I am pursuing admission into the BSN-DNP program at Samford University to broaden my scope of practice and take on a more complex role in patient care. I am certain that I have the drive and passion to succeed at Samford, where the commitment to academics and nursing parallels my own. I have always enjoyed the educational process and feel confident in my abilities to advance into a position of diagnostics, disease prevention, and health promotion. During my preceptorship at the Princeton emergency department, patients often exhibited symptoms of chest pain, extremely high blood pressure, and shortness of breath. These patients resonated with me because education and access to health care could have reduced their chances of a serious medical
Nursing, as a crucial part of the health care system, keeps evolving while dealing with an increasingly complex clinical situation that involves quality of patient care. Therefore, to successfully handle these scenarios, nursing needs to become more advanced, clinically and academically. A DNP degree is needed in this situation because according to Dunbar- Jacob, Navito & Khalil (2013), a DNP degree is considered to have more impact on nursing than a Master’s or Bachelor’s degree due to the advanced clinical education a DNP provides (p. 425). Hence, the DNP degree has an enormous impact in nursing practice especially in terms of improving clinical care, promoting leadership roles, and improving educational status.
I am delighted in my career as a professional nurse and seeking the Doctor of Nursing Practice (DNP) gives me the opportunity to expand my knowledge base in order to practice at a higher level, and obtain the terminal degree in my profession. My goal is to become an adult nurse practitioner, with primary focus to improve the practice of nursing. The Doctor of Nursing Practice will equip me with knowledge and skills needed to understand and appreciate research and facilitate the process of putting evidence into practice, with the overall goal of achieving improve patient safety, satisfaction and outcomes. The Doctor of Nursing Practice will enable me to assume more leadership role, in practice and in research. I should be able to participate in research and formulate nursing models guided by evidence based practice models of care. Having practiced as a professional nurse for five years, obtaining the Doctor of Nursing Practice gives me the opportunity to foster my professional growth and development.
As with this recommendation and throughout the entire paper, the DNP Essentials provide a foundation to guide the knowledge development for these recommendations. DNP practice-scholarship is validated when the principles of nursing scholarship are combined with the eight DNP Essentials to prepare a graduate capable of improving health and care outcomes. Integrating new or developed skills can improve outcomes through organizational leadership, quality improvement processes, and translation of evidence into practice, to name a
The nurse practitioner (NP) is a registered nurse with graduate education and advanced clinical training. The NP has acquired knowledge and clinical skills to diagnose and treat illness, and provide individualized, evidence-based care to a particular population (Chism, 2013). Throughout the past decades, the responsibilities of the NP have expanded and evolved due to the advances in healthcare. NPs are responsible for understanding the complex life process of patients and must integrate evidence-based research into clinical practice (American Association of Colleges of Nursing, 2006). NPs focus on meeting the current and the future health needs of the patient population. With the increase in the complexity of the healthcare system, the doctorate has become the preferred preparation for advanced nursing practice in order to improve the quality of care (AACN, 2006). The doctorate of nursing practice (DNP) is a terminal degree in nursing. It is designed to prepare individuals for specialized nursing practice (AACN, 2006). A significant foundation for the practice of a DNP is the “Essentials of Doctoral Education for Advanced Nursing Practice” (AACN, 2006).
How you think what you will learn in this class (NUR 654) might impact your practice as an advanced practice nurse (CRNA) with a practice doctorate (DNP).
The term “failure to rescue” refers to a clinical scenario where hospital doctors, nurses, or caregivers fail to recognize symptoms. Responders do not respond adequately to clinical signs that would prevent harm (Morse, 2008, p.2). Dr. Jeffery H. Silber, Director of the Center for Health Outcomes and Policy Research, first coined the term “failure to rescue” in the 1990’s. He characterized the matrix of institutional and individual errors that contribute to patient deaths as “failure to rescue” (Aleccia, 2008). Since 1990, it has been well documented patients usually exhibit signs and symptoms of impending cardiac or respiratory arrest 6-8 hours before an arrest (Schein, Hazday, Pena, Ruben, & Spring, 1990). Buist, Bernard, Nguyen, Moore, and Anderson’s (2004) research reported similar findings. They found patients had documented clinically abnormal signs and symptom prior to arrest (Buist, et al., 2004). When certain abnormal signs and symptoms are identified early, critical bedside consultat...
The Doctorate of Nursing (DNP) degree like the Doctor of Philosophy (PhD) degree was created to prepare nurse scholars. Both of these programs focus on research methodology and require a research project. However, the DNP curriculum design is practice-focused while the PhD has a research-focused. To expand the practice of nursing, there is a need to continually create practice experts, nurse scientist, and leadership. As in other disciplines, the educational component must be designed to support the specialization of the discipline. The DNP programs have two components that guide the student to achieve their highest potential of competencies (Slyer & Levin, 2012). The first component of the program is the DNP Essentials which outlines
What led me to nursing in the beginning was having a passion for people. I love the holistic approach and level of care that nurses bring to the literal bedside table. I knew throughout nursing school that I wanted to advance my education further than bedside nursing. I debated on whether to pursue a master’s degree in nursing and just become a nurse practitioner, but ultimately, I knew I wanted to advance my education even further to help make and promote changes in healthcare. By choosing to become a doctorally prepared nurse practitioner, I hope to change the stigma that is attached with being “just a nurse” and show that nurses play a vital role in redesigning
University of Virginia is my sole choice for scholastic development. In my capacity as a frontline nurse, I have laid the foundation for the focus of my research interests and feel that my performance, initiative, and dedication to my patients are genuine evidence of my ability to perform competently and enthusiastically in an academic research setting. I hope that with this degree I can incorporate DNP essentials in my practice and make a difference by focusing on patient experience. No other field could ever provide me with personal and professional satisfaction and I look forward with great purpose to contributing much more. Thank you for your time and
In 1990, my aunt Ann started experiencing heart-problems. My family was very close to Ann because she lived only a block away. Aunt Ann would walk over to our house everyday for a visit. During this particular summer, Ann noticed that she was becoming increasingly out of breath from just the short walk. The entire family strongly urged that she see a doctor as soon as possible.
The treatment priorities of the registered nurse upon admission to the emergency department are as follows; within the first 10 minutes of Mr. Bronson’s arrival to the emergency department begin a 12 lead ECG. Assess Mr. Bronson’s vitals heart rate, blood pressure, respiratory rate, oxygen saturation, and administer oxygen 2-4 liters via nasal cannula (Sen, B., McNab, A., & Burdess, C., 2009, p. 19). Assess any pre hospital medications, and if he has done cocaine in the last 24 hours. At this time, the nurse should assess Mr. Bronson’s pain quality, location, duration, radiation, and intensity. Timing of onset of current episode that brought him to the emergency room, any precipitating factors, and what relieves his chest pain.
This reflection paper is divided into five main sections. The first section gives a general introduction of internship that I was doing during my internship period. The second section provides an overview of the internship practice and tasks that I was assigned to do. The third section is about the office technologies I used during the internship. The fourth section is about the benefits of the RCBC Paralegal Program courses taken as applied to the work that I performed. The final section is devoted to the knowledge and experience that I gained during the course of internship.
This is a matter of pleasure for me to acknowledge my deep sense of gratitude to University Sains of Malaysia for giving me an opportunity to explore my abilities via this internship programme. I would like to express my sincere gratitude to my academic supervisor, Dr. Amirul Shah for their valuable guidance and advice in completing this internship.
Educating the public to recognize the signs and dangers of myocardial infarctions could lead to earlier interventions and prevent life endangering delays. Furthermore, the ability to afford medical procedures is a huge barrier for many of the patients. As a result, life threatening delays often occurred because of considerations for the cost of the procedures. It became clear that meeting the health needs of the public took more than education; it would also take an interdisciplinary effort to eliminate health inequities resulting from disparities in income, social status, education, employment, social and physical work environments. However, all I had were raw ideas. It was clear to me that I would need the formalization of a public health education to obtain the skills needed to actualize my
The quarter has finally come to an end, and with that, I close out my internship and this class that went along with it. It was a great experience and I leave equipped with a new set of skills that are preparing me for the world ahead. As I write this reflection paper, I think back to the very first week when I set up two goals for myself to focus on and hope to achieve throughout the following weeks. My first goal was to develop a better understanding of myself within the work place, and my second was to develop a strong network to jumpstart my career. Both of my goals were achieved, however, I don’t feel that either of my goals will ever be complete. I believe that you can always formulate a better understanding of yourself, and you can always network to develop a stronger tree of connections. I know for a fact, however, that I reached satisfaction with both of my goals at this internship at MKI and know whole-heartedly that I did everything in my power to exhaust my resources in