NURS 6003 week 2 Discussion: Strategies for Addressing Questions

NURS 6003 week 2 Discussion: Strategies for Addressing Questions

Introduction

I have spent about three quarters of my nursing career in the state of Arkansas. Once I finally started feeling comfortable with my surroundings, my unit, and my decision making as a seasoned nurse, my family moved to Washington state. I have constantly asked myself questions about my current and future nursing practice since our move. I have noticed that Washington is very selective about nursing education, continuing education, and even who they allow to practice within the state. Washington is not a compact state. Nursing licensure is highly regulated. While the Arkansas State Board of Nursing was very thorough, the Washington State Nursing Commission goes above and beyond to ensure their licensed professionals are held to higher standards (NCSBN, 2020).

  1. Are APRNs addressed in nursing compact state agreements?
  2. What different fields can I choose to work in as a Family Nurse Practitioner? NURS 6003 week 2 Discussion: Strategies for Addressing Questions
  3. If I choose to open an independent practice, where do I start?

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Formulating Questions for MSN Studies

It took almost ten years for me to finally decide to return to school to obtain a master’s degree. In that time, I would ask questions like “When will I find the time to complete coursework?” and “How does anyone with a family and a full-time job finish an advanced degree?” Looking back, it was justification for putting off the inevitable. Now that I have taken the step and enrolled in Walden University, I am able to look ahead and ask questions that are more closely aimed at reaching my goals. In the State of Washington, nurses with advanced degrees have full practice authority. Washington State Legislature states “The ARNP is prepared and qualified to assume primary responsibility and accountability for the care of patients (WAC 246-840-300, 1997/2016).” This brought up many questions related to MSN studies.

  1. Will I be adequately prepared to diagnose patients?
  2. Should I take the Advanced Pharmacology course alone so that I am able to really soak in the information?
  3. Will I gain the experience necessary to confidently interpret diagnostic tests?
  4. When should I start seeking out clinical placement?

Conclusion

            Regardless of all the questions that pop up, I am excited about my choice to begin graduate studies. It will open new doors for myself and my family. Having an advanced degree will show my children that hard work helps to achieve a desired outcome. I am certain that bigger questions will present themselves as I explore all that Walden University’s MSN program has to offer. Knowing that I have a network of professionals, doctoral-level instructors, and colleagues behind me will make a sizable difference (Walden University, 2020). I understand that all I must do is ask.

References

National Council of State Boards of Nursing (2020) Nurse Licensure Compact (NLC). Retrieved from https://www.ncsbn.org/nurse-licensure-compact.htm

 

WAC 246-840-300 (1997 & rev. April 4, 2016) https://apps.leg.wa.gov/wac/default.aspx?cite=246-840-300

 

Walden University (2020) College of Nursing. Retrieved from https://www.waldenu.edu/about/colleges-schools/college-of-nursing

 

Discussion: Strategies for Addressing Questions

In Module 1, you began building a foundation for your success by considering a network-individuals and teams who can help you to clarify and execute on the vision. A network is most helpful when you are comfortable asking questions. Chances are other members of your network have experienced similar questions and may have helped guide others toward resolutions that can now be helpful.

In this Discussion, focus on the questions you are ready to ask as your journey begins. Keep in mind that sharing questions is often a great way to help others who have similar questions even if they do not realize it!

To prepare:

  • Reflect on questions or concerns you might have as you begin the MSN program.
  • Consider the individuals, teams, and departments you previously considered in Module 1 as well as how they may provide support with addressing these questions and concerns.

By Day 3 of Week 2

Post any questions or concerns that you are willing to share with the group. The Discussion board represents an opportunity to network with your course colleagues, and others may have the same questions or concerns.

By Day 6 of Week 2

Respond to at least two of your colleagues’ posts by offering a possible resolution to their questions/concerns with supporting documentation, if possible, or expanding on their thinking and providing an example as support.

 

NURS 6003 week 2 Discussion: Strategies for Addressing Questions sample 2

As I began my journey at Walden University I had a lot of questions because I wanted to make sure I was getting the
most out of this program. I wanted to know about the resources available to me, how available the teachers were, the layout of the class, etc. Here are some other questions and concerns that I currently have: NURS 6003 week 2 Discussion: Strategies for Addressing Questions

1. One concern and question I have is when and how do I prepare for clinical at the end of this program?
2. How should I study for the state boards and what resources do I use to prepare for them?
3. Which classes has exams and which do not?
4. Will I be able to manage two classes the entire program?
5. Are their tutors available for this program if needed?
6. Which malpractice insurance should I use to cover me while I am completing my clinicals?

As I go along this journey in this MSN program, I am sure I will have more questions. I am grateful for my enrollment advisor because he answered so many of my questions and helped me choose Walden University over the other schools I was considering at the time. My resources that I mentioned in my template will be a great help in getting through this program. All of those I chose to network with, all have a different level of experience in the healthcare field and can help me see patient care through a different view. Along with using these resources, time management is a skill I know I have to incorporate. Having an educational system in place helps the student gain organization and prioritization of activities (Sainz, A. M, 2019). An article discusses how peer to peer teaching can help in academic achievement and can enhance critical thinking skills (Stigmar,M, 2019). What are your thoughts of peer to peer teaching?
Malpractice insurance is important because it covers your license as a nurse practitioner in a legal situation. A nurse practitioner can receive malpractice insurance from their employer however, it is imperative to have another malpractice insurance outside of your employer (Position Statement, 2015). Which malpractice insurance will you use for clinical and in your career?

References

Position Statement on Malpractice Insurance for Nurse Practitioners. (2015). Journal of Pediatric Healthcare, 29(4), A11–A12. https://doi-org.ezp.waldenulibrary.org/10.1016/j.pedhc.2015.04.015

Sainz, A. M., Ferrero, M. A., & Ugidos, A. (2019). Time management: skills to learn and put into practice. Education + Training, 61(5), 635–648. https://doi-org.ezp.waldenulibrary.org/10.1108/ET-01-2018-0027

Stigmar, M. (2016). Peer-to-Peer Teaching in Higher Education: A Critical Literature Review. Mentoring & Tutoring: Partnership in Learning, 24(2), 124–136.

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Excellent Good Fair Poor
Main Posting
45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

(0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness
10 (10%) – 10 (10%)
Posts main post by day 3.
(0%) – 0 (0%)
(0%) – 0 (0%)
(0%) – 0 (0%)
Does not post by day 3.
First Response
17 (17%) – 18 (18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

15 (15%) – 16 (16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

13 (13%) – 14 (14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

(0%) – 12 (12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Second Response
16 (16%) – 17 (17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

14 (14%) – 15 (15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

12 (12%) – 13 (13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

(0%) – 11 (11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Participation
(5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
(0%) – 0 (0%)
(0%) – 0 (0%)
(0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100

 

 

NURS 6003 week 2 Discussion: Strategies for Addressing Questions sample 3

Beginning a new journey causes many different feelings, I am almost certain that my colleagues have felt some angst. As I have embarked on my journey thus far, I have found myself posing several questions.

  1. How will I prioritize my work/school life in order to yield the best outcome?
  2. Will I even master ApA format completely with no screw ups?
  3. What grades will I receive and am I in over my head?
  4. Can I really be a Family Nurse Practitioner?

Many of them I do not have the answers to, many answers will come in time. The biggest question I have asked myself is, Will I be prepared for the journey that lies ahead of me after the completion of the program? Many of my anxieties have been put to rest through conversations with my colleagues, and help from instructor emails. I have also received a great deal of support and aid from my enrollment specialist.  Everyone has been so helpful that it is unreal.   The biggest thing that I have utilized is, contacting someone when I need help (Laureate Education Inc, 2018a).

According to Kauffman, (2015) Students treat or see online courses different than classes done on campus or in a classroom setting. This was something that I have been guilty of doing. I have found that it is best for me personally to set up a space in my home as if it is a classroom. Every morning I have been getting of work and telling everyone I am going to class and setting aside 2 hours to focus on strictly coursework. I have been turning off my phone as if there is an instructor present, and taking a 15 min to 30 min break in between NURS 6003 week 2 Discussion: Strategies for Addressing Questions. This has aided me in being a better student overall.

Networking is something that I have always been uneasy about. I have dealt with a lot of things in the past that shape my views on this. I will not go into deep discussion on those issues, but I will say that the world has not always been so friendly. When I got out of nursing school all I ever heard was “Nurses eat their young” this was something that I carried with me. After being in the field for a while I learned that sometimes that can be true. So, I made it my mission to make all of the new nurses that I ran across feel comfortable with seeking guidance that I could provide, as I became more approachable I learned that others could be just as approachable. I have learned that the positivity and or negativity that you receive from others begin with you.

Lastly a question that has been burning my mind is will the utilization of preceptor sites be really beneficial? How will I succeed if there is no educator present? There is importance in clinical site evaluation and communication as far as preceptors go, studies have proven that this is greatly beneficial to the student (Johnson, O’Brien, et. Al, 2016). I also found it comforting that the outline of the way our classes are presented falls in line with some studies suggested plans to implement online learning for greatest success, like having the resources with links available for the student (Pethtel, 2005)

 

References

Heather Kauffman. (2015). A review of predictive factors of student success in and satisfaction with online learning. Research in Learning Technology23(0), 1–13. https://doi-org.ezp.waldenulibrary.org/10.3402/rlt.v23.26507

Johnson, R., O’Brien, T., Emerson, S., & Reed, L. (n.d.). Perceptions of Family Nurse Practitioner Clinical Preceptors About Usefulness of Onsite Clinical Site Visits. NURSE EDUCATOR42(1), 51–54. https://doi-org.ezp.waldenulibrary.org/10.1097/NNE.0000000000000289

Laureate Education Inc. (2018a). 10 Tips for being a successful online learner. Walden University. https://class.waldenu.edu/bbcswebdav/institution/USW1/202070_27/MS_NURS/NURS_6003/artifacts/USW1_NURS_6003_10tipsSuccessfulOnline

 

Pethtel, P. (2005). Online Learning Communities Can Provide Support for Nurses Preparing for Certification Examinations. Journal of Continuing Education in Nursing36(2), 55–56.

NURS 6003 week 2 Discussion: Strategies for Addressing Questions sample 3 Response

I really appreciate your honesty with your questions. I certainly can relate to each of your questions, and honestly could have made a list of 20 questions. I really appreciate your statement “many answers will come in time.” That’s so true. We are just getting our feet wet, experiencing a new school, new website to navigate, etc. It’s a lot to take on, with an already full life. We will gain confidence in time, as we get a few more classes under our belt.

What an excellent strategy to set up a dedicated study space/classroom in your home, and mark out a two-hour slot without distractions. That’s so wise! I’ve done the same regarding a study space. I made mine in my laundry room, bought a comfortable chair, new desk, hung up a white board, and cleared any and all clutter from the room. I put it in the laundry room because if I have a window and can see out, I’m immediately distracted! That has helped me. I need to not take my smart phone with me though. That is a huge temptation!

I found a great article about time management as that seems to be the one thing that stresses a lot of people, including me, out. It’s like we feel there isn’t enough hours in the day to get everything done. I’ve started getting up earlier than I ever have before so that I can exercise for an hour, and then start my day. The author referenced the book “The 7 Habits of Highly Effective People” (Stoessel, 2012). I’ve heard of this book numerous times, and have never read it, but I think I’m going to order it for myself and check it out. I’ll report back to you J. It sounds like the basis of this book is diving our day into four areas “important/urgent; important/not urgent; not important/urgent; or not important/not urgent” (Stoessek, 2012, para 10). The single most helpful thing I’ve incorporated with grad school is a clipboard and a piece of paper where I write out what has to be done and the due dates for each week, and that way I can cross it off. Having everything in one place for me at a glance has helped.

I also can relate to what the author stated about smart phones being so distracting. I feel like the author hit the nail on the head with stating smart phones “forces people into a reactionary mode” (Stoessel, 2012, para 12). SO TRUE!!!! I’ve never thought of it in this light, but oh, such an accurate statement! It’s like when it rings or dings, we react thinking we must answer the call or text. I find myself getting lost on social media for an hour, and then get so mad at myself for wasting that precious time I could have been working on an assignment NURS 6003 week 2 Discussion: Strategies for Addressing Questions.

I can also really relate to your APA question. Oh my, it seems mine boggling at times! I did purchase a book “APA: The Easy Way, second edition by Peggy M. Houghton, Ph.D and Timothy J. Houghton, Ph.D, and that has really helped me. I will say I purchased this book to help me with my BSN, and now that there is a new edition of the APA manual (7th ed), I have not checked into the changes that exist with the 7th ed. One of the things that is so confusing to me with the APA citations is when you get an article from the Walden library and push the cite button in APA format, and sometimes it doesn’t look right at all to me. Have you had any trouble with that?

An APA cite I found highly suggest that we write in “clear, concise, and consistent” (Williams, 2015, para 12) manner. This web site gave easy to understand examples and brought interesting points to light. You should check it out. I learned that APA has been around since the 1920s (Williams, 2015).

If being a FNP is planted deep in your heart, and you’ve already decided to go for your dream/goal, I have no doubt that you’ll be an awesome FNP. And honestly, your grades will be fine, as I’m sure we’ll all learn from some grading comments from our professors, and some assignments will be easier for us than others. I wish you nothing but the BEST! J

References:

Williams, B.C. (2015). Learning the basics of APA style. Nursing, 45(10), 19-20. Retrieved from https://doi-org.ezp.waldenulibrary.org/10.1097/01.NURSE.0000471425.39452

Stoessel, A.A. (2012). Time management: Prioritizing to-do list can help limit stress. Crain’s Cleveland Business, 33(11), 0015. NURS 6003 week 2 Discussion: Strategies for Addressing Questions.