Fnp Reflection

It is the job of the APN to apply their skills to promote a culture of excellence. Promoting such a culture involves using all aspects of the quality competency. The Nurse Practitioner is in a unique position as a clinician and manager. According to Carney (2011), clinical managers have the capability to ensure the safe, ethical, and high quality of care due to their professional background, which is firmly grounded in ethical healthcare. Therefore, the APN has a distinct set of skills that will ensure positive patient outcomes. Another contributor to quality care is the use of evidence-based practice (EBP). EBP is an approach to solving issues that integrate the best evidence from well-designed studies from a clinician?s expertise. These studies extrapolate the evidence from patient assessments, preferences, values, and practice data. The findings from these studies yield research that leads to higher quality of care, positive patient outcomes, increased quality of care, and decreased costs (Mazurek, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012).

Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will

As I reviewed my Gatsby essay, I noticed that there were several strengths and weaknesses when it came to my writing and format. While I feel I did commit enough time and effort during the writing process, I probably neglected to double check for the mirror errors that resulted in my grade of a low B. My grade was satisfactory, but I know with some additional adjustments I can improve upon my writing and work towards achieving a higher grade for the next assignment. In this reflection I will discuss the strengths and weakness of my writing that resulted in the grade I received.

It is an extraordinary honor to be considered as a candidate for the National Honor Society. Being considered means I have achieved my goal in demonstrating my determination- in school and outside of school- and my willingness to aid people in my community. Being a part of such a prestigious organization is an enormous responsibility to which I will fully devote my time. Ever since I was a freshman, my goal was to work diligently to be among the highest scholars and to be accepted into this scholarly “hall of fame”. Through my relentless hard work and perseverance, I believe that I possess the four characteristics of a National Honor Society member- leadership, service, character, and scholarship.

The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care. Integrating humanities and sciences in nursing is important and allow individuals to enhance their knowledge and critical thinking skills in their nursing practice. The information I learn in this course has taught me that evidence-based research findings can be used to shape future practice settings going forward. As a change agent, I will change and implement new evidence-based care to my practice to deliver high-quality

This paper will explain the seven principles of patient-clinician communication. It will then apply three of those principles to my interactions with my patients. Next, it will describe three methods being used in my area of practice to improved communication between the patients and clinicians. It will ultimately choose one of those principles that applies best to my practice and clearly describe how I use it. It will describe ethical principles that can be applied to issues with patient-clinician communication. Finally, it will explain the importance of ethics in communication and how patient safety is influenced by good or bad team communication.

During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

It is important that medical practitioners gather enough info about the patient they are dealing with especially in the “ask” model. This will enable them come up with the best care and also aid in guiding them on what information they are to research on.

This portfolio shows the educational journey through the BSN program at Western Governors University(WGU). The curriculum at WGU was very challenging, nonetheless it prepared me to become a safe and effective nurse. The BSN curriculum provided avenues to keep me up to date with safe practices and learn how to master therapeutic communication. WGU also helped me sharpen my critical thinking skills in order to make decisions quickly and provide safe and effective care to patients. As the result of my training, I am ready to embark in the field of nursing and do my best to make a difference in my patients lives.

I am currently a teenager whose writing has developed significantly over the past few years. In fact, my writing was absolutely shocking when I was younger; it was only recently that it has improved.

For my interview I selected a Certified Registered Nurse Anesthetist who works at Dwight D. Eisenhower Army Medical Center (DDEAMC), a military hospital located in Augusta, Georgia. A Certified Registered Nurse Anesthetist (CRNA) is one type of Advanced Practice Nurse. A CRNA provides anesthesia to patients for all types of procedures and surgeries. They are the main anesthesia provider in military hospitals. In the United States Nurse Anesthesia can be traced back to the late nineteenth century. In the 1800s during the Civil War they gave anesthesia to wounded soldiers on the battlefield (Hamric, Hanson, Tracy & O’Grady, 2014, p. 2). To become A CRNA you must be an advanced practice nurse with a certification in anesthesia.

This contextual project consists of 10 concept from the block 1 study with the title “Research and Nursing Research”. The meaning of each concept will be clarified, critically analyzed and applied to social context, personal life and current professional life. The usefulness of the concept to the current world will also be explained.

I am pursing a degree in Elementary Education and Early Childhood Education. I am passionate about education and excited to share the joy of learning with students. The perspective of wonder and sense of excitement that children bring into education motivates me daily. Teaching can leave a lasting impression in a child’s life and offers a special opportunity to shape the bright young minds of future generations. While many professions can be impactful, I believe the qualities of the person in the career position to be the most influential. The integrity I possess and genuine character I have reveals my authentic positive outlook on life. I aspire to be the voice that encourages students to obtain a life changing education that will aid them in their journey. I desire to be a teacher that takes time out of my day to have meaningful minutes in a student’s life and to represent the picture of a positive role- model. I hope to leave a lasting impact by creating a caring atmosphere that allows students to express themselves, discover knowledge, and obtain their fullest potential confidently!

Investing my time in the care of my patient gives the opportunity to not only assist them in a difficult situation, but also to learn more about their diagnosis and the treatment, while comparing it to what we have learned in class. For example, I had a patient that suffered from Sickle Cell Disease and came to the ER during a crisis. Correlating this case to the books and the content learned in class, these patients receive at least 1000 mL of fluids, pain medication, and oxygen. Additionally, I had a patient with meningitis. This individual presented with common symptoms such as nuchal rigidity, muscle pain, fever, and chills. The doctor performed a lumbar puncture exam and the cerebrospinal fluid was in the cloudy range of the spectrum. According to the medical staff present at the time, this fluid is supposed to be much clear than what it was at the time of the test. Asking questions to my preceptor is another action I take in order to achieve my goals and problem-solve my obstacles. Additionally, I assist in different cases throughout the ER. For example, when a new patients come or when patients are deteriorating, the available nurses go into the room and help the other nurse. In these situations, I go and help as well and gain experience on the procedure to follow in

Mediation is a form of alternative dispute resolution in which a neutral third party helps disputants resolve a conflict (Bishop, p. 64). The employee/supervisor mediation was my first experience role-playing as a mediator in a dispute. I enjoyed the experience and recognized how significant the role of a mediator was. There are many strategies/avenues a mediator can take when conducting a mediation and it is imperative that the mediator is able to adapt their mediation strategy in order to satisfy the party’s needs. This in-class role-play gave me the opportunity to apply all the knowledge that I learned during the course, to a real workplace scenario. I especially utilized Ewert’s five-stages of mediation, by preparing, introducing, framing the issues to the parties, determining the parties’ interests, and crafting solutions. Overall, I was extremely proud of the mediation and how passionate my disputants were.