the purpose of this APN Capstone Portfolio is to highlight my professional growth and expertise by providing evidence of the knowledge I have learned. This paper will demonstrate how

Capstone Portfolio Part 2 Ashley N. PeacockName NR 661: APN Capstone Practicum Class March 2020Date 1 APN CAPSTONE PORTFOLIO PART 2 Table of Contents Exemplars 1 - 10………..………………………………………………..…..…….#1-55 References…………………………………….……………………………….….#56-64 Appendix A: Concept Map……………………………………………………….…..#65 Appendix B: Table of Exemplars……………………………………………….…….#66 2 APN CAPSTONE PORTFOLIO PART 2 APN Capstone Portfolio Part 2 The purpose of this APN Capstone Portfolio is to highlight my professional growth and expertise by providing evidence of the knowledge I have learned. This paper will demonstrate how IWrite an introduction paragraph that introduces the topic of your paper and summarizes the key points that will be discussed. Hint: state that you have met Chamberlain University’s program outcomes (PO), the Essentials of Master’s Education (MSN Essentials), and the National Organization of Nurse Practitioner Faculties (NONPF) Core Competencies. I State that this paper will identify and explain how you have met each of these objectives were met by providing exemplars of myyour graduate work, reflect on how meeting these objectives have transformed meyou into a prospective masters-prepared nurse, and present how the concepts from your work interrelate. Exemplar 1: NR500 Week 3 Addressing Bias PaperWrite the Name of the Piece of Work Copy the exemplar here. Although experiences can shape our development of a bias mindset; it can be challenging to not permit these biases to affect how we interact and care for patients. By analyzing and reaffirming our personal biases during the week 3 paper assignment I was able to be better prepared to be a leader with integrity and selfawareness to provide optimal care to all patients. Self-awareness is a process of objective examination of oneself and is one of the important components in nurse-client relationship. Addressing bias is an important step in creating self-awareness. Although experiences can shape our development of a bias mindset; it can be challenging to not permit these bias thoughts to affect how we interact and care for patients. 3 APN CAPSTONE PORTFOLIO PART 2 TThis attribute reflects the cognitive exploration of own thoughts, feelings, beliefs, values, behaviors, allows one to understand nd how they can affect others (Rasheed, 2015). Therefore, it is critical that if any negative attitudes toward any patient strategies must be developed toand utilize to eliminate them. This paper also allowed me to develop such strategies to use to ensure I am not being bias towards any patient. For example, at the end of each day on the drive home I self-reflect on the care I provided my values, behaviors, feelings, and thoughts of how I would feel if I was the patient so that I could provide better care the following day. This paper also allowed me to reflect on unconscious stereotyping and prejudice contribute to healthcare disparities to advocate for fairness and the elimination of such negative behavior and mindsets. According to Philip, Chadee, and Yearwood (2014), study found that in Trinidad and Tobago discrimination is still present especially against people diagnosed with HIV/AIDS and at-risk groups. This negative attitude therefore creates barriers to accessing important testing and treatment services. Another study sought the view from nurses of what it means to provide care to the obese. Marques, De Melo, and Dos Santos (2014), study also found several bias and negative attitudes toward obese patient that included: being obese is excessive, it is not healthy; Providing care to the obese is a structural issue; Obese patients are troublesome, they require care, no big deal; Providing care to the obese requires teamwork. These negative views can interfere in the care provided and vital to eliminate as advanced practice nurses. This reflective paper also allowed me to understand, value cultural differences, and the importance of cultural competence. As we move to increasingly diverse society; the U.S. Census Bureau projects that the United States will be a majority-minority nation 4 APN CAPSTONE PORTFOLIO PART 2 by 2043, and bBeing cCultural competence is vital. Cultural competencethrough training also encompasses the needed knowledge about diverse people and their needs, attitudes that recognize and value difference, and flexible skills to provide appropriate and sensitive care to diverse populations (Kools, Chimwaza, & Macha, 2015). Organizations that wish to stay relevant in a society with rapidly changing demographics are learning that organizational cultural competence is the first step in reaching and employing diverse audiences. Cultural competence also enables effective teamwork in cross-cultural communities or programs by giving individuals and organizations the framework for operating in varying cultural contexts. Culturally competent organizations are equipped to work with people who have different backgrounds, attitudes, and worldviews thus building a larger, more powerful organization (Mcmullen-Bushman, 2017). constituency Identify and Explain This exemplar shows evidence that I have met program outcome number #3 engage in lifelong personal and professional growth through reflective practice and appreciation of cultural diversity. By completing the week 3 addressing bias paper I was able to not only reflect on and identify bias thoughts that I may hold or that may be seen in practice to effectively strategize to eliminate them to prevent any hinderance in care to any patient. By reflecting daily on my personal values, beliefs, and attitudes that I may hold to develop steps to ensure that I am not being bias to any patient under my car 5 APN CAPSTONE PORTFOLIO PART 2 services. As new graduate advanced practice nurse this is a vital step to be an effective role model, successful career, and business. MSN Essentials III: Quality Improvement and safety was also met through the completing of the reflective paper on addressing bias; I was able to understand the importance of self-awareness, holding bias ideas, and the importance of eliminating such ideas in the healthcare environment through daily self-reflection of my personal interaction with patient and staff members, my values, belief and attitudes. Self-reflection allows the identification of any bias ideas that may hinder care and direct quality improvement methods to promote culturally responsive, safe, timely, effective, efficient, equitable, and patient-centered care therefore meeting this master’s essential (AACN, 2011). NONPF #9 Independent Practice Competencies-develops strategies to prevent one’s own personal biases from interfering with delivery of quality care. Through the completion of week 3 addressing bias paper I was able to self-reflect on my own bias that I may hold and identify biases in the profession environment that could hinder optimal patientcentered care. I was also able to understand the importance cultural competencies, cultural humility, and eliminating bias thoughts in order to promote optimal culturally sensitive patient centered care with partnership of all patients (National Organization of Nurse Practitioner Faculties [NONPF], 2013) Connect The concepts identified in this exemplar are social justice, and cultural humility. Social justice as a concept is defined as a "nursing's professional responsibility to address unjust systems and structures (ANA (2019)." In order to address unjust systems and 6 APN CAPSTONE PORTFOLIO PART 2 structures self-awareness is needed to remove any self-bias ideas against any patient that may hinder care. To be socially justice I must also be culturally competent of other’s culture as this nation is moving towards a more diverse society. To provide optimal care for all cultures I must understand different cultures to promote optimal care and change in systems and structures as needed for all when it is unjust and cultural humility is a lifelong commitment to always self-reflect and change cultural bias thoughts (Thurman & Pfitzinger-Lippe