NR 510 Leadership and Role of The APN Discussion Assignments

NR 510 Week 1, Barriers to Practice Discussion
NR 510 Week 1, Historical Development of Advanced Practice Nursing & Evidence-Based Practice Discussion

NR 510 Week 2, Theory and the APN Role Discussion: Part One
NR 510 Week 2: Theory and the APN Role Discussion: Part Two

NR 510 Week 3: Organizational Behavior & Business Influences & Adv. Practice Nursing Case Study: Part One
NR 510 Week 3: Organizational Behavior & Business Influences & Adv. Practice Nursing Case Study: Part Two

NR 510 Week 4: Organizational Change & Ethical-Legal Influences in Adv. Practice Nursing Case Study: Part One
NR 510 Week 4: Organizational Change & Ethical-Legal Influences in Adv. Practice Nursing Case Study: Part Two

NR 510 Week 5: Conflict at the Office Discussion: Part One
NR 510 Week 5: Conflict Resolution Strategies Discussion: Part Two

NR 510 Week 6 Assignment: Advanced Practice Nurse Professional Development Plan Paper

NR 510 Week 7 Assignment: Recorded LACE Presentation
NR 510 Week 7 Assignment: Recorded LACE Presentation Guidelines

NR 510 Week 8: Reflection on Achievement of Outcomes

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Assignments

NR 510 Week 1 Assignment: Introduction

NR510 Week 6 Assignment: Advanced Practice Nurse Professional Development Plan Paper

NR 510 Week 7 Assignment: Recorded LACE Presentation

NR510 Week 7 Assignment: Recorded LACE Presentation Guidelines

NR 510 Week 8: Reflection on Achievement of Outcomes

NR 510 Week 1: Barriers to Practice Discussion

Read the assigned Hain & Fleck article, and discuss the following:

What are the barriers to APN practice identified in the article? Describe these barriers in your own words.
What are your impression of the barriers to APN Practice? (Are you surprised by these barriers? Is this new information to you? Have you ever …. involved at the legislative level in nursing? Do these barriers concern you or motivate you toward becoming an APN?)
Do these barriers represent Restraint of Trade? Why, or why not?
Your thoughts on how nurses can influence these barriers.

NR 510 Week 2, Theory and the APN Role Discussion: Part One

Karen, a registered nurse, decided that she wants to become a CNP. She applied and was … to the Family Nurse Practitioner program at Chamberlain College of Nursing. She received a course curriculum that outlined the courses necessary to complete her degree. One of the early courses in the program … is NR501 Theoretical Basis for Advanced Nursing Practice.

You are a student colleague of Karen’s enrolled in the same class. On the course Q & A Forum, Karen posted, “Nursing theory is outdated and is too broad and isn’t useful for Advance Practice Nurses.”

Discussion Question: Is Karen right? Is theory important to APN practice? Why, or why not?

NR 510 Leadership and Role of The APN Discussion Assignments – Week 2: Theory and the APN Role Discussion: Part Two

Discussion Question: Karen is still not … that Theory has any place in APN practice. Provide a specific example of how theory is relevant to APN practice in one of the four specialties (CNM, CNP, CRNA or CNS). Provide evidence to support your arguments.

NR 510 Week 3, Organizational Behavior & Business Influences & Advanced Practice Nursing Case Study: Part One

You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) 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, who are staff employees (W2 employees). 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 with 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? How does your role as a 1099 contractor benefit the practice over the W2 employees? What evidence will you present to the practice to reinforce your value in the practice both in terms of revenue and patient satisfaction? Consider any additional services you may be willing to provide under your contract. 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 3: Organizational Behavior & Business Influences & Advanced Practice Nursing Case Study: Part Two

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).

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).

What salary would you propose for the contract renewal? How does your salary proposal fit in with the community standard for an NP in a similar 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.

NR 510 Week 4: Organizational Change & Ethical-Legal Influences in Advanced Practice Nursing Case Study: Part One

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 1 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.

NR 510 Leadership and Role of The APN Discussion Assignments – Week 4: Organizational Change & Ethical-Legal Influences in Advanced Practice Nursing Case Study: Part Two

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. Because 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 … with this situation? What is your liability in this situation, if any? What is the practice’s liability in this situation? … 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 Conflict at the Office – Discussion: Part One

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 engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.

Discussion Question: What is your response to the medical assistant? What actions do you take to redirect the flow away from arguments and back to patient care? Provide rationales and evidence to support your decisions.

NR 510 Week 5 Conflict Resolution Strategies – Discussion: Part Two

Leadership is not random. It is multifaceted and must ….. as a stated plan to effect a change. Organizational leaders provide a vision and move others toward a common goal. This vision also reinforces the importance of teamwork in the workplace.

According to Buppert (2015), 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: In this scenario, what evidence-based organizational strategies and management skills might you employ to resolve co-worker conflict? Reflect on conflict resolution strategies specifically for healthcare. How does teamwork increase patient safety? Provide evidence and rationales to support your decisions. Provide evidence and rationale to support your decisions.

NR 510 Leadership and Role of The APN Discussion Assignments – Week 6 Assignment – Introduction to the APN Professional Development Plan

– APN Scope of Practice
– Personal Assessment
– Networking and Marketing Strategies
– Curriculum Vitae
– Conclusion
– References

NR 510 Week 7 Assignment, Recorded LACE Presentation

Purpose:

The purpose of this assignment is for learners to:

Develop professional presentation/communication skills.
Demonstrate an advancing understanding of the political landscape of APN practice.
…. ability to analyze the literature and be able to disseminate the information orally.
Demonstrate and practice professional communication and leadership, while advancing the education of peers.

Course Outcomes:

Analyze the development of advanced practice nursing roles from a historical perspective including the impact of advanced practice nursing on the healthcare delivery system from the perspective of selected current reports (i.e. LACE, IOM, etc.)
Critically analyze how healthcare systems and APN practice are organized and influenced by ethical, legal, economic and political factors.

Requirements:

For Week 7, there is no case study given to you by the faculty. Instead you will be creating a recorded presentation that demonstrates your understanding of LACE principles and their influence on APN practice. This presentation will … uploaded into the course via Kaltura (please see course resources for directions).

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Address the following Topics/Questions:

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.
Discuss what evidence-based strategies should … implemented to achieve continuity between state regulatory boards?Provide evidence for your response.
Is independent NP practice … in your state? Discuss your opinion regarding independent NP practice. Provide evidence for your response.

NR 510 Week 8 Reflection on Achievement of Outcomes

Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #4, the MSN Essential II, and the NP Core Competencies #2.

Program Outcome #4

Integrate professional values through scholarship and service in health care. (Professional identity)
MSN Essential II: Organizational and Systems Leadership
Recognizes that organizational and systems leadership are critical to the promotion of high quality and safe patient care. Leadership skills are needed that emphasize ethical and critical decision making, effective working relationships, and a systems perspective.

NP Core Competencies….# 2 Leadership Competencies

Assumes complex and advanced leadership roles to initiate and guide change.
Provides leadership to foster collaboration with multiple stakeholders (e.g. patients, community, integrated health care teams, and policy makers) to improve health care.
Demonstrates leadership that uses critical and reflective thinking.
Advocates for improved access, quality and cost effective health care.
Advances practice through the development and implementation of innovations incorporating principles of change.
Communicates practice knowledge effectively both orally and in writing.
Participates in professional organizations and activities that influence advanced practice nursing and/or health outcomes of a population focus.

NR 510 Leadership and Role of The APN Discussion Assignments – Week 8 Final Exam Answers

What is the most commonly reported symptom of cancer treatment?
Where are Langerhans cells found?
An infant has a crescendo-decrescendo systolic ejection murmur located between the second and third intercostal spaces along the left sternal border. A wide fixed splitting of the second heart sound is also found. These clinical findings are consistent with which congenital heart defect?
Which statement is true concerning a fungal infection?
A hypersensitivity reaction that produces an allergic response is called:
What period follows depolarization of the myocardium and represents a period during which no new cardiac potential can be propagated?
Which renal change is found in older adults?
Cystic fibrosis is caused by which process?
What is the most common predisposing factor to obstructive sleep apnea in children?
What is the major virus involved in the development of cervical cancer?
Which normal physiologic change occurs in the aging pulmonary system?
Which cancer originates from connective tissue?
Which blood cells are the chief phagocytes involved in the early inflammation process?
An infant diagnosed with a small patent ductus arteriosus (PDA) would likely exhibit which symptom?
Which type of microorganism reproduces on the skin?
During an infection, why do lymph nodes enlarge and become tender?
Which hormone prompts increased anxiety, vigilance, and arousal during a stress response?
The area of the kidneys that contains the glomeruli and portions of the tubules is called the:
In which structure does B lymphocytes mature and undergo changes that commit them to becoming B cells?
Research has shown a link between cancer and which sexually transmitted disease?
Which vitamin improves the absorption of oral iron taken to treat iron deficiency anemia in children?
Idiopathic thrombocytopenic purpura (ITP) is an autoimmune process involving antibodies attacking which type of cells?
An infant has a continuous machine-type murmur best heard at the left upper sternal border throughout systole and diastole, as well as a bounding pulse and a thrill on palpation. These clinical findings are consistent with which congenital heart defect?
The tonic neck reflex observed in a newborn should no longer be obtainable by:
What is the function of erythrocytes?
Clinical manifestations of Parkinson disease are caused by a deficit in which of the brain’s neurotransmitters?
The BRCA1 and BRCA2 mutations increase the risk of which cancer in women?
Which term is also used to refer to paradoxic sleep?
Which person is at the greatest risk for developing delirium?
Which term is used to describe an intestinal obstruction caused by the invagination of the ileum into the cecum and part of the ascending colon by collapsing through the ileocecal valve?
The mucosal secretions of the cervix secrete which immunoglobulin?
A blunt force injury to the forehead would result in a coup injury to which region of the brain?
Acute glomerulonephritis (AGN) may be accompanied by a positive throat or skin culture for which bacteria?
How can glaucoma cause blindness?
Aldosterone directly increases the reabsorption of:
How does the release (increase) of epinephrine raise body temperature?
Which assessment finding characterizes Osgood-Schlatter disease?
Using a fan to reduce body temperature is an example of which mechanism of heat loss?
Which statement is true regarding the major difference between male and female sex hormone production?
Which clinical manifestations would be expected for a child who has complete trisomy of the twenty-first chromosome?
What is the function of the mucus secreted by the Bartholin glands?
What syndrome, characterized by an absent homologous X chromosome with only a single X chromosome, exhibits features that include a short stature, widely spaced nipples, and webbed neck?
The secretion of adrenocorticotropic-stimulating hormone (ACTH) will result in the increased level of which hormone?
The data reporting that sickle cell disease affects approximately 1 in 600 American blacks is an example of which concept?
Which condition is considered a clinical cause of amenorrhea?
What is the first sign of puberty in girls?
What term is used to identify the condition that exists when the urethral meatus is located on the undersurface of the penis?
The presence of a zygote having one chromosome with the normal complement of genes and one with a missing gene is characteristic of which genetic disorder?
Obesity acts as an important risk factor for type 2 diabetes mellitus by:
In scoliosis, curves in the thoracic spine greater than how many degrees result in decreased pulmonary function?
The failure of bones to ossify, resulting in soft bones and skeletal deformity, characterizes which disorder?
Which type of fracture usually occurs in an individual who engages in a new activity that is strenuous and repetitive?
It is true that myasthenia gravis:
Which clinical manifestations are associated with fibromyalgia?
Which type of diarrhea results from lactose intolerance?
Which change is a result of puberty and defends the vagina from infection?
Which dietary lifestyle choice has been associated with a decreased risk for developing colon cancer?
Which type of ion directly controls the contraction of muscles?
At 2 or 3 weeks of age, an infant who has been well fed and has gained weight begins to vomit for no apparent reason. The vomiting gradually becomes more forceful. These symptoms may be indicative of which disorder?
Which water-soluble vitamin is absorbed by passive diffusion?
The common property among the three types of medications used to treat depression is that they:
Which pancreatic enzyme is responsible for the breakdown of carbohydrates?
What anchors articular cartilage to the underlying bone?
The absence of which major hormone is a determinant of sexual differentiation (wolffian system) in utero?
Which hormone is linked to an increase in appetite during puberty?
What is the first indication of nephrotic syndrome in children?
neurofibrillary tangles characterize which neurologic disorder?
What is the most common opportunistic infection associated with acquired immunodeficiency syndrome (AIDS)?
What causes the crystallization within the synovial fluid of the joint affected by gouty arthritis?
Thyroid-stimulating hormone (TSH) is released to stimulate thyroid hormone (TH) and is inhibited when plasma levels of TH are adequate. This is an example of:
Transcription is best defined as a process by which:
Which medical diagnosis is characterized by tissue degeneration or irritation of the extensor carpi radialis brevis tendon?
What is the target tissue for prolactin-releasing factor?
Loud snoring, a decrease in oxygen saturation, fragmented sleep, chronic daytime sleepiness, and fatigue are clinical manifestations of which sleep disorder?
What directly causes ovulation during the menstrual cycle?