NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit

Sample Answer for NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit Included After Question

NUR-513 Topic 1 DQ 1

Describe how the role of advanced registered nurse transformed over time. Consider shifts in scope and expectations in the 20th and 21st centuries. In what ways will the advanced registered nurse role and responsibilities continue to evolve and emerge as the American health care system changes?

A Sample Answer For the Assignment: NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit

Title: NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit

Throughout history, advanced registered nurses in healthcare have been essential for ensuring patient safety and care. However, their roles have changed over time due to various technological, professional, and government changes. Undoubtedly, the responsibilities of advanced registered nurses have evolved as the dynamic healthcare industry necessitates swift adaptation and decision-making based on sound reasoning. The caring approaches of these nurses will continue to evolve, driven by the changing dynamics of the American healthcare system.

A national plan aims to enhance healthcare access and reduce costs, leading to the creation of new, unforeseen nursing jobs. Recently introduced roles like care coordinators (such as nurse navigators and healthcare coaches) may require additional degrees and certifications in the future. With an aging population, there will be increased demand for nurses specializing in chronic illness and wellness coaching. Specialized roles like population health, gender-specific healthcare, and global health specialists are expected to become more common. Efforts are underway to expand and clarify the definition and standards for advanced practice nursing (DeNisco, 2024).

The Affordable Care Act of 2010 (ACA) will bring both challenges and chances for health professionals to build a more patient-centered system. This law marks the start of a gradual shift in the U.S. healthcare system away from acute and specialty care. The urgency for this change is heightened, especially in addressing chronic conditions, primary care, including coordination and transitional care, prevention and wellness, and preventing adverse events like hospital-acquired infections. As the population ages, the demand for long-term and palliative care will also increase in the future (Transforming Practice, 2011).

 

References

DeNisco, S. M. (Ed.). (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning. ISBN-13: 9781284264661

Transforming practice – The future of nursing – NCBI bookshelf. (2011). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK209871/#ddd00120

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A Sample Answer 2 For the Assignment: NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit

Title: NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit

The umbrella term of advanced registered nurse has come to include any registered nurse that has gone on to continue their education in the nursing field. Along with experience, studies in a specific area will allow for professional development of the advanced registered nurse. Society benefits when a registered nurse decides to expand their career into one of these fields. “Advanced practice registered nurses (APRNs) have varied backgrounds in nursing and play diverse roles in research, direct patient care, leadership, and education (Henry & Wogatske, 2022). Being that change is a constant with the world of medicine, there will always be the need for continuous learning in each field. Therefore, in order to remain on the cutting edge of medicine and to be able to deliver the best patient care, nursing must continue to evolve to include new treatments and nursing interventions in order to provide optimal patient care. Technology is an area that will also greatly benefit the nursing field. As technology improves, nursing will also have to follow its advancements. Nursing will need to maintain the pace that technology also sets since it also involves each area when treating delivering whole patient care.

Henry, K., & Wogatske, A. (2022). Role of the Advanced Practice Registered Nurse in Crisis Response. AACN Advanced Critical Care, 33(4), 339–348. https://doi-org.lopes.idm.oclc.org/10.4037/aacnacc2022710

A Sample Answer 3 For the Assignment: NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit

Title: NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit

Advance registered nurses role was initially necessitated by the need to fill the gap in primary care providers for the pediatric population. The shortage of the primary care physicians continued to drive the demand for the advanced nurse practitioners while also emphasizing on need for them to practice at their full potential (DeNisco, S.M & Barker, A.M, 2024).Initially, this practice was limited to clinical roles such as clinical nurse specialist, nurse practitioner (NP), certified nurse–midwife (CNM), and certified registered nurse anesthetist (CRNA) (DeNisco, S.M & Barker, A.M, 2024). Over the years, we have witnessed the expansion of this roles to include nurse administrators, public health nurses as well as policy makers which has continuously been made possible by redefining and streamlining the curriculum and competencies requirements to best suit the needs of the advance practice nursing (DeNisco, S.M & Barker, A.M, 2024).

After the Nursing Now campaign was launched in 2018, to scale up the universal healthcare coverage(UHC) , the Pan American Health Organization (PAHO) and the World Health Organization (WHO), continued to lobby the governments to implement the advance practice nurses training since nurses had demonstrated great intellectual capabilities in their areas of specialization (Lopes-Junior, 2021). This was a large boost to the nursing profession as it sought to highlight the potential of nurses with an aim of lobbying for them to operate at their full potential and not just confined to the traditional advance practice nursing roles (The Lancet, 2020). More over, this campaign culminated into the recognition of the nurses with the year 2020 being christened “the year of the nurse” (The Lancet, 2020).  It is gains as this ones that ultimately led to the World Health Organization publishing the first ever “state of the world’s Nursing Report” and subsequently “the state of the world’s midwifery report” (The Lancet, 2020). This places advance practice nurses in the limelight while highlighting their contributions to the UHC.

 

References

Advanced Practice Nursing: Essential Knowledge for the Profession

DeNisco, S. M. (Ed.). (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning. ISBN-13: 978128426466

Lopes-Júnior, L. C. (2021, May 24). Advanced practice nursing and the expansion of the role of nurses in primary health care in the Americas. SAGE open nursing. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8150638/

The Lancet. (2020) Unleashing the full potential of nursing.

https://doi.org/10.1016/S0140-6736(19)32794-1

 

 

NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit
NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit

 

A Sample Answer 4 For the Assignment: NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit

Title: NUR 513 In my 7 years of Nursing experience, I have worked in Medical-surgical nursing, Telemetry, and now the Intensive Care Unit

The role of advanced registered nurse first grew out of a necessity to provide access for populations in communities lacking access to primary and preventative health during the 1960’s.  However, it quickly grew during the 1970’s to begin educating nurses to diagnose, treat and refer patients for chronic and common illnesses (DeNisco, 2021).

As advanced practice nursing education expanded, so too did variability in scope and authority at the state level despite national standards and a board certification exam. The American Association of Nurse Practitioners distinguishes three separate working domains for advanced registered nurse practitioners which includes full, reduced and restricted authority (American Association of Nurse Practitioners, 2023).  States with full practice authority allow practitioners to function at the greatest potential within their scope of practice including but not limited to assessing, diagnosing, treating and prescribing (Kleinpell, et al., 2023).

At the height of the CoVid-19 pandemic, several states across the US enacted temporary emergency waiver of restrictions in authority for advanced practice registered nurses, allowing them to provide care in a crisis.  For example, Arkansas now permits these providers to perform duties as primary care providers, and be reimbursed by Medicaid (Kleinpell, et al., 2023).  Additionally, the advantages for compact licensure among advanced practice registered nurses has become a topic of discussion. Multistate licensure may allow for these providers to respond more quickly during emergencies and provide telehealth opportunities (Kleinpell, et al., 2023).  As the American health care system evolves, so too does the need to serve the population in dynamic ways allowing advanced practice registered nurses the opportunity to expand their role.

References

DeNisco, S. M. (Ed.). (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning.

Kleinpell, R., Myer C. R., & Schorn, M. N. (2023). Addressing barrier to APRN practice: Policy and regulatory implications during COVID-19. Journal of Nursing Regulation, 14(1), 13-20. https://doi.org/10.1016/S2155-8256(23)00064-9

American Association of Nurse Practitioners. (November, 2023). Issues at a Glance: Full Practice Authority. https://www.aanp.org/advocacy/advocacy-resource/policy-briefs/issues-full-practice-brief

Grading Rubric

Performance Category 100% or highest level of performance

100%

16 points

 Very good or high level of performance

88%

14 points

 Acceptable level of performance

81%

13 points

 Inadequate demonstration of expectations

68%

11 points

 Deficient level of performance

56%

9 points

 

 Failing level

of performance

55% or less

0 points
 Total Points Possible= 50           16 Points    14 Points 13 Points        11 Points           9 Points          0 Points
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic topics.

 Presentation of information was exceptional and included all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 Presentation of information was good, but was superficial in places and included all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 Presentation of information was minimally demonstrated in all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
  

Presentation of information is unsatisfactory in one of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
  

Presentation of information is unsatisfactory in two of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 Presentation of information is unsatisfactory in three or more of the following elements

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
 16 Points  14 Points  13 Points 11 Points 9 Points  0 Points
Application of Course Knowledge

Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations

 Presentation of information was exceptional and included all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
 Presentation of information was good, but was superficial in places and included all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
 Presentation of information was minimally demonstrated in the all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
 Presentation of information is unsatisfactory in one of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from and scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
 Presentation of information is unsatisfactory in two of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
 Presentation of information is unsatisfactory in three of the following elements

  • Applies principles, knowledge and information and scholarly resources to the required topic.
  • Applies facts, principles or concepts learned scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
   10 Points 9 Points  6 Points  0 Points
Interactive Dialogue

Initial post should be a minimum of 300 words (references do not count toward word count)

The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count)

Responses are substantive and relate to the topic.

 Demonstrated all of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
 Demonstrated 3 of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
 Demonstrated 2 of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
 Demonstrated 1 or less of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
  8 Points 7 Points  6 Points         5 Points          4 Points  0 Points
Grammar, Syntax, APA

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

Error is defined to be a unique APA error. Same type of error is only counted as one error.

 The following was present:

  • 0-3 errors in APA format

AND

  • Responses have 0-3 grammatical, spelling or punctuation errors

AND

  • Writing style is generally clear, focused on topic,and facilitates communication.
 The following was present:

  • 4-6 errors in APA format.

AND/OR

  • Responses have 4-5 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is somewhat focused on topic.
 The following was present:

  • 7-9 errors in APA format.

AND/OR

  • Responses have 6-7 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is slightly focused on topic making discussion difficult to understand.
  

The following was present:

  • 10- 12 errors in APA format

AND/OR

  • Responses have 8-9 grammatical, spelling and punctuation errors

AND/OR

  • Writing style is not focused on topic, making discussion difficult to understand.
  

The following was present:

  • 13 – 15 errors in APA format

AND/OR

  • Responses have 8-10 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is not focused on topic, making discussion difficult to understand.

AND/OR

  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.
 The following was present:

  • 16 to greater errors in APA format.

AND/OR

  • Responses have more than 10 grammatical, spelling or punctuation errors.

AND/OR

  • Writing style does not facilitate communication
  0 Points Deducted 5 Points Lost
Participation

Requirements

Demonstrated the following:

  • Initial, peer, and faculty postings were made on 3 separate days
 Failed to demonstrate the following:

  • Initial, peer, and faculty postings were made on 3 separate days
  0 Points Lost 5 Points Lost
Due Date Requirements Demonstrated all of the following:

  • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.

Demonstrates one or less of the following.

  • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.