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NR 585NP Week 1 Discussion; Clinical Problem

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NR 585NP Week 1 Discussion; Clinical Problem

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March 10, 2025
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Follow these guidelines when completing each component of the discussion. Contact your course
faculty if you have questions.
General Instructions
Over the next eight weeks, you will learn more about integrating evidence into practice by
designing an evidence-based practice project. This project is comprised of related assignments.
This week, you will identify a client-focused clinical problem for which a nurse practitioner (NP)
could advocate for an evidence-based practice (EBP) change. You will conduct a literature
review to determine what is currently known about the problem so that you will be able to
develop a concise question for next week’s assignment.
Include the following sections:
Address the discussion questions below by using your self-appraisal proficiency/competency
skill ratings identified on the TANIC survey.
1. Application of Course Knowledge: Answer all questions/criteria with explanations and
detail.
 Identify a clinical problem for which an NP could advocate for an evidence-based change
that is client-focused. Avoid topics that are related to full practice authority, staffing, or
burnout. The problem should be centered around clients and the care nurse practitioners
provide for the population.
 Describe the scope and impact of the problem.
 Discuss the role of the NP in addressing the problem.
 Explain why the problem is of interest to you.




Answer:
I believe a practice problem related to my future role, and also many other different advanced
practice nurse roles, is burn out and mental health issues due to being overworked and not
receiving respect from colleagues.
This issue is widespread affecting many ANPs and can be attributed to a negative work
environment, lack of support, feeling devalued, and workload issues affecting work-life balance
(De Lisser et al. 2024). The nurse practitioner role was created to fill a demand and has helped in
providing more care for patients with positive outcomes, but has also led to them becoming
overworked and lacking respect from patients and peers because they do not hold the title of a
doctor. I have experienced this issue in my current workplace where nurse practitioners are given
a heavier workload than doctors and this has resulted in a high turnover rate. Dyrbye et al. found
that NPs who experienced burnout had increased depression, anxiety, and extreme fatigue, which
are all factors that affect patient care and outcomes (2019).
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