NSG 517 Week 2 Discussion Board What is an NP?

Week 2 Discussion Board: What is an NP

32 32 unread replies. 62 62 replies.

Directions
Please post your response to your assigned scenario by Sunday midnight. Then, read and respond to the posts by the groups before Tuesday midnight. See below for explicit instructions.
Part 1: There are four scenarios below. Group 1 correlates with Scenario 1 , etc. Please read through your scenario and post on the discussion board how you would reply. Most people will only listen for less than a minute. Your response should be concise to ensure listener engagement. Your initial response should be no more than 1-2 paragraphs.

Scenario #1: You are at Thanksgiving Dinner and Uncle Roy asks you, “What are you in school for again, super nursing school? Why didn’t you just go to medical school?” How would you reply?
Scenario #2: You go in to see your patient you have been following in primary care for 5 years. Your patient states, “ I see on your badge you are still practicing to be a nurse. When will you finish?” (This actually happened to me.) How will you reply?
Scenario #3: You go into a room to see a patient you have never seen before. You introduce yourself as the nurse practitioner. The patient states, “I thought I was seeing a doctor. What is a nurse practitioner and when is the doctor coming in?” How will you reply?
Scenario #4: You are visiting the Sing Sing Maximum security prison health facility for research. A prisoner goes missing and you are caught in a security lock down until the prisoner is found. You are secured in a small room of the health facility with the physician of the institution for an unknown period of time. After five minutes of silence he states, “What do you think you are doing trying to pretend you are a doctor. My daughter is going to medical school and you people are going to make it so there are no jobs for her.” (This actually happened to me too.) How do you reply?

Part 2: Please review the posts for all of your classmates in your group. After the initial post due date (Sunday at midnight which is the due date set for the assignment) please make at least two substantive replies to your peers with comments, reactions, or feedback you have to their initial post. Please complete this by the following Tuesday. Remember that you should use at least 2 references. Please be sure to review the rubric for this assignment located in the bubble box you can click to your right.

How do I locate my group?
When a group assignment is a discussion assignment, when students click the link to a group discussion they will automatically be placed in the group discussion in the group space. Students can tell when they are in a group space by a couple of indicators. Review the numbered items below:

The group space name will display above the left navigation. The course name will display below it and is clickable. Click the course name to return to the course space.
In the group space the left navigation will display the group tools. Quizzes and assignments will not display in the left navigation. Students can return the group discussion from Discussions in the left navigation.
The breadcrumb navigation is another indicator that lets students now when they are in a group space.
Students can also return to the course space by using the global menu

Scenario #4: You are visiting the Sing Sing Maximum security prison health facility for research. A prisoner goes missing and you are caught in a security lock down until the prisoner is found. You are secured in a small room of the health facility with the physician of the institution for an unknown period of time. After five minutes of silence he states, “What do you think you are doing trying to pretend you are a doctor. My daughter is going to medical school and you people are going to make it so there are no jobs for her.” (This actually happened to me too.) How do you reply?

It is my intention to further my nursing career. As a Nurse Practitioner I can utilize my skills that I have acquired with my hands on experience as a registered nurse. The educational path is marginally different to become a nurse practitioner than it would be for your daughter in medical school. My education is focused primarily on specializing in an area of nursing, therefore the responsibilities I hold as a practitioner are far less than the responsibilities of your daughter becoming a MD.
Both of our career paths involve furthering education and special certifications. Both specialties encompass a variety of clinical care specialties such as psychiatrics, pediatrics, and acute care etc. It is our job as professionals to utilize the most up-to-date evidence in our settings when dealing with patient care to ensure the best outcomes possible for our patients. It is not my intention to pretend I am anything. It is my hope to work alongside providers in a multidisciplinary setting to allow for a variety of insight on how to treat populations.
Resources:
What’s a nurse PRACTITIONER (NP)? American Association of Nurse Practitioners. (n.d.). Retrieved September 10, 2021, from https://www.aanp.org/about/all-about-nps/whats-a-nurse-practitioner.
This is a great response to a very difficult statement made by a patient. When reading through the scenarios, for me this was the one that was the most difficult for me to try to decide how to respond. I feel in this case it is important that we also educate patients on the shortage of medical providers and how APRN can aid in helping with this shortage. Studies show that around 80 million people live in areas where there are heath professional shortages. These areas have a ratio of 3,500 patients per 1 provider. Patients in this area have less chance of receiving prevention services, screenings, immunizations, and basic care for sickness and infections. Due to this they have negative health outcomes (AANP, 2019). Nurse practitioners are trained to assess and diagnose patients, order and interpret diagnostic tests, and prescribe medication. Eighty-five percent of nurse practitioners train to work in primary care. Primary care has the biggest shortage of medical providers in rural communities and studies show that the majority of nurse practitioners settle in these communities (AANP, 2019). Studies support that nurse practitioners will aid in decreasing the medical provider shortage and increase the availability of healthcare services to patients.
There’s a primary care shortage in this country. (2019). AANP. Retrieved from https://www.aanp.org/news-feed/national-nurse-practitioner-week-nps-are-key-to-providing-better-rural-care

This is insightful Meghan, I appreciated your response to this doctor. Further education is necessary for the healthcare professionals who want to advance their skills and knowledge in different healthcare practices. Registered nurses are required to continually acquire knowledge and skills in different areas of specialization (Fawkes & Moore, 2019). There are significant differences between becoming a nurse practitioner and a medical doctor. Even though both are involved in the improvement of healthcare processes, their roles differ. Each individual have specific career objectives; therefore, undertaking further education in specialized areas is necessary in improving skills and knowledge (Monroe, 2019). The two careers involve different activities and certifications. The choice of each specialty depend on the goals of an individual and what they need to undertake in their career (What’s a nurse PRACTITIONER (NP)? American Association of Nurse Practitioners, n.d). There is a demand for employment in both career paths therefore, doctors and NPs should co-exist and work together to provide the best care possible to our patients which should be our primary goal.
References
Fawkes, K., & Moore, J. (2019). Newly registered nurses’ experiences of delivering patient education in an acute care setting: an exploratory study. Journal of Research in Nursing, 24(8), 556-567. https://journals.sagepub.com/doi/abs/10.1177/1744987119869770 (Links to an external site.)
Monroe, H. A. (2019). Nurses’ professional values: influences of experience and ethics education. Journal of clinical nursing, 28(9-10), 2009-2019. https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.14806 (Links to an external site.)
What’s a nurse PRACTITIONER (NP)? American Association of Nurse Practitioners. (n.d.). Retrieved September 10, 2021, from https://www.aanp.org/about/all-about-nps/whats-a-nurse-practitioner (Links to an external site.).

Scenario #1: You are at Thanksgiving Dinner and Uncle Roy asks you, “What are you in school for again, super nursing school? Why didn’t you just go to medical school?” How would you reply?
Uncle Roy, I am currently in school to become an Advanced Practice Nurse Practitioner. This role allows me to directly care for patients in a variety of settings and allow me to diagnose medical conditions, manage chronic diseases and promote and prevent further disease. Nurse practitioners work in many settings including primary care, acute care and gerontology. Along with nurse practitioners, advanced practice nursing includes nurse anesthesia providers, nurse midwives and clinical nurse specialists. (Tracy, M., O’Grady, E., 2019)
I chose to become a nurse practitioner in lieu of medical school because of the approach nursing takes in addressing patient concerns. Nurse practitioners initially aimed to provide care for underserved communities and are now utilized in all healthcare settings. Medical school is a also a much longer educational program and incurs a significant amount of debt in comparison to the FNP program that I am in. Work life balance is a big motivator in my decision to choose advanced practice nursing over another advanced medical degree. Nurse practitioners have a significant amount of practice autonomy and have a patient centered approach to care that truly aligns with my personal beliefs as it relates to healthcare.

References:

Tracy, M., O’Grady, E. (2019). Hamric and Hanson’s advanced practice nursing: An integrative approach. St. Louis, MS: Elsevier.
Scenario #3: You go into a room to see a patient you have never seen before. You introduce yourself as the nurse practitioner. The patient states, “I thought I was seeing a doctor. What is a nurse practitioner and when is the doctor coming in?” How will you reply?
I completely understand your question given the multiple and ever expanding roles of the different providers in healthcare today. There is often confusion about the role of the nurse practitioner in comparison with our physician and nurse peers. Let me first explain how a nurse practitioner differs from a registered nurse. There are three specific criteria that differentiate nurse practitioners from registered nurses (Tracy & O’Grady, 2018). Nurse practitioners are advanced practice registered nurses who have attended additional schooling and developed mastery in advanced topics, such as pharmacology, physiology, and physical assessment. All nurse practitioners must obtain a master’s level graduate degree, and some have obtained a doctorate level degree (Tracy & O’Grady, 2018). Secondly, nurse practitioners have obtained a national certification by passing a comprehensive exam which establishes a consistent standard of knowledge. Lastly, all nurse practitioners must have a practice focused on patients and families (Tracy & O’Grady).
Like physicians, depending on the state regulations, nurse practitioners can actually practice as independent primary care providers, with the ability to order and review diagnostic tests, diagnose and treat conditions, prescribe medications and other treatments, and manage a patient’s care, as well as counsel and educate patients (AANP, 2021). Additionally, studies have shown that APRNs provide the same high quality care as physicians, and often with higher levels of patient satisfaction (Tracy & O’Grady, 2018). Nurse practitioners often spend more time with patients, and provide a special focus on wellness, strengthening adherence, and tailoring individualized plans for patients. Some studies have even shown that patients managed by nurse practitioners had decreased emergency room visits and improved long term lipid, glucose, and blood pressure control, with an impressive decreased overall cost of care (Tracy & O’Grady, 2018). In respect to you seeing a doctor, there is no plan for you to see a doctor today. Of course, you have the right to see a different provider if you so wish, but please also know that as a nurse practitioner and a member of the team in this clinic, I have the ability to consult with other members of my team when necessary to troubleshoot complex issues. We work together to provide the best, holistic care to our patients. I hope you will give me the chance to show you just how effective and meaningful a visit with a nurse practitioner can be to your overall health.
References
American Association of Nurse Practitioners (AANP). (2021). What’s a nurse practitioner (NP)? https://www.aanp.org/about/all-about-nps/whats-a-nurse-practitioner (Links to an external site.)
Tracy, M. F., & O’Grady, E. T. (2018). Hamric & Hanson’s Advanced Practice Nursing – E-Book (6th Edition). Elsevier Health Sciences (US). https://bookshelf.vitalsource.com/books/9780323447706
Scenario #2: You go in to see your patient you have been following in primary care for 5 years. Your patient states, “I see on your badge you are still practicing to be a nurse. When will you finish? “How will you reply?
I will educate my patient that I am studying to be an advanced mental health nurse practitioner which focused on the patient’s range of competencies to improve health outcomes in a specialized area of nursing. I will tell him that Advanced Mental Health Nurse Practitioner helps patients and families to manage psychiatric disorders, practice advanced safe effective care . (Tracy & O’ Grady 2019). To be a successful nurse practitioner, the first step is to become an RN and complete a nursing program from an accredited school. The second step is that the nurse can choose the accelerated program to enter an RN to BSN or RN to MSN; the nurse must pass the NCLEX ( National Council Licensure Exam to become a Registered Nurse ( Clarke, 2021)
The registered nurse should gain nursing experience before going back to school to continue a direct MSN program depending on their unique situation. APRN programs require a minimum of two to three years of relevant experience. Furthermore, the nurse can enter into MSN/APRN program that offers the program to become a Psychiatric Mental Health Nurse Practitioner. Lastly, the APRN must earn a graduate degree with a concentration in an APRN role and sit for the national certification examination that provides a consistent standard that must be met ( Tracy & O’ Grady 2019).

References:
Tracy, M.F., & O’ Grady, E. T., ( 2019). Hamric and Hanson’s Advanced Practice Nursing. An Integrative Approach. St Louis, MO: Elsevier.
https://nurse.org/resources/psychiatric-nurse-practitioner/ (Links to an external site.)
Clarke, Elizabeth ( 2021) How to become a Nurse Practitioner https://www.nursepractitionerschools.com/psychiatric-nurse-practitioner/how-to-become-pmhnp/ (Links to an external site.)

Get a 10 % discount on an order above $ 50
Use the following coupon code : SAVE15

Order Now

PLACE THIS ORDER OR A SIMILAR ORDER WITH ONLINE NURSING PAPERS TODAY AND GET AN AMAZING DISCOUNT

↑