Nursing Roles Graphic Organizer assignment

 Nursing Roles Graphic Organizer assignment

 Nursing Roles Graphic Organizer assignment

This week we are going to dive right into NUR-513. This first week, we discuss the history of advanced registered nursing (ARN) scope and how it has evolved in its scope and expectations. We will also be researching what the National Academy of Medicine (previously called the Institute of Medicine) recommends for nursing education and how the ARN can impact the health system. You will be completing two discussion questions and responding to your peers’ discussion questions. Finally, your Topic 1 assignment is to complete an online learning environment scavenger hunt. This scavenger hunt can be critical to your success at GCU, so please take the time to read and complete this well.

I would agree with applying Christian values influencing academic integrity is a valued part of our educational foundation. Not only should academic integrity be influenced by Christian values we should apply Christian values to every other decision we make. The Christian value set encourages ethical and honest decision-making in all aspects of our decision-making. Living a value-consistent life at times can be difficult. However, it creates a world with value consistency and this equates to less internal turmoil.

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I would argue that not having intellectual integrity is comparable to theft. Theft of intellectual property by not acknowledging the originator of the concept or phrasing that the writer is taking credit for. It is also in my opinion theft of the degree earned that I would consider ill-gotten gains. I would also argue that it diminishes the value of the educational institution and the value of the degree for those who earn it. It seems like such a foreign concept at this level that intellectual integrity is even a question. As I hope all of us have earned the privilege to be this far in our educational process through hard work and dedication. Integrity is a virtue we all strive to apply to our decision-making throughout our day.

(Word Count 209)

nursing masters

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I look forward to rich discussions with all of you.

Requirements for this week:

1.    Topic 1 DQ 1 by 8/6/22 at 11:59 pm

2.    Topic 1 DQ 2 by 8/8/22 at 11:59 pm

3.    Participation – respond to your peer’s post at least 3 different days this week

4.   Assignment – “Navigating the Online Environment Scavenger Hunt”. This is due by 8/10/22 and is worth 50 points.

For full Discussion Question (DQ) points Topics 1-3, you are required to:
  • Post your response of at least 150 words.
  • Reference at least one source within five years for one of your DQs using APA format.
  • When referencing, cite the reference inside your DQ and at the end to support your statements.
For full Participation points, you are required to:
  • Post a response to your peers of at least 100 words on 3 different days during the week. Notice this doesn’t just say 3 responses; it must be 3 different days. This is a GCU requirement.
  • I mark your response as either “substantial or not substantial” as I read them; watch for those markings throughout the week. If one of your responses was marked as “not substantial,” you will know to add another to receive full participation points that week. However, if you have waited until the last three days to reply to their responses, you will not be able to add another response to receive full participation credit. So I encourage you to respond early in the week and watch for those “substantial” or nonsubstantial” response markings.

As always please reach out if you have questions. However, let’s do this!!!!

Advanced registered nurses work in highly collaborative environments and must collaborate with interdisciplinary teams in order to provide excellent patient care. Besides knowing the role and scope of one’s own practice, it is essential to understand the role and scope of other nurse specialties to ensure effective collaboration among nurses, the organization, and other professionals with whom advanced registered nurses regularly interact.

Use the “Nursing Roles Graphic Organizer Template” to differentiate how advanced registered nurse roles relate to and collaborate with different areas of nursing practice. Compare your future role with one of the following: nurse educator; nurse leader; family nurse practitioner; acute care nurse practitioner; graduate nurse with an emphasis/specialty in public health, health care administration, business, or informatics; clinical nurse specialist; doctor of nursing practice. Indicate in the appropriate columns on the template which roles you are comparing.

Make sure to compare the following areas of practice in your graphic organizer:
  1. Ethics
  2. Education
  3. Leadership
  4. Public Health
  5. Health Care Administration
  6. Informatics
  7. Business/Finance
  8. Specialty (e.g., Family, Acute Care)

Include any regulatory bodies or certification agencies that provide guidance or parameters on how these roles incorporate concepts into practice.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

The American Nurses Association defines ethics as “the branch of philosophy or theology in which one reflects on morality; the formal study of morality from a wide range of perspectives including semantic, logical, analytic, epistemological, normative, and applied” (ANA, 2015). The Code of Ethics is a set of guidelines specific to behavior regarding moral decisions in professional settings. The code of ethics for nurses is updated every 10 years. The next revision will be released in 2025. The Code is used as a guideline for all U.S. nurses, “the Code steadfastly supports nurses across all settings and in all roles” (ANA, 2015).

Although governed by the same Code of Ethics, nurses of distinct roles might face ethical dilemmas specific to their job duties, or scope of practice. If we compare the advanced registered nurse roles of Nurse Educator and Nurse Practitioner (NP), they have vastly different scopes of practice. An NP’s focus will be on prioritizing quality care for their patients. Ethical dilemmas faced in practice might include caring for a patient involved in a crime. The text gives an example of a nurse caring for a patient responsible for the Boston Marathon bombings in 2013 (DeNisco, 2024). As a part of the ethical duties as a nurse, it is a responsibility to provide quality care for every patient regardless of that patient’s history or background. That includes respecting the patient’s right to privacy, treating them with dignity, and having compassion.

A Nurse Educator’s focus will be developing curriculum, teaching clinical skills, and preparing students for the profession. An ethical dilemma faced in academia might be an unethical work environment as described by Olson (2021), educators have identified relationships with colleagues where they have been spoken to in a condescending or disrespectful way, leading to conflict and a negative workplace environment. It is imperative for educators to foster a healthy learning environment as they build the framework for prospective nurses. The Code of Ethics should be the gold standard when ensuring an ethical environment in academic settings.

APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

☐  The title page is present. APA format is applied correctly. There are no errors.

☐ The introduction is present. APA format is applied correctly. There are no errors.

☐ Topic is well defined.

☐ Strong thesis statement is included in the introduction of the paper.

☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☐ All sources are cited. APA style and format are correctly applied and are free from error.

☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

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Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.

Nurses play a crucial role in the promotion of the optimum health of the population. The different specialties in nursing ensure the promotion of high quality, safe and efficient care for the diverse populations. Therefore, the purpose of this paper is to compare my roles as a nurse leader with those of an acute care nurse practitioner. The comparison uses a graphic organizer template.

  Master of science in nursing with emphasis of leadership Acute care nurse practitioner (ACNP) Observations (Similarities/Differences)
Ethics Ethics is an important part of nurse leaders. They must demonstrate ethical practices in leading others. They ensure the protection of interests of those they lead. They also adopt measures that ensure beneficence and non-maleficence while leading others. They also ensure ethical practices such as seeking informed consent before initiating change activities that involve human subjects and strive to ensure privacy and confidentiality in their roles (Munkeby et al., 2021).    Ethics are important for ACNP. They ensure informed consent is obtained from patients before care interventions. They also ensure the care practices do not cause any form of harm to patients for beneficence and non-maleficence. ACNP use patient data to make informed decisions (Grace & Uveges, 2022). As a result, they strive to ensure data integrity in their practice. Ethics play a crucial role for both nurse leaders and ACNPs. While ACNPs utilize ethics in the provision of direct patient care, nurse leaders utilize them in leading others and implementing change initiatives in their organizations.
Education One must have a degree in nursing to be a nurse leader. There is also the requirement of an advanced degree in nursing such as a masters in nursing leadership (DeNisco, 2019). One must also be a registered with a state board of nursing and licensed nurse leader.    The educational requirements for one to become ACNP include having a degree in nursing and advanced degree such as masters in acute care nursing. One should also be licensed as a registered nurse and advanced practice registered nurse (DeNisco, 2019). Both specialties require a degree in nursing and an advanced degree in the areas of specialization. One must also be a registered nurse with a board and licensed to undertake the specialized roles.
Leadership Leadership is the main function of nurse leaders. Nurse leaders are mainly engaged in activities such as strategic planning, setting goals, organizing, communicating, transforming, coordinating, and initiating actions. They help their organizations achieve their purpose by focusing on the selected strategies for success. They also influence their followers to embrace behaviors that would contribute to the realization of the goals of their organizations (DeNisco, 2019).    ACNP also have leadership roles. They lead the assessment, planning, implementation, monitoring, and evaluating care interventions. They also lead evidence-based interventions in their roles in the patient care process (DeNisco, 2019). Both roles require leadership knowledge and skills. However, they differ in that while nurse leaders focus mainly on influencing their organizations through their leadership competencies, much of ACNP’s leadership roles are only seen in the patient care processes.
Public Health Nurse leaders play crucial roles in the promotion of public health. They collaborate with public health officials and other healthcare providers to implement care interventions that prevent and minimize disease burden in the population. Nurse leaders also align the care strategies in their organizations with the public health needs. They ensure the care practices used for the population are relevant, population-based, and ethical. Nurse leaders also encourage the use of best practices by their followers to ensure the optimum health outcomes for their populations (Heinen et al., 2019). ACNP are involved in the promotion of public health. They provide evidence-based care to optimize the care outcomes of their patients, families, and communities. They also engage in health promotion activities such as health education, screening, early treatment, and rehabilitation for the health of the public. They also collaborate with public health officials in addressing crucial public health needs (DeNisco, 2019). The promotion of public health is the core focus of both specialties. The specialists embrace interventions that enhance the outcomes of their populations, families, and communities.
Health Care Administration Nurse leaders also play administrative roles in their organizations. They ensure the effective and efficient use of resources in achieving the set goals. They advocate and coordinate resource utilization for the realization of the set strategies. They lead strategic planning processes, implementation, monitoring, and evaluation. They may develop budgets for their specific nursing initiatives to guide the implementation of change initiatives in their organizations (Strudwick et al., 2019). ACNPs have limited roles to play in health care administration. However, they can play this role in leading and coordinating care interventions in their practice (Kleinpell et al., 2019). They also demonstrate their administration roles in providing clinical patient care. Both specialists are involved in health care administration. However, the difference is that ACNPs have limited roles as compared to nurse leaders. Nurse leaders collaborate with the management to make decisions that influence organizational success. ACNPs have less roles in the process, besides their role in the clinical patient care.
Informatics Nurse leaders require knowledge and skills in nursing informatics in their practice. They utilize the knowledge to make informed decisions on the healthcare technologies needed in their organizations. They also utilize the knowledge to analyze data from the organization and understand trends in performance, effectiveness of interventions, and develop recommendations. Informatics also helps nurse leaders to select best practices that can be used to drive excellence in their organizations. Informatics helps them to ensure data integrity in strategic plans adopted in their organizations (Strudwick et al., 2019).    Knowledge and skills in informatics are important for ACNPs. ACNPs use the knowledge to select and implement evidence-based interventions in their practice. They also use it to implement innovative practices that ensure quality, safety, and efficiency in their patient care. ACNPs can also use the knowledge to obtain raw data, apply them into their practice, and track to determine their effect on care outcomes (DeNisco, 2019). As a result, they make meaning from the data and recommend new care interventions in their practice. Knowledge and skills in informatics are needed in both specialties. They use them to improve practice, introduce new practices, and track trends by obtaining organization and patients’ raw data.
Business/Finance Knowledge in business and finance are important for nurse leaders. They use them to make sound decisions when engaging in strategic planning in their organizations. They also the knowledge in performing cost-benefit analysis of their organization’s ventures. The knowledge helps them to embrace strategies that optimize gains and minimize losses in the organization’s undertakings (DeNisco, 2019). Knowledge in business and finance is also important for ACNPs. They use the knowledge to propose and evaluate evidence-based strategies that improve care outcomes in their practice. They also use it to determine the feasibility of the different interventions that may be needed to improve the care outcomes of their patients (DeNisco, 2019). Both specialties require knowledge and skills in business and finance. They use the knowledge to make sound decisions that will ensure optimum gains from the strategies the organization embrace.
Specialty (e.g., Family, Acute Care) Nurse leaders have limited choices in terms of specialties in nursing. However, they can opt to focus on new areas of nursing practice such as family and acute care apart from nursing leadership. ACNPs work with patients from all the demographics. They provide acute care to patients with all kinds of health problems, including emergency and critical care. However, they can opt to focus on one area such as pediatrics or adult acute care nursing. Nurse leaders and ACNPs do not have specialties. However, ACNPs may chose to focus on caring for a specific patient population such as pediatrics unlike nurse leaders.
Regulatory Bodies or Certification Agencies That Provide Guidance or Parameters on How These Roles Incorporate Concepts Into Practice The Commission on Nurse Certification certifies nurse leaders. They must also be licensed and registered with a board of nursing. The certification by the Commission on Nurse Certification shows that one has acquired the competencies needed to drive excellence in healthcare organizations (DeNisco, 2019).    The American Association of Critical Care Burses (AACN) Certification certifies ACNPs. The nurse practitioners must also be licensed and registered by a board of nursing. The certification acts as a symbol for professional competence for the ACNPs to care for their patient populations (DeNisco, 2019). Both specialties require certification for one to function in the different roles. The certification bodies differ based on the specialties. Certification is a symbol for competence in both specialties.

 

Conclusion

           

In summary, the roles of a nurse leader and an ACNP differ in aspects such as healthcare administration, specialization, and certification. They share similarities in most of the aspects such as informatics, ethics, business/finance, and public health. Therefore, I will strive to explore the opportunities in my specialty to improve my personal and professional competencies. I will also seek to understand how I can collaborate effectively with those I work with in my practice.

References

DeNisco, S. M. (2019). Advanced Practice Nursing: Essential Knowledge for the Profession: Essential Knowledge for the Profession. Jones & Bartlett Learning.

Grace, P. J., & Uveges, M. K. (2022). Nursing Ethics and Professional Responsibility in Advanced Practice. Jones & Bartlett Learning.

Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of Advanced Nursing, 75(11), 2378–2392. https://doi.org/10.1111/jan.14092

Kleinpell, R. M., Grabenkort, W. R., Kapu, A. N., Constantine, R., & Sicoutris, C. (2019). nurse practitioners and physician assistants in acute and critical care: a concise review of the literature and data 2008–2018. Critical Care Medicine, 47(10), 1442–1449. https://doi.org/10.1097/CCM.0000000000003925

Munkeby, H., Moe, A., Bratberg, G., & Devik, S. A. (2021). ‘Ethics Between the Lines’ – Nurses’ experiences of ethical challenges in long-term care. Global Qualitative Nursing Research, 8, 23333936211060036. https://doi.org/10.1177/23333936211060036

Strudwick, G., Booth, R. G., Bjarnadottir, R. I., Rossetti, S. (Collins), Friesen, M., Sequeira, L., Munnery, M., & Srivastava, R. (2019). The role of nurse managers in the adoption of health information technology: Findings from a qualitative study. JONA: The Journal of Nursing Administration, 49(11), 549–555. https://doi.org/10.1097/NNA.0000000000000810

Hi Sarah, I agree about end-of-life ethics. It’s very complicated. My mother was a hospice nurse, so I was raised with matters surrounding death being fairly commonly discussed. I have always strongly believed in patient autonomy and respecting end-of-life decisions. I think because of this background I had not fully realized the frequency with which those wishes are disregarded by patient’s families until I was in the emergency department. Unfortunately, it was more common than I expected that the patient’s family would rescind their durable DNR as soon as the patient lost consciousness or mental faculty and their healthcare agent assumed decision making authority for the patient.

Some of those cases were the saddest I ever worked because it definitely created an ethical dilemma. On the one hand you know this was not what the patient wanted to happen, and on the other hand you are legally obligated to respect the wishes of the person with healthcare decision making authority. To be clear, I don’t think this was intentionally malicious by the family, I think when it came down to the actual death/dying of their family member they panicked that there was possibly more that could be done. Unfortunately, this often resulted in the exact situation the patient wanted to avoid at the end of their life with many invasive interventions.

Rubric Criteria

Total120 points

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Targeted

Comparison of Roles in Relation to Business or Finance

Comparison of Roles in Relation to Business or Finance

0 points

A comparison of roles in relation to business or finance is not included.

9.6 points

A comparison of roles in relation to busines

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