Instructions

Final Paper 

Overview/Description: 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.

Category of Roles:

• 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.

Submission Details:

• Support your responses with examples.
• Cite any sources in APA format.
• Submit your document to the Submissions Area by the due date assigned.

 What advantages do women have in nursing? What advantages do men have in the profession? What are the risks of being gender exclusive?

Follow the discussion questions participation and submission guidelines.

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph. at least 350 words. 

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

(Note: The citations below are provided for your research convenience. You should always cross reference the current APA guide for correct styling of citations and references in your academic work.)

Read

• LoBiondo-Wood, G. & Haber, J. (2014).
  • Chapter 20

Online Materials & Resources

• Explore/View the website(s) below:
  • Prosci Inc. (2019). ADKAR Change Management Model overview | Prosci. https://www.prosci.com/adkar/adkar-model (Links to an external site.)
  • Barwick, M. (2014, July 9). Implementation of EBPs [Video file]. https://youtu.be/gciSmD0s5nwImplementation of EBPs (Links to an external site.)

Share an example from your nursing practice setting of how a decision was made to change a procedure or practice. What steps were used in the decision-making process? What evidence was considered for decision-making? Was the change effective? Provide rationale

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Your assignment will be graded according to the grading rubric.

  Describe what has changed about your nursing practice (currently psychiatric nurse in hospital) or thinking based on the knowledge gained from this course (NURSING ROLES).  Your response needs to be 2 paragraphs at least. No APA format required. Plagiarism free.

Nursing Book Title: Professional Nursing Practice: Concepts and Perspectives

Author(s): Blais K. K., & Haynes, J. (2016)

DUE 2/13/21 at 8PM

I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

Week 11 Discussion Post

There are special considerations when working with older adults, as the psychosocial developmental process can be both positive and negative. The positive is that later years allow time for personal growth and development that were difficult when work and family responsibilities were priorities (Wheeler, 2014). The negative is that family relationships begin to change, friendships change and losses occur. Retirement often means finding new meaning in life (Wheeler, 2014). 

During group therapy sessions with older adults, many of the members are diagnosed with depression. Depression is common among the elderly but is not a natural aspect of aging (Wheeler, 2014). Symptoms often include physical manifestations such as aches, pains, and gastrointestinal problems and cognitive symptoms such as changes in sleep, appetite, and use of pain medication (Wheeler, 2014). One of the main issues that have presented itself during our group sessions is participation resistance. Some of the elderly members are reluctant to share and are withdrawn. 

Techniques by the facilitator include a variety of ways to encourage participation. While this may seem silly, one of these techniques is to play Jenga. Each member of the group takes turns grabbing a wood piece from the stack without causing the stack to fall. Once they successfully grab a piece, the facilitator asks a question such as, “what is one of your greatest accomplishments” or “what is one stressor or situation you have overcome in your life”. This encourages participation without putting group members on the spot. This also promotes cohesiveness among group members as they’re working together toward a common goal. Other techniques by the facilitator include art therapy, worksheets, and vision boards. One challenge that may arise is members who blatantly refuse to participate. When this occurs, the facilitator should encourage participation without being forceful. For example, “Joe, we’d love to have you join us in this activity but we understand if you’re not feeling up to it today.” While strategies may vary, several studies have concluded that cognitive behavioral therapy is effective in older adults with depression (Krishna et al., 2012) (Krishna et al., 2010). 

References

Krishna, M., Honagodu, A., Rajendra, R., Sundarachar, R., Lane, S., & Lepping, P. (2012). A systematic review and meta-analysis of group psychotherapy for sub-clinical depression in older adults. International Journal of Geriatric Psychiatry, 28(9), 881–888. https://doi.org/10.1002/gps.3905

Krishna, M., Jauhari, A., Lepping, P., Turner, J., Crossley, D., & Krishnamoorthy, A. (2010). Is group psychotherapy effective in older adults with depression? a systematic review. International Journal of Geriatric Psychiatry, 26(4), 331–340. https://doi.org/10.1002/gps.2546

Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse (2nd ed.). Springer Publishing Company, LLC.