Week 8 Reflection

Reflection on Learning

Throughout the course, I have learned valuable lessons aligning with Program Outcome 5: Advocate for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice. The lesson assignments, especially those on health promotion and disease prevention, emphasized that a holistic approach to patient care is an extremely vital unit in healthcare. By reviewing evidence-based guidelines, I have learned how to formulate appropriate management plans for individualized patient needs. Also, while working on the case studies we were assigned, I had the chance to develop health promotion and disease prevention interventions for different populations across the lifecycle. This process helped me build solid knowledge about the best use of evidence and collaboration in providing optimal outcomes for my patients.

Discussions of the numerous ethical dilemmas in nursing practice have also helped me grow significantly. Reflection with my peers has helped bring various perspectives to appreciation and the importance of demonstrating compassionate care. I have realized that an understanding of ethical frameworks is central to supporting patient and family advocacy by giving voice to them in decisions pertaining to them. This is in line with the program outcome, which addresses the promotion of positive health outcomes. It demands not only clinical competency but also empathetic and ethical practice awareness.

AACN Essentials Domain 9 Competency

One of the advanced-level competencies from the AACN Essentials Domain 9 that I plan to work on is 9.3m: Advocate for policies/practices that promote social justice and health equity. Specific assignments around analyzing current health policies and their impact on vulnerable populations more clearly framed my understanding of social justice in health. I realized that disparities in health are usually related to social determinants, and as nurses, we should be able to leverage for policies that would result in such disparities.

The course activities, whether through group projects or presentations, further honed my skill to communicate the relevance of health equity to my future colleagues or peers. We were able to think of ideas collectively for strategies that could be implemented in each of our respective practice settings to promote equal access to health care. I will ensure that evidence-based practices are followed and policies enacted, which include all manner of inclusivity so that quality patient care is not dependent upon patient socioeconomic status. This has prepared me to play an active role in any advocacy opportunity that leads to the breakdown of systemic barriers in healthcare.

NONPF Independent Practice Competency

The NONPF Competency on which I will focus from an independent practice perspective is NP 2.9k: Implement evidence-based guidelines and strategies that enable effective transitions of care and care coordination. Care coordination provides integrated and coordinated care along the continuum of the patient’s health care journey (Karam et al., 2021; Khatri et al., 2023). We reviewed evidence-based guidelines for ensuring smooth transitions between various care settings, which were important for patients with chronic disease processes or with complex health needs.

The assignment entitled Care Coordination that I worked on involved developing a plan of care for a patient transitioning from the hospital to home care. This exercise pointed at the importance of communication among members of an interdisciplinary team and made clear that a patient-centered approach is necessary. I will continuously follow my studies and clinical practice by utilizing the aforementioned skills, ensuring transitions in the delivery of care are without obstacles, effective, and appropriate for the given patient. Through evidence-based strategies, I will try to enhance patient outcomes and further improve the quality of care provided.

Conclusion

This course has contributed to my professional development toward being a future family nurse practitioner. Through reflective inquiry, I have developed a more critical understanding of the importance of advocacy, collaboration, and ethical decision-making in nursing practice. The knowledge and skills I have acquired will enable me to contribute effectively toward taking care of patients and becoming an advocate for health equity and social justice in my future practice. Moving on, I am committed to the principles of compassion, and evidence-based nursing that prioritize the well-being of patients and families across the lifespan.

References

Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care, 21(1). https://doi.org/10.5334/ijic.5518

Khatri, R., Endalamaw, A., Erku, D., Wolka, E., Nigatu, F., Zewdie, A., & Assefa, Y. (2023). Continuity and care coordination of primary health care: A scoping review. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09718-8

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Assignment
Purpose
The purpose of this assignment is to provide the student an opportunity to reflect on learning in the course related to course outcomes, program outcomes, and competencies. Reflective inquiry allows for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals.

Course Outcomes
This assignment enables the student to meet the following course outcomes:

• CO 1: Independently formulate a management plan addressing health promotion, disease prevention and health protection for patients and families across the lifespan using evidence-based guidelines. (PO 5)
• CO 2: Collaborate with interdisciplinary team members to improve the quality of healthcare. (PO 5)
• CO 3: Appraise personal and professional growth toward achieving mastery of the NONPF competencies and the Essentials for Master’s Education in Nursing. (PO 5)
• CO 4: Demonstrate a command of essential knowledge needed for safe, quality primary care practice as a family nurse practitioner. (PO 5)
• CO 5: Demonstrate competencies essential of the family nurse practitioner role as leaders and advocates of holistic, safe, and quality care. (PO 5)

Total Points Possible

• This assignment is worth a total of 25 points.
  

  Week 8 Reflection

Preparing the Assignment
Follow these guidelines when completing this assignment. Contact your course faculty if you have questions.

Include the following sections (detailed criteria listed below and in the Grading Rubric).

Reflection on Learning

• Describe how learning in this course helped you to meet Program Outcome 5: Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice (Extraordinary Nursing).
• Describe how course assignments or activities will help you achieve ONE of the advanced-level nursing education competencies from AACN Essentials Domain 9 listed below. Click each section below to view the competencies.
  • 9.1 Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society.
    • 9.1h Analyze current policies and practices in the context of an ethical framework.
    • 9.1i Model ethical behaviors in practice and leadership roles.
    • 9.1j Suggest solutions when unethical behaviors are observed.
    • 9.1k Assume accountability for working to resolve ethical dilemmas.
  • 9.2 Employ participatory approach to nursing care.
    • 9.2h Foster opportunities for intentional presence in practice.
    • 9.2i Identify innovative and evidence-based practices that promote person-centered care.
    • 9.2j Advocate for practices that advance diversity, equity, and inclusion.
    • 9.2k Model professional expectations for therapeutic relationships.
    • 9.2l Facilitate communication that promotes a participatory approach.
  • 9.3 Demonstrate accountability to the individual, society, and the profession.
    • 9.3i Advocate for nursing’s professional responsibility for ensuring optimal care.
    • 9.3j Demonstrate leadership skills when participating in professional activities and/or organizations.
    • 9.3k Address actual or potential hazards and/or errors.
    • 9.3l Foster a practice environment that promotes accountability for care outcomes.
    • 9.3m Advocate for policies/practices that promote social justice and health equity.
    • 9.3n Foster strategies that promote a culture of civility across a variety of settings.
    • 9.3o Lead in the development of opportunities for professional and interprofessional activities.
  • 9.4 Comply with relevant laws, policies, and regulations.
    • 9.4d Advocate for polices that enable nurses to practice to the full extent of their education.
    • 9.4e Assess the interaction between regulatory agency requirements and quality, fiscal, and valuebased indicators.
    • 9.4f Evaluate the effect of legal and regulatory policies on nursing practice and healthcare outcomes.
    • 9.4g Analyze efforts to change legal and regulatory policies that improve nursing practice and health outcomes.
    • 9.4h Participate in the implementation of policies and regulations to improve the professional practice environment and healthcare outcomes.
  • 9.5 Demonstrate the professional identity of nursing.
    • 9.5f Articulate nursing’s unique professional identity to other interprofessional team members and the public.
    • 9.5g Evaluate practice environment to ensure that nursing core values are demonstrated.
    • 9.5h Identify opportunities to lead with moral courage to influence team decision-making.
    • 9.5i Engage in professional organizations that reflect nursing’s values and identity.
  • 9.6 Integrate diversity, equity, and inclusion as core to one’s professional identity.
    • 9.6d Model respect for diversity, equity, and inclusion for all team members.
    • 9.6e Critique one’s personal and professional practices in the context of nursing’s core values.
    • 9.6f Analyze the impact of structural and cultural influences on nursing’s professional identity.
    • 9.6g Ensure that care provided by self and others is reflective of nursing’s core values.
    • 9.6h Structure the practice environment to facilitate care that is culturally and linguistically appropriate.
    • 9.6i Ensure self and others are accountable in upholding moral, legal, and humanistic principles related to health.
• Describe how course assignments or activities will help you achieve ONE NONPF Independent Practice CompetencyLinks to an external site. listed below.
  • NP 2.1g: Engage in shared decision-making with consideration of determinants of health.
  • NP 2.6 Demonstrate accountability for care delivery.
    • NP 2.6k: Provide healthcare services within scope of practice boundaries, which include health promotion, disease prevention, anticipatory guidance, counseling, disease management, palliative, and end-of-life care
    • NP 2.6l: Collaborate with the interprofessional team to formulate a plan of care.
  • NP 2.9k: Implement evidence-based guidelines and strategies that enable effective transitions of care and care coordination.
  • NP 3.5 Demonstrate advocacy strategies.
  • NP 4.2 Integrate best evidence into NP practice.
  • NP 9.6 Integrate diversity, equity, and inclusion as core to one’s professional identity
  • NP 10.2n: Uphold standards of the NP profession
  • NP 10.3v: Engage in advocacy efforts to address health disparities, social justice, and equity to improve healthcare outcomes
• Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.