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MSN 612 Module 4
1. Identify a time in which collaboration was not used and that led to negative
consequences for the patient. Discuss the responsibility of the APRN as a patient advocate.
An advanced practice journal article written by Steihaug et al. (2018) identifies
complications that occur from lack of interdisciplinary collaboration among advanced practice
registered nurses (APRN) and clinical physicians. This article summarizes four projects
conducted by healthcare scholars involving a rehabilitation clinic for patients over 60 years of
age who are working to go home, a young adult mental health unit, in-home rehabilitation care,
and lastly identifying the various circumstantial impediments that may occur between advanced
practice registered nurses and physicians. This qualitative Norwegian study identifies that
collaboration among APRNs, and physicians is a mandatory behavior that can have negative
consequences if not employed (Steihaug et al., 2018).
Steihaug et al. (2018) recognizes the importance of collaborative relationships among
providers when dealing with patient care. The patients from this study indicated that their needs
are not being met and at times felt rejected from choices made by the APRN. Specifically, the
young adults on the mental health unit stated that they did not feel helped or heard. The lack of
interdisciplinary collaboration among providers hampered their clinical work as the patients had
poor clinical outcomes which led them to feel apprehensive and discouraged. The study
determined that the advanced practice registered nurses were not collaborating with the
physicians and in turn making decisions in haste as the relationship between the two providers
did not have a good, solid foundation. There were noted divergences and considerations among
the two as they had developed disjointedly from one another grounded on dissimilar knowledge
bases in diverse organization and administration ideologies. Physicians often disregarded input
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from the APRNs which resulted in poor collaboration and fear of rejection from the nurse
practitioners resulted in high numbers of poor patient satisfaction (Steihaug et al., 2018).
Patient advocacy is by far the most significant and important aspect of being an APRN.
Obligations to identify ailments, manage patient complications, order examinations, and
prescribe medications all play a critical role in the overall well-being of the patients under the
care of the APRN. The APRN advocates for the care of patients by supporting and preserving
their health. Patient advocacy includes communicating with the patients and their families,
educating them on the next step in their plan of care, informing them of risks and benefits of
proposed treatments, speaking on their behalf to promote safety, and establishing a professional
dyad while upholding social advocacy through interdisciplinary collaborations with the primary
care provider (Hanks et al., 2018).
2. Review the posted Collaborative/Standard Care Agreement.
Discuss the positive and negative aspects of it in the discussion
board.
The Standard Care Agreement provides advantageous and encouraging facets that will
help the APRN and physician to collaborate collectively. There will be a well-defined
understanding among both groups which permits the APRN to refer with the primary care
physician whensoever it is essential to do so. Additionally, it holds the APRN accountable in
preserving their skill sets and keeping their comprehension up to date in the area of their
authorized practice (Funk et al., 2019).
There are also some limitations to the Standard Care Agreement clause. It makes no
mention as to what the APRN is required to collaborate with the physician about. There is also
no indication as to what the APRN is required to do if the practicing physician was not working
MSN 612 Module 4
1. Identify a time in which collaboration was not used and that led to negative
consequences for the patient. Discuss the responsibility of the APRN as a patient advocate.
An advanced practice journal article written by Steihaug et al. (2018) identifies
complications that occur from lack of interdisciplinary collaboration among advanced practice
registered nurses (APRN) and clinical physicians. This article summarizes four projects
conducted by healthcare scholars involving a rehabilitation clinic for patients over 60 years of
age who are working to go home, a young adult mental health unit, in-home rehabilitation care,
and lastly identifying the various circumstantial impediments that may occur between advanced
practice registered nurses and physicians. This qualitative Norwegian study identifies that
collaboration among APRNs, and physicians is a mandatory behavior that can have negative
consequences if not employed (Steihaug et al., 2018).
Steihaug et al. (2018) recognizes the importance of collaborative relationships among
providers when dealing with patient care. The patients from this study indicated that their needs
are not being met and at times felt rejected from choices made by the APRN. Specifically, the
young adults on the mental health unit stated that they did not feel helped or heard. The lack of
interdisciplinary collaboration among providers hampered their clinical work as the patients had
poor clinical outcomes which led them to feel apprehensive and discouraged. The study
determined that the advanced practice registered nurses were not collaborating with the
physicians and in turn making decisions in haste as the relationship between the two providers
did not have a good, solid foundation. There were noted divergences and considerations among
the two as they had developed disjointedly from one another grounded on dissimilar knowledge
bases in diverse organization and administration ideologies. Physicians often disregarded input
, 2
from the APRNs which resulted in poor collaboration and fear of rejection from the nurse
practitioners resulted in high numbers of poor patient satisfaction (Steihaug et al., 2018).
Patient advocacy is by far the most significant and important aspect of being an APRN.
Obligations to identify ailments, manage patient complications, order examinations, and
prescribe medications all play a critical role in the overall well-being of the patients under the
care of the APRN. The APRN advocates for the care of patients by supporting and preserving
their health. Patient advocacy includes communicating with the patients and their families,
educating them on the next step in their plan of care, informing them of risks and benefits of
proposed treatments, speaking on their behalf to promote safety, and establishing a professional
dyad while upholding social advocacy through interdisciplinary collaborations with the primary
care provider (Hanks et al., 2018).
2. Review the posted Collaborative/Standard Care Agreement.
Discuss the positive and negative aspects of it in the discussion
board.
The Standard Care Agreement provides advantageous and encouraging facets that will
help the APRN and physician to collaborate collectively. There will be a well-defined
understanding among both groups which permits the APRN to refer with the primary care
physician whensoever it is essential to do so. Additionally, it holds the APRN accountable in
preserving their skill sets and keeping their comprehension up to date in the area of their
authorized practice (Funk et al., 2019).
There are also some limitations to the Standard Care Agreement clause. It makes no
mention as to what the APRN is required to collaborate with the physician about. There is also
no indication as to what the APRN is required to do if the practicing physician was not working
