NR510 Week 2 DQ 1 Week 2: Theory and the APN Role Discussion

NR510 Week 2 DQ 1 Week 2: Theory and the APN Role Discussion

NR510 Week 2 DQ 1 Week 2: Theory and the APN Role Discussion

I think work Erikson’s is very important, yet classical model to look at when discussing how it relates to family practice. A nurse practitioner that specializes in family nurse practitioner practice, will have education that goes across the board. During clinical, one will do pediatrics, women’s health, adult and geriatric health. It is important to understand the psychological needs and accomplishments of each age group. Healthcare tries to now look into a patient as a holistic person and not just a person with signs and symptoms and a illness or disease to treat. When caring for a patient, one has to look at the patient mentally, physically, emotionally and even sometimes spiritually. For example with 45 to 65, according to Erickson, they are experiencing generative vs stagnation. 

People experience a need to create or nurture things that will outlast them, often having mentees or creating positive changes that will benefit other people. Success will equal to feelings of usefulness and accomplishment, while failure results in shallow involvement in the world. 65 and older will be experiencing ego integrity vs despair.  This stage takes place after age 65 and involves reflecting on one’s life and either moving into feeling satisfied and happy with one’s life or feeling a deep sense of regret.Success at this stages leads to feelings of wisdom, while failure results in regret, bitterness, and despair. For a nurse or nurse practitioner will do a thorough assessment to examine all avenues of the patient. A patient who is 55 years old might be going thru depression because her only son is in jail and she might feel as though she failed her son. This might cause her to eat less, grow weaker and become non compliant with blood pressure medication. If the NP did not look into this, she would have missed this important factor and just aimlessly order different interventions without examining the psycho social aspect of it. One patient in a clinic who is 69 years old, is generally healthy for their age, happy, compliant with medications might have been satisfied with life, vs the 70 year old patient that did not work in a profession he/she wanted, divorced and has been lonely may be unhappy, unsatisfied and non compliant with medication. Often, nurses and nursing practice becomes busy with different task and interventions to do, however, it is still important to look at the patient holistically. (Dunkel & Harbke, 2017)

Reference:

Dunkel, C., & Harbke, C. (2017). A Review of Measures of Erikson’s Stages of Psychosocial Development: Evidence for a General Factor. Journal Of Adult Development, 24(1), 58-76. doi:10.1007/s10804-016-9247-4

Karen, a registered nurse, decided that she wants to become a CNP. She applied and was accepted to the Family Nurse Practitioner program at Chamberlain College of Nursing. She received a course curriculum that outlined the courses necessary to complete her degree. One of the early courses in the program curriculum is NR501 Theoretical Basis for Advanced Nursing Practice.

You are a student colleague of Karen’s enrolled in the same class. On the course Q & A Forum, Karen posted, “Nursing theory is outdated and is too broad and isn’t useful for Advance Practice Nurses.”

The Theory of Modeling and Role-Modeling states nurses should care for each patient with an understanding and respect for the patient’s uniqueness (Currentnursing.com, 2018). This is the basis of Erickson’s theory, which focuses on the patient’s needs and what should be the core of clinical practice. To apply this theory to family practice, the role of the FNP is to facilitate care, nurture the wellness of the client, and to accept the patient’s need for autonomy. The five goals of the theory apply to the practice of nursing, as well as leading nursing organizations’ missions and purposes. One of the first theories that nurses learn is the Code of Ethics. When put into practice, the code is the ethical obligations and duties of every nurse (Judge-Ellis & Wilson, 2017). Erickson’s theory and the Code of Ethics align with each other because both state that nursing goals and interventions should be to build trust between the patient and the nurse, to promote the patient’s autonomy and privacy, and to set health goals that promote the client’s strengths and respects cultural practices. As FNPs engage in family practice, they must apply these values to provide the best care to families.

References:

Currentnursing.com. (2018). Modeling and role modeling theory. Retrieved from http://currentnursing.com/theory/modeling_and_role-modeling_theory.html

Judge-Ellis, T., & Wilson, T. R. (2017). Time and NP Practice: Naming, claiming, and explaining the role of nurse practitioners. The Journal for Nurse Practitioners, 13(9), 583-589. Retrieved from DOI: https://doi.org/10.1016/j.nurpra.2017.06.024

Discussion Question:

Is Karen right? Is theory important to APN practice? Why, or why not?

dq 2

Week 2: Theory and APN Role Discussion Part Two

Part Two

Karen is still not convinced that Theory has any place in APN practice. Provide a specific example of how theory is relevant to APN practice in one of the four specialties (CNM, CNP, CRNA or CNS). Provide evidence to support your arguments.

Criteria for Content

• Scholarliness: In this category, the student will conduct a search of the current databases and locate valid, relevant, and reliable information for the required topic. Each reference must be scholarly.
• Application of Course Knowledge: In this category, the student demonstrates the ability to analyze and apply principles, knowledge, and information learned in the course lesson and outside readings. This information is then applied to a real-life professional situation as an example.
• Interactive Dialogue: In this category, the minimum requirements are to provide an initial posting to the graded threaded discussion topic by Wednesday, 11:59 pm MT of each week. In addition, one peer response and one instructor response are required. These postings must be completed by Sunday, 11:59 pm MT of each week. The initial posting, peer response, and instructor response must be on 3 separate days.
• Grammar, Syntax, APA: Proper grammar, APA, and syntax is required for all posts. Students should follow the APA Manual 6th Edition. Additional APA information is available in Course Resources.
• Participation Requirement: One initial posting, one peer response and one instructor response (for a total of 3 posts for the week) are required on 3 separate days.
• Participation Deadline: The student must provide a substantive response to the graded threaded discussion topic. This must be posted by Wednesday, 11:59 pm MT of each week. Peer and instructor responses must be posted by Sunday, 11:59 pm MT.
• For week 8 only: the required postings are amended due to the shorter week. Two posts are required. One initial post and either a peer response or an instructor response. Initial post must be a minimum of 200 words and the peer or instructor response must be a minimum of 100 words. Both posts are required to be on two separate days. All posts must be made by Wednesday, 11:59 pm MT.

Criteria for Format and Special Instructions

1. Instructor reserves the right to submit any threaded discussion posting to TurnItIn in order to verify the originality.
2. When journals are used as the outside source of information, it is preferred that the journal be peer reviewed. The Chamberlain online librarian is very helpful in assisting you to find an article related to your topic. If you have questions concerning scholarly sources, please refer to the handout entitled “What is a scholarly source” located under “Course Resources” tab.

Web sites vary in quality and scholarship. It is the responsibility of the student to determine the scholarly nature of the web site. If the instructor determines that the site failed to demonstrate scholarship, points maybe deducted. Students are cautioned to use care regarding .com sites. Some .com sites are excellent such as American Heart Association, but others are built by individuals and scholarliness is lacking. It is recommended that you check with your instructor before using a .com website as a reference.

Only one small quote (15 words or less) within the entire initial posting is acceptable. It is expected that the student will paraphrase the information when presenting information from a scholarly source. The scholarly source(s) for the paraphrased information must be cited using APA format. Do not include a number of small quotes even if they are just a few words as your instructor considers a quote to be a quote no matter its limited size.

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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.

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☐ 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.

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.