Tag: Clinical-Nursing

  • Pennsylvania nursing Certification and Licensure

    Pennsylvania nursing Certification and Licensure

    Pennsylvania is considered a reduced practice state, which means that a nurse practitioner must practice under a physician with a collaboration agreement outlining their joint practice (ANA,2021). Under a collaboration agreement, a nurse practitioner can deliver many health care services such as diagnose medical conditions, develop and implement treatment plans, order and perform diagnostic tests, and order and manage medications (Pennsylvania Coalition of Nurse Practitioners, 2021). Physician availability must be also outlined in the agreement. However, recently the PA senate passed bill 717 trying to change current practice. The proposed bill would allow nurse practitioner’s the ability to practice independently in the state after participating in at least a 3-year collaboration agreement with a physician (Phillips, 2019). This bill has a lot of support but has also met resistance by the house and is still in process of potentially becoming Pennsylvania law. Although nurse practitioners cannot practice independently currently, they are recognized in the state as primary care providers Pennsylvania nursing Certification and Licensure.

    A nurse practitioner in Pennsylvania must have an RN license, successfully complete a master’s degree or post master’s certificate nurse practitioner program, and obtain national certification before applying for a Pennsylvania state license (Nursinglicensure.org, 2020). Application can be completed online with the Pennsylvania licensing system (PALS) and is approved by the state board of nursing. License renewal is every two years with a 30 continuing education hours requirement (AANP, n.d.).

    A nurse practitioner in Pennsylvania can prescribe drugs, devices and Schedule II-V controlled substances (Pennsylvania Coalition of Nurse Practitioners, 2021). Buprenorphine-containing products can be administered by a nurse practitioner if both the nurse practitioner and collaborating physician are certified and trained accordingly (Pennsylvania Coalition of Nurse Practitioners, 2021). Prescriptive authority must also be outlined in the collaboration agreement between the physician and nurse practitioner. To obtain a DEA number, one must apply online through the U.S. Department of Justice, Drug Enforcement agency. Once issued, it will need renewed every three years.

    There are multiple nurse practitioner organizations specific to Pennsylvania. Some are location specific within the state but share similar goals and mission statements. These organizations are there to support and promote practice through legislative and regulatory processes, provide continuing education, and advocate the roles of nurse practitioners in today’s health care (Pennsylvania Coalition of Nurse Practitioners, 2021).  The Pennsylvania Coalition of Nurse Practitioners (PCNP), Nurse Practitioner Assoc of Southwestern Pennsylvania (NPASP), Nurse Practitioners of Central Pennsylvania (NPCP), and Nurse Practitioners of Northeastern Pennsylvania (NEPA) are just some examples of the organizations available to Pennsylvania nurse practitioners Pennsylvania nursing Certification and Licensure.

    References

    AANP. (n.d.). Pennsylvania State Policy Fact Sheet. American association of nurse practitioners. Retrieved August 31, 2021, from
    https://www.aanp.org/advocacy/state/state-practice-environment/state-policy-fact-sheets/pennsylvania-state-policy-fact-sheet

    AANP. (2021). State practice environment. American Association of Nurse Practitioners. Retrieved August 31, 2021, from
    https://www.aanp.org/advocacy/state/state-practice-environment

    U.S. Department of Justice- Diversion control division. (n.d.). General information. Registration Procedures. Retrieved August 31, 2021, from https://www.deadiversion.usdoj.gov/drugreg/index.html

    Nursinglicensure.org. (2020, November 4). Pennsylvania crnp requirements – how to become a nurse practitioner in pa. NursingLicensure.org – A more efficient way to find nursing license requirements in your state. Retrieved August 31, 2021, from https://www.nursinglicensure.org/np-state/pennsylvania-nurse-practitioner/

    Pennsylvania Coalition of Nurse Practitioners. (2021). Scope of practice. Retrieved August 31, 2021, from
    https://www.pacnp.org/page/ScopeofPractice

    Phillips, J. (2019, June 13). Pa senate bill to expand role of nurse practitioners – rcpa. RCPA. https://www.paproviders.org/pa-senate-bill-to-expand-role-of-nurse-practitioners/ Pennsylvania nursing Certification and Licensure

    Discussion: Certification and Licensure

    Now that you are in your final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass a national AGPCNP certification exam.  Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.

    Photo Credit: Getty Images/iStockphoto

    Although there is a movement called the APRN Consensus Model to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement Pennsylvania nursing Certification and Licensure.

    Another important area to consider and plan for is prescriptive authority. Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the medical board, state board of pharmacy, or nursing board for the appropriate state licensure being pursued. The authority to write for a 
    controlled substance
     is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.

    Finally, the legal landscape for NPs is constantly changing as the status of NPs as providers improves on a national level. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a nurse practitioner.

    For this Discussion, you examine professional issues for your state, including certification and licensure, scope of practice, independent practice, prescriptive authority, and legislative activities.

    To prepare:

    Review practice agreements in your state.

    Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.

    Research the following:

    How do you get certified and licensed in your state?

    What is the application process for certification in your state?

    What is the primary nurse licensure office resource website in your state?Pennsylvania nursing Certification and Licensure

    How does your state define the scope of practice of a nurse practitioner?

    What is included in your state’s practice agreement?

    How do you get a Drug Enforcement Agency (DEA) license?

    How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

    In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

    By Day 3

    Post
     a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

    Read
    a selection of your colleagues’ responses.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues on 
    2 different days
     in one or more of the ways listed below.

    Share an insight from having viewed your colleagues’ posts.

    Suggest additional actions or perspectives.

    Share insights after comparing state processes, roles, and limitations.

    Suggest a way to advocate for the profession.

    Share resources with those who are in your state.

    Note:
     For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on 
    Submit!

     

    In the state of Pennsylvania, nurse practitioners are recognized as Certified Registered Nurse Practitioners (CRNPs) once licensed. CRNPs must have a master’s degree as well as have passed the certification exam. Once licensed, CRNPs must renew their license biannually (Pennsylvania Department of State, 2021) Pennsylvania nursing Certification and Licensure.

    In order to become certified as a CRNP in the state of Pennsylvania, the student must apply through the Pennsylvania State Board of Nursing. The Pennsylvania State Board of Nursing is the entity responsible for all nursing licensing in Pennsylvania. Once the student has completed all of their MSN coursework, official transcripts must be sent to the state BON. The student must also have current standing as a licensed registered nurse in the state. Finally, prescriptive authority approval must be obtained by completing required pharmaceutical education and submitting a separate application to the board (Buppert, 2021). Additional steps to the application process include child abuse clearance, criminal history check, educational verification and national certification.

    Pennsylvania is a restricted practice state in that it does require collaboration with a supervising physician (Pennsylvania Coalition of Nurse Practitioners, 2021). CRNPs are also required to have a collaborative agreement in order to prescribe. CRNPs may prescribe schedule II-V controlled substances as outlined in the prescribing agreement with the supervising physician.

    In Pennsylvania, a CRNP is defined as,

     “A professional nurse licensed in this Commonwealth who is certified by the Board in a specialty and who, while functioning in the expanded role as a professional nurse, performs acts of medical diagnosis or prescription of medical therapeutic or corrective measures in collaboration with a physician licensed to practice in this Commonwealth and in accordance with the act and this subchapter. Nothing in this subchapter is to be deemed to limit or prohibit a professional nurse from engaging in those activities which constitute the practice of professional nursing as defined in section 2 of the act (63 P.S. § 212). (Buppert, 2021) Pennsylvania nursing Certification and Licensure.
     

    One of the biggest barriers to being a CRNP in PA, as in many other states, is the requirement to collaborate with a physician. I grew up in MA where NPs can practice independently of physicians. Massachusetts is one of twenty-three states to enforce this regulation. The requirement of nurse practitioners to work with collaborating physicians is beneficial, especially as a new nurse practitioner, to provide a resource to the new CRNP. However, this can limit patient access to care, especially in rural areas. Nurse practitioners who wish to branch out on their own are unable to do so without having standing practice agreements with a collaborating physician.

    References

    Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett.

    Pennsylvania Department of State. (2021). Board of Nursing. Retrieved from
    https://www.dos.pa.gov

    Pennsylvania Coalition of Nurse Practitioners. (2021). Scope of Practice Pennsylvania nursing Certification and Licensure. Retrieved from
    https://www.pacnp.org

    NRNP_6565_Week1_Discussion_Rubric

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    Grid View

    List View

    Excellent

    Point range: 90–100

    Good

    Point range: 80–89

    Fair

    Point range: 70–79

    Poor

    Point range: 0–69

    Main Posting:

    Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

    Points Range:
    40
    (40%)
    – 44
    (44%)

    Thoroughly responds to the discussion question(s).

    Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

    No less than 75% of post has exceptional depth and breadth.

    Supported by at least 3 current credible sources.

    Points Range:
    35
    (35%)
    – 39
    (39%)

    Responds to most of the discussion question(s).

    Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

    50% of the post has exceptional depth and breadth.

    Supported by at least 3 credible references.

    Points Range:
    31
    (31%)
    – 34
    (34%)

    Responds to some of the discussion question(s).

    One to two criteria are not addressed or are superficially addressed.

    Is somewhat lacking reflection and critical analysis and synthesis.

    Somewhat represents knowledge gained from the course readings for the module.

    Post is cited with fewer than 2 credible references.

    Points Range:
    0
    (0%)
    – 30
    (30%)

    Does not respond to the discussion question(s).

    Lacks depth or superficially addresses criteria.

    Lacks reflection and critical analysis and synthesis.

    Does not represent knowledge gained from the course readings for the module.

    Contains only 1 or no credible references.

    Main Posting:

    Writing

    Points Range:
    6
    (6%)
    – 6
    (6%)

    Written clearly and concisely.

    Contains no grammatical or spelling errors.

    Further adheres to current APA manual writing rules and style.

    Points Range:
    5
    (5%)
    – 5
    (5%)

    Written concisely.

    May contain one to two grammatical or spelling errors.

    Adheres to current APA manual writing rules and style.

    Points Range:
    4
    (4%)
    – 4
    (4%)

    Written somewhat concisely.

    May contain more than two spelling or grammatical errors.

    Contains some APA formatting errors.

    Points Range:
    0
    (0%)
    – 3
    (3%)

    Not written clearly or concisely.

    Contains more than two spelling or grammatical errors.

    Does not adhere to current APA manual writing rules and style.

    Main Posting:

    Timely and full participation

    Points Range:
    9
    (9%)
    – 10
    (10%)

    Meets requirements for timely, full, and active participation.

    Posts main discussion by due date.

    Points Range:
    8
    (8%)
    – 8
    (8%)

    Posts main discussion by due date.

    Meets requirements for full participation.

    Points Range:
    7
    (7%)
    – 7
    (7%)

    Posts main discussion by due date.

    Points Range:
    0
    (0%)
    – 6
    (6%)

    Does not meet requirements for full participation.

    Does not post main discussion by due date.

    First Response:

    Post to colleague’s main post that is reflective and justified with credible sources.

    Points Range:
    9
    (9%)
    – 9
    (9%)

    Response exhibits critical thinking and application to practice settings.

    Responds to questions posed by faculty.

    The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

    Points Range:
    8
    (8%)
    – 8
    (8%)

    Response has some depth and may exhibit critical thinking or application to practice setting.

    Points Range:
    7
    (7%)
    – 7
    (7%)

    Response is on topic, may have some depth.

    Points Range:
    0
    (0%)
    – 6
    (6%)

    Response may not be on topic, lacks depth.

    First Response:

    Writing

    Points Range:
    6
    (6%)
    – 6
    (6%)

    Communication is professional and respectful to colleagues.

    Response to faculty questions are fully answered, if posed.

    Provides clear, concise opinions and ideas that are supported by two or more credible sources.

    Response is effectively written in Standard, Edited English.

    Points Range:
    5
    (5%)
    – 5
    (5%)

    Communication is mostly professional and respectful to colleagues.

    Response to faculty questions are mostly answered, if posed.

    Provides opinions and ideas that are supported by few credible sources.

    Response is written in Standard, Edited English.

    Points Range:
    4
    (4%)
    – 4
    (4%)

    Response posed in the discussion may lack effective professional communication.

    Response to faculty questions are somewhat answered, if posed.

    Few or no credible sources are cited.

    Points Range:
    0
    (0%)
    – 3
    (3%)

    Responses posted in the discussion lack effective communication.

    Response to faculty questions are missing.

    No credible sources are cited.

    First Response:

    Timely and full participation

    Points Range:
    5
    (5%)
    – 5
    (5%)

    Meets requirements for timely, full, and active participation.

    Posts by due date.

    Points Range:
    4
    (4%)
    – 4
    (4%)

    Meets requirements for full participation.

    Posts by due date.

    Points Range:
    3
    (3%)
    – 3
    (3%)

    Posts by due date.

    Points Range:
    0
    (0%)
    – 2
    (2%)

    Does not meet requirements for full participation.

    Does not post by due date.

    Second Response:

    Post to colleague’s main post that is reflective and justified with credible sources.

    Points Range:
    9
    (9%)
    – 9
    (9%)

    Response exhibits critical thinking and application to practice settings.

    Responds to questions posed by faculty.

    The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectivesPennsylvania nursing Certification and Licensure.

    Points Range:
    8
    (8%)
    – 8
    (8%)

    Response has some depth and may exhibit critical thinking or application to practice setting.

    Points Range:
    7
    (7%)
    – 7
    (7%)

    Response is on topic, may have some depth.

    Points Range:
    0
    (0%)
    – 6
    (6%)

    Response may not be on topic, lacks depth.

    Second Response:

    Writing

    Points Range:
    6
    (6%)
    – 6
    (6%)

    Communication is professional and respectful to colleagues.

    Response to faculty questions are fully answered, if posed.

    Provides clear, concise opinions and ideas that are supported by two or more credible sources.

    Response is effectively written in Standard, Edited English.

    Points Range:
    5
    (5%)
    – 5
    (5%)

    Communication is mostly professional and respectful to colleagues.

    Response to faculty questions are mostly answered, if posed.

    Provides opinions and ideas that are supported by few credible sources.

    Response is written in Standard, Edited English.

    Points Range:
    4
    (4%)
    – 4
    (4%)

    Response posed in the discussion may lack effective professional communication.

    Response to faculty questions are somewhat answered, if posed.

    Few or no credible sources are cited.

    Points Range:
    0
    (0%)
    – 3
    (3%)

    Responses posted in the discussion lack effective communication.

    Response to faculty questions are missing.

    No credible sources are cited.

    Second Response:

    Timely and full participation

    Points Range:
    5
    (5%)
    – 5
    (5%)

    Meets requirements for timely, full, and active participation.

    Posts by due date.

    Points Range:
    4
    (4%)
    – 4
    (4%)

    Meets requirements for full participation.

    Posts by due date.

    Points Range:
    3
    (3%)
    – 3
    (3%)

    Posts by due date.

    Points Range:
    0
    (0%)
    – 2
    (2%)

    Does not meet requirements for full participation.

    Does not post by due date.

    Total Points: 100

    Name: NRNP_6565_Week1_Discussion_Rubric

     

    Nurse Practitioner Practice Agreement, Certification, and Licensure in Pennsylvania

    In the state of Pennsylvania (PA), advanced practice registered nurses are given the title certified registered nurse practitioner [CRNP] (Buppert, 2021). CRNPs in PA practice under a reduced practice agreement; state practice and licensure laws require them to have a collaborative agreement with a physician who holds a current license to practice in PA, to provide patient care, and prescribe medications (American Association of Nurse Practitioners, 2019). This collaborative agreement must outline the availability of the physician to the CRNP directly or by phone, an emergency services plan, and the regular review of the CRNP’s patient charts by the physician (Buppert, 2021).

    To obtain CRNP certification in PA, students must graduate from an accredited, Board-approved master’s or postmaster’s nurse practitioner program and meet the minimum clinical hour requirement of 500 hours (Pennsylvania Department of State, 2021). CRNP students then must pass a Board-recognized national certification exam in their given specialty (Pennsylvania Department of State, 2021). Applicants must complete at least 45 hours of advanced pharmacology coursework within five years before applying for prescriptive authority (Buppert, 2021). To obtain licensure, the student must pay a $100 licensing fee for in-state schools or a $140 fee for an out-of-state education and pay a $50 application fee for prescriptive authority (Pennsylvania Department of State, 2021). Applicants then must complete three hours of child abuse recognition and reporting continuing education for initial licensure (Pennsylvania Department of State, 2021). Established CRNPs must complete 30 hours of continuing education every two years, consisting of at least 16 hours of pharmacology and two hours of child abuse education (Pennsylvania Department of State, 2021). They also have to pay a biennial renewal fee of $81 along with a $41 biennial prescriptive authority renewal fee (Pennsylvania Department of State, 2021).The primary nurse licensure office resource for CRNPs is the Pennsylvania Department of State website, which provides comprehensive details and resources about PA’s State Board of Nursing requirements Pennsylvania nursing Certification and Licensure.

    Nurse Practitioner Scope of Practice in PA

    When collaborating with a licensed physician in the Commonwealth of Pennsylvania, CRNPs may perform comprehensive patient assessments and establish medical diagnoses, order and perform diagnostic testing, initiate patient referrals to other licensed healthcare professionals, develop and implement treatment plans, implement pharmaceutical treatments if they have prescriptive authority, and complete admission and discharge summaries (Buppert, 2021). Also, CRNPs may order blood products, dietary plans, home health and hospice care, and durable medical equipment for patients (Buppert, 2021). CRNPs can refer patients for physical, occupational, respiratory, and dietary therapies (Buppert, 2021). Lastly, the scope of practice for a CRNP in PA includes performing disability assessments, making initial methadone treatment assessments, issuing homebound schooling certifications, and issuing verbal orders to the extent allowed by a healthcare facility’s policies (Buppert, 2021). CRNPs have a broad scope of practice in the state of PA; however, they are restricted by needing to have a collaborative agreement with a physician to carry out their scope of practice Pennsylvania nursing Certification and Licensure.

    Obtaining a Drug Enforcement Agency License and PA Regulations

    To prescribe and dispense controlled substances, CRNPs must register with the United States Department of Justice Drug Enforcement Administration (DEA) as a mid-level practitioner and obtain a DEA number (Pennsylvania State Board of Nursing, 2019). Pennsylvania does not require a separate state registration for prescribing controlled substances (Pennsylvania State Board of Nursing, 2019). In PA, CRNPs can prescribe a Schedule II controlled substance for up to a 30-day supply and a Schedule III or IV controlled substance for up to a 90-day supply, as identified in their collaborative agreement (Buppert, 2021). CRNPs cannot prescribe or dispense gold compounds, heavy metal antagonists, radioactive agents, oxytocics, and Schedule I controlled substances (Buppert, 2021).

    Legislative and Advocacy Activities

    The Pennsylvania Coalition of Nurse Practitioners (PCNP) is a state organization that protects and advocates for the practice of CRNPs in PA (Pennsylvania Coalition of Nurse Practitioners [PCNP], n.d.). PCNP is currently advocating to make PA a full-practice authority state for CRNPs (PCNP, n.d.). Senate Bill 25 and House Bill 100 have passed legislation in the Senate and are now undergoing evaluation in the House (PCNP, n.d.). These bills would grant CRNPs full practice authority after completing 3,600 hours and three years in a collaborative agreement (PCNP, n.d.). Advocating for CRNP full-practice authority legislation will help solve the primary care provider shortage in PA, expand services to areas with limited access to healthcare in the state, and help reduce the cost of healthcare for patients (PCNP n.d.) Pennsylvania nursing Certification and Licensure.

    Restrictions and Barriers Impacting Nurse Practitioner Independent Practice in PA

    The nurse practitioner workforce is the most rapidly growing primary care provider workforce in the United States, potentially reducing healthcare costs and improving patient access to quality healthcare services in Pennsylvania (Poghosyan, 2018). However, reduced practice constraints in PA leads to less efficient and more expensive patient care (Ortiz et al., 2018). Restrictions impede patient access to healthcare in medically underserved urban and rural areas of the state and the three million PA residents with Medicaid insurance (PCNP, n.d.). Additionally, with COVID-19 increasing the demand for healthcare services, restricted practice authority limits the ability of the PA healthcare system to respond to and meet patient needs (Moore et al., 2020). My research surprised me to discover that 2.5 million PA residents, or 22% of the PA population, live in a designated medically underserved area (PCNP, n.d.). Also, research by the PCNP demonstrates that Medicare and Medicaid patients experience 50% more unnecessary hospitalizations in a restricted practice state like PA, compared to states with full practice authority (PNCP, n.d.). Although CRNPs in PA have the practice authority to provide quality care to patients, healthcare policy reform is necessary to grant CRNPs full practice authority and subsequently expand patient access to affordable, quality care throughout the entire state of PA (Poghosyan, 2018).

    References

    American Association of Nurse Practitioners. (2019).
    State practice environment.

    https://www.aanp.org/advocacy/state/state-practice-environment

    Buppert, C. (2021).
    Nurse practitioner’s business practice and legal guide
    (7
    th
    ed.). Jones &

    Bartlett.

    Moore, C., Kabbe, A., Gibson, T.S., & Letvak, S. (2020). The pursuit of nurse practitioner

    practice legislation: a case study.
    Policy, Politics, & Nursing Practice, 21
    (4), 222-232. https://doi.org/10.1177/1527154420957259

    Ortiz, J., Hofler, R., Bushy, A., Lin, Y.L., Khanijahani, A., & Bitney, A. (2018). Impact of nurse

    practitioner practice regulations on rural population health outcomes.
    Healthcare, 6
    (2), 65. https://doi.org/10.3390/healthcare602065

    Pennsylvania Coalition of Nurse Practitioners (PCNP). (n.d.).
    Full practice authority for nurse Pennsylvania nursing Certification and Licensure

    practitioners expands care for PA.
    https://careforpa.com/improving-care

    Pennsylvania Department of State. (2021).
    Certified registered nurse practitioner Pennsylvania

    licensure requirements.
    Commonwealth of Pennsylvania. https://dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Nursing/Pages/Certified-Registered-Nurse-Practitioner-Licensure-Requirements-Snapshot.aspx

    Pennsylvania State Board of Nursing. (2019, July).
    Instructions for certified registered nurse

    practitioner (CRNP) prescriptive authority application.
    https://dos.pa.gov/ProfessionalLicensing/BoardsCommisions/Nursing/Documents/Applications%20and%20Forms/Prescriptive-Authority-Application.pdf

    Poghosyan, L. (2018). Federal, state, and organizational barriers affecting nurse practitioner

    workforce and practice.
    Nursing Economics, 36
    (1), 43-45 Pennsylvania nursing Certification and Licensure.

  • Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network

    Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network

      Success and Professional Development Plan Part 1

    Indeed, no one can single-handily live a successful life either socially or professionally. We need each other for us to achieve our personal, professional, and academic goals. In real-life situations, most of the world’s entities are made up of different people with different capabilities of undertaking various duties and responsibilities. For instance, military personnel are grouped in battalions, brigade, or other fighting units (Hede, 2010). In the academic and professional arena, the situation is the same. To succeed, he or she has to be a good team player who is ready to partner and learn from others.

    My academic journey has not been a walk in the park. There have been countless challenges and shortcomings that had almost drained my energy Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network. However, I have remained intense and moving through the assistance and help from various academic and professional partners. My educational journey at Walden University as I pursue my MSN program and later on as a practicing nurse would have been challenging. However, I decided to identify two academic and two professional individuals to be close to me to help me achieve my goals.

    BUY A PLAGIARISM-FREE NURSING PAPER NOW 

    Taking the MSN program is a very involving process that requires a lot of dedication and commitment. To facilitate a smooth learning process at Walden University, I identified two significant academic individuals who would partner with me in my epic educational journey. xxx-RN-BSN and xxxxxx MSN-RN would be my able academic partners through my MSN program at Walden. One of the core elements prioritized at Walden is the spirit of corroboration and teamwork (College of Nursing, n.d.). Learners at the institution are assigned various research assignments that they need to work on as groups. My academic individuals will be of great help since they will help me develop solutions to different educational and research questions Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network. Through their partnership, I will be better positioned to withstand and overcome multiple setbacks and challenges that might arise in my journey towards completing my MSN program.

    In addition to the academic individuals, I will have another team of professional individuals on my side. xxxx. MSN-RN and xxx-MSN-RN will be my close and essential professional partners. Both of them are highly experienced healthcare providers in different fields, with xxxx been a charge nurse/educator and xxxx been a Clinical Supervisor. Both of them will be my close mentors to guide me through the nursing profession. The nursing profession is classified as one of the occupations requiring healthcare providers to be unselfish and ready to sacrifice both time and resources (Wijdicks, 2020). They will also be a source of guidance on psychological factors such as balancing work and life (Khaira, 2018). Being experienced professionals, they have already gone through many personal and professional setbacks, which have molded them to be stronger. Through this experience, the team will offer me emotional support during times of hardship and crisis. I will be an all-rounded healthcare provider thanks to the help of both the academic and professional partners Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network.

    References

    College of Nursing. (n.d.). Walden University: Accredited Online University | Online Degree Programs.
    https://www.waldenu.edu/about/colleges-schools/college-of-nursing

    Hede, K. (2010). Making team science work: Advice from a team.
    Science
    .
    https://doi.org/10.1126/science.caredit.a1000083

    Khaira, G. (2018). Nurse practitioners: Struggle for professional identity role of mentors/coaches in professional socialization.
    Advanced Practices in Nursing
    ,
    03
    .
    https://doi.org/10.4172/2573-0347-c11-047

    Wijdicks, E. F. (2020). The nursing profession.
    Cinema, MD
    , 25-46.
    https://doi.org/10.1093/med/9780190685799.003.0002

    Assignment: Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network

    When was the last time you read 
    Devotions Upon Emergent Occasions and Several Steps in my Sickness—Meditation XVII
    ?

    Unless you are a student of 17th-century poetry, you may not be all that familiar with this piece by author John Donne. However, you may be much more familiar with one of its well-known phrases: “No man is an island.”

    As you begin your journey toward achieving your academic and professional goals, you have a great opportunity to network with academics and professionals who can help ensure you do not travel alone. This network can help to clarify your own vision for success and can help guide you now and in the future. To paraphrase Donne, no one is an island Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network.

    Begin creating an academic and professional network by identifying which academic and professional connections and resources you need to collaborate with to be successful in your MSN program and as a practicing nurse.

    To Prepare:

    Consider individuals, departments, teams, and/or resources within Walden University and within your profession that you believe can support your academic and professional success.

    Identify at least two academic and at least two professional individuals, colleagues, or teams to collaborate with to help you be successful in your MSN program and as a practicing nurse.

    Download the 
    Academic Success and Professional Development Plan Template
    .

    The Assignment:

    Academic and Professional Network

    Complete Part 1 of your 
    Academic Success and Professional Development Plan Template
    . Be sure to address the following:

    Clearly and accurately identify 
    at least two
     academic individuals or teams to collaborate with to be successful in the MSN program and as a practicing nurse.

    Clearly and accurately identify 
    at least two
     professional individuals or teams to collaborate with to be successful in your MSN program and as a practicing nurse.

    Clearly and thoroughly explain in detail why the academic and professional individuals/teams were selected to support success in the MSN program and as a practicing nurse.

    Clearly and accurately explain how the academic and professional individuals/teams will support success in the MSN program and as a practicing nurse Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network.

  • New Jersey Nursing Practice Certification and Licensure

    New Jersey Nursing Practice Certification and Licensure

    NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings

    Discussion: Certification and Licensure

    Week 1 Main Post

    Advanced Practice Nurses (APNs) are registered nurses who obtain a graduate level nursing education and advanced level preparation which affords them the knowledge to diagnose and treat acute and chronic medical conditions across populations (“New Jersey Nurse Practitioners,” 2021). The New Jersey Board of Nursing (BON) is the regulatory body that has authority over APN practice in the State of New Jersey (Phillips, 2020) New Jersey Nursing Practice Certification and Licensure. To practice as an APN in the State of New Jersey, the New Jersey BON requires a licensed registered nurse to graduate from an accredited master’s or doctorate level program geared towards the education of APNs as well as to successfully pass an advanced practice state board exam in their specialized area of study (“New Jersey Board of Nursing Advanced Practice Nurse Certification,” 2015). APNs in New Jersey are considered independent practitioners and they are permitted to diagnosed and treat without the supervision of a physician (“New Jersey Board of Nursing Advanced Practice Nurse Certification,” 2015). APN practice in NJ is limited however, in that they are only authorized to prescribe if they concomitantly associate themselves with a New Jersey licensed physician and collaboratively consult with them before prescribing any medication or device (“New Jersey Board of Nursing Advanced Practice Nurse Certification,” 2015). As a resident of the State of New Jersey, the author anticipates practicing as an APN in NJ upon completion of her studies.

    Application process in New Jersey:

    Request the application to the BON by email with personal information, Highest college/university degree related to Advanced Practice Nursing, specialty and type of certification. The type of application: Initial certification, Endorsement or Re-instatement. Proof of a current New Jersey registered professional nurse license in good standing New Jersey Nursing Practice Certification and Licensure.

    A completed, application form and nonrefundable, application fee of $100.00 payable by money order or check only.  (After the application process is completed, there is also a certificate fee of $80.00/$160.00 depending on the expiration our Registered Professional Nurse License.)

    Original Official Transcript(s) as proof of compliance with the Board’s education requirements.

    Proof of passing the highest level national Advanced Practice Nurse Examination in the area of clinical specialty.  (Certification information must be sent directly to the Board of Nursing from the Certifying Body.) Proof that all advanced nursing practice certification(s)/licensure(s) which have held in other states are in good standing, expired, or in some other status (New Jersey Board of Nursing, 2021). APNs must obtain a New Jersey CDS registration number as well as a federal Drug Enforcement Administration (DEA) certification number before they have the ability to prescribe a CDS and they must include their DEA number on any CDS prescription (“New Jersey Board of Nursing Advanced Practice Nurse Certification,” 2015). To prescribe a CDS, the APN must have completed prior pharmacology education and confer with a supervising physician prior to prescribing (“New Jersey Nurse Practitioners: Prescriptive Authority,” 2021). APNs licensed in NJ are permitted to prescribe CDS Schedules II through V provided that the above requirements are met (“Mid-Level Practitioners Authorization by State,” 2021; “New Jersey Board of Nursing Statutes and Regulations: Chapter 37,” 2020). (New Jersey Board of Nursing, 2021) New Jersey Nursing Practice Certification and Licensure.

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    New Jersey are involved in many legislative advocacy activities true NJSNA, between others are:

    Pronouncement of Death Act, Advanced Practice Nurse Act, Death Certification Bill (2015), etc.

    References:

    New Jersey Division of Consumer Affairs, Office of the Attorney General (2021). https://www.njconsumeraffairs.gov/nur/Pages/APN-Certification.aspx

    American Psychological Association. (2020). Publication manual of the American Psychological

    Association: The official guide to APA Style (Seventh ed.). American Psychological

    Association.

    Advanced Practice Nurses (APNs) care for patients in New Jersey. (n.d.). New Jersey State

    Nurses Association. Retrieved on April 18, 2021, from, https://njsna.org/policy-and-

    advocacy/apns-in-nj/

    Advanced Practice Nurses of New Jersey (2021). https://njsna.org/policy-and-advocacy/njsna-legislative-successes/New Jersey Nursing Practice Certification and Licensure

  • NURS 6002 /3 week 1 Discussion: Networking Opportunities

    NURS 6002 /3 week 1 Discussion: Networking Opportunities

    PMHNP are needed across the country in both rural and urban areas. Underserved populations often have difficulties accessing health care due to many factors, and mental health tends to take a backseat to primary care. Another thing to consider is that our current Covid pandemic will have a major impact on the mental health field. Patients recovering from covid, patient families that were left to deal with the loss of a family member or the loss of income in the family are experiencing all-time high stress. Health care workers are at an all-time high risk of experiencing mental health problems while working in health care. This pandemic has unknown long-term effects on people’s health, neurological wellbeing, and mental health. Being stuck in a room with minimal contact with others, gowned up from head to toe for months, can be extremely traumatic NURS 6002 /3 week 1 Discussion: Networking Opportunities. Health care workers treating covid patients that are seeing its effects first hand are having mental health issues related to PTSD and the fear of the unknown including contacting the virus while working. The aftermath of Covid to healthcare workers can be high anxiety, PTSD, and even suicidal behavior at a higher rate than ever before. (Cosic, Popovic, Sarlija, Kesedzic & Jovanovic, 2020) I believe that we need to improve our mental health programs and awareness to meet this new demand.

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    Reference

    Ćosić, K., Popović, S., Šarlija, M., Kesedžić, I., & Jovanovic, T. (2020). Artificial intelligence in prediction of mental health disorders induced by the COVID- 19 pandemic among health care workers. 
    Croatian Medical Journal
    , 
    61
    (3), 279–288. https://doi-org.ezp.waldenulibrary.org/10.3325/cmj.2020.61.279

     

    response

    really liked your presentation and I totally agree with you when you refer to the need that exists, both in rural and urban areas, for qualified mental health professionals. On the other hand, the health situation generated by Coronavirus 19 on a global scale, without a doubt, has marked a before and after, having a negative impact in dissimilar areas, being one of the most affected, precisely, emotional health and mental of the people. I believe that programs such as the one offered at Walden University, allow the training and improvement of health professionals in the area of mental health and hopefully in the coming years many more nurses will make the decision to improve professionally in this field of specialization NURS 6002 /3 week 1 Discussion: Networking Opportunities.

    References

    Chapman, S.A., Toretsky, C., Phoenix, B.J.(2019). Enhancing Psychiatric Mental Health Nurse Practitioner practice: Impact of state scope of practice regulations. 
    Journal of Nursing Regulation 
    10
    (1):35–43
    .

    Shigemura, J., Ursano, R.J., Morganstein, J.C., Kurosawa, M., Benedek. D.M.(2020). Public responses to the novel 2019 coronavirus (2019 – nCoV): mental health consequences and target populations. 
    Psychiatry Clin. Neurosci. 
    doi: 10.1111/pcn.12988.

    Walden University. (2020). Master of Science in Nursing. Retrieved from 
    https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing/msn-nurse-practitioner-family
    Walden University. (2020).

    Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C.S., Ho, R.C.(2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. 
    Int. J. Environ. Res. Public Health,
    17
    (5):E1729 NURS 6002 /3 week 1 Discussion: Networking Opportunities.

    Discussion: Networking Opportunities

    This week you begin to lay the foundation for your academic and professional success. Your efforts begin with a vision, which includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone.

    Walden University and the College of Nursing also have a vision and mission, which include helping you to make your own vision a reality. Members of your new academic community, such as faculty, support teams, and fellow students, can also be helpful. Current practitioners and other members of the professional community can also help you to clarify your vision.

    This week’s Discussion asks you to think about how the Walden mission and vision and the College of Nursing mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams that can help you along the way, as you begin to design the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success NURS 6002 /3 week 1 Discussion: Networking Opportunities.

    To Prepare:

    Review the Walden and the College of Nursing mission and vision statements, Walden’s goals and University Outcomes, and the MSN Program Learning Outcomes presented in this week’s Learning Resources.

    Reflect on your professional and academic goals as they relate to your program/specialization.

    Consider how the information in these resources fit with your own goals and to your becoming a scholar-practitioner.

    Also consider academic and professional individuals and teams that you may collaborate with in support of your efforts as a student at the University and as a professional within your organization and career.

    By Day 3

    Post
     a brief post introducing yourself to your colleagues. Include an explanation for how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN program outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner.

    Support main post with 3 of more current, credible sources and cite source within content of posting and on a reference list in proper APA.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues 
    on two different days
    , by suggesting additional individuals and/or teams with whom to collaborate or by offering additional networking strategies.

    Be sure to offer support from at least 2 current, credible sources in each required response to classmates’ main post and cite per APA NURS 6002 /3 week 1 Discussion: Networking Opportunities.

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    sample discussion 2

    Hello, my name is xxx  I am an RN with a BSN degree. I began long ago as a C.N.A., it was always my desire to become an RN. However, it was a long road and after completing school as a nursing assistant; I had to work then went on to earn my degree as an LPN. I found a job I truly loved in a pediatric office. I could take my children to work with me during my weekend shifts and with three children it was perfect to work in that area and be close to my children.

    I worked in multiple areas as an LPN and following the loss of my oldest child to a motor vehicle accident, a divorce, and becoming a single parent to my youngest child. I was not planning on giving up. I worked as a home health nurse and an orthopedic nurse while raising my daughter alone. I began preparing for my RN degree through Excelsior College and I made it with persistence and determination.  I later began working on my BSN degree which was also through Excelsior College I completed the program with honors.

    Now, I am back in pursuit of a degree as an FNP. While my youngest child is in RN school after having a family of her own and inspired me to go back to school. I had to find the right college. I wanted to attend a college that had similar values, goals to help get their students to meet their dreams. I found that school at Walden University. Walden has multiple programs for Master’s degree nurses at first, I wanted to complete the Adult-Gerontology Acute Care program. After, careful consideration the program that felt right for me was as a Family Nurse practitioner and a Primary Care Provider. I felt being an older student it would be most sensible NURS 6002 /3 week 1 Discussion: Networking Opportunities.

    Walden University had the vision I thought and believed could meet my needs and those I could serve. They understood that graduates could be worthy and the solution in a society critically challenged in the 21
    st
     Century, therefore progressing toward the advancement of the “greater global good (Walden University, 2020a).” The Vision statement and Mission were impressive due to the influence of social change. Walden states through “Positive social change,” as intentional development by creating and utilizing ideas, actions, strategies to stimulate worthy with dignity for communities and individuals as well as organizations, and different cultures (2020a).

    Society and individuals are facing some challenges that are forcing change. These individuals and communities who need a voice and healthcare workers to meet their needs as an FNP I believe I can reach many who are often forgotten such as vulnerable populations we need to meet their needs, who are they? They are people who are often forgotten; homeless patients, and older patients living alone, pregnant women and children, prisoners or people living in shelters (victims of Domestic Violence), disabled, mentally or physically challenged, veterans and unserved individuals (no or limited income) (Stanhope, 2014).

    Walden has become committed to specialized advancement and values nursing as an autonomous field with, dignity, integrity who are accountable legally and ethically responsible (Walden, 2020b). The vulnerable population as mentioned depends on those of us who are willing to learn to help them. The ANA Code of ethics believes nurses should practice with respect, compassion, and dignity, values, unique to every individual. They are committed to integrity and competence that, advocate for patient rights, and promote health and protect the health, and safety of the patients (ANA, 2015) NURS 6002 /3 week 1 Discussion: Networking Opportunities.

     

    I am thoroughly interested in becoming an FNP or advanced practicing nurse, excited, and still nervous with the road ahead. I have faced challenges in the past and succeeded. I know I can do it again because Walden is as determined to help its student success as we are to accomplish our goals.  They believe in promoting positive change, this is a must in helping others as Specialists, and through professionalism roles, we can promote the health and wellbeing of others with quality care (2020a).

    Reference:

    American Nurses, A. (2015). Code of Ethics for Nurses with Interpretive Statements. Silver

    Spring, Maryland: American Nurses Association.

    Stanhope, M. & Lancaster, J. (2014) Public Health Nursing. Population-Centered Health Care in

    the Community (8th ed.) Maryland Heights MO: Elsevier Mosby

    Walden University. (2020a) Vision, Mission, and Goals.  Retrieved October 13, 2020, from

    https://catalog.waldenu.edu/content

    Walden University. (2020b) Master of Science in Nursing (MSN). Retrieved October 13.2020

    from https://catalog.waldenu.edu/preview_program.

     

     

    another sample

    My Goals and University Vision and Mission

    I started my nursing career in 2014 after completing my associate’s degree from San Jacinto College in Pasadena, Texas. My first nursing unit was an adult telemetry unit in which I worked for a little over a year before transitioning to the pediatric emergency room. I have worked at Texas Children’s Hospital in the Texas Medical Center for 5 years this month. When I started at Texas Children’s, I kept a supplemental position at my first facility in the adult emergency room and have worked in a per-diem role in adult emergency settings since. I was drawn to Walden because of the flexibility of their program for working nurses who want to make a difference in the field. When starting my nursing education at the community-college level, I was intrigued by the mission of the institution. San Jacinto College (2020) established they are centered around students’ success and their academic advancement that improves the lives of people in their communities. I thought of this when I was researching schools to pursue a graduate degree. Walden’s mission and vision aligned with what I had taken away from my previous academic institutions. Walden University (2020) addresses challenges that practitioners may face and prepares students to make positive societal changes for the world today.

    Incorporation of Social Change

    Having worked with patients from across the lifespan, I came to the ultimate decision that a Family Nurse Practitioner degree would be ideal to give me the opportunity to care for patients at any stage in their lives. In addition to working as an advanced practice provider, as a Master’s-prepared clinician, it would also qualify me for a position as an adjunct professor to teach future nurses, which has also been a goal of mine. According to the American Association of Colleges of Nursing (2011), “Master’s-level nursing graduates must have an advanced level of understanding of nursing and relevant sciences as well as the ability to integrate this knowledge into practice” (p. 4). The Master of Science in Nursing at Walden University prepares students to commit to professional development of improve the future of nursing standards of patient care (Walden University, 2020). The expected outcomes of the program at Walden aligns with my personal goals to not only to provide quality holistic care for patients, but to work on my own professional development as well as educating future nurses to do the same NURS 6002 /3 week 1 Discussion: Networking Opportunities.

    References

    American Association of Colleges of Nursing. (2011). 
    The essentials of master’s education in nursing
    . 
    https://www.aacnnursing.org/portals/42/publications/mastersessentials11.pdf

    San Jacinto College (2020). 
    Our vision, mission and values.
     
    https://www.sanjac.edu/about-san-jac/our-vision-mission-and-values#:~:text=San%20Jacinto%20College%20is%20focused,in%20the%20communities%20we%20serve

    Walden University (2020). 
    2019-2020 Walden university catalog (March 2020). 
     https://catalog.waldenu.edu/preview_program.php?catoid=172&poid=67151&returnto=62482 NURS 6002 /3 week 1 Discussion: Networking Opportunities

  • Illinois nursing practice Certification and Licensure

    Illinois nursing practice Certification and Licensure

    Per the Illinois Nurse Practice Act outlined by the Illinois General Assembly (ILGA) (2021), to become certified as an Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), a professional nurse must be licensed in the state of Illinois, be a graduate of a nationally accredited Nurse Practitioner (NP) program, and pass a qualifying examination recognized by the Board of Nursing. The two certifying bodies that provide certification for AGPCNPs are the American Academy of Nurse Practitioners Certification Board (AANPCB) or the American Nurses Credentialing Center (ANCC) (AANP, 2019). Once the graduate has passed the certifying exam, they should apply to the Illinois Department of Financial and Professional Regulation (IDFPR) to obtain their license to practice as an NP in the state of Illinois Illinois nursing practice Certification and Licensure.

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    To apply for an Advanced Practice Nurse (APN) license in the state of Illinois an individual must create or use their existing login for the IDFPR (2021) website and use their online application, which includes instructions for how to apply: Several documents must be filled out and signed which include the CCA form used to notify the state of any prior felonies or sex offenses that are on their record, and the CT-APN form, which is completed with the applicant’s certification of advanced practice nurse licensure number, date of origination, and expiration date. The applicant can also apply for a temporary permit to practice as an NP, if needed. Finally, applicants must provide documentation that proves their successful completion of a graduate degree or post-master’s certificate in advanced practice nursing and their national certification by AANPCB or ANCC. The cost of the APN application fee is $125 Illinois nursing practice Certification and Licensure.

    The Illinois Nurse Practice Act is a statute that defines the scope of practice for APRNs in Illinois. Per Buppert (2021), the act includes authorization for the APRN to provide advanced nursing patient assessment and diagnosis, the ability to order, perform, and interpret diagnostic and therapeutic treatments, procedures, and tests, as well as order and apply medical devices; APRNs may also provide palliative end-of-life care, patient and health education, advanced counseling, and patient advocacy. APRNs also have prescriptive authority and can delegate nursing activities to other medical personal such as a registered nurse or medical assistant.

    The ILGA (2021) states that APRNs who work outside a hospital or Ambulatory Surgery Center are required to have a written collaborative agreement with an overseeing physician that will describe the treatments, procedures, and types of care the APRN may provide under that relationship. APRNs who work inside a hospital or Ambulatory Surgery Center do not require a collaboration agreement, and after an APRN has worked 4000 hours and accumulated 250 hours of continuing education, they can apply for “Full Practice Authority”, which will allow them to practice without a collaboration agreement with a physician.

    The IDFPR (2021) website outlines how an APRN obtains a Drug Enforcement Agency (DEA) number: First the APRN must have no felony convictions and have received their state of Illinois APRN license. The APRN is required to have an existing site to practice and live in a state where it is legal for them to prescribe controlled substances. In Illinois, the collaborating physician must outline which schedule of controlled substances the NP is allowed to prescribe, which can be any or all of schedule II, III, IV, or V controlled substances, and include only those medications that are within the scope of the practicing physician. Once the collaboration agreement is finalized and signed by both the APRN and MD, the APRN will apply for a mid-level practitioner-controlled substances license using the paper form downloaded from the IDFPR website
    (309) Advance Practice Nurse

    Controlled Substance License
    . Included in the form is a section called the
    Notice of Delegated Prescriptive Authority for Controlled Substances
    that needs to be completed and signed by the collaborating physician. The completed and signed application and fee of $5.00 is then mailed to the Illinois Department of Financial and Professional Regulation Illinois nursing practice Certification and Licensure.

    Our Illinois state nurse practitioner organization, Illinois Society for Advanced Practice Nursing (ISAPN) (2021), is active in legislative activities such as increasing the use of Telehealth Services and increasing the number of nursing instructors. Past legislative successes for ISAPN include the authority for APRNs to sign death certificates, school physicals, and obtain full practice authority. They continue to advocate on behalf of APRNs for greater practice autonomy and other measures that improve access to health care in our state.

    References

    American Association of Nurse Practitioners. (2019).
    Illinois information and resources for Illinois NPs.
    https://www.aanp.org/advocacy/illinois

    Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett.

    Illinois Department of Financial and Professional Regulation. (2021).
    IDFPR online services portal.
    https://online-dfpr.micropact.com/Default.aspx

    Illinois General Assembly. (2021).
    Part 1300: Nurse practice act.
    https://ilga.gov/commission/jcar/admincode/068/06801300sections.html

    Illinois Society for Advanced Practice Nursing. (2021).
    ISAPN legislative history.
    https://isapn.enpnetwork.com/page/37077-isapn-legislative-history Illinois nursing practice Certification and Licensure

  • NURS 6002: Foundations for Graduate Study

    NURS 6002: Foundations for Graduate Study

    Discussion – Week 1

                      It is a part of Walden University’s mission and vision to provide a learning experience that will give students the ability to create immediate solutions to critical societal changes affecting the greater good (Walden University, 2020). Walden’s MSN Program learning outcomes include teaching students how to provide cost effective specialist nursing practice that advances the profession as well as creating social change. The learning outcomes include implementation of specialist nurse roles that transform health outcomes and create areas where nurses can be educators and consultants. (Walden University) NURS 6002: Foundations for Graduate Study.

    A frequent challenge encountered while working as a nurse leader in an area surrounded by farms was the insufficient amount of resources available to manage issues such as postpartum depression, drug addiction in pregnancy and mental illness or challenge in the perinatal experience. According to Petralia, et al (2019) postpartum depression occurs in approximately 20% of women with included risk factors such as obstetrical complications and psychosocial factors. Postpartum depression can be predicted by lifetime history of mental health issues and hormone driven syndromes. The authors go on to state this is an unmet medical need because it is frequently underdiagnosed. Substance abuse in pregnancy is considered a major public health issue (Staudt, 2018). Staudt’s research indicates that enhanced drug treatment programs result in less illicit drug use and improved outcomes for families. Staudt reviewed treatment programs and factors associated with substance abuse treatment retention in pregnancy. It is my desire to do the same. My goal is to fulfill Walden’s MSN Program learning outcomes by creating a position, program, and/or resource program for this undertreated population NURS 6002: Foundations for Graduate Study.

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    I have had the privilege to practice in a variety of settings and it is obvious that mental health is prevalent throughout the healthcare spectrum. Even during the happiest time of a family’s life such as a birth of a child being in the hospital and facing the unknown can cause anxiety and create healthcare barriers. Advanced practice psychiatric nursing can support and council families during the death of an infant or an unexpected fetal outcome such as disability. During these challenging times, it is my professional and academic goal to provide cost effect quality care that contributes to societal change as outlined in Walden University’s vision, mission, and learning outcomes NURS 6002: Foundations for Graduate Study.

    References

    Patralia, M. C.; Mazzon, E.; Fagone, P.; Falozone, L.; Bramanti, P.; Nicoletti, F.; & Brasile, M.S. (2019).

    Retrospective follow-up analysis of transcriptomic patterns of cytokines, cytokine receptors, and chemokines at preconception and during pregnancy, in women with post-partum depression. 
    Experimental & Therapeutic Medicine, 
    2033-2062

    Staudt, M. (2018). Best practices for enhancing substance abuse treatment retention by pregnant

    women. 
    Best Practices in Mental Health: An American Journal, 48-63

    Walden University (2020). 2020-2021 Walden university catalog (September 2020). Retrieved October

    11, 2020 from https://catalog.waldenu.edu/content.php?catoid=178&navoid=63595

    response post

    I enjoyed your posting! Also, I am really impressed by your goal for study in the PMHNP program. Even if I live in an urban area, there is a shortage of PMHNP and I would like to study in that field to help low-income population and minorities who suffer from mental illnesses. The state of California has educational, income-based, and cultural varieties more than any other state, which indicates that there are obvious health and wealth inequities among the population. Especially, the underserved population has faced the burden of the expenses for healthcare coverage, which would be mainly paid by Medicaid program. Most of the low-income population has no benefits from the job and the ability to pay gaps from Medicaid to any private insurance. As a result, it is doubtful whether reasonable healthcare service would be readily available to those who are in an underserved area or poor socioeconomic status (Drake and Lowenstein, 1998).

    The demand for Mental health care service has been growing because of better access to quality of health care service from the influence of the Patient Protection and Affordable Care Act (PPACA of 2010), the increase of concern about mental health awareness to prevent suicides, long life spans from baby boomers, and the treatment for PTSD soldiers returning from wars (Cas-Alinas, 2020).

    As you mentioned, Walden offers opportunities to have students explore keys to success in career advancement along with the changes in health care industry and I will apply this learning process to achieve my future nursing career (Walden University, 2020).

    References

    Cas-alinas, K. (2020, July 31). 
    4 Reasons why there is a high demand for psychiatric nurse practitioner
    . blog, nursing careers. Retrieved October 13, 2020, from 
    minoritynurse.com

    Drake, M., & Lowenstein, D. (1998). the role of diversity in the health care needs of California. 
    The western journal of medicine
    , 
    168
    (5), 348–354.

    PPACA
     (the Patient Protection and Affordable Care Act). (2010). 
    https://doi.org/www.congress.gov

    Walden University (2020). (2020). 2020-2021 Walden university catalog. Retrieved October 13, 2020, from https://catalog.walden.edu/content NURS 6002: Foundations for Graduate Study.

    Discussion: Networking Opportunities

    This week you begin to lay the foundation for your academic and professional success. Your efforts begin with a vision, which includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone.

    Walden University and the College of Nursing also have a vision and mission, which include helping you to make your own vision a reality. Members of your new academic community, such as faculty, support teams, and fellow students, can also be helpful. Current practitioners and other members of the professional community can also help you to clarify your vision.

    This week’s Discussion asks you to think about how the Walden mission and vision and the College of Nursing mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams that can help you along the way, as you begin to design the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success.

    To Prepare:

    Review the Walden and the College of Nursing mission and vision statements, Walden’s goals and University Outcomes, and the MSN Program Learning Outcomes presented in this week’s Learning Resources.

    Reflect on your professional and academic goals as they relate to your program/specialization.

    Consider how the information in these resources fit with your own goals and to your becoming a scholar-practitioner.

    Also consider academic and professional individuals and teams that you may collaborate with in support of your efforts as a student at the University and as a professional within your organization and career NURS 6002: Foundations for Graduate Study.

    Walden and My Goals To Becoming a Nurse Educator

     

    My name is xxx and I am enrolled in the MSN Nurse Educator program at Walden University. I am an oncology nurse with over ten years of nursing experience. I have worked with some remarkable nurse educators and Clinical Nurse Specialists throughout my nursing career who shaped me into the nurse I am today. I have a passion to teach and help others. I like to precept new nurses and give them the confidence they need to succeed in the nursing world. My goal is to become a clinical nursing instructor. Gaining understanding of how to teach will enable me to be the best educator I can be. “Role modeling and the influence of other nurse educators plays a major role in attracting nurses to become teachers” (Ross and Kerrigan, 2020). Walden enables its students to do on-site practicum during their curriculum which is what will shape me into a great nurse educator.

    BUY A PLAGIARISM-FREE NURSING PAPER HERE 

    After repeatedly reading the vision of Walden University, the entirety of it seemed to point to one larger objective – “advancing the greater global good” (Walden University, 2020a). Education is an investment into oneself and society that brings about nothing but knowledge gains. It equips an individual to take on the world, interpret what is happening globally and tackle societal issues. The vision statement of Walden University is quite unique as it judges the knowledge gained against the ability to immediately tackle critical societal challenges. This seems like an impossible feat, and that is what drives me to this university. In both my academic and professional goals, I have strived to attain an education that can be applied to truly minister to the people that I encounter. Often when I come across issues in my workplace/society/family, it is in my nature to find the root cause and formulate a solution – sometimes simple, sometimes impractical even to my own standards. After understanding the vision statement of Walden University, I have come to the realization that it closely aligns with my own values – enhancing the greater good. This is made possible through “a distinctively different 21
    st
    century learning community” (Walden University, 2020a) NURS 6002: Foundations for Graduate Study.

    To truly understand the mission statement of Walden University, I needed to first comprehend what it meant to be a scholar-practitioner. According to McClintock (2004), “The term 
    scholar practitioner
    expresses an ideal of professional excellence grounded in theory and research, informed by experiential knowledge, and motivated by personal values, political commitments, and ethical conduct. Scholar practitioners are committed to the well-being of clients and colleagues, to learning new ways of being effective, and to conceptualizing their work in relation to broader organizational, community, political, and cultural contexts. Scholar practitioners explicitly reflect on and assess the impact of their work. Their professional activities and the knowledge they develop are based on collaborative and relational learning through active exchange within communities of practice and scholarship” (p. 396). As a career professional who has been practicing nursing for a decade, I find solace in the mission of Walden University. It has been a personal goal to pursue an education that accomplishes my dream of becoming a nurse educator. But more importantly, to be effective in this dynamic world of healthcare, and to be able to “effect positive social change”, a holistic transformation is required; the opportunity to do so is one that is granted by Walden University (Walden University, 2020a). Aside from being grounded in theory and research, which is what a conventional education provides, there also comes the possibility of gaining and applying experiential knowledge. Moreover, a scholar practitioner is one who is committed to the wellbeing of others NURS 6002: Foundations for Graduate Study.

     

    “Advancing the greater global good” and “social change” –are the two main recurring themes that are seen throughout the Vision, Mission and Goals of Walden University (Walden University, 2020a). It doesn’t suffice that graduates receive their degree and climb the career ladder of success, but also, that they are agents of positive social change. As part of the process of finding the right school to further my education, I would read through the vision and mission statements of various institutions. I decided that I would pick the school that most closely aligned with my faith, core values and goals. This helped me lay out my career and academic goals so succinctly that Walden University was a top choice. In a world that is rampant with misinformation, medical myths, and a lack of foresight and hindsight, it is important that societal change is brought about through the “development of principled, knowledgeable, and ethical scholar-practitioners, who are and will become civic and professional role models by advancing the betterment of society” (Walden University, 2020a).

     

    Aside from all that, the Walden University webpage lets the reader know more about the MSN in Nursing Education. Once again, the common theme of social changes is present. The entire curriculum is based on the goal of impacting lives and the society through the care provided and the positive impact made on another student nurse. Another way of having an impact on lives and society can be found in the Learning Outcomes: “Integratively assess, diagnose, plan, implement, and evaluate cost-effective healthcare strategies that reduce health disparities by patient/population advocacy for access to special nursing care” (Walden University, 2020b). As I think back on my own professional and academic goals and how it closely relates to the learning outcomes, there was one item that especially caught my attention – addressing health disparities. Although I will always strive for the advancement of this profession through ongoing research, communication, learning, commitment, quality improvement, patient centered care, etc., the one theme I will begin to actively adopt is societal change by addressing and reducing health disparities through patient/population advocacy. Societal change and advancing the greater good were themes that I always believed in, but never actively pursued. It is my hope that the educational experience gained through Walden University keeps that theme as a top priority going forward NURS 6002: Foundations for Graduate Study.

    References

    McClintock, C. (2004). Scholar practitioner model. In A. Distefano K. E. Rudestam & R. J.       Silverman (Eds.), 
    Encyclopedia of distributed learning
     (pp. 396). Thousand Oaks, CA: SAGE Publications, Inc. doi: 10.4135/9781412950596.n134

    Ross, B., & Kerrigan, M. R. (2020). Addressing the Faculty Shortage Through Connections: Stories of Becoming a Nurse Educator. 
    Journal of Nursing Education
    , 
    59
    (10), 545–550. 
    https://doi-org.ezp.waldenulibrary.org/10.3928/01484834-20200921-02

    Walden University. (2020a).  
    Vision, Mission, and Goals – Walden University – Acalog ACMS™
    . Retrieved October 14, 2020. from 
    https://catalog.waldenu.edu/content.php?catoid=178&navoid=63595

    Walden University. (2020b).  
    Online MSN in Nursing Education
    . Retrieved October 14, 2020. from 
    https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing/msn-nursing-education

    By Day 3

    Post
     a brief post introducing yourself to your colleagues. Include an explanation for how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN program outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner.

    Support main post with 3 of more current, credible sources and cite source within content of posting and on a reference list in proper APA.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues 
    on two different days
    , by suggesting additional individuals and/or teams with whom to collaborate or by offering additional networking strategies.

    Be sure to offer support from at least 2 current, credible sources in each required response to classmates’ main post and cite per APA.

     

    My name is xxxl,Bsn Rn. I have been a Registered Nurse since 2009 but I was in India came to USA in 2013 and tried to became RN in USA that was my goal i got success in that. Currently, I am working as an Oncology Nurse in Phoebe Putney Memorial Hospital, Albany, Ga. My goal was to complete the MSN in Family Nurse Practitioner gain extra knowledge in Nursing and help others with their problems when they are in need . So I started to research About colleges and University. unfortunately, i knew that i have to work very hard to gain that and with full  time job,baby it’s hard.

    After, spending several months, I finally find Walden  University, and because its offers the flexibility that i need so I can work on my own time. also, Walden University’s Vision is to provide accredited knowledge and a good learning experience that i can use in my critical thinking and can provide immediate solution who are in need NURS 6002: Foundations for Graduate Study.

    Walden University’s mission states “it provides career driven professionals with the opportunity to grow themselves into scholar practitioners so that they can effect positive social change” this mission statement is close by my own mission and goal to become a a Family Nurse Practitioner as i want to make positive change not only on my future but also with my patients and family.

    Walden university defines positive social change as a deliberate process of creating and applying ideas, strategies, and action to promote the worth, dignity, and development of individuals, community, organizations, institution, cultures, and society , And it matches my academic goal  because i am looking to gain necessary knowledge to impact on my society and to make the social change. I always wanted my life to be a meaningful to my family and others who are around me and i think i can make that social change after i gain that knowledge from Walden University. i can definitely make a change and help my coworker and patients by using that knowledge.

    BUY A PLAGIARISM-FREE NURSING PAPER HERE 

    2020 Walden University, Vision, Mission, and Goal. (2020-2021) Walden University Student Handbook. https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing/msn-nurse-practitioner-fnp. 2020–2021 Walden          University Student Handbook (September 2020). (2020). https://catalog.Walden University. (2020a). Master of Science in Nursing. Retrieved June 3, 2020

    Assignment: Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network

    When was the last time you read 
    Devotions Upon Emergent Occasions and Several Steps in my Sickness—Meditation XVII
    ?

    Unless you are a student of 17th-century poetry, you may not be all that familiar with this piece by author John Donne. However, you may be much more familiar with one of its well-known phrases: “No man is an island.”

    As you begin your journey toward achieving your academic and professional goals, you have a great opportunity to network with academics and professionals who can help ensure you do not travel alone. This network can help to clarify your own vision for success and can help guide you now and in the future. To paraphrase Donne, no one is an island.

    Begin creating an academic and professional network by identifying which academic and professional connections and resources you need to collaborate with to be successful in your MSN program and as a practicing nurse NURS 6002: Foundations for Graduate Study.

    To Prepare:

    Consider individuals, departments, teams, and/or resources within Walden University and within your profession that you believe can support your academic and professional success.

    Identify at least two academic and at least two professional individuals, colleagues, or teams to collaborate with to help you be successful in your MSN program and as a practicing nurse.

    Download the 
    Academic Success and Professional Development Plan Template
    .

    The Assignment:

    Academic and Professional Network

    Complete Part 1 of your 
    Academic Success and Professional Development Plan Template
    . Be sure to address the following:

    Clearly and accurately identify 
    at least two
     academic individuals or teams to collaborate with to be successful in the MSN program and as a practicing nurse.

    Clearly and accurately identify 
    at least two
     professional individuals or teams to collaborate with to be successful in your MSN program and as a practicing nurse.

    Clearly and thoroughly explain in detail why the academic and professional individuals/teams were selected to support success in the MSN program and as a practicing nurse.

    Clearly and accurately explain how the academic and professional individuals/teams will support success in the MSN program and as a practicing nurse.

    Assignment: Academic Success and Professional Development Plan Part 2: Academic Resources and Strategies

    New construction projects begin with a design phase, where architects blueprint the vision complete with design details. They work in collaboration with builders who use the designs to prepare the appropriate strategies, tools, and materials to bring the vision to reality. You are both architect and builder of your success. You have started to blueprint your vision in your 
    Academic Success and Professional Development Plan
    . You have identified others with whom you will collaborate. Now you can begin to prepare the appropriate strategies, tools, and materials

    How will you approach your studies? What types of resources are available to you, and how will you access and utilize them? Taking the opportunity to prepare these strategies, tools, and materials will help ensure you can “break ground” without incident and successfully move to the phase where you begin building your vision NURS 6002: Foundations for Graduate Study.

    To Prepare:

    Consider your goals for academic accomplishments while a student of the MSN program.

    Reflect on the strategies presented in the Resources for this week.

    The Assignment:

    Clearly identify and accurately describe in detail 
    at least three
     academic resources or strategies that can be applied to the MSN program.

    Clearly identify and accurately describe in detail 
    at least three
     professional resources that can be applied to success in the nursing practice in general or in a specialty.

    Clearly and thoroughly explain in detail how you intend to use these resources, and how they might benefit you academically and professionally.

    Note:
     Add your work for this Assignment to the original document you began in the Week 1 Assignment, which was built off the Academic Success and Professional Development Plan Template.

    By Day 7

    Submit
     your completed Assignment.

    Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph NURS 6002: Foundations for Graduate Study.

    week 3: Academic and Professional Integrity

    Laureate Education, Inc. (Executive Producer). (2018). 
    Academic and Professional Integrity
     [Video file]. Baltimore, MD: Author.

    Laureate Education, Inc. (Executive Producer). (2018). 
    The Walden Journey to a Masters in Nursing: Academic and Professional Integrity
     [Video file]. Baltimore, MD: Author.

    Learning Objectives

    Students will:

    Identify APA formatting rules (Q)

    Analyze the relationship between academic integrity and writing (A)

    Analyze the relationship between professional practices and scholarly ethics (A)

    Analyze strategies for maintaining integrity and ethics in academic work (A)

    Analyze strategies for maintaining integrity and ethics in professional work (A)

    Analyze how paraphrasing contributes to academic integrity (A)

    Learning Resources

    Required Readings

    American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Retrieved from https://www.nursingworld.org/coe-view-only

    American Psychological Association. (2020).
    Publication manual of the American Psychological Association
    (7th ed.). https://doi.org/10.1037/0000165-000

    Chapter 6, “The Mechanics of Style”

    Chapter 8, “Works Credited in the Text”

    Section 8.2, “Plagiarism”

    Section 8.3, “Self-Plagiarism”

    Paraphrases and Quotations

    Chapter 10, “Reference Examples”

    Alba, B. (2018). Factors that impact on emergency nurses’ ethical decision-making ability.
    Nursing Ethics
    ,
    25
    (7), 855–866. https://doi.org/10.1177/0969733016674769 NURS 6002: Foundations for Graduate Study

    Bahrieni, F., Azodi, P. Hajivandi, A. & Jahanpour, F. (2017). The effect of education in nurse’s moral sensitivity.
    Journal of Pharmaceutical Sciences and Research, 9
    (10), 1817–1821. Retrieved from http://jpsr.pharmainfo.in/Documents/Volumes/vol9Issue10/jpsr09101735.pdf

    Glasper, A. (2016). Does cheating by students undermine the integrity of the nursing profession? 
    British Journal of Nursing, 25
    (16), 932–933.

    Hoskins, K., Grady, C. & Ulrich, C. (2018). Ethics education in nursing: Instruction for future generations of nurses.
    OJIN: The Online Journal of Issues in Nursing, 23
    (1). Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethics-Education-in-Nursing.html

    Walden University Academic Skills Center. (n.d.). ASC success strategies: Plagiarism. Retrieved October 12, 2018, from https://academicguides.waldenu.edu/ASCsuccess/ASCplagiarism

    Walden University Writing Center. (n.d.). APA style: Overview. Retrieved October 12, 2018, from https://academicguides.waldenu.edu/writingcenter/apa

    Walden University Writing Center. (n.d.) Grammarly: Overview. Retrieved October 12, 2018, from https://academicguides.waldenu.edu/writingcenter/grammarly

    Document:
    APA Basics Checklist: Citations, Reference List, and Style (PDF)

    Document:
    Academic Success and Professional Development Plan Template (Word document)

    Document:
    Citing a Discussion Posting in APA Style (PDF)

    Document:
    Citing a Laureate Video in APA Style (PDF)

    Document:
    Common APA Style and Formatting Challenges (PDF)

    Document:
    Introduction to Scholarly Writing: Plagiarism and Academic Integrity (PDF)

    Optional Resources

    Walden University. (n.d.). Subject Research: Nursing. Retrieved November 9, 2018, from https://academicguides.waldenu.edu/library/subject/nursing NURS 6002: Foundations for Graduate Study

    Quiz: APA Style and Format

    As a nurse embarking on an advanced degree, you are developing the characteristics of a scholar-practitioner, which includes strong communication skills. Writing in a scholarly manner involves supporting your thoughts with evidence from the literature and appropriately using APA formatting.

    One of the challenges of scholarly writing is paraphrasing the thoughts of others in your work. Paraphrasing, and correctly citing the original author for his or her ideas, allows you to take the ideas of others, summarize them, and incorporate them into your own writing. When summarizing the ideas of others, it is important to avoid plagiarizing (copying the words and ideas of others as though they were your own). In addition to expanding your knowledge of APA, this week’s Resources help you to distinguish between paraphrasing and plagiarizing NURS 6002: Foundations for Graduate Study.

    This Quiz will help you determine how well you understand these concepts and how prepared you are to reflect them in your work. The questions presented on the quiz are derived from the Learning Resources related to APA writing standards, plagiarism, and academic integrity.

    To Prepare:

    Review the Resources related to APA style and format presented to you this week.

    Click on the Week 3 Quiz link to begin.

    By Day 7

    Complete the quiz.

    Note: To view the questions you answered correctly and incorrectly, click on your score in the 
    My Grades
     area.

    Submission and Grading Information

    Submit Your Quiz by Day 7

    To submit your Quiz:

    Week 3 Quiz

    Assignment: Academic Success and Professional Development Plan Part 3: Strategies to Promote Academic Integrity and Professional Ethics

    Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and ultimately help in the care of patients. Work that lacks integrity is subject to quickly erode…or worse.

    Fortunately, there are strategies and tools that can help ensure integrity in academic and professional work. This Assignments asks you to consider these and how you might apply them to your own work.

    In this Assignment you will continue developing your Academic Success and Professional Development Plan by appending the original document you began in the previous assignment.

    To Prepare:

    Reflect on the strategies presented in the Resources for this week in support of academic style, integrity, and scholarly ethics.

    Also reflect on the connection between academic and professional integrity.

    The Assignment:

    Part 3, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

    Using the Academic and Professional Success Development Template you began in Week 1 and continued working on in Week 2, write a 2- 3-paragraph analysis that includes the following:

    Clearly and accurately explains in detail the relationship between academic integrity and writing.

    Clearly and accurately explains in detail the relationship between professional practices and scholarly ethics.

    Accurately cite at least 2 resources that fully support your arguments, being sure to use proper APA formatting.

    Use Grammarly and SafeAssign to improve the product.y

    Clearly and accurately describe in detail how Grammarly, SafeAssign, and paraphrasing contributes to academic integrity. Include sufficient evidence that Grammarly and SafeAssign were utilized to improve responses NURS 6002: Foundations for Graduate Study.

    Part 3, Section 2: Strategies for Maintaining Integrity of Work

    Expand on your thoughts from Section 1 by:

    Clearly identifying and accurately describing strategies you intend to pursue to maintain integrity and ethics of your 1) academic work while a student of the MSN program, and 2) professional work as a nurse throughout your career.

    Include a clearly developed review of resources and approaches you propose to use as a student and a professional.

    Note:
     Add your work for this Assignment to the original document you began in the Week 1 Assignment, which was built off the Academic Success and Professional Development Plan Template.

    By Day 7

    Submit
     both Section 1 and Section 2 of Part 3.

    Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.

    Click the 
    Week 3 Assignment Rubric 
    to review the Grading Criteria for the Assignment.

    Click the 
    Week 3 Assignment 
    link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click 
    Open
    .

    If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    .

    Click on the 
    Submit
     button to complete your submission.

    Grading Criteria

    To access your rubric:

    Week 3 Assignment Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 3 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 3 Assignment

    Next Week

    To go to the next week:

    Week 4 NURS 6002: Foundations for Graduate Study

  • Maryland nursing practice Certification and Licensure

    Maryland nursing practice Certification and Licensure

    How do you get certified and licensed in your state?

    I live in the State of Maryland which has afforded and extended full practice to qualified Nurse Practitioners (NPs) that meet this state requirements. According to American Association of Nurse Practitioners (2020), States that offer full practice and licensure laws permit all NPs to evaluate patients, diagnose, order, and interpret diagnostic tests, and initiate/manage treatments. This Association further reports that treatment methods include prescribing medications and controlled substances under the exclusive licensure authority of the Maryland Board of Nursing (MBON). Therefore, the NPs in this state have the privilege of using their license to provide full extensive care Maryland nursing practice Certification and Licensure.

    Advanced practice status in Maryland is granted based on education and certification. In order to become licensed in this state qualified, NPs have to follow specific steps to be able to utilize these privileges afforded them. Applicants must verify certain initial criteria before they can apply for License as a NP in Maryland. These criteria include a holding a current Maryland license that is in good standing to practice as a registered nurse or a multistate licensure privilege to practice as registered nurse; graduating from a Board-approved accredited graduate level program for nurse practitioners at the Masters’ level or higher; passing a NP board exam and holding a current national certification from the American Academy of Nurse Practitioners National Certification Board (AANPNCB) or other national certifying body recognized by the Maryland Board of Nursing; Submitting a completed application for certification as a nurse practitioner for each area of specialization to the MBON; and Demonstrate written and oral competency in the English language (Advance Practice Registered Nurse License Requirements in Maryland, 2021) Maryland nursing practice Certification and Licensure.

    What is the application process for certification in your state?

    Certification must be obtained from the board of Maryland before a NP can practice in this state. The application process for NPs certifications in the state of Maryland involves several pivotal steps. 1) The application process involves providing a Maryland RN number that can be verified that the applicant holds a valid Registered Nurse license in the state of Maryland. Applicants may also provide a current valid Compact Current State RN License. 2) The applicant must complete the Certification application thoroughly and correctly. 3) The applicant must complete the Declaration of residence form which proves that he/she has been and is a residence of Maryland. 4) The applicant must provide sealed official transcripts of the courses taken during the NP program. 5) The applicant must also provide Copy of current national certification or letter of eligibility to take the certification exam (Maryland Board of Nursing, 2021).

    What is the primary nurse licensure office resource website in your state?

    The primary nurse licensure office resource website for the State of Maryland is: https://mbon.maryland.gov/Documents/np_application.pdf

    How does your state define the scope of practice of a nurse practitioner?

    The State of Maryland had extended practice to the qualified Nurse practitioners. The scope of practice includes performing comprehensive physical assessment of patients, certifying to the Department of Transportation that an individual needs special consideration for certain health reasons, examining and determining if a patient is pregnant or has given birth to a child, completing the date of birth and medical information required on a birth certificate,  completing a death certificate, filing a replacement death certificate, establishing medical diagnosis for common short-term and chronic stable health problems, issuing a “do not resuscitate order” (DNR) on a Maryland Emergency Medical Services form, ordering, performing, and interpreting laboratory and diagnostic tests, ordering and performing diagnostic, therapeutic, and corrective measures, prescribing drugs, providing emergency care, referring patients to appropriate licensed physicians or other health care providers as needed, certifying that the utility client has a serious illness or the need for life-support equipment; and witnessing an advance directive (Maryland Board of Nursing (2021) Maryland nursing practice Certification and Licensure.

     
    What is included in your state’s practice agreement?

    According to Maryland Board of Nursing (2021), Maryland was the first state to join the National Nurse Licensure Compact (NLC) in 1999. NLC allows a nurse licensed in a compact state to practice across state lines in another compact state without having to obtain a license in the other state This allows nurses with a multistate license to be able to practice in any of the twenty-five NLC participating states fully (Maryland Board of Nursing (2021).

    How do you get a Drug Enforcement Agency (DEA) license?

    Nurse Practitioners has the responsibility to administer, prescribe and dispense any controlled substance. Therefore, they must be registered with the Federal Drug Enforcement Administration (DEA) in order perform these tasks legally.  In order to get a DEA license in the state of Maryland, the NP applicants have to firstly apply for a Maryland State Controlled Dangerous Substances Registration (CDS) with the Office of Controlled Substances Administration (OCSA). Prior to applying for CDS each applicant must register with the Prescription Drug Monitoring Program (PDMP).  Registration with PDMP is done on the CRISP website at
    https://crisphealth.org/
    (Maryland Department of Health-Public Health Services-Office of Controlled Substances Administration, 2021) Maryland nursing practice Certification and Licensure.

    After the CDS registration is approved, NP applicants can then apply for the Federal DEA license using their State license number. Application for the DEA license can be done online at the U.S. Department of Justice website. Applications can also be mailed in. For the mailed in  method of application, applicants can call the DEA Headquarters Registration Unit toll free at 800-882-9539 to request a physical copy of the order form. Forms will be mailed within 10 working days. Completed application forms (DEA Form 222a) are expected back to the Justice department within 30 days after each shipment of the forms to the Registration Unit, P.O. Box 28083, Washington, D.C. 20038-8083 (U.S Department of Justice Drug enforcement Administration, 2021).

     

    How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

    Prescriptive Authority

    Qualified and approved NPs in the State of Maryland may independently prescribe and dispense drugs, devices and Schedules II-V controlled substances. For the first 18 months of practice. (COMAR 10.27.07.02 (A)(4)) physician involvement is required for NP prescriptive authority. To prescribe controlled substances, the NP must have a Maryland Drug Control Number (American Medical Association, 2021) Maryland nursing practice Certification and Licensure

    In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

    According to Nurse Practitioner Association of Maryland (2021)  one of  actions of nurse practitioners is to be involved in the political environment by helping influence positive actions taken by the  legal authority. Nurse practitioners in Maryland have been politically organized, legislatively active, and widely effective. These NP organizations roles have been strongly involved with campaigning and petitioning the legislature to increase the role NPs so that they might more fully advocate for patients and increase access to health care (Nurse Practitioner Association of America (2021)

    For example, organization National Association of Pediatric Nurse Practitioner -MD -Chesapeake is active in Monitoring pediatric health-related bills introduced at the state and local levels during the Maryland General Assembly session. They offer letters and testimonies in support of or in opposition of bills that are being monitored at local and state levels. Here support or opposition to bills is guided by the National Association of Pediatric Nurse Practitioners (NAPNAP) National Health Policy Agenda (National Association of Pediatric Nurse Practitioners MD: Chesapeake, 2021).

    Another Maryland organization, The Nurse Practitioner Association of Maryland (NPAM) serves as the voice of Nurse Practitioners in Maryland. The mission of the NPAM is to advocate and ensure comprehensive policy and regulatory foundation that defends and enables nurse practitioners to provide manageable, high quality healthcare by utilizing the fullest extent of nurse practitioner scope of practice during this process (Nurse Practitioner Association of Maryland, 2021) Maryland nursing practice Certification and Licensure.

    References

    American Medical Association (2021). State law chart: Nurse Practitioner Prescriptive Authority. Retrieved from
    https://www.ama-assn.org/sites/ama-assn.org/files/corp/media-browser/specialty%20group/arc/ama-chart-np-prescriptive-authority.pdf

    Nurse Practitioner Association of Maryland (2021) The Legislative and Clinical Practice Environment in Maryland. Retrieved from
    https://www.npamonline.org/page/34

    American Association of Nurse Practitioners (2020). Practice Environment Details. Retrieved from https://www.aanp.org/advocacy/state/state-practice-environment

    Advance Practice Registered Nurse License Requirements in Maryland (2021). Retrieved from
    https://www.nursinglicensure.org/np-state/maryland-nurse-practitioner/#education

    Maryland Board of Nursing (2021).  Criteria for Nurse Practitioner Certification & Instructions for the applicant. Retrieved from https://mbon.maryland.gov/Documents/np_application.pdf

    Maryland Board of Nursing (2021).  Nurse Practitioner — Scope and Standards of Practice. Retrieved from https://mbon.maryland.gov/Pages/adv-prac-nurse-practitioner-index.aspx

    University of Maryland. Division of Research (2021). DEA License Information. Retrieved from https://research.umd.edu/dea-license-info Maryland nursing practice Certification and Licensure

    Maryland Board of Nursing (2021) Nurse Licensure Compact. Retrieved from https://mbon.maryland.gov/Pages/msl-compact-states.aspx

    U.S Department of Justice Drug enforcement Administration (2021). Registration Procedures (University of Maryland Division of Research, 2021).

    Maryland Department of Health-Public Health Services-Office of Controlled Substances Administration (2021). Practitioner Instructions. Retrieved from
    https://health.maryland.gov/ocsa/Documents/Applications%20Instructions%20(Pra.Revised%209-25-2018).pdf

    National Association of Pediatric Nurse Practitioners MD: Chesapeake (2021). Legislation. Retrieved from https://community.napnap.org/marylandchesapeake/legislation Maryland nursing practice Certification and Licensure

    Discussion: Certification and Licensure

    Now that you are in your final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass a national AGPCNP certification exam.  Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.

    Photo Credit: Getty Images/iStockphoto

    Although there is a movement called the APRN Consensus Model to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement Maryland nursing practice Certification and Licensure.

    Another important area to consider and plan for is prescriptive authority. Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the medical board, state board of pharmacy, or nursing board for the appropriate state licensure being pursued. The authority to write for a 
    controlled substance
     is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.

    Finally, the legal landscape for NPs is constantly changing as the status of NPs as providers improves on a national level. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a nurse practitioner.

    For this Discussion, you examine professional issues for your state, including certification and licensure, scope of practice, independent practice, prescriptive authority, and legislative activities Maryland nursing practice Certification and Licensure.

    To prepare:

    Review practice agreements in your state.

    Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.

    Research the following:

    How do you get certified and licensed in your state?

    What is the application process for certification in your state?

    What is the primary nurse licensure office resource website in your state?

    How does your state define the scope of practice of a nurse practitioner?

    What is included in your state’s practice agreement?

    How do you get a Drug Enforcement Agency (DEA) license?

    How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

    In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

    By Day 3

    Post
     a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

    Read
    a selection of your colleagues’ responses Maryland nursing practice Certification and Licensure.

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    By Day 6

    Respond
     to at least 
    two
     of your colleagues on 
    2 different days
     in one or more of the ways listed below.

    Share an insight from having viewed your colleagues’ posts.

    Suggest additional actions or perspectives.

    Share insights after comparing state processes, roles, and limitations.

    Suggest a way to advocate for the profession.

    Share resources with those who are in your state.

    sample 2

    The process for a nurse practitioner graduate student, once completed a board approved Master of Science in Nursing Program with specializing as a nurse practitioner, there are precise steps to accrue certification and licensure. Once the graduate completes the program and obtains a letter of eligibility to take a board approved examination, either through the American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioner Board Certification (AANPBC), the student must create an online account with either examination, request official transcripts, and complete an education validation form prior to examination day (Leik, 2017). These are based on the specialty programs such as Family Nurse Practitioner or Adult and Gerontology Nurse Practitioner. A pediatric or acute care nurse practitioner will have other guidelines for the specific examination. Once an examination is passed, the applicant may complete an application for Nurse Practitioner Certification. The applicant then must provide the Maryland Board of Nursing with a mentor, either a physician or nurse practitioner in good standing, that will provide mentorship for eighteen months for first time certifications or out of state applicants Maryland nursing practice Certification and Licensure.

    Governing of a nurse practitioners license is the responsibility of the Maryland Board of Nursing. The website
    http://mbon.maryland.gov
    provides information for many health care certifications and licensures. The website provides resources for registered nurses, certified nurses assistants, advanced practice nurses, and electrologists. This will be the official site for renewal procedures, disciplinary action protocols, and information regarding state practice acts.

    As set forth by the Code of Maryland Regulations (COMAR), a nurse practitioner may perform within the scope of practice which includes comprehensive physical exams, complete birth certificate date, time, and medical information, death certificate time and date, establish diagnosis for chronic medical health problems, issue “do not resuscitate orders on emergency medical services forms, order and interpret laboratory and diagnostic tests, prescribe drugs, perform emergency care, make appropriate referrals to providers, and witness advanced directives (Schrader, 2017). Any nursing association also has access to each states scope of practice, providing resources and information to nurse practitioners regarding standards and regulations Maryland nursing practice Certification and Licensure.

    Maryland is a full practice state. According to American Association of Nurse Practitioners (2021) full practice encompasses the state and licensure allowing full practicing authority through diagnosing, ordering laboratory and diagnostic tests for interpretation, managing treatment, and prescribing medication which includes controlled substances. Controlled substances are prescribed through providers that have an active, unencumbered Drug Enforcement Agency (DEA) number. Obtaining a DEA number is by online or paper, DEA Form 224. The application to the Department of Justice should also include the supervisory agreement from a physician or nurse practitioner and application fee for midlevel provider of $888.00, valid for three years (US Dept of Justice, n.d.). Once registered with an official DEA number, Maryland requires all providers to register with the Prescription Drug Monitoring Program (PDMP) that supports safe and effective prescribing of controlled dangerous substances, storing data from prescribers of dispensing habits to ensure the public is safe from the harmful effects of prescription drug addiction (Maryland Department of Health, n.d.).  Nurse Practitioners in Maryland have the authority to prescribe Controlled Dangerous Substances scheduled II-V.
    NP licensure requires
    coursework in advanced pharmacology, advanced pathophysiology, and advanced physical assessment Maryland nursing practice Certification and Licensure.

              The various associations that exist for a multitude of health care careers, it is the community of nursing that encompasses many.  The American Nurses Association, the American Association of Nurse Practitioners, International Council of Nurses, American Academy of Nursing, National League for Nursing, and the list goes on. Specific to Maryland is the Nurse Practitioner Association of Maryland, established in 1992, that advocates and protects for nurse practitioners concerning policies, regulatory foundations, and high-quality abilities for full scope of practice (Nurse Practitioner Association of Maryland, n.d.). The associations are good ways to get involved in healthcare legislature because of the affiliation with government offices and the ability to get involved in lobbying, especially on the behalf of the nurse practitioner profession.

    The process of certification, licensure, and prescription abilities is a cumbersome one. I was surprised at how many applications are required. The MBON does layout each process step by step. What feels like a long road a head for upcoming graduates has been paved by our predecessors, which makes networking so necessary to build a foundation of resources and mentors Maryland nursing practice Certification and Licensure.  

    References

    American Association of Nurse Practitioners. (2021).
    State practice environment
    .

    Retrieved August 30, 2021, from
    https://www.aanp.org/advocacy/state/state-practice-environment

    Leik, M. T. (2017).
    Adult-gerontology nurse practitioner certification intensive review:

    Fast facts and practice questions
    (3rd ed.). Springer Publishing Company.

    Maryland Department of Health. (n.d.).
    Maryland prescription drug monitoring program
    .

    Maryland.gov. Retrieved August 31, 2021, from
    https://health.maryland.gov/pdmp/Pages/Home.aspx

    Nurse Practitioner Association of Maryland. (n.d.).
    The Nurse Practitioner Association of

    Maryland (NPAM) serves as the voice of nurse practitioners in Maryland
    . npamonline.org. Retrieved September 1, 2021, from
    https://www.npamonline.org/

    Schrader, D. (2017).
    Maryland Board of Nursing proposed regulations COMAR title 10
    .

    Maryland Department of Health.
    https://mbon.maryland.gov/Documents/proposed-regs-for-20171113-md-register.pdf

    US Department of Justice. (n.d.).
    Application for registration under Controlled

    Substances Act of 1970
    . Diversion Control Division.
    https://apps.deadiversion.usdoj.gov/webforms2/spring/main?execution=e1s1

    sample 3

    Nurse practitioners are responsible for diagnosing, treating, and managing acute and chronic health conditions, as well as emphasize health promotion and disease prevention (AANP, n.d.). In reviewing guidelines for licensure as a nurse practitioner, I gained valuable information specific to my state requirements. I am a registered nurse in the state of Maryland and will complete the application process to be a nurse practitioner in the state of Maryland. The Maryland Board of Nursing (MBON) is the governing body for nursing in the state and provides a website specific for CRNP resources Maryland nursing practice Certification and Licensure.

    Application and Regulations

    To become certified in the state of Maryland as a nurse practitioner, the applicant must hold a current RN license for MD or a compact state RN license and have graduated from a MBON recognized program at a Master’s level or higher (Division of State, n.d). The application process in MD includes completing a CRNP application provided by the MBON which must be typed, providing a copy of certification from either AANP or ANCC, sealed official transcripts, as well as declaration of state of residence by providing a copy of driver’s license. Maryland is a full practice state meaning that the nurse practitioner is able to evaluate and manage patients; diagnose, order and interpret diagnostic tests; and initiate and manage treatments. This includes prescribing medications and controlled substances under the exclusive licensure authority of the state board of nursing (AANP, 2019.). Effective October, 2015, Maryland Board of Nursing now requires new CRNP’s to have a mentor for 18 months after certification. This mentor can be a medical doctor or another CRNP (MBON, 2015). As with any licensure, barriers many exist. The regulation by the state of MD for a mentor may present the new NP with a barrier to practice if the NP is unable to find a provider who is willing to be a mentor for that duration of time. While there aren’t any specific requirements that the mentor must complete according to the state, the availability of the provider to support a new NP may be seen as a challenge for the mentor. In researching requirements for NP’s, I was most surprised at the different levels of practice allowed by each individual state. I am thankful I live and work in a full practice state.

    Prescribing Medications

    A nurse practitioner in the state of MD is able to prescribe and dispense class II, III, IV, and V medications. The practitioner will obtain a DEA from the United States Justice department using form 224, then will provide that certification information to the state office of controlled substances administration. The NP must also register for the prescription drug monitoring program (PDMP) and MD uses the CRISP system to monitor for patient who may be misusing or addicted to prescription medications. All prescriptions prescribed by the NP must be documented in the patient chart including a sample that may be provided to the patient Maryland nursing practice Certification and Licensure.

    Becoming a CRNP requires many classes and hours of clinical time, and having a detailed understanding of state regulations and requirements will help each student be successful in the certification process.

    References

    American Association of Nurse Practitioners (n.d.-a).
    Nurse practitioners in primary care
    .
    https://www.aanp.org/images/documents/publication/primarycarepdf

    American Association of Nurse Practitioners (2019).
    State practice environment
    .
    https://www.aanp.org/advocay/state/state-practice-environment

    Division of State (n.d.). Retrieved from:
    https://mbon.maryland.gov/Pages/adv-prac-nurse-practitioner-index.aspx

    Maryland Board of Nursing (2015). Retrieved from: https://mbon.maryland.gov/Documents/np_application.pdf Maryland nursing practice Certification and Licensure

  • NURS 5051/ 6051 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment

    NURS 5051/ 6051 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment

    Portfolio Assignment:

    The Role of the Nurse Informaticist in Systems Development and

     Implementation

    The purpose of this paper is to describe the role description for a graduate-level nurse to guide participants on the implementation team throughout the process. The role description is based on the SDLC stages and tasks. It will clearly define how this individual will participate in and impact each of the following steps: planning and requirements definition, analysis, design of the new system, implementation, and post-implementation support.

    The nursing professions’ impact on communication and information technology utilization possibilities are boundless. The systems development life cycle (SDLC) is a continual development process through planning and implementing advancement (McGonigle & Mastrian, 2018). The systems development life cycle (SDLC) is the model specifically useful in project management for the improvement of health information technology (HIT) systems (2018) NURS 5051/ 6051 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment.

    Role Description

    The nurse leader, usually the nurse manager in this role, needs to scrutinize the problems and what profits become connected with engaging the nurse leader in the health information system’s implementation process. The nurse leaders’ involvement safeguards that the system will be applicable and adequate for the nurses’ using the system. The nurse leaders’ inclusion on the SDLC team is conducive to informatics in health care. The role of informatics in health care integrates information providing evidence of how technology strengthens care quality (McKay & Vanaskie, 2018) NURS 5051/ 6051 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment.

    Planning and requirements definition

    The planning stage is of utmost importance for the SDLC project as it prepares for the steps to follow and fundamentally will determine the results of subsequent actions (Rehani, n.d.). The planning phase is where the nurse leader participates with the interdisciplinary team representatives to identify the breadth of the obstacles, examine potential solutions, gather needed resources, and plan a schedule for the project and itinerary to commence the project (n.d.). The nurse leaders’ clinical insight into the system and practice with the concurrence of critical thinking skills grants nurses’ superior ability to determine goals for the project. And establish expectations that can be realistically reached (n.d.). The evolution of the health care technology project will be successful with the nurse leader fully participating in the SDLC planning phase.

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    Analysis

               
    The analysis phase involves the nurse leader role to assist in setting up the project’s requirements, developing and examining feasible back-up plan recommendations (Weckman & Janzen, 2009). The lack of back-up plans may delay the project with errors, loss of data, and disintegration in communication between team members. Analysis of the process entails evaluating tools used for decision making, communication, and function processes (Rojas & Seckman, 2014). The analysis also includes examining the technical, hardware, software, staffing, and determining if additional space is needed (Rehani, n.d.). The nurse leaders’ input in this phase includes assessing the organization’s policies to determine if changes are necessary to have the new health care technology system (Darvish et al., 2014) NURS 5051/ 6051 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment.
                                                                        

     
                                                                          Design

    The design phase requires the nurse leaders’ full engagement to inform the SDLC team to establish that the software’s configuration clearly and correctly is described and to regulate the operation of the system (Rehani, n.d.) Included in the system’s operation requiring regulation are hardware, software, user interface, archiving and use, retrieval of data, networking, and processes (n.d.). The nurses’ role in design includes emphasizing the system’s vital goal is to improve patient safety (n.d.). The nurse leader will collaborate to design the system to support clinical decisions to integrate various specialties (n.d.) NURS 5051/ 6051 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment.

                                                                Implementation   

    During the implementation phase, the nurse works jointly with the team to facilitate specialization, evaluate by testing, and install the system (Rehani, n.d.). The nurse leader role continues to be vital now with the need to educate and train staff, maintain the system, and communicate results to the information technology (IT) department (n.d.). The nurse leaders’ role remains essential for establishing communication between themselves and the staff to promote evaluation for use in the system’s redesign to improve results (n.d.). The staff evaluation is necessary for modification of the system for tailoring to enhance healthcare technology capability ultimately. Furthermore, the nurse leader will need to make rounds to ensure safety and to assess for problems in the workflow, and identify

    system glitches for significant problem solving (n.d.)

                                                                Maintenance

               
    The nurse leader maintains involvement in the maintenance phase by providing ongoing support and sufficient training (Rehani, n.d.). The nurse leader needs to recognize how the system works and the importance of promoting cooperation and submission (n.d.).  The nurse leaders’ engagement in this process will also improve approval and encourage evidence-based practice (n.d.). The nurse informaticist involvement in the SDLC maintenance phase is crucial to minimize technical issues (n.d.). During the maintenance phase, the nurses’ role informs IT of glitches requiring problem-solving to improve the system (n.d.) NURS 5051/ 6051 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment.

                                                               
    Conclusion

    The nurse leader, including nurse informaticist importance in full engagement in the SDLC, cannot be understated. The nurse is the backbone of health care organizations. Without the nurses’ participation in the SDLC team phases, improvement in patient safety would be missing. The nurses and other staff using the health care systems would be frustrated and disgruntled due to the lack of logical and smooth functioning of the system meant to improve such and safety. The nurse leaders’ role is crucial to the system being useful to the health care organizations improved safety results NURS 5051/ 6051 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment.

    References

    Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014).
    The role of nursing

    informatics in promoting the quality of health care and the need for appropriate education. Global Journal of Health Science,
    6(6), 11-18. DOI:10.5539/gjhs.v6n6p11

    McGonigle, D., & Mastrian, K. G. (2018).
    Nursing informatics and the foundation of
    (4
    th
    ed.).

    Burlington, MA: Jones and Bartlett Learning.

    McKay, C. & Vanaskie, K. (2018).
    Partnering for success: The role of the nurse leader in

    Health information technology implementation for coordination of care. Nurse Leader,
    16(6), 385-388.
    https://doi-org.ezp.waldenulibrary.org/10.1016/j.mnl.2018.07.012

    Rehani, N. (n.d.
    ). Using SDLC methodology to implement HIT.
    https://pdfs.semantic

    scholar.org/7fbd/35017b7085209694cd56373e8eab62b84b2a.pdf

    Rojas, C., & Seckman, C. (2014).
    The informatics nurse specialist role in electronic health

    record usability evaluation. Computers, Informatics, Nursing
    , 32(5). 221-222. DOI: 10.1097/CIN.0000000000000042

    Weckman, H., Janzen, S. (2009).
    The critical nature of early nursing involvement for

    Introducing new technologies. The Online Journal of Issues in Nursing, 14(2), 1-13. DOI: 10.3912/ojIN.Vol14No02Man02

    new technologies. The Online Journal of Issues in Nursing
    , 14(2), 1-13. DOI:103912/OJN.Vol14No02Man02 NURS 5051/ 6051 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment

  • NRNP 6565 Discussion: Certification and Licensure

    NRNP 6565 Discussion: Certification and Licensure

    Discussion: Certification and Licensure

    Now that you are in your final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass a national AGPCNP certification exam.  Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state NRNP 6565 Discussion: Certification and Licensure.

    Photo Credit: Getty Images/iStockphoto

    Although there is a movement called the APRN Consensus Model to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement.

    Another important area to consider and plan for is prescriptive authority. Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the medical board, state board of pharmacy, or nursing board for the appropriate state licensure being pursued. The authority to write for a 
    controlled substance
     is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.

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    Finally, the legal landscape for NPs is constantly changing as the status of NPs as providers improves on a national level. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a nurse practitioner NRNP 6565 Discussion: Certification and Licensure.

    For this Discussion, you examine professional issues for your state, including certification and licensure, scope of practice, independent practice, prescriptive authority, and legislative activities.

    To prepare:

    Review practice agreements in your state.

    Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.

    Research the following:

    How do you get certified and licensed in your state?

    What is the application process for certification in your state?

    What is the primary nurse licensure office resource website in your state?

    How does your state define the scope of practice of a nurse practitioner?

    What is included in your state’s practice agreement?

    How do you get a Drug Enforcement Agency (DEA) license?

    How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

    In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

    By Day 3

    Post
     a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

    Read
    a selection of your colleagues’ responses.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues on 
    2 different days
     in one or more of the ways listed below.

    Share an insight from having viewed your colleagues’ posts.

    Suggest additional actions or perspectives.

    Share insights after comparing state processes, roles, and limitations.

    Suggest a way to advocate for the profession.

    Share resources with those who are in your state NRNP 6565 Discussion: Certification and Licensure.

  • NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists

    NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists

    Informatics Week 3 discussion

        
     
    When electronic records came to the Iowa Department of Corrections, Ill be honest, I was very skeptical, and everyone resisted the change from “how we do business.” According to Gaines (2020), nursing informaticist is a specialty area that combines nursing and technology to help with electronic records and other varies health technology areas.
     
    (Gaines, 2020)
     
    In reading another discussion post, I am quite jealous that they have a Nurse Informaticist. Our system was developed by an outside technology company and did have a “help desk.” Unfortunately, we have to go through other management to be able to call and get assistance. It cost money every time they are called. From my understanding, it would be cost-effective to have a Nurse Informaticist working for the IDOC NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.
     

                  
     
    Another frustrating issue with not having a NI is that nurses that use the program every day do not get a say in what needs added or taken out of the medical record program or the medication administration record. Some of these decisions are made at nurse manager meetings, which many are not as familiar with using the program as nurses at the forefront of patient care. If we had a NI, those ideas could be developed into more efficient ways of documenting and possibly decrease medication errors. Medical errors cost nearly $40 billion every year in healthcare, and many can be prevented from having an NI in the healthcare system.
     
    (Rupp, 2016) 
     
    The NI could visit every institution and listen to the concerns of nurses, which would decrease stress and make the program better. It is incredibly frustrating to have a program that assessment and plan of care are sometimes inaccessible together without consulting a physician to write as orders.
     

       
     
    By having an NI, new employees can be trained on the system by that nurse instead of a line staff nurse that is trying to care for patients as well as train a new nurse. That new nurse would learn the program much quicker and correctly by having NI do training.
     

        
     
    I’m excited to see how using nurses in this role in the future helps develop and improve patient care! There are so many places that NIs can be of benefit. Base salaries for informatics nurses are increasing to be a pretty substantial wage at sometimes 100,000. One excellent concept of this up and coming career option is that these nurses can be developing programs that still advocate for the bedside nurse. I can be supportive and educate older nurses that may not be “technically inclined” yet teach the newer nurses how to use to use the technology efficiently.
     
    (Rupp, 2016) NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists    
     

    References

    Gaines, K. (2020, July 22).
     
    nurse.org Career Guide Series: Nursing informatics
    . nurse.org.
     
    http://nurse.org

    Nelson, T. L. (2019, March 12).
     
    Nursing informatics: The EHR and beyond
    . American Nurse.com.
     

    Home – American Nurse Journal

    Rupp, S. (2016). How Nurses Are Using Health Informatics to Improve Patient Care.
     
    Electronic Health Reporter
    .
     
    https://doi.org/http://electronic health reporter.com

     
    Whenever there is a change in computer systems, even something as simple as an upgrade, there is bound to be push back and difficulties with the change. At my current place of employment there are nursing super users with each change. The managers, coordinators, and floor educators are automatically put in super user classes. The management can then ask 3-4 floor nurses to become super users as well. These super users are expected to attend a longer more in-depth class with the IT teams. These classes are set up by management as well as the higher-level informatics officers. One of the informatics officers is a nurse, she is also management of IT. This setup is similar to the framework of decision making in informatics proposed by
     
    Mosier et al (2019), in that there is a defined timeline and defined roles of all those involved NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.
     

     
    This system is important because management is not on the floor at all times. Having super users from both shifts available is a very useful asset. We upgraded the computer system last month and there was a large change in the care plan section. There was required online training, but everyone still had a really hard time adjusting. The super users were able to help and their helpful tricks filtered through the floor like a ripple effect. This made the transition much more-smoothly for everyone. Nurses are knowledge workers, and this is evident at a time of new technology
     
    (McGonigle & Mastrian, 2017). Nurses tend to be great learners; they catch on fast and teach each other well NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.
     

     
    One informatics change I would like to see implemented is a further use of the mobile devices. There are a handful of things we can complete on the iPhone we use for texting physicians, charting vitals, and printing lab slips. As discussed by Ng et al (2018), mobile devices have a huge benefit for population in health. There is so much we can do with mobile devices now related to healthcare. There should also be a nursing portion of the health reminders. These could be flags for medications, or reminders for vitals rechecks, or some sort of integration with the new computer system we have started. There could be a way to progressively chart the care plan section as the day goes by, on a mobile device. There is no reason mobile device advancements should only be for patients and the population. Decreasing the amount of time nurses need to sit at a desk to chart, would increase the time patients are able to see them. This is a benefit to hospitals. I am hopeful for advancement in our mobile charting soon, with the further advancement of other healthcare apps NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.
     

    References

    McGonigle, D., & Mastrian, K. (2017). 
    Nursing Informatics and the Foundation of Knowledge
    . Jones & Bartlett Learning.

    Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions. 
    JONA: The Journal of Nursing Administration
    , 
    49
    (11), 543–548. https://doi.org/10.1097/nna.0000000000000815

    Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives. 
    CIN: Computers, Informatics, Nursing
    , 
    36
    (5), 209–213. https://doi.org/10.1097/cin.0000000000000445NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists

    Discussion: Interaction Between Nurse Informaticists and Other Specialists

    Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

    Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

    In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

    To Prepare:

    Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

    Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    By Day 3 of Week 3

    Post
     a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

    By Day 6 of Week 3

    Respond
     to at least 
    two
     of your colleagues
    * on two different days
    , offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

     

    Collaboration with Nurse Informaticists

    I can honestly say I have never seen the nurse informaticist that works within my healthcare organization. I have heard that there is one that works down in information technology (IT) and occasionally makes changes in the electronic health record (EHR) but I have never interacted with her. I feel that there needs to be more nurse informaticists and more professional collaboration between them and the rest of the hospital. Nobody really talks about nursing informatics at my hospital and that is starting to become a problem. I currently work in the heart and vascular ICU where we have been overburdened with high-acuity patients and a significant shortage of staff. One strategy I offer for improvement is to simply have the nurse informaticist come up to the unit and start interacting with the staff. Another strategy is to increase training and education for nurses in the field of informatics. Sipes (2016) states that nurse informaticists must be competent in over 200 skills now. This will require an increase in training and education programs to better prepare them to improve clinical practice (Sipes, 2016). Now is a better time than ever to implement these changes. Ideally, they will benefit interprofessional collaboration and, ultimately, improve patient outcomes NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    Informatics, technology, and Professional Interaction

    Technology has made dramatic progress in the past four decades and has forever changed the way that healthcare is delivered (Elsayed et al., 2016). The field of nursing informatics has also come a long way considering that it has only been a specialty since 1992 (Cummins et al., 2016). Technological advancements in nursing informatics have benefited the way we interact with other professionals as well as the patients we aim to serve. Advancements include the electronic health record (EHR), handheld digital devices, upgrades in computer systems, and much more (Elsayed et al., 2016). It is estimated that nurses spend about 50% of their time at work documenting and charting (Elsayed, 2016). That being said, informatics has come to their rescue with the above advancements in technology such as the EHR. As technology continues to improve, collaboration with other professionals will benefit as well. Advancements in hands-free devices, telecommunications, and telehealth could forever change the way nursing is done (Fathi et al., 2017). As nursing informatics and technology continue to make strides, the end goals will be to enhance the delivery of healthcare, increase interprofessional collaboration, and improve the clinical outcomes of the patients NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    References

    Cummins, M. R., Gundlapalli, A. V., Murray, P., Park, H. A., Lehmann, C. U., & Gundlapalli, A. V. (2016). Nursing Informatics Certification Worldwide: History, Pathway, Roles, and Motivation. 
    Yearbook of Medical Informatics
    , 
    25
    (01), 264–271. 
    https://doi.org/10.15265/iy-2016-039

    Elsayed, I. A., El-Nagger, N. S., & AzimMohamed, H. A. (2016). Evolution of Nursing Informatics: A key to Improving Nursing Practice. 
    Research Journal of Medicine and Medical Sciences
    , 
    11
    . 
    https://www.academia.edu/29974363/Evolution_of_Nursing_Informatics_A_key_to_Improving_Nursing_Practice
    .

    Fathi, J. T., Modin, H. E., & Scott, J. D. (2017). Nurses Advancing Telehealth Services in the Era of Healthcare Reform. 
    The Online Journal of Issues in Nursing
    , 
    22
    (2). 
    https://10.3912/OJIN.Vol22No02Man02   

    Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. 
    Nursing Informatics 2016
    , 
    225
    . 
    https://doi.org/10.3233/978-1-61499-658-3-252

    Recently this writer has spent a great deal of time reflecting on my experiences and interactions with Information’s Technology and those who make it all happen. Early on in this writer’s career, I was exposed to the emergence of new software, programs, and even the implementation of electronic medical records for the first time in a facility or agency NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    When beginning a career as an RN at Beaufort Memorial Hospital (BMH), a rural hospital in Beaufort, SC, I was asked to participate as a “Superuser” when BMH went electronic, less than a year into my working there. According to Bullard (2016), a superuser is vital to the implementation, upkeep, and affordability of any electronic health record (EHR) system. As this writer progressed in my career, I have found myself in the center of every committee or orientation process related to health information technology. Reflecting on the implementation of the EHR at BMH, specifically the excellence of care that now, after experiencing other hospital systems was greatly influenced by the presence of bedside computers in every patient room. The electronic version of the flow chart and head to toe assessment including the timely documentation, the ability to quickly access information for the patient including evidenced-based practice (EBP) standards, education materials, and the ability to print these documents for the patients later use were all elements that shaped the nurse I am today NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    As a Certified Nurse Assistant (CNA) and then a Licensed Practical Nurse (LPN) for a grand total of only eighteen months prior to graduating to the novice Registered Nurse (RN), this writer can attest to the difference in a new graduate-level of skills including presence, versus those of the seasoned nurse as discussed by (McGonigle, 2017). However, many years of bedside charting and then a transition to home care and eventually hospice care gave this writer a different perspectives regarding the presence and documenting in an (EHR) in the home. This the writer now understands the perspective of the executive leader as discussed by Mosier et al., (2019). A while later this writer landed in the middle of a complete software revamp when the company to which employed agreed to be the pilot agency for software designed for homecare but also being implemented in hospice. At the executive level, this writer spent many hours, at least 50% of my day either building workarounds or  literally working on the necessary changes to the software needed to not only qualify for reimbursement form insurers but also to pass a state survey NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    A strategy proven to improve patient outcomes as well as employee morale and financial stability within an organization is to include the nurse in the design and decision making of your EHR (Bullard, 2016). Many frustrations this writer experienced at a Long-Term Acute Care (LTAC) assignment recently could have been avoided. The lack of acknowledgment of nurse feedback regarding much-needed changes to the EHR, especially regarding lack of presence and an incredible amount of time spent documenting redundantly rather than caring for the patient were discovered to be cultural. This writer intended to share ideas and proven improvement learned throughout my career and the evolution of technology, but it was not reciprocated. As Nursing Informatics evolves into a specialty all its own, this writer believes the culture mentioned earlier will have to change.

    After the recent interactions or lack thereof at that last assignment and taking a heap of assessments on various job boards, this writer was actually a bit surprised to find that the only areas in which I am more than “very proficient” is in areas that include IT and Management, all scoring in the “excellent” category. Long story short, as of last Friday, I have changed my concentration of major to HIT. This is my strategy NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.

      ORDER A PLAGIARISM FREE PAPER NOW

    References

    Bullard, K. L. (2016). Cost-Effective Staffing for an EHR Implementation. Nursing Economic$, 34(2), 72–76.

    McGonigle, D.  (20170317). Nursing Informatics and the Foundation of Knowledge, 4th Edition. [[VitalSource Bookshelf version]].  Retrieved from vbk://9781284142990

    Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. JONA: The Journal of Nursing Administration, 49(11), 543-548.

     

    NURS_5051_Module02_Week03_Discussion_Rubric

    Excellent

    Good

    Fair

    Poor

    Main Posting

    45 
    (45%)
     – 50 
    (50%)

    Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

    Supported by at least three current, credible sources.

    Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

    40 
    (40%)
     – 44 
    (44%)

    Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

    At least 75% of post has exceptional depth and breadth.

    Supported by at least three credible sources.

    Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

    35 
    (35%)
     – 39 
    (39%)

    Responds to some of the discussion question(s).

    One or two criteria are not addressed or are superficially addressed.

    Is somewhat lacking reflection and critical analysis and synthesis.

    Somewhat represents knowledge gained from the course readings for the module.

    Post is cited with two credible sources.

    Written somewhat concisely; may contain more than two spelling or grammatical errors.

    Contains some APA formatting errors.

    0 
    (0%)
     – 34 
    (34%)

    Does not respond to the discussion question(s) adequately.

    Lacks depth or superficially addresses criteria.

    Lacks reflection and critical analysis and synthesis.

    Does not represent knowledge gained from the course readings for the module.

    Contains only one or no credible sources.

    Not written clearly or concisely.

    Contains more than two spelling or grammatical errors.

    Does not adhere to current APA manual writing rules and style.

    Main Post: Timeliness

    10 
    (10%)
     – 10 
    (10%)

    Posts main post by day 3.

    0 
    (0%)
     – 0 
    (0%)

    0 
    (0%)
     – 0 
    (0%)

    0 
    (0%)
     – 0 
    (0%)

    Does not post by day 3.

    First Response

    17 
    (17%)
     – 18 
    (18%)

    Response exhibits synthesis, critical thinking, and application to practice settings.

    Responds fully to questions posed by faculty.

    Provides clear, concise opinions and ideas that are supported by at least two scholarly sources NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    Demonstrates synthesis and understanding of learning objectives.

    Communication is professional and respectful to colleagues.

    Responses to faculty questions are fully answered, if posed.

    Response is effectively written in standard, edited English.

    15 
    (15%)
     – 16 
    (16%)

    Response exhibits critical thinking and application to practice settings.

    Communication is professional and respectful to colleagues.

    Responses to faculty questions are answered, if posed.

    Provides clear, concise opinions and ideas that are supported by two or more credible sources.

    Response is effectively written in standard, edited English.

    13 
    (13%)
     – 14 
    (14%)

    Response is on topic and may have some depth.

    Responses posted in the discussion may lack effective professional communication.

    Responses to faculty questions are somewhat answered, if posed.

    Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

    0 
    (0%)
     – 12 
    (12%)

    Response may not be on topic and lacks depth.

    Responses posted in the discussion lack effective professional communication.

    Responses to faculty questions are missing.

    No credible sources are cited.

    Second Response

    16 
    (16%)
     – 17 
    (17%)

    Response exhibits synthesis, critical thinking, and application to practice settings.

    Responds fully to questions posed by faculty.

    Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

    Demonstrates synthesis and understanding of learning objectives.

    Communication is professional and respectful to colleagues.

    Responses to faculty questions are fully answered, if posed.

    Response is effectively written in standard, edited English.

    14 
    (14%)
     – 15 
    (15%)

    Response exhibits critical thinking and application to practice settings.

    Communication is professional and respectful to colleagues.

    Responses to faculty questions are answered, if posed.

    Provides clear, concise opinions and ideas that are supported by two or more credible sources.

    Response is effectively written in standard, edited English.

    12 
    (12%)
     – 13 
    (13%)

    Response is on topic and may have some depth.

    Responses posted in the discussion may lack effective professional communication.

    Responses to faculty questions are somewhat answered, if posed.

    Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

    0 
    (0%)
     – 11 
    (11%)

    Response may not be on topic and lacks depth.

    Responses posted in the discussion lack effective professional communication.

    Responses to faculty questions are missing.

    No credible sources are cited.

    Participation

    5 
    (5%)
     – 5 
    (5%)

    Meets requirements for participation by posting on three different days.

    0 
    (0%)
     – 0 
    (0%)

    0 
    (0%)
     – 0 
    (0%)

    0 
    (0%)
     – 0 
    (0%)

    Does not meet requirements for participation by posting on 3 different days.

    Total Points: 100

    Name: NURS_5051_Module02_Week03_Discussion_Rubric

    The purpose of this discussion is to gain insight into aspects of interdisciplinary informatics in healthcare. Informatics in healthcare is the exchange of digital information utilizing technology across a multitude of medical disciplines in order to facilitate a continuum of care NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists. The digital age of informatics has advanced since the creation of the Office of the National Coordinator for Health Information Technology (ONC) within the US Department of Health and Human Services (Desalvo et al., 2015). Further advancing informatics was the passage of the e-Health Information Technology for Economic and Clinical Health (HITECH) Act, which prioritized financial allocations for the advancement of healthcare technology development (Desalvo et al., 2015). This funding allowed for the creation of the Meaningful Use (MU) Act, designed to completely digitize the healthcare record (Desalvo et al., 2015). This digitization allows for the scrutinization of the healthcare delivery landscape, enabling for identification of poorly performing processes, thus enabling the proficient delivery of patient-center, evidenced-based, quality healthcare delivery.  The following is a discussion pertaining to the role of informatics in interdisciplinary collaboration.

    The Emergency Department is a unique setting in that it allows for data to be simultaneously accessed and utilized across a number of independent patient care areas.  Information regarding patients presenting must be accessed by lab technicians, imaging technologists, radiologists, ED physicians, intensivists, and other ancillary staff.  The information available across these disciplines represents the patient and their acute and chronic health status.  Interventional decisions can then be directed to allow for evidenced-based care.  These decisions are made by utilizing the Foundation of Knowledge, which is the base for (Marstrian & McGonigle, 2019). The Foundation of Knowledge is the base healthcare providers use to make appropriate interventions based on empirical evidence and evidenced-base practice NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.  Below are strategies designed to allow informatics to function in an interdisciplinary healthcare environment (Marstrian & McGonigle, 2019).

    In order for biomedical informatics to be effectively utilized across the vast array of interdisciplinary demands present in the clinical setting, the focus must be on both the members of the interdisciplinary team and the health systems’ ability to maintains the technological infrastructure utilized to access clinical data. Team members must possess leadership quality, maintain a clear vision and goal, focus on efficient time management, and excel in prioritizing initiatives to continually improve the delivery of patient-centered care (Holden et al., 2018).  It is also essential to have defined roles for informaticians across the interdisciplinary team and ensure informatics education supports the established defined interdisciplinary decision process (Holden et al., 2018).

    Predictive medicine is believed to the future of healthcare and is affords it’s attainability to the advancement of biomedical informatics (Jen, 2019).  Intercollarborative practice success will be destined to parallel the advancement of biometric informatics.  Visual analytic tools and informatic collection systems will continue to evolve, with the dissemination and subsequent analyzation of patient data allowed to be more concisely presented (Wu et al., 2019) NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.  New evaluation tools will provide us with more data that will allow insight into the acute and future health of our patients (Wu et al., 2019).  Another future component of healthcare delivery that will is deep learning of health informatics (Ravì et al., 2019).  Deep learning aims to accelerate algorithm calculations in order to hasten diagnostic intervention and prescriptive medicine by analyzing data and learning from patterns represented in the clinical informatics (Ravì et al., 2019). The promise for more effective healthcare delivery is bright for both providers and patients utilizing informatics and interdisciplinary collaboration NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    References

    DeSalvo, K. B., Dinkler, A. N., & Stevens, L. (2015). The US Office of the National Coordinator for Health Information Technology: progress and promise for the future at the 10-year mark. Annals of emergency medicine, 66(5), 507-510. 
    http://doi.org/10.1016/j.annemergmed.2015.03.032

    Holden, R. J., Binkheder, S., Patel, J., & Viernes, S. H. P. (2018). Best practices for health informatician involvement in interprofessional health care teams. Applied clinical informatics, 9(1), 141. 
    https://doi.org/10.1055/s-0038-1626724

    Jen, M. Y., & Teoli, D. (2019). Informatics. In StatPearls [Internet]. StatPearls Publishing. 
    https://www.ncbi.nlm.nih.gov/books/NBK470564/

    Mastrian, K., & McGonigle, D. (2019). Informatics for health professionals. Jones & Bartlett Learning.

    Ravì, D., Wong, C., Deligianni, F., Berthelot, M., Andreu-Perez, J., Lo, B., & Yang, G. Z. (2016). Deep learning for health informatics. IEEE journal of biomedical and health informatics, 21(1), 4-21. 
    https://doi.org/10.1109/JBHI.2016.2636665

    Wu, D. T., Chen, A. T., Manning, J. D., Levy-Fix, G., Backonja, U., Borland, D., … & Kandaswamy, S. (2019). Evaluating visual analytics for health informatics applications: a systematic review from the American Medical Informatics Association Visual Analytics Working Group Task Force on Evaluation. Journal of the American Medical Informatics Association, 26(4), 314-323. 
    https://doi.org10.1093/jamia/ocy190 NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists

              Nursing informatics is a field of nursing that incorporates nursing, computer, and information sciences to maintain and develop medical data and systems to support the practice of nursing, and to improve patient care outcomes (Whithers, 2020). As a Nurse, I see data and technology on a daily basis. We utilize nursing informatics in almost everything we do. Staying up-to-date with this growing concept is vital in ensuring patient safety.

    Nurses aren’t the only profession to utilize and benefit from data and technology. From my observation, nurse informatics have a great impact in the interaction with other professions. The mental health hospital where I currently work has new technology of electronic health records. The EHR allows those healthcare providers designated by the patient to obtain healthcare information related to past episodes of healthcare. It is hoped that such a record will eventually be a birth-to-death electronic healthcare record (Vasilescu, 2015).The IT department works with all professions within the workplace, which includes Nurses, Doctors, Clinicians, Therapists, Secretaries, and so forth.

    A strategy on how the interaction between IT and these professions can improve is by continuous education of the electronic healthcare records. Learning the HER can be complicated, but with the right training, the system can and should run smoothly. IT must be aware of the healthcare staff’s level of computer competency in order to effectively educate. Super users can assist with this training. Super Users answer questions, help end users navigate through the system, and report issues to the project team to support prompt resolution (
    Epic@UNC
    2015) NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    Whithers, F. (2020, May 08). What is Nursing Informatics & How to Become a Nurse Informaticist. Retrieved September 15, 2020, from 
    https://www.registerednursing.org/nursing-informatics/

    Vasilescu, A. (2015). Informatics: The Electronic Health Record: Will Nursing Be on Board When the Ship Leaves? Retrieved September 16, 2020, from 
    http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/ElectronicHealthRecord.html

    Epic@UNC. (2015, December 22). Retrieved September 16, 2020, from http://news.unchealthcare.org/epic/training/super-user-responsibilities NURS-6051N Discussion: Interaction Between Nurse Informaticists and Other Specialists