NU668 2022 November Discussions Latest (Full)

NU668 Roles and Issues in Advance Practice Nursing

Week 1 Discussion

Meet Your Classmates Forum

Use this area to create a 2- to 3-minute video showing your face and using your voice to introduce yourself to the group. In the video, please make sure to complete the following items:

Your specialty track (Pediatric, Family, Psych/Mental Health, Women’s Health, Adult Geriatric-Primary, or Adult Geriatric-Acute) and why you chose this track.

Describe how you envision your “dream job” for entry into advanced practice.

Share a question that you hope this class will answer for you.

Add any personal information you would like to share with the class.

Follow the instructions on Creating Unlisted YouTube Videos for Upload to Your Course Assignments to create and link the video. You can use Zoom or your personal preference to create your video.

After your recording is complete, you will need to submit the YouTube video URL for this discussion. Please share this URL in the discussion board initial post so that classmates and faculty may get to know you!

In order for this discussion to be considered complete, you will need to post a video showing your face and using your voice that addresses all the prompts by Day 3 AND complete at least 2 responses to your peers’ posts by Day 7.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 2 Discussion

Core Competencies

In your initial post, using the NONPF core competency you chose in Week 2 Choice: Core Competencies, discuss ways you as a student have or can begin to exemplify this competency. These exemplars can be from clinical experiences over the past year, course work or assignments completed in other classes, and internal (employment) and external (regional, state, national) professional activities.

In this initial post, you are asked to provide exemplars that are personal experiences. However, the rubric includes having three references. If you do not have three references that is ok; you will not be graded down on references for this discussion. However, your initial post will probably contain at least two references (one being the NONPF competency document itself and the other related to nursing practice, etc.).

Choices

Scientific Foundations

Leadership

Quality

Practice Inquiry

Technology and Information Literacy

Policy

Health Delivery Systems

Ethics

Independent Practice

Reply Posts

For the reply post, select a posting from one of your classmates that chose a different competency and discuss how your preceptor demonstrated proficiency with this competency during your clinical practice and what you have gained from that experience. If you have not worked with a preceptor yet, you may choose an example of an NP who you have worked with, or an NP who you have observed. If you are having difficulty identifying a personal story, please feel free to demonstrate your understanding of a second competency through an evidence-based essay that adds depth to a peer’s initial post.

In this discussion, you are asked to provide exemplars that are personal experiences. For the reply posts, the rubric includes having two references. If you do not have two references that is ok; you will not be graded down.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 3 Discussion

Role-Specific Nurse Practitioner Competencies

Initial Post

In your initial post, you should locate your role-specific nurse practitioner (NP) competency in the Required Resources. You should review this before completing your initial post. Please note this is an introduction to the role-specific competencies and, at the end of your program, you will have an opportunity to share how you have met all these role-specific NP competencies before graduation.

In this initial post, please address the following prompts related to your role-specific NP competency:

Which role-specific NP competency did you review?

Address two of the following competency areas in respect to your role-specific NP competency by explaining in your own words the competency and which areas in your curriculum you have worked on this competency:

Scientific Foundation

Leadership

Quality

Practice Inquiry

Technology and Information Literacy

Policy

Health Delivery Systems

Independent Practice

Please note that each person will have a different perspective on this discussion board, dependent on where you are in your course plan and your role specialization. The rubric states there should be three references, however your initial post will probably contain at least two references (one being the NONPF role-specific NP competency document itself and the other related to nursing practice, etc.).

Reply Posts

For the two reply posts, select a posting from one of your classmates who chose a different competency area for your first reply post and one of your classmates who addressed a different role-specific NP competency for your second reply. Discuss the similarities and differences and add any questions you may have related to their post.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 6 Discussion

Prescriptive Authority: State Regulations

Initial Post

To get started, review the Nurse Practitioner Interactive Map.

In your initial post, please identify the prescriptive authority regulations in the state where you are going to practice. Are there any restrictions, supervision, or collaboration required from a physician? If so, please explain. If you will be practicing in multiple states, do the regulations in those states differ? If you are in a clinical placement, please ask your preceptors about the prescriptive regulations and if an agreement is needed. If so, ask to see a copy of the agreement so that you can review what will be required when you begin to practice. Share with one another on the discussion board what you have found. If you are precepting at more than one facility, discuss whether these agreements differ at all, what your thoughts are about any differences, and which agreements you like best.

Reply Posts

Reply to at least one of your classmates. In your reply post, compare and contrast the state regulatory requirements of the state in your initial post with a different state. Discuss with your colleague rationales behind these differences and how the difference affects healthcare access, quality and cost.

Please refer to the Grading Rubric for details on how this activity will be graded and incorporate these guidelines in your discussion.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 7 Discussion

Opioid Epidemic

Initial Post

In your initial post, please identify the current trends of opioid addiction in your state and region. Provide demographic data for incidence and occurrence and list what community resources are available to you.

Reply Posts

Reply to one of your classmates, identifying strategies that they, as an NP, can begin to help clients with an opioid addiction and providing strategies that can help to educate communities.

Please refer to the Grading Rubric for details on how this activity will be graded and incorporate these guidelines in your discussion. The grading for the number of reply posts is based on individual Discussion Board instructions. If the rubric indicates a different number for reply posts, you will not be graded down as long as you have followed the reply post instructions.

In order for this assignment to be considered complete, you will need to address all the prompts including current trends of opioid addiction in your state by Day 3 and reply to at least one classmate with strategies on how they can help patients with an opioid addiction by Day 7.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 9 Discussion

APRNs and Malpractice

Initial Post

Review Tables 29.1 and 29.2 in the Joel textbook (2022) and compare APRN adverse events and malpractice claims to MDs in your state of practice. Identify the differences, explain why you think there is a difference, and discuss how malpractice suits affect patient access.

Reply Posts

Reply to at least two of your classmates—from different states if possible—after reviewing the information provided in the initial post and comparing your state stats. Address some of the problems, if any, with the current malpractice legal system related to malpractice.

Please refer to the Grading Rubric for details on how this activity will be graded and incorporate these guidelines in your discussion. The grading for the number of reply posts is based on individual Discussion Board instructions. If the rubric indicates a different number for reply posts, you will not be graded down as long as you have followed the reply post instructions.

For this assignment to be considered complete, you must address all the prompts—including how malpractice suits affect patient access to care, comparing APRN to MD adverse events in your state, noting what differences there are, and discussing why there may be differences—by Day 3 and reply to two classmates, addressing some of the problems with the current malpractice legal system by Day 7.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 11 Discussion

Next Steps: Job Search, Interview, and Negotiation

Initial Post

After completing this week’s reading and learning materials, identify four concerns or questions you have regarding the following:

Job search process

Interviewing

Negotiation

Identify one concern/ question for each of the three categories; the fourth concern can be a second item from any category.

Reply Posts

Reply to two of your classmates with strategies, suggestions, or answers to the questions/ concerns they posted in the initial post, utilizing material from the course as well as experience.

 The grading for the number of reply posts is based on individual Discussion Board instructions. If the rubric indicates a different number for reply posts, you will not be graded down, as long as you have followed the reply post instructions.

For this assignment to be considered complete, you must identify at least one concern or question regarding each of the following: the job search process, interviewing, and negotiation. You must post at least four questions/ concerns by Day 3. You must reply to at least two classmates and answer at least one of their questions no later than Day 7.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 13 Discussion

APRN Political Action State Initiatives

Initial Post

Using the NP Association links in the Nurse Practitioner Interactive Map, identify your state NP association and the current political action initiatives they are currently working on. State professional organizations will have an advocacy team working on the state initiatives determined by the organization, so look for an advocacy tab, political action coalition (PAC) tab, or policy issues tab on the home website.

How do these issues restrict your practice and how will your practice change if these issues are resolved?

Identify your role in addressing these political movements.

If your state NP association does not have any political action initiatives, look at either a national professional organization’s political initiatives, such as AANP, or a state health initiative, such as immunization rate, obesity rate, texting laws or the like and complete the same instructions.

Reply Posts

Reply to two of your classmates, either classmates from different states or classmates who identify a different political issue from what you identified.

 The grading for the number of reply posts is based on individual Discussion Board instructions. If the rubric indicates a different number for reply posts, you will not be graded down, as long as you have followed the reply post instructions. For this assignment to be considered complete, you must post your initial response and address all prompts related to the APRN Political Action State Initiatives by Day 3. In addition, you must reply to two classmates from different states or classmates who focused on an issue different than your own by Day 7.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 14 Discussion

Practical/Clinical Issue

Initial Post

After reviewing the 2012 QSEN Graduate Competencies (PDF), identify a quality/safety issue that you have seen in your practice or clinical setting.

Explain to your classmates the issue you have identified and the reasons why it is an issue. Include the potential negative outcomes that can arise if the issue is not resolved.

For example, you notice that the provider is not following the American Cancer Society’s recommendation for cervical cancer screening. This issue in quality competency can lead to under-testing, over-testing, increased cost, and increased potential for surgical procedures. These factors can have negative consequences, such as higher risk for preterm labor or infertility.

As you create your post, review the knowledge, skills, and attitudes of the relevant competency regarding the quality/safety issue you have identified.

Remember: The material and feedback from this assignment will be used in Week 15 Assignment 1: SWOT Analysis.

Reply Posts

Using the SWOT Analysis Resource, review two classmates’ posts.

Identify two items from each of the four components (S, W, O, T) that are relevant to the problem your classmate identified. Explain your reasoning for each.

To reply to the example in the initial post, you could select advantages of the proposition and financial reserves from the Strengths quadrant. Elaborate on the advantages of following the recommendations—for example, following professional standards of equal care, decreasing cost by not ordering unnecessary diagnostic tests, and increasing revenue from shorter visit times.

Items you might identify from the Weakness quadrant could include processes and systems, and morale commitment and leadership. These items are weaknesses because of the need to train providers on national recommendations and to create a system within the EMR to track PAP smears.

You should then choose two items from both the Opportunities quadrant and the Threats quadrant and include them in your reply post.

 The grading for the number of reply posts is based on individual Discussion Board instructions. If the rubric indicates a different number for reply posts, you will not be graded down, as long as you have followed the reply post instructions.

For the assignment to be considered complete, make sure that you address all prompts in your initial post by Day 3 and reply to at least two classmates by Day 7.

 

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