NR510 week two disc 3
Discussion Part Three (graded)
The following response on the discussion board was posted by the course
instructor:
“The advanced practice roles of CNM, CNP, CNS, and CRNA require an intensive
set of clinical skills, understandings, and integrative abilities that synthesize
advanced practice nursing knowledge.”
Discussion Question:
What does the course instructor mean by “integrative abilities”? Provide evidence to
support your response.
Topic responses
Discussion
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Sort By:
Meghan Mills
7/11/2016 11:23:41 AM
Part 3
What does the course instructor mean by “integrative abilities”? Provide evidence to
support your response.
In the Essentials of Master’s Education in Nursing from the American Association of Colleges of
Nursing (AACN) (2011), the fourth essential recognizes the importance of translating and integrating
research or scholarship into the practice setting, in addition to resolving practice problems, working as
a change agent, and disseminating research results when applicable. The eighth essential recognizes
the importance of an APN be able to integrate, “broad, organizational, client-centered, and culturally
,appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical
prevention and population care and services to individuals, families, and aggregates/identified
populations” (AACN, 2011, p. 5).
According to the Scope and Practice Standards set forth by the International Nurse
Practitioner/Advanced Practice Nursing (INP/ANP) Network of the International Council of Nursing (ICN)
(2005), scope of practice entails, “cognitive, integrative, and technical abilities of the qualified nurse to
put into practice ethical and culturally safe acts, procedures, protocols and practice guidelines” (p. 3).
Through the integration of practical and critical thinking skills, the APN provides ethically and culturally
competent care.
The AACN (2011) also discusses the integration of nursing and related sciences as a way of
delivering advanced practice nursing care to diverse patient populations, “The master’s-prepared
nurse integrates findings from the sciences and the humanities, biopsychosocial fields, genetics, public
health, quality improvement, health economics, translational science, and organizational sciences for
the continual improvement of nursing care” (p. 10). Integrative abilities may also refer to the utilization
of, “theory, evidence, clinical judgment, research, and interprofessional perspectives” for the purpose
of improving health care outcomes (AACN, 2011, p. 16).
References
American Association of Colleges of Nursing (AACN). (2011). The essentials of Master’s education in
nursing. Retrieved from http://www.aacn.nche.edu/education-
resources/MastersEssentials11.pdf
ICN International Nurse Practitioner/Advanced Practice Nursing Network. (2005). Scope of Practice
Standards. Retrieved from https://www.google.com/url?
sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0ahUKEwj5lL-
x2evNAhUB3GMKHX7zCIAQFggcMAA&url=http%3A%2F%2Finternational.aanp.org%2Fcontent
%2Fdocs
%2Fscopeandstandardswithwatermarkrevisedwithintro1.doc&usg=AFQjCNF1lirAErWka4YN2gE
gS76Rsq1MvQ&bvm=bv.126130881,d.cGc
Show Less
Instructor Duncanreply to Meghan Mills
, 7/17/2016 12:44:47 PM
RE: Part 3
Hi Meghan,
The term integration can have multiple meanings, and you have identified one of them! The ability to
integrate research in to practice is an essential component to APN practice, setting us apart as it
comes to outcomes.
Great work!
Dr. Duncan
Show Less
Mijanou Marretta-Lewis
7/14/2016 7:44:39 AM
Week Two Discussion Three
Dr. Duncan and Classmates,
Integrative abilities incorporate not just traditional and surgical methods to treat a patient but
integrates a holistic approach to treat patients/clients. A holistic approach includes at times
alternative practices that incorporate modalities that heal the mind, body and soul. With the use of
such modalities as massage therapy, Reiki, foot reflexology, acupuncture, chiropractic manipulation
that include such practices as muscle memory, homeopathic medicine, osteopathic medicine,
aromatherapy, cranial sacral manipulation, kampo, shiatsu massage, and hypnotherapy to name a
few (Kennedy, Gray, Black,2011).
The APN must be aware of different modalities that their patient/client may benefit from to aid in their
healing process. It is also important to understand the belief systems of their patients/clients and what
this patient may believe will help them. Consideration also needs to take into account the ability of
the patient/client to pay out of pocket for some of these modalities as insurance does not pay for all of
them. Homeopathy and osteopathy as well as chiropractic manipulation is paid by most insurances,
however many of the massage modalities and acupuncture may not be covered. Reiki and foot
reflexology are usually not paid as well as herbal therapy. However hydrotherapy can be considered a
physical therapy and is usually paid by insurances (American Institute of Health Care Specialists,
2016).
Discussion Part Three (graded)
The following response on the discussion board was posted by the course
instructor:
“The advanced practice roles of CNM, CNP, CNS, and CRNA require an intensive
set of clinical skills, understandings, and integrative abilities that synthesize
advanced practice nursing knowledge.”
Discussion Question:
What does the course instructor mean by “integrative abilities”? Provide evidence to
support your response.
Topic responses
Discussion
Expand All
More
Sort By:
Meghan Mills
7/11/2016 11:23:41 AM
Part 3
What does the course instructor mean by “integrative abilities”? Provide evidence to
support your response.
In the Essentials of Master’s Education in Nursing from the American Association of Colleges of
Nursing (AACN) (2011), the fourth essential recognizes the importance of translating and integrating
research or scholarship into the practice setting, in addition to resolving practice problems, working as
a change agent, and disseminating research results when applicable. The eighth essential recognizes
the importance of an APN be able to integrate, “broad, organizational, client-centered, and culturally
,appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical
prevention and population care and services to individuals, families, and aggregates/identified
populations” (AACN, 2011, p. 5).
According to the Scope and Practice Standards set forth by the International Nurse
Practitioner/Advanced Practice Nursing (INP/ANP) Network of the International Council of Nursing (ICN)
(2005), scope of practice entails, “cognitive, integrative, and technical abilities of the qualified nurse to
put into practice ethical and culturally safe acts, procedures, protocols and practice guidelines” (p. 3).
Through the integration of practical and critical thinking skills, the APN provides ethically and culturally
competent care.
The AACN (2011) also discusses the integration of nursing and related sciences as a way of
delivering advanced practice nursing care to diverse patient populations, “The master’s-prepared
nurse integrates findings from the sciences and the humanities, biopsychosocial fields, genetics, public
health, quality improvement, health economics, translational science, and organizational sciences for
the continual improvement of nursing care” (p. 10). Integrative abilities may also refer to the utilization
of, “theory, evidence, clinical judgment, research, and interprofessional perspectives” for the purpose
of improving health care outcomes (AACN, 2011, p. 16).
References
American Association of Colleges of Nursing (AACN). (2011). The essentials of Master’s education in
nursing. Retrieved from http://www.aacn.nche.edu/education-
resources/MastersEssentials11.pdf
ICN International Nurse Practitioner/Advanced Practice Nursing Network. (2005). Scope of Practice
Standards. Retrieved from https://www.google.com/url?
sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0ahUKEwj5lL-
x2evNAhUB3GMKHX7zCIAQFggcMAA&url=http%3A%2F%2Finternational.aanp.org%2Fcontent
%2Fdocs
%2Fscopeandstandardswithwatermarkrevisedwithintro1.doc&usg=AFQjCNF1lirAErWka4YN2gE
gS76Rsq1MvQ&bvm=bv.126130881,d.cGc
Show Less
Instructor Duncanreply to Meghan Mills
, 7/17/2016 12:44:47 PM
RE: Part 3
Hi Meghan,
The term integration can have multiple meanings, and you have identified one of them! The ability to
integrate research in to practice is an essential component to APN practice, setting us apart as it
comes to outcomes.
Great work!
Dr. Duncan
Show Less
Mijanou Marretta-Lewis
7/14/2016 7:44:39 AM
Week Two Discussion Three
Dr. Duncan and Classmates,
Integrative abilities incorporate not just traditional and surgical methods to treat a patient but
integrates a holistic approach to treat patients/clients. A holistic approach includes at times
alternative practices that incorporate modalities that heal the mind, body and soul. With the use of
such modalities as massage therapy, Reiki, foot reflexology, acupuncture, chiropractic manipulation
that include such practices as muscle memory, homeopathic medicine, osteopathic medicine,
aromatherapy, cranial sacral manipulation, kampo, shiatsu massage, and hypnotherapy to name a
few (Kennedy, Gray, Black,2011).
The APN must be aware of different modalities that their patient/client may benefit from to aid in their
healing process. It is also important to understand the belief systems of their patients/clients and what
this patient may believe will help them. Consideration also needs to take into account the ability of
the patient/client to pay out of pocket for some of these modalities as insurance does not pay for all of
them. Homeopathy and osteopathy as well as chiropractic manipulation is paid by most insurances,
however many of the massage modalities and acupuncture may not be covered. Reiki and foot
reflexology are usually not paid as well as herbal therapy. However hydrotherapy can be considered a
physical therapy and is usually paid by insurances (American Institute of Health Care Specialists,
2016).
