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NUR 605 Clinical Practice Immersion: Clinical Immersion Reflection Paper The Clinical Practice Immersion course provided an opportunity for focused clinical practice in APRNs level of practice. I was allowed to engage in a specific area of practice that was of my interest to experience practice in a new and challenging surrounding. The Clinical Immersion Reflection paper was to simply describe my clinical immersion topic selection, the development of the clinical immersion experience, and its’ relation to my portfolio theme on cardiac disease in women’s health. I decided to use my clinical immersion experience to further my knowledge of the APRNs role in the hospital-based setting. I had met many APRNs who worked in the hospital-based setting …show more content…
I employed effective communication and collaborative skills with the preoperative surgical nurse manager and nursing staff to address clinical barriers that prevent completion of PSSSP in cardiovascular surgical patients. I collaborated with interprofessionals to review practice guidelines and standards of care for PSSSP in cardiovascular surgical patients. I lead interprofessional teams in analysis of complex practice regarding SSIs in cardiovascular surgical patients and organizational issues that prevent PSSSP to be completed prior to patients being transferred to the …show more content…
I demonstrated clinical reasoning through an understanding of science while caring for geriatric patients. I determined the nature and significance of health problems in geriatric patients, which guided my development and evaluation of practice approaches while caring for these patients. My clinical evaluations completed by my clinical preceptor and site visitor are evidence that I demonstrated clinical reasoning during this mentored practicum experience. The mentored practicum experience of this course also met program outcome eight (DNP Essential VIII). I met this program outcome by spending 120 clinical hours with a defined specialty of the geriatric population. I conducted comprehensive and systematic assessments of the geriatric population’s health and illness parameters. I learned to develop and sustain therapeutic relationships with patients and partnerships with the long-term care nursing professionals to facilitate optimal geriatric patient health
The role of Advanced Practice Registered Nurses (APRN) in health care has been identified as a critical role in the goal to provide high-quality health care. APRNs have a bigger role to play in the health care system and it is important that students are provided with relevant and valuable knowledge as well as experience that improve their abilities. Achieving course objectives are critical for APRNs with the goal of contributing positively to the health care system. As a future APRN, I place high priority on life-long learning and the development of other people’s skill sets. All duties associated with health care require a dedication to excellence and selflessness. These are two components of learning that will improve the capabilities of
Role clarity and title confusion pose barriers to the amalgamation of advanced practice nursing roles. Colleagues and the public are unaware of the precise roles of the APN. Much of what the public knows about medicine is associated with a doctor, and the “doctor knows best” (Safriet, 2011). The public i...
The New England Journal of Medecine. A Controlled Trial of Inpatient and Outpatient Geriatric Evaluation and Management, 346, 905-912. Retrieved on November 8th, 2006 from http://content.nejm.org/cgi/content/full/346/12/905
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
The purpose of this paper is to describe how I visualize my future role as a mastered prepared nurse professional. The Association of American Medical Colleges estimates that by 2015 the nation will face a shortage of 62,100 physicians, 33,100 primary care practitioners and 29,000 other specialist. The nursing shortage evaporated during the recession, because many nurses returned to the workforce, but nurse practitioners remain a scarce resource in many areas (Expanding the Role of ANP Risk and reward). American Association of Retired Persons (AARP), a supporter of transforming health care to meet the challenges of an aging population and a shortage of primary care providers, agrees that advance practice registered nurses (APRNs), could provide seamless, accessible, affordable, and equitable quality care if they are utilized to the full extent of their education and training (AARP). In 2010, the Institute of Medicine published The Future of Nursing: Leading Change, Advancing Health, a report which offered an intensive examination of what the nursing profession is now and should become. It states that nursing is at the heart of patient care and is therefore crucial to changing the way health care is delivered so that patients receive care at a cost they can afford. Nurses are a linchpin for health reform and will be vital to implementing systemic changes in the delivery of care (AARP).
In order to better understand the role of an Advanced Practice Nurse (APN) and how the core competencies work in their role I conducted an interview with
The process of role development goes beyond networking and taking on a new role as an APN. According to Brykczynski’s study of clinical nurse specialists, role development involves a complete makeover of one’s professional identity and the ability to integrate the seven core advanced practice competencies.1 New graduate APNs go through phases during their transitioning period, from a registered nurse to an APN; these phases include orientation, frustration, implementation, integration, frozen, reorganization and complant.2
Anderson, A. R., & O’Grady, E. T. (2009). The Primary Care Nurse Practitioner. In A. B. Hamric, J. A. Spross, & C. M. Hanson (Eds.), Advanced Practice Nursing an Integrative Approach (4th ed., pp. 380-402). St. Louis MO: Saunders.
Providing clinical treatment, education, and empathy while involving the patient in their care achieves a win-win situation for all. I have adapted my practice to address the primary needs of each patient; education and treatment are modified to attain the best outcome for every client. Segueing from the bedside to clinical research has permitted me to concentrate on the distinct needs of each patient; while allowing me to contribute to the advancement of science and treatment modalities. As I work towards obtaining my advanced practice degree, I have focused on the evolving changes in health care (Mudd, 2014, p. 2).
Rozmus, C. L., Jones, D., Meyers, S., Hercules, P., & Schumann, R. (2014). Pacesetter curriculum: An experimental design evaluation of a clinical immersion model for nursing education. Journal of Nursing Education and Practice, 4(6), p60.
older adults. Journal of Nursing Education, 47(6), 269-271. Retrieved from CINAHL Plus with Full Text database.
An important step to decrease an ageist attitude is to take a step back and recognize biases and preconceived ideas that one has about older adults (DeBrew, 2015). Recognizing biases in combination with furthering one’s education about the effects of aging and the specific needs of older adults will help increase compassionate care. To allow for effective interventions it is important that the nurse understand that illness and infection manifest differently in older adults than they do in the younger population (DeBrew, 2015). In addition, through ethnographic study it was found that when nurses spend time doing activities with older adults it helps strengthen relationships and sense of community between care providers and elderly patients (DeBrew, 2015). According to the article, “occupational therapists who worked with older adults felt ‘stigmatized’ by their peers because their work was viewed as less challenging and requiring less skill and intellect than caring for other populations” (DeBrew, 2015). To promote compassionate patient care it is important that nurses and other professionals get support from their peers to confirm that their work is not insignificant and looked down upon. Finally, include the older adult while creating the plan of care to show them that they are a valued part of their healthcare
The demand for high-quality, cost-effective health care in the United States is growing expeditiously due to the passage of the Affordable Health Care Act in 2010, the lack of physicians specializing in primary care and the shortage of graduate level educated nurses (Watson, 2007). The new expectations for access, quality and affordability within the health care system are creating opportunities for nurse practitioners to expand their roles as advance practice nurse specialists (Watson, 2007). This paper will examine the role of the perioperative nurse practitioner. This examination will define perioperative nursing, give a brief history of operating room nursing, and look closely at the role of the nurse practitioner in pre-operative, intra-operative and post-operative care. This paper will report the evidence-based findings that nurse practitioners in the perioperative setting, when compared to physician-only facilitated care, create an equally therapeutic and healing environment for patients and families, improve the efficacy of surgical procedures and increase patient satisfaction with surgical outcomes. Other topics that will be examined include educational training, the scope of practice for nurse practitioners within the perioperative setting and the application of the holistic nursing approach in perioperative care. The final area this paper will examine is The Institute of Medicine’s (IOM) Report on the Future of Nursing and how it’s recommendations have the potential to change perioperative nursing.
Ullman, Melanie. "Exploring a Variety of Nurse Practice Settings." EzineArticles Submission - Submit Your Best Quality Original Articles For Massive Exposure, Ezine Publishers Get 25 Free Article Reprints. 12 Aug. 2009. Web. 29 Nov. 2010. .
This journal is a reflection of my experiences and lessons learned thus far within this course. Upon my reflecting, there were lessons that stood out the most. Also, there are nursing practices in my associate’s degree of nursing program (ADN) that correlates with the standard of care that was recently discussed. This reflection also prompt me to consider more in depth the necessary skills and attributes to become a competent nurse.