NR 510 Week 6 APN Professional Development Plan

NR 510 Week 6 APN Professional Development Plan

NR 510 Week 6 APN Professional Development Plan

APN Professional Development Plan

Scope of practice denotes a health provider’s legal authority to carry out particular procedures, such as prescribing treatment, ordering lab tests, and making referrals. The three types of nurse practitioners’ (NPs) scope of practice include Full, Reduced, and Restricted practice (Arifkhanova, 2017). The NONPF developed core competencies for NPs that define essential that an NP graduate should demonstrate. Leadership refers to a collection of skills and abilities that an individual exhibits. Clinical leadership fosters the development of nursing practice in health care (Lamb et al., 2018). This paper seeks to describe the APRN scope of practice in Arkansas, areas of strength and improvement related to NP core competencies, and core NP leadership skills.

APN Scope of Practice

Arkansas is the state I intend to practice in after graduation from the APRN program. This section will discuss educational, license, and regulatory requirements as well as practice and prescriptive authority of APRNs in Arkansas.

Educational Requirements

An APRN in Arkansas should have earned a Master’s degree in nursing or completed a doctorate. The APRN should have done an NP program approved by Arkansas State Board of Nursing (ASNB) and should be nationally accredited (Mitchell et al., 2017).  Besides, the APRN should have taken core courses in physiology, health assessment, and pharmacology.

License Requirements

The Nurse Practice Act mandates that any individual practicing as a nurse in any level in Arkansas be licensed by the ASBN. The ASBN requires that one has a valid RN license with an RN experience of a minimum of 2,000 hours to become an APRN. Besides, APRNs are required to renew their license biannually. APRNs who let their licenses to lapse and who have not practiced during the previous licensure period can be reinstated after appeal, payment of renewal fee, paying late penalty fee, and after attaining the continuing education requirements.

Regulatory Requirements

An aspiring APRN must be certified by a national APRN certifying body approved by the ASBN. The APRN should acquire certification within a particular field (Mitchell et al., 2017). The ASBN recognizes certification agencies in the specialties of gerontology, neonatal care, family practice, pediatrics, acute and critical care, psychiatry, and women’s health. Aspiring APRNs must submit their application to the ASNB containing their educational transcripts and authenticate their RN license and APRN certification.

Practice Authority

Arkansas Senate has passed legislation that give to NPs full and independent practice authority. However, APRNs will require to practice for 6,240 hours under a collaborative agreement with a physician to be able to practice independently. Independent practice means that NPs will be allowed by Arkansas state practice and licensure laws to carry out various duties including:  Assessing patients; Diagnosing; Ordering and interpreting diagnostic tests; Developing and implementing treatments plans, including prescribing drugs and controlled substances. Nurses who have gained full practice authority will be required to renew their licenses every three years

Prescriptive Authority

An NP with a certificate for full independent practice authority in Arkansas is allowed by law to prescribe medicines, drugs, or therapeutic devices in line with their scope of practice. NPs with prescriptive authority are required to have prescriptive protocols, which indicate classifications of controlled and legend substances. NPs must adjust the protocol to meet their specialty.  For an NP to prescribe a legend medicine or drug, not indicated in the written protocols, they should obtain a written or verbal order from the collaborating physician before issuing the prescription or order. Furthermore, an APRN granted prescriptive authority must get a DEA registration number to allow them to prescribe controlled substances under schedule II – V.

Nurse Practitioner (NONPF) Core Competencies

NONPF core competencies serve as a framework when arranging the NP curriculum and training outcomes. This section will discuss competency areas identified as personal strength and opportunities for growth and scholarly activities that can help meet NP competencies.

Personal Strengths

The competency areas identified as personal strengths include leadership and ethics.  Leadership is an area of strength based on my ability to take up advanced and complex leadership roles, especially when initiating and guiding change (Thomas et al., 2017). In my current organization, I apply my leadership skills to encourage collaboration within members of the interdisciplinary healthcare team as well as patients, their families, and the community to enhance health care outcomes. In addition, I use my leadership skills to advocate for high-quality, accessible, and cost-effective health care services.  Ethics is the second NONPF competency that I have identified as an area of strength.  The ethic competency entails being familiar with the ethical repercussions of advances in science and traversing ethical dilemmas particular to the patient population of focus (Thomas et al., 2017). I identified ethics as an area of strength because I seamlessly incorporate ethical principles when making patient decisions. Besides, I am able to assess the ethical implications of patient care decisions. I also implement ethical decisions to intricate issues involving patients, communities, and healthcare system.

Opportunities for Growth

Competency areas identified as opportunities for growth include Health Delivery System and Independent Practice. The health delivery system competency entails planning, developing, and executing community and public health programs as well as organizational decision-making and healthcare reform (Thomas et al., 2017). I wish to acquire skills in integrating knowledge on organizations and health systems to enhance healthcare. Also, I want to apply relationship-building and negotiation skills to impact the delivery of healthcare positively. Besides, I wish to improve my skills in providing patient care that is culturally competent and analyzing the healthcare system’s effect on stakeholders.

The competency on independent practice warrants that the NP can work as a licensed independent practitioner. I wish to improve on my knowledge and skills to function effectively as an autonomous NP. I also need to improve on my ability to work professionally with a high degree of accountability. As an upcoming NP, I need to improve my skills in managing diagnosed and undiagnosed clients as an independent NP (Thomas et al., 2017). I wish to improve on providing health promotion, identifying abnormal findings, complying with screening and diagnostic practices, and prescribing treatment.

Scholarly Activities to Help Achieve NP Competencies

Scholarly activities that I can participate in over the master’s program to facilitate in attaining the competencies include engaging in community and public health programs and mentored practicum experiences. The community and public health programs will allow me to apply skills in consensus-building, negotiation, and partnering to promote changes in healthcare in society (Tractenberg et al., 2019). Besides, the programs will improve my skills in developing effective systems of health care that meet the health needs of populations from different cultures. Mentored practicum experiences will improve my knowledge and skills in providing health care as an autonomous NP (Tractenberg et al., 2019). They will also polish my skills in assessing, diagnosing, interpreting diagnostic tests, and providing health promotion.

Leadership Skills

Leadership Skills Required to Lead in Complex Systems

Crucial leadership skills in for an NP to lead in a complex health system include organizational, decision-making, and communication skills. Excellent organizational skills are crucial in enabling an NP to handle several projects and duties successfully. They allow the NP to identify and prioritize the tasks to keep them on track as well as pay attention to details in the delivery of healthcare (Lamb et al., 2018). NPs working in complex healthcare systems are required to make major decisions in their line of work. NP leaders are expected to apply critical thinking in decision-making. Besides, NPs are looked upon to manage complex healthcare situations and should thus make accurate and clear decisions (Lamb et al., 2018). NPs further need to identify when and how to engage other parties in decision-making. They should also know when to obtain reliable information sources to enable them to make sound clinical decisions.

In communication, the NP should demonstrate the ability to initiate meaningful communication. NPs with excellent written and verbal communication skills and great active listening define interactions in a department or organization (Lamb et al., 2018).  Communication skills are vital when communicating with patients and families and or members of the interdisciplinary health team. NPs with excellent communication skills can discuss uncomfortable and difficult elements with patients about their care.

Strategies to Help Develop NP Leadership Skills

Strategies I can employ to develop NP leadership skills include joining a mentorship program and a professional nursing organization. It would be important to have a mentor who will guide me in my leadership journey and provide support when facing leadership challenges (Lamb et al., 2018). Professional nursing organizations facilitate leadership development by providing members with opportunities to develop their leadership skills by taking leadership positions in the organizations (Lamb et al., 2018). Besides, they offer programs in mentorship and leadership development.

Conclusion

An APRN in Arkansas should have an RN license, a Master’s or DNP degree, and be certified by a national body. APRN reduced practice regulations in Arkansas constrain APRN’s ability to work independently. APRNs must enter into a collaborative practice agreement with a physician and are restricted to prescribing drugs under schedule III–V.  My areas of strength in the NP core competencies are leadership and ethics, while areas for growth include the health delivery system and independent practice. Vital leadership skills for an NP include organizational, decision-making, and communication skills.

References

Arifkhanova, A. (2017). The impact of nurse practitioner scope-of-practice regulations in primary care. The Pardee RAND Graduate School.

Lamb, A., Martin‐Misener, R., Bryant‐Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing Open, 5(3), 400-413. https://doi.org/10.1002/nop2.150

Mitchell, D. T., Pfaff, J., & Helms, Z. (2017). Primary Care and Nurse Practitioners in Arkansas. University of Central Arkansas — UCA. https://uca.edu/acre/files/2016/06/APRN-Policy

Thomas, A., Crabtree, M. K., Delaney, K., Dumas, M. A., Kleinpell, R., Marfell, J., & Wolf, A. (2017). Nurse practitioner core competencies content. The National Organization of Nurse Practitioner Faculties.

Tractenberg, R. E., Wilkinson, M. R., Bull, A. W., Pellathy, T. P., & Riley, J. B. (2019). A developmental trajectory supporting the evaluation and achievement of competencies: Articulating the Mastery Rubric for the nurse practitioner (MR-NP) program curriculum. PloS one, 14(11), e0224593. https://doi.org/10.1371/journal.pone.0224593

APN Professional Development Plan

Guidelineswith Scoring Rubric

Purpose

The purpose of this assignment is to provide the student an opportunity to explore the role of the advanced practice nurse (APN) and develop an APNprofessional development plan.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

CO1:Analyze the historic development of advanced practice roles including the impact of advanced practice nursing on healthcare delivery from the perspective of selected current reports (i.e., LACE, IOM, etc.) (PO 3)

CO3: Explore how leadership styles influence healthcare delivery and organizations. (PO 4)

CO5: Reflect on personal and professional growth toward achieving competence as a family nurse practitioner. (PO 3)

REQUIREMENTS:

1. To complete this application, you will need to access to the following databases: CINAHL, MEDLINE, Cochrane Library, and the Joanna Briggs Institute. You may access these databases through the Chamberlain College of Nursing Online Library.

2. The APN Professional Development Plan paper is worth 200 points and will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

3. Create your manuscript using Microsoft Word 2007 (a part of Microsoft Office 2007), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word 2007 document because it will end in “.docx”

4. Follow the directions and grading criteria closely. Any questions about this paper may be posted under the Q & A Forum.

5. The length of the paper is to be no less than 6 and no greater than 8 pages excluding title page and reference pages. Content exceeding 8 pages will not be graded.

6. APA (2010) format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

a. Introduction to the APN professional development plan- Discuss the goals and purpose of an APN professional development plan

b. APN Scope of Practice

c. Personal Assessment

d. Networking and Marketing Strategies

e. Conclusion

PREPARING THE PAPER

The following are best practices for preparing this paper:

1. Review Chapter 30- Role Transition: Strategies for Success in the Marketplace in

DeNisco and Barker (2015).

2. Nurse practitioners need to take into account the state rules and regulations that guide advanced practice. Research and review the Nurse Practice Act and APN scope of practice guidelines in your particular state.Identify information regarding educational requirements, licensure and regulatory requirements, as well as practice environment details. Review information regarding full, limited, or restricted practice limitations as well as prescriptive authority.

3. Review Guidelines for APN Role Transition Using Benner’s Self-Assessment Tool inCourse Resources. Identify and discuss your position on Benner’s Novice to Expert ladder. Prior to engaging in pursuit for employment, APNs should complete a comprehensive, honest, affirmative personal assessment to identify their strengths and weaknesses as well as their goals and objectives. Research assessment tools, conduct a personal assessment, and reflect upon your strengths, weaknesses, goals, and objectives.

4. To complete the transition from students to expert nurse practitioners working in the healthcare field, graduating APN students will need to secure their first position. Research local and national professional organizations that advertise employment opportunities for APNs. Identify networking and marketing strategies and provide a rationale for your selections. Be specific.

5. Write your Curriculum Vitae (CV). Refer to the template on pages 772-773 in DeNisco and Barker (2015). Your CV should not exceed 2 pages in length.

6. When concluding the paper, summarize important aspects of the APN professional development plan.

Criteria for Content

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

Criteria for Format and Special Instructions

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

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

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

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APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate

program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

Also Read:  NR 510 Week 7 Recorded LACE Presentation

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

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

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

☐ Topic is well defined.

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

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

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

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

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

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

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

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

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

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

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