First response to Shannon-Quality

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Respond to your colleagues who were assigned to different competencies than you. Select two of the following rudiments of nursing practice: clinical reasoning, cost-effective care, ethics, evidence-based practice, health promotion, holistic patient-centered care, interprofessional collaboration, nursing theory and knowledge, and safety. Provide an example of how these rudiments of nursing practice are embedded within the competencies identified by your colleagues.

Please respond to Sharron’s post regarding one of the core competencies for Nurse Practitioner- QUALITY.

 

Shannon Gardner

Week 1 Main Question Post

The Consensus Model

             Before the Consensus Model for APRN Regulation, advanced practice registered nurses (APRNs) had varying scopes of practice, with diverse backgrounds and training (Rounds, Zych, & Mallary, 2015). There was little guidance for clinicians or employers. For example, a family nurse practitioner might be working in an acute care setting for which she was not adequately equipped, putting patients at risk of harm. Also, educational programs had varying accreditation standards, and certification and licensure requirements were inconsistent (Rounds et al., 2015). Now, with more and more states participating in the Nurse Compact, increasing clinician mobility, and the growing number of states passing full practice authority rules, it is crucial that APRN roles, preparation, and licensure are standardized and clearly defined (Rounds et al., 2015).

 Quality

            Quality was one of the core competencies identified for nurse practitioners (National Organization of Nurse Practitioner Faculties [NONPF], 2013). This competency pushes APRNs to continually strive to expand their knowledge and skills (NONPF, 2013). They must examine and reflect on their practices and hold themselves accountable for the caliber of care they provide (NONPF, 2013). APRNs must also continually assess organizational and governmental environments to ensure that patients can quickly obtain the healthcare they need in a timely and affordable manner (Kleinpell, & Kapu, 2017; NONPF, 2013). Finally, participation in research is vital in advancing healthcare to the highest level possible (Kleinpell, & Kapu, 2017; NONPF, 2013).

Implementing Quality in the Clinical Setting

            As a nurse practitioner and student, my plan for meeting and maintaining the quality core competency includesthe use of best practices, evidence-based guidelines, and lifelong learning (NONPF, 2013).  These factors lead to care that has been proven safe and effective and promotes improved patient outcomes (NONPF, 2013). As a member of several pertinent professional organizations, I can stay aware of issues facing APRNs, as well as patients. I will work at the local, state, or national levels to eliminate barriers, promote social justice, and decrease disparities in patient care and access (Kleinpell, & Kapu, 2017; NONPF, 2013). Finally, I am the sort of person who is not afraid to admit when I do not know or understand something. If a patient’s needs are outside of my skillset or scope of practice, I will refer them to the appropriate provider. I also willingly admit when I am wrong or have made a mistake. These traits empower me to seek input from others with more experience or knowledge, as well as critique my weaknesses and strengths. Through this process, I can learn, take accountability, and evaluate myself and the care I provide. Lastly, I will work to become more proficient and participate in the research process for subjects pertinent to my area of practice. This experience will enable me to build upon the body of knowledge available for patient care, and increase the safety and efficacy while decreasing costs of treatment and difficulties for patients (Kleinpell, & Kapu, 2017).

 

Resources: Please use two of the following resources on top of other resources you may use for refences

Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2017). Primary care: A collaborative practice (5th ed.). St. Louis, MO: Elsevier.

 

  • Part 1, “Introduction” (pp. 1–53)

This part explores factors that impact primary care, including collaborative practice, research, decision-making, patient population, cultural competence, and genetics. It also analyzes the roles of nurse practitioners in medical settings.

 

O’Rourke

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