NUR 500 Nursing Theorist Video Reflection

During weeks 3 and 6, you will complete a nursing theorist video analysis/reflection of one of the nursing theorist videos provided in the course. We highly recommend that you watch as many of these videos as you can throughout the course. This is a great opportunity for you to see and hear directly from the actual theorists that you are reading about in the text.Click on the Nursing Theorist Video Link in the main menu on the left to see the collection of videos.

After watching one of the theorist videos, reflect about what you have learned.

Compose a paper that addresses the following:

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Explain why you chose to watch this particular theorist’s video.

Describe the parts of your personal philosophy where you agree or disagree with this theorist.

Is there anything that surprised you in the video? If so, what surprised you NUR 500 Nursing Theorist Video Reflection?

Would you recommend this video to another student? If so, why would you recommend it?

What value did you receive from watching it?

Your paper should be 2–3 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. If outside sources are used, they must be cited appropriately NUR 500 Nursing Theorist Video Reflection.

Due: Sunday, 11:59 p.m. (Pacific time

During weeks 3 and 6, you will complete a nursing theorist video analysis/reflection of one of the nursing theorist videos provided in the course. We highly recommend that you watch as many of these videos as you can throughout the course. This is a great opportunity for you to see and hear directly from the actual theorists that you are reading about in the text.Click on the Nursing Theorist Video Link in the main menu on the left to see the collection of videos.

After watching one of the theorist videos, reflect about what you have learned.

Compose a paper that addresses the following:

Explain why you chose to watch this particular theorist’s video.

Describe the parts of your personal philosophy where you agree or disagree with this theorist.

Is there anything that surprised you in the video? If so, what surprised you NUR 500 Nursing Theorist Video Reflection?

Would you recommend this video to another student? If so, why would you recommend it?

What value did you receive from watching it NUR 500 Nursing Theorist Video Reflection?

Your paper should be 2–3 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. If outside sources are used, they must be cited appropriately.

Due: Sunday, 11:59 p.m. (Pacific time NUR 500 Nursing Theorist Video Reflection.

FNU Nursing Role and Scope Quiz

Question 1

Inappropriate use of social media could result in disciplinary action by the board of nursing that may include which of the following FNU Nursing Role and Scope Quiz?

Question 2

A state board of nursing has found evidence of inappropriate disclosures related to the use of social media. Which of the following is the disciplinary action by the board of nursing that may be given to the nurse FNU Nursing Role and Scope Quiz?

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Question 3

A State Board of Nursing may investigate reports of inappropriate disclosures related to the use of social media on the grounds of which of the following?

Question 4

A nurse demonstrates the ability to locate and evaluate information as well as the ability to communicate processed data from the electronic health record FNU Nursing Role and Scope Quiz. Which of the following components is included in the Technology Informatics Guiding Education Reform (TIGER) Informatics Competency Model and is demonstrated by the nurse?

Question 5

Which of the following is a characteristic recommended by the Institute of Medicine for software designers to consider in the creation of electronic information systems?

Question 6

In stage three of the HITECH Act, the goal was to improve outcomes in quality, efficiency, and which of the following?

Question 7

The support of Nursing Informatics is derived from information structures, information technology, and which of the following?

Question 8

The goals of the TIGER initiative was to bring nurses together to improve nursing practice, patient care, and which of the following through the use of technology? FNU Nursing Role and Scope Quiz.

Question 9

Which of the following has posed the largest challenge with maintaining privacy in health care?

Question 10

In an information management system, which of the following describes the term data

In the state of Florida, the NPA now allows APRN’s to practice independently with a few practice authorities in place. Some of the requirements include a completion of three specific graduate level courses within a timeframe, at least 3,000 clinical hours, and a financial responsibility of liability coverage. The APRN may engage in autonomous practice only in primary care practice of family medicine, pediatrics, or internal medicine. They can admit, manage care, and discharge the patients.

“A collaborative practice agreement is a written statement that defines the joint practice of a physician and an APN in a collaborative and complementary working relationship” (Herman & Ziel, 1999).  In my opinion, APRN’s should have a collaborative agreement with a physician. Whether they are new or have been practicing for a long time, coming across a diagnosis or situation they are unfamiliar with may happen. Having the resource of bouncing ideas off of a physician with more education or experience is beneficial for the nurse and the patient.

With a collaborative practice agreement, APRN’s work under a physician but can independently prescribe after the appropriate education, courses, and approval by the Florida board of nursing. If the NP is practicing autonomously, they may prescribe any drug and schedule II-V controlled substances. I agree that APRN’s should be able to prescribe to their ability. The prevalence of nurse practitioners seeing patients is increasing daily, therefore, in order to see the abundance of patients, this is beneficial and necessary APRNs Prescriptive Authority in Florida.The appropriate education and pharmacology courses prepares them for the job. “The authority of prescription has become a reality amongst nurses in a great number of countries in response to growing demands for healthcare, tight budget constraints and the growth of nursing specialties as a result of the expansion and advancement of their scope of practice” (Ling, et al., 2018).

Treatment of a rash is within the scope of a CNP. The practitioners are trained to perform thorough physical assessments, obtain medical histories, diagnose, and treat accordingly. “A registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice” (Fagerstrom, 2012). It is partly necessary for the CNP to have experience in the appropriate point in the lifespan, however, in a broad spectrum it can be done. This also goes back to the collaboration between the APRN and the physician. If they are unfamiliar with the certain condition, it is a learning opportunity to refer to the physician, develop the appropriate treatment plan for the age, and prescribe the correct medications.

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References

Fagerstrom, L. (2012). The impact of advanced practice nursing in healthcare: recipe for developing countries. Annals of neurosciences. 19(1): 1-2.

Florida Scope of Practice Policy (2020). Practice Authority. Retrieved from: https://scopeofpracticepolicy.org/states/fl/

Herman, J., and Ziel, S.(1999). Collaborative practice agreements for advanced practice nurses: what you should know. AACN Clinical Issues. 10(3): 337-42.

Ling, D.L., Lyu, C.M., Liu, H., Xiao, X., and Yu, H.J. (2018). The necessity and possibility of implementation of nurse prescribing in China: An international perspective. International Journal of Nursing Sciences. 5(1): 72-80. APRNs Prescriptive Authority in Florida.

Discussion 1

1. The licensure of Advanced practitioner registered nurse (APRN) in the state of Virginia is regulated by the Board of Medicine and the Board of Nursing equally. Virginia’s nurse practice act (NPA) does require a collaborative agreement with a physician. The APRN and the physician collaborate as members of the patient’s care team (Virginia Law Library, 2020). The collaboration is a safety mechanism that ensures open communication and decision making in providing a safe and effective plan of care and treatment. As the APRN  grows and develops clinical experience, which is defined by five years of full-time experience of 1800 hours per year totaling 9,000 hours, she/he may qualify for autonomous practice (Commonwealth of Virginia, 2020, p. 7).

2. The Commonwealth of Virginia requires APRNs to have a prescribing practice agreement with the collaborating physician who provides prescriptive authority.  The APRN can only prescribe medications within the scope of the written or electronic practice agreement (Virginia Law Library, 2020). When prescribing medications, a prescribing agreement is necessary to ensure regulation that requires the practitioner to remain competent to ensure the required standard of care is being provided to the patient.  Another way the Commonwealth of Virginia ensures patient safety is by limiting the number of collaboration a physician can have with an APRN at one time to 6 (Commonwealth of Virginia, 2020, p. 7).

3. The Commonwealth of Virginia grants authority for APRNs to prescribe Schedule II thorough Schedule VI controlled substances and devices as long as the collaborating physician has designated prescriptive authority to the APRN and the APRN has established a bonafide practitioner-patient relationship (Virginia Law Library, 2020).  In prescribing schedule II through VI medications, the practitioner must  perform an examination, initiate interventions and schedule follow up care to ensure that the medication is effective and that the patient is not experiencing side effects which may cause the patient not to complete the treatment.

4. Treatment of rashes does fall in the scope of practice of a CNP.  As long as the CNP meets the criteria of being properly trained to perform a physical health assessment on the specific age group, can properly identify and diagnosis the rash, and has competency in the drugs to prescribe taking in consideration the patient’s medical history including comorbidities and current medications (Arcangelo, et al., 2017).   then yes the CNP should treat rashes across the lifespan.  In developing a treatment plan, the CNP should collaborate with a physician and only take the case as long as she/he has a thorough understanding of the rash and/or the secondary condition that could have caused the rash.  Prior to prescribing a treatment plan, the CNP must be competent in prescribing a treatment plan to the specific age group and be able to provide a follow up appointment with the patient.  If the CNP is relying on the collaborating physician to be the decision maker due to inexperience or or lack of knowledge with the age group or rash, then the CNP should not treat the patient and should refer the patient to a competent practitioner.

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References

Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A. (2017). Pharmacotherapeutics  for advanced practice: A               practical approach  (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams I Wilkins.

Commonwealth of Virginia regulations governing the licensure of nurse practitioner.  Retrieved from http://www.dhp.virginia.gov/media/dhpweb/docs/nursing/leg/Nursepractitioners.pdf

Virginia Law Library. (2020). The code of Virginia. Retrieved from https://law.lis.virginia.gov/vacode/54.1-2957.01/

Discussion 1

The American Association on Nurse Practitioners (AANP) defines full practice authority as the “authorization of nurse practitioners to evaluate patients; diagnose, order and interpret diagnostic tests; and initiate and manage treatments, including prescribing medications and controlled substances, under the exclusive licensure authority of the state board of nursing” (AANP 2020). Twenty-two states and the District of Columbia currently have full practice authorization. Nurse Practitioners (NP) have consistent requirements nationwide regarding education, licensure, and certification. However, there is an inconsistency between states regarding the conditions which authorize NPs to practice.

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The state of Virginia requires a collaborative agreement with a physician. In 2018, Virginia approved bill 793, allowing nurse practitioners with five years and nine thousand hours of physician supervision to advance to full practice autonomy. The autonomous nurse practitioner in Virginia will provide a plan to refer complicated and emergency patients to a physician or appropriate provider. I agree with allowing NP autonomy following a collaborative practice period with a supervising physician. However, five years is an excessive period. I support a national standard to guarantee the best healthcare.

Nurse practitioners in Virginia can prescribe Schedule II to VI medications. Virginia requires 1000 hours and 30 credit hours of pharmacology education for NP to qualify for prescriptive authority. Nurse Practitioners in Virginia have a prescribing agreement with a physician until the NP has met the requirements for independent practice. I agree that a term of monitored practice is reasonable; however, according to Buppert (2017), the supervision lacks evidence that care is enhanced. Therefore, I support nationwide standardization of NP requirements to certify the safest healthcare.

Rashes are common and can be difficult for nurse practitioners to diagnose. A thorough history and physical examination will aid in identifying these skin conditions. From diaper rash to acne to herpes zoster (shingles), rashes occur throughout the lifespan and can be complicated or straightforward to treat. The symptoms, size, and the affected area can help identify the need for collaborative care. Rashes not responding to conventional treatment would require consultation. The collaborative care model works to improve patient outcomes through an inter-professional team. Dieticians, Physiotherapists, or medical specialists are valuable adjuncts to the primary care team.

American Association of Nurse Practitioners (AANP) (2020, October 20). State Practice Environment. https://www.aanp.org/advocacy/state/state-practice-environment

Buppert, C. (2017). Thoughts About Drafting Bills to Give Nurse Practitioners Full Practice Authority. The Journal for Nurse Practitioners, 13(7), 497-498. http://dx.doi.org.americansentinel.idm.oclc.org/10.1016/j.nurpra.2017.05.015

Arcangelo, V. P. & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4^th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams &Wilkins.

Financial Accountability and Nursing’s Role in Decision-Making Essay Paper

Financial Accountability and Nursing’s Role in Decision-Making Paper (12 points)

This assignment broadens the students understanding and knowledge of the various roles financial management and nursing leaders play in the business of healthcare. Have you ever said to yourself “If we only did things this way, this department/unit would more efficiently and cost effective? Or, what about “I have an idea to improve care and save money?”

For this assignment, the student will identify a workplace/unit issue or concern. Create a plan related to the issue/concern that could help the unit become more efficient and cost effective. A major emphasis of this assignment is to focus upon on how to be more cost effective without compromising quality and safety. How can the plan improve the fiscalhealth of the department and/or unit? Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

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Areas and ideas to consider might include:

· Charge for procedures not previously charged for

· Changing brands of items

· Creating a new department

· Outsourcing procedures or personnel

· Buying new or different equipment

· Hiring personnel

· Eliminating procedures, departments, supplies, etc.

· Redesigning procedures, department layout, policy

Assignment Criteria

Develop a scholarly paper that addresses the following criteria:

1. Identify and fully describe the problem or issue Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

2. Describe in detail why this is a problem/issue and how it affects patients, nursing, and the organization in terms of fiscal management. Be specific.

3. Develop a plan or proposal related to the chosen problem on how to improve the fiscal health of the department/unit.

4. Include a literature review supporting the plan.

· Describe how the literature/evidence describes the problem/issue or supports the plan/ideas to resolve the problem/issue Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

· Discuss specific goals and objectives for implementing this plan/proposal

5. Identify specific strategies for solving this problem based on the readings and literature.

6. Include a proposed budget that shows the anticipated cost savings.

· Discuss the return on investment expected (when, who, how, etc.)

· This can be described in (a) narrative format within the paper, (b) in a table within the paper, or (c) as an appendix

7. Include a proposed time line for implementation Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

8. Describe how the proposal/plan effectiveness will be evaluated.

9. The scholarly paper should be six to eight (6-8) pages excluding the title page, reference page, and appendices.

10. Include level 1and 2 headings to organize the paper.

11. The paper should begin with an introductory paragraph that includes the purpose statement.

12. The paper should include a conclusion.

13. Write the paper in third person and a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.

14. Include a minimum of six (6) references from professional peer-reviewed nursing journals to support your paper.References should be from scholarly peer-reviewed journals (review in Ulrich Periodical Directory) and be less than five (5) years old. Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.

15. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).

16. Submit the assignment to Turnitin Direct prior to your final submission to the assignment drop box by the posted due date. Please be sure to review the originality report and make any needed changes prior to submitting to the assignment drop box.

17. Submit to the assignment drop box by posted due date Financial Accountability and Nursing’s Role in Decision-Making Essay Paper.