NR 603 Week 8 Reflection (MSN Outcome 4, MSN Essential IV, Competencies 7)

NR 603 Week 8 Reflection (MSN Outcome 4, MSN Essential IV, Competencies 7) NR603 Week Eight Reflection The last several weeks has prepared this student to meet the following outcomes; The MSN Program outcome #4 which states Evaluate the design, implementation and outcomes of strategies developed to meet healthcare needs (MSN Essentials). The MSN Essential IV which states we are to “recognize that the master’s prepared nurse shall apply research outcomes within the practice setting, resolve practice problems, work as a change agent and disseminates results”[AMA11] and be able to effectively apply the Nurse Practitioner Core Competencies #7 which list the following competencies [NON17] 1. Applies knowledge of organizational practices and complex systems to improve health care delivery. 2. Effects health care change using broad based skills including negotiating, consensus- building, and partnering. 3. Minimizes risk to patients and providers at the individual and systems level. 4. Facilitates the development of health care systems that address the needs of culturally diverse populations, providers, and other stakeholders. 5. Evaluates the impact of health care delivery on patients, providers, other stakeholders, and the environment. 6. Analyzes organizational structure, functions and resources to improve the delivery of care. 7. Collaborates in planning for transitions across the continuum of care. Program outcome #4 Healthcare is an ever-changing practice and it is essential that nurse practitioners provide the highest level of care. The last seven weeks have provided me the opportunity to improve and build knowledge and understanding in the importance of designing a treatment plan, implementing the treatment and measuring the outcome of future patients. The SOAP note provides a consistent format in which delivers a clear and concise documentation of the visit. During the case studies Dr. Samuels provided a great deal of helpful feedback and made sure our documentation was supported by evidenced based practice and that we addressed not just the patient but the protected the practice by utilizing national guidelines. MSN Essential IV The MSN Essential IV defines the expectations of a Master level nurse practitioner. Over the last several weeks and throughout the course of this program I have been in preparation of developing a scholarly knowledge of nursing. Research is an essential part of the healthcare system and as a master’s prepared nurse it is my duty and responsibility to strive for improvement in healthcare cost, deliverance and outcomes. Change is often difficult and will meet resistance of those who have become idle, thereby making it more challenging to educate, and implement research. The case studies and clinical settings created a learning environment that demonstrates the value of research, implementing research and learning to work out challenges in the work place. During clinical hours, I have observed clinicians who have worked in harmony and clinicians who seldom converse with one another. By far, the clinicians who worked in harmony, built a strong work ethic and learned how to resolve difficult and sometimes illegal behaviors are far better than the non-collaborating clinicians. Nurse Practitioner Core Competencies #7 The NP core competency #7 requires that one must have organizational practice, be able to have inter-professional collaboration, implement knowledge in informatics/information systems and needs the assessment of populations served [NON17]. Currently and in the coming months my knowledge will continue to grow as I begin to practice as a nurse practitioner. These last few weeks, I have used my clinical hours to build relationships with knowledgeable and professional colleagues. I have observed well organized health care services verses poorly organized health care services. I have also learned how organizational structure, theory, and principles of management including outcomes affect the way an organization views their practice. The curriculum over the last seven weeks created a learning process of patient care and the challenges practitioners will face from time to time. However, it also provided a strong knowledge in research, application of research, facilitating change, and consistently working to improve the delivery of care by collaborating in the planning and implementing of care. During clinical hours, my preceptor and myself had the privilege of working at mobile unit that went to the local school to vaccinate children and do well check exams before the start of the new school year. Afterwards, I requested information on how they started this program so that it could be introduced to the local schools in other counties, who currently do not have this program. According to the Office of Disease and Prevention and Health Promotion (ODPHP) when healthcare and school programs work together the community is stronger and children are healthier [ODP16]. Reference AMA. (2011, March 21). The essentials of master's education in nursing. Retrieved from American Association of Colleges of Nursing: