSG5000
Role of the Advanced Practice Nurse

Week 4
Discussion

Health Policy: Reimbursement of NPs

Faculty will assign students one DQ and lead the discussion.
Please post your original post by Day 2, and respond by Day 6 to at least 2 of
your cohorts opposite question. Continue to respond to the cohorts and faculty
in your original thread until the last day of the week. Follow the rubric
criteria ( see below)

DQ 1 For this question, conduct an Internet search and
produce at least one research article ( study design must be discussed)
addressing one or more of the concepts noted.

How does APN practice demonstrate cost-effectiveness,
reduction in errors and misuse or overuse of services?

DQ 2 For this question, conduct an Internet search (
including the online library as well as specialty organizations) and address
the following questions relative to the Nurse Informaticists:

When would you consult with the nurse informaticists?

What role does the nurse informaticists play in primary
care?

What qualifications and credentialing are held by nurse
informaticists?

Suggested URLs to
assist you in answering this DQ:

American Nursing Informatics Association, the NI Community
of HIMSS , the Alliance for Nursing Informatics or the Nursing Informatics
Special Interest Group of the American Medical Informatics Association.

NSG5000
Role of the Advanced Practice Nurse

Week 5
Discussion

Faculty will lead the discussion by posting initially.

Discussion Question Response: By the due date assigned, post
your complete response to one of the discussion questions in the appropriate
threads in the Discussion Area.

Participation Responses: No later than the end of the week,
review and comment on the discussion question responses posted by at least two
of your peers and your faculty.

Guidelines: Support your responses with scholarly academic
references using APA style format. Assigned course readings and online library
resources are preferred. Weekly lecture notes are designed as overviews to the
topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive
response that illustrates a well-reasoned and thoughtful response; is factually
correct with relevant scholarly citations, references, and examples that
demonstrate a clear connection to the readings.

In your participation responses to your peers, comments must
demonstrate thorough analysis of postings and extend meaningful discussion by
building on previous postings

Discussion Question

Considering your role specialization (nurse educator, nurse
informatics, nurse administrator, and family or adult-gerontology NP), identify
the top three current trends or issues that you believe to be most important
with regard to your chosen role and the impact the role has one patient
outcomes. Synthesize knowledge from values theory, ethics and legal regulatory
statutes, and develop your personal philosophy for a career as an advanced practice
nurse in DQ1.Incorporate the content of Week 5 ( audio-visuals) .

NSG5000
Role of the Advanced Practice Nurse

Week 1 Project

Instructions

Based on your selected MSN program, write your first section
of your ROLE paper using the following criteria:

For this assignment, you will research an advanced nursing
practice role and summarize your findings in a 3- to 5-page paper (excluding
the title page and references):

Focusing on the specialty for which you were admitted to
South University, select an advanced nursing role to research. (It must be one
offered by South University.)

Distinguish the role as clinical or non-clinical and how it
promotes patient outcomes, ie safety, access to health care or health
information relative to the ANP level

Apply an Advance Nursing Practice Concept to your chosen
role

Develop a minimum of
ten questions that you would like to ask the advance practice clinician or
non-clinician that you have chosen to interview. Identify in the paper the individual by name,
credentials, position and your planned date for the interview (Interview is due
Week 3)

Support your findings with at least two research articles
(study, design, sample and results must be discussed). Other peer reviewed
articles that are non-research and nursing organization websites may be used.
All articles must be current (not more than five years old, unless it is a
hallmark reference; ieAmerican Association of College of Nursing. (2010)).

Format your paper, citations, and references using correct
APA Style.

NSG5000
Role of the Advanced Practice Nurse

Week 2 Project

Group Project

This week you will be assigned to a group and be given a
domain to develop/discuss applying all or some of the 7 core competencies.
Group members need to assume AP roles (clinical and non-clinical) either by
volunteering or being assigned by the group leader. A group leader must be
decided and may be a nurse manager/nurse administrator, CNS, NP (maybe more
than one and from different specialties), NI, and NE.CNLs and RNs may be also
be part of the group scenario. All members are expected to demonstrate
leadership knowledge and skills, but also must be willing to follow.Each group
will demonstrate the core competencies and principals of transformational
leadership in the group work. (See rubric).To ensure understanding of
leadership styles, each group member will discover their own professional
leadership style by an individual self-assessment online.Assignments and
responsibilities should be equally assumed by group members. The final evidence
of the group work will be power point presentation that discusses the scenario
addressing the assigned domain, the roles and the outcomes. Please note that
although a group project, individual grading rubric will be used to determine
individual grades.(See below).

The master’s prepared nurse demonstrates leadership in the
four domains: the profession of nursing, clinical practice arena, health policy
arena, and systems level. The impact could be found in health promotion,
disease prevention/management, quality improvement and/or within management of
a health system. In order to complete this assignment, each group member will
complete anassessmentabout your leadership style and post to the group area
their leadership style.

These are:

Cherry, K. (2016). What’s Your Leadership Style? Learn more
about your strengths and weaknesses as a leader.

How to Become a Better Leader

In conclusive remarks, search and agree upon a quotation
from a library article related to leadership in an advanced nursing role and include
with how it applied to your clinical decision/management issue of your assigned
domain. Leadership journals from SOU Library areThe Journal of Nursing
Scholarship or Nursing Leadership Forum or the American Journal of Nursing,
Journal of Nursing Administration, Nursing Administration Quarterly, Nursing
Management or Health Care Management Review

Group Topics:

Domains: Health Promotion, disease prevention, quality
improvement and health systems

Health Promotion: Healthy People 2020 have identified Metabolic
Syndrome as a major health concern. Sara, lives and works as an A/GNP in rural
America. Several local faith organizations have asked if she can organize a
Health Fair that will address health promotion, specifically DM. What AP roles,
core competencies and support are needed to make this happen?

Disease Prevention: Obesity in school age children is a
significant problem. Melissa, a former elementary school teacher, is a new CNL
who has recently joined her state nursing associationand is passionate about
the 30% or more of the students being over-weight. The local nursing
association is looking for a community project to address disease prevention.
Melissa has approached the officers with her concern. What AP roles, core
competencies and support are needed to make this happen?

Quality Improvement:Nancy, FNP, is the clinical director of
a nurse managed health center that is connected to a School of Nursing. The
center’s staff members includes of all advance practice nurse providers, a
nurse educator, a nursing informaticists, 2 RNs, and paraprofessional staff.
The team wants to determine patient satisfaction and capture data on patient
experiences both for QI and as a learning experience for students studying
nursing. What AP roles, core competencies and support are needed to make this
happen?

Health Systems: Daniel, a DNP prepared ED NP identified that
patients seen in the ED for various reasons had undiagnosed HTN. He observed
that the patient’s chief compliant was well addressed but the HTN was not. He
has approached the hospital system about the problem and suggested an
outpatient clinic adjacent to the ED to address the HTN and other
coincidentally found problems. What AP roles, core competencies and support are
needed to make this happen

NSG5000 Role
of the Advanced Practice Nurse

Week 3 Project

Professional Practice Paper

Based on the AP role of the person that you interviewed in
W1 Project, in a 3- to 5-page paper (excluding the title page, references, and
appendices) describe the role, the type of organization, and address all the
interview questions, and include:

List the type of organization. For example: Primary care
office, ED, Specialty, cardiology GI etc.

List the type of and how many clients it serves. FP would
see all ages. Research in your area the number of visits in a local office per
year or # of visits seen local ED, specialty office etc.

the professional fit for advanced nursing role.
“Fit” refers to the Qualifications in order to be an AP provider at
that agency/organization. What license, credentialing (accrediting agency, and
other expectations NPI, CMS)?

Include a brief job description

Discuss board of nursing NPA or scope of practice of the
state. Include what the NPA in the state allows and restrictions.

Submission Details:

Submit your document to the Submissions Area by the due date
assigned.

NSG5000
Role of the Advanced Practice Nurse

Week 4 Project

Health Policy Group Project

Work with your assigned group and assigned question.
Identify the historical perspective, current issues/ problems (include
regulations), and what is currently being done to change or improve. Students will be graded as a group.

Please demonstrate engagement within group work.

Review the literature and address one of the following:

FNP/AGNP:Your group has been asked to present a poster on
Practice Authority. Develop a power point poster template ofall statesauthority
to practice for APRNS.Three categories must be address, unrestricted, limited
or strict restrictions. Develop a comprehensive list and specificsof each state
regulation. Please address questions below and conclude with the group’s
position on thediversity in regulation and what should be done to change it.
Medicare reimbursement for NPs is 85% for the same health care that MDs receive
at 100% reimbursement? Please address questions below and state your position
on this mandate.

Nurse Executive: Your group has been asked to present a
disposition “white” paper on Value Based Care. What is value based care and how
will it impact decisions made at the executive level relative to patient
outcomes, reimbursement, nursing care and AP nursing? Please address and state
the group’s position on the regulation.

Nurse Informaticists:Your group has been assigned to
determine the impact the role of the NI has on patient outcomes. Select a topic
from Ch 24 ( Hamric). What law(s) was enacted to regulate health information?
Please address questions below and the position on this regulation in a
narrative format.

Nurse Educator:Your group has been assigned to explore the
competencies of a nurse educator. Your group will debate the preparation of
DNPs versus PhD as nurse educators, stating the pros and cons of each preparation
and include what agencies regulate nurse education. You will develop a
comparison and contrast table and a narrative to explain.

For the above
assignment, use the following guide:

Describe the current policy/status, which organization
regulates and determine if it needs to change; if opposed to change, state why.

Provide the process required to make the change with key
players and parties of interest; identify the groups who are opposed

Explain how AP roles (which ones) could lead the effort to
make or influence the change in policy or keep the policy the same and the
impact in healthcare quality.

Demonstrate group cohesiveness

NSG5000
Role of the Advanced Practice Nurse

Week 5 Project

Instructions

Overview/Description of Final Paper: The final written
assignment will synthesize what you have discovered about the different
advanced practice roles and scope of practice found in the master of nursing
curriculum: APRNs, nurse educator, nurse informaticist, and nurse
administrator/executive. You will review all roles and then examine the
specialty for which you were admitted, focusing on the scope of practice, core
competencies, certification requirements, and legal aspects of practice for
that specific role. You will also identify the practice environment and
population you will be working with, as well as peers and colleagues. In
addition, you will discuss your future leadership role and participation in
professional organizations.

Your paper is to be based on current literature, standards
of practice, core competencies, and certification bodies for your chosen role.
The paper should be 8-10 pages excluding the title and reference pages, and APA
format is required.

Criteria:

Advanced Practice Roles in Nursing:

Briefly define advance nursing practice and the roles in
advanced practice nursing pertaining to clinical practice, primary care,
education, administration, and health information. Distinguish between ANP and
the APN.

Describe the advance nursing practice role you aspire and
briefly share the experiences and/or qualities you have that have influenced
your decision. Include your personal philosophy.

Selected Advanced Practice Role:

Identify the AP you interviewed and summarize the interview,
which should/may include (if not in the interview, please address):

Examine regulatory and legal requirements for the state in
which you plan to practice/work.

Describe the professional organizations available for
membership based on your selected role.

Identify required competencies (domains), including certification
requirements for your selected role.

Describe the organization and setting, population, and
colleagues with whom you plan to work.

Leadership Attributes of the Advanced Practice Role:

Determine your leadership style

Define Transformational Leadership and as it relates to your
identified leadership attributes that you possess or need to develop

Apply the leadership style you will embrace in AP to one of
the domains

Health Policy and the Advanced Practice Role

Based on your program of study, review the literature and
address the following:

FNP/AGNP:Medicare reimbursement for NPs is 85%for the same
health care that MDs receive at 100% reimbursement? Please address questions
below and state your position on this mandate.

FNP/AGNP:What states have NP Full Practice Authority and
which states have limitations or restrictions? How does this apply to your
state? Please address questions below and state your position on this
regulation.

Nurse Executive: What is value based care and how will it
impact decisions made at the executive level relative to nursing and AP
nursing? Please address and state your position on the regulation.

Nurse Informaticists:What law(s) was enacted to regulate
health information? Please address questions below and state your position on this
regulation.

Nurse Educator:What agency regulates nursing education? Explain in detail.

For the above category chosen, address the following:

Describe the current policy or trends and determine if it
needs to change; if opposed to change state why

Provide the process required to make the change with key
players and parties of interest; support opposition

Explain how you could lead the effort to make or influence
the change in policy or keep the policy the same and the impact in healthcare
quality.

Conclusion-Summarize your role paper by highlighting key
points made in your paper.

NSG5000
Role of the Advanced Practice Nurse

Week 2
Knowledge Check

Question 1

Sallie, is an experienced Nurse Practitioner, who practices
autonomously in a rural clinic. She regularly precepts students and guest
lectures to several graduate NP programs, writes weekly newspaper columns on
prevention and health promotion and works closely with her legislature on
health care policies and bills that would ensure access to care and promote
patient outcomes. Sallie’s work is best described by which of the Advance
Practice Nurse competencies?

Question 1 options:

Collaboration

Consultation

Leadership

Coaching

Next Page

Question 2

The nurse in an advance practice role recognizes which
statement represents a major benefit to a medical team when team members
effectively collaborate and communicate?

Question 2 options:

When collaborating well, team members will be better
informed with shared information, they will be better able to treat patients,
and public perception of positive collaboration will help with building
community trust.

Team members will experience less stress, which will create
a more peaceful work environment.

The provider will reduce costs by being able to have fewer staff
training sessions.

With time-saving through collaboration, shift demands on
nursing could decrease.

Question 3

The nurse in advance practice understands which changes in
American health care have contributed to a movement toward wellness, rather than
illness management?

Question 3 options:

The provision of “boutique” health services, such
as yoga and other non-traditional practices, has been a major influence on
wellness promotion

Reduction in costs of health services (largely influenced by
the Affordable Care Act) and a cultural value shift toward health maintenance
contributed to the increased attention on wellness rather than illness.

A major decrease in pain medication treatment and overall
high costs of health care have caused many Americans to turn to wellness
practices, like daily exercise routines

Most employers now offer wellness programs for employees and
often even provide financial benefits if employees use them regularly

Question 4

The advance practice nurse suspects that her patient is a
victim of domestic violence but the patient denies. The two options wage the
decision to confront with the decision to preserve the patient-provider
relationship. This is considered:

Question 4 options:

Moral Distress

Moral Uncertainty

Moral Dilemma

Moral Distraction

Question 5

After a few nurses have raised operational concerns about
your inpatient clinic’s medication management and administration processes, as
the nurse manager, the nurse executive asks you to provide recommendations on
improving the system. Which of the following reflects transformational
leadership in the most suitable best practices?

Question 5 options:

Remember to ask the patient to double-check the names and
dosages of medication before taking. A checklist can be posted in each patient’s
room

Offer to complete a thorough audit of errors and provide
one-on-one training to employees with the most errors in recording patient
data.

The department is polled on ways to reduce medication errors
and unanimously the nurses suggest moving all medical data to an electronic
system and using bar-coding on medications. They develop evaluative standards
to ensure continuously prioritization of patient safety.

An external review team s assigned to perform a needs
assessment on recent medical errors and provide a report. They can be asked to
return on an annual basis to evaluate compliance to their guidelines.

NSG5000
Role of the Advanced Practice Nurse

Week 3
Knowledge Check

Question 1 (1 point)

A Nurse Practitioner has an upcoming interview with a
hospital. What is the most essential step for him or her to take to prepare?

Question 1 options:

The NP should review readings from previous courses and
examine updated publications from professional organizations.

The NP should reach out to current employees of the hospital
in her network to request tips for succeeding during the interview.

The NP should make sure to locate appropriate dress and
proof of identification to bring to the interview

The NP should gather information about the hospital’s services
and patient population to assess whether they are a good fit or not and
demonstrate basic organizational knowledge.

Question 1 (1 point)

A Nurse Practitioner has an upcoming interview with a
hospital. What is the most essential step for him or her to take to prepare?

Question 1 options:

The NP should review readings from previous courses and
examine updated publications from professional organizations.

The NP should reach out to current employees of the hospital
in her network to request tips for succeeding during the interview.

The NP should make sure to locate appropriate dress and
proof of identification to bring to the interview

The NP should gather information about the hospital’s
services and patient population to assess whether they are a good fit or not
and demonstrate basic organizational knowledge.

Question 3

Which instance represents appropriate patient-centered
consultation between a Nurse Practitioner and a physician from another
practice?

Question 3 options:

The NP might seek a second opinion to confirm a diagnosis or
proper treatment, especially if he or she has limited experience with the
presented health issue.

The NP may need assistance in writing prescriptions for
certain narcotic drugs, depending on current compliance regulations.

The NP might be seeking access to additional clinical
studies not available in his or her practice

The NP might consult with the physician in order to network
for future job prospects.

Question 4

The nurse practitioner has been assigned as a team leader on
a project with physicians, physical therapists, and psychologist. Which of the
following scenarios illustrates barriers to effective collaboration with a
role-diverse medical team?

Question 4 options:

The Nurse Practitioner has difficulty contacting certain key
members of the team and is concerned that he or she may be “stepping on
toes” due to blurring of responsibilities.

Nurse Practitioners tend to have difficulty achieving a
leadership role in a role-diverse team.

The Nurse Practitioner cannot find time to prioritize
collaboration with team members in other departments

A role-diverse team may have difficulties in speaking a
common medical language to discuss goals.

Question 5

What is one major reason that registered nurses face
stressors in the transition to the role of Nurse Practitioner?

Question 5 options:

The NP may want to work in a more private work environment
than the public health sector

The NP may be confused about the roles’ distinctions, with
the added stress of new curriculum and peers.

The NP may be confused about who his or her supervisor is in
this transition.

The NP may dislike his or her new location of work and look
for a clinic that is comparable to his or her former place of work.

NSG5000
Role of the Advanced Practice Nurse

Week 4
Knowledge Check

Question 1

How can a nurse executive/nurse administrator (NE/NA) help
his or her team become more motivated, collaborative, and focused on common
goals?

Question 1 options:

The NE/NA should give the team
space and time to create group cohesion on their own.

The NE/NA should assign training
with an emphasis on personal reflection and goal-setting.

The NE/NA should have a private
discussion with each team member to ensure they enjoy the company of their
fellow staff.

The
NE/NA should provide a vision for his or her team to serve as a guide.

Question 2

Which of the following scenarios depicts an advance nurse
practicing with ethical integrity?

Question 2 options:

The APRN provides an additional
round of antibiotics to a patient who requests the second treatment after
running into the him/her in a public place

The APRN convinces a patient to
verbally consent to a mental health assessment after initially refusing.

The APRN utilizes the
prescription monitoring program to validate the patient’s request for narcotic
medication for pain and refuses to provide the prescription because the patient
had received the same medication 2 days before from another provider

The APRN trusts her request for a
benzodiazepine-class drug to relieve anxiety from a good friend and provides a
prescriptions.

Question 3

How is a Clinical Nurse Leader (CNL) different from a
Clinical Nurse Specialist (CNS)?

Question 3 options:

The CNL is often not considered
an advanced practice role like the CNS, though many practitioners disagree due
to its master’s degree requirement.

The CNL is often in a supervisory
role and frequently supervises the CNS role, especially in larger clinics and
hospitals.

The CNS has significantly less
patient face-to-face time than the CNL role and is oftentimes in charge of
hospital admi