NR 510 Week 2 Discussion 1 : Theory and the APN Role -

Sample Answer for NR 510 Week 2 Discussion 1 : Theory and the APN Role Included After Question

NR 510 Week 2 Discussion 1 : Theory and the APN Role

NR 510 Week 2 Discussion 1 Theory and the APN Role

Week 2: Theory and the APN Role Discussion

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

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 On the course Q & A Forum, Karen posted, “Nursing theory is outdated and is too broad and isn’t useful for Advance Practice Nurses.”

Discussion Question:

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

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A Sample Answer For the Assignment: NR 510 Week 2 Discussion 1 : Theory and the APN Role

Title: NR 510 Week 2 Discussion 1 : Theory and the APN Role

According to Karnick (2014), nursing theory provides the ethics and beliefs that guide practice and help generate nursing knowledge. When nurses purposefully form their care around a particular theory, clinical practice takes place (Karnick, 2014). Karen should learn nursing theories because she will need the information to guide her care of the patient. Nursing theory is very important to APN practice because it provides nurses with the foundation and principles of the profession. The four main paradigms— person, health, environment, and nursing—that drive nursing theory aim to promote patient wellness. Also, learning nursing theory encourages critical thinking and suggests ways to relate the fundamentals of nursing to the actual practice of nursing (Karnick, 2014). Nursing theory is useful in many areas of nursing to include clinical, community health, legislative, administrative, educational, legal, etc. These theories provide invaluable knowledge that Karen can use to construct new knowledge. Nursing theory will teach Karen about the importance of evidence-based practice and how it relates to the decision-making process for patient care and patient values.

Karen’s concerns about the nursing theory being too broad should be addressed. While she is right, let’s put the reason why into context. As a new graduate nursing student, Karen will learn the theories are broad because there is more than one way to explain how to administer patient care or how to communicate with colleagues. There are multiple ways to display leadership and to educate oneself about new health processes, diseases, patient concerns, and all things dealing with nursing. Nursing theory is confusing at times because there are so many theories to learn. However, this should be viewed as a positive because it inspires a sharing of ideas and nursing practices. There is no singular way to provide the best patient care, and Karen can use many of the theories to enhance her clinical expertise. She can also compare nursing theories with current external clinical evidence and research to extract the most useful information to provide better patient care. The lack of agreement in the professional literature on nursing theory does not diminish the value of the theories nor does it make the theories irrelevant to practice. What the lack of agreement does is create dialogue and promote more evidence-based research. Karnick (2014) states eliminating nursing theory in the classroom will “degrade nursing as a viable profession.” The discipline of nursing needs these theories to guide effective patient care, or nursing will be just another set of actions or tasks that is not valued or needed by patients and their families (Karnick, 2014).

NR 510 Week 2 Discussion 1 : Theory and the APN Role Reference:

Karnick, P. M. (2014). A case for nursing theory in practice. Nursing Science Quarterly, 27(2), 117. Retrieved from http://journals.sagepub.com/doi/pdf/10.1177/0894318414522711

Great, Fride. Take a look at Erickson’s Modeling and Role Modeling Theory. How do you think it can be applied to family practice?

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

NR 510 Week 2 Discussion 1 : Theory and the APN Role References:

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

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

Great insight on the correlation of Erickson’s theory, the theory of Modeling and Role-Modeling and nursing practice as an FNP. Might I add, not only with Erickson’s theory, but with many, if not all theories, will provide a way for Karen to develop and apply new knowledge for caring for her patients an an APN FNP. Nursing theories will provide a way for Karen to understand the importance of evidence-based practice in the APN role and also the correlation it has critically for her decision making ability while caring for individuals as the primary care provider. Karen should also understand that nursing theories are also essential as they utilized to expand and explain clinical interventions and decisions. While nursing theories are broad and there are many to learn, they all have a common connection of being develop to optimize patient care and outcome. Because Karen is just starting her new journey as a MSN graduate level student it will take her time to develop an appreciation and through understanding as to how theory are seen, utilized, and valued in today’s practice amongst APN FNP and other APNs.

I smiled at your post because it also took me awhile to develop an appreciation of nursing theories and to apply them to patient care. Applying theory to patient care is still challenging to nurses who have been in the field for awhile. Yet, I have learned there are many advantages to understanding various nursing theories. These theories serve as reminders or guides to what we should do as nurses. As nurses, it is important that we use critical thinking skills when applying nursing theory to real-world clinical application. Niederriter, Eyth, and Thoman (2017) propose that nursing instructors need to help students understand how nursing practice and patient outcomes differ when nursing theory is used. The role of nursing instructors is imperative because of the body of knowledge they have. If nursing students accept the academic guidance and clinical expertise of their instructors, they will grow into successful, productive nurses (Niederriter et al., 2017). When nursing instructors “intentionally” connect theories to nursing practice, nurses are empowered to make a difference to patients, families, and the health organization (Niederriter et al., 2017).

NR 510 Week 2 Discussion 1 : Theory and the APN Role Reference:

Niederriter, J. E., Eyth, D., & Thoman, J. (2017). Nursing students’ perceptions on characteristics of an effective clinical instructor. Open Nursing, 3. Retrieved from https://doi.org/10.1177/2377960816685571

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NR 510 Week 2 Discussion 1 : Theory and the APN Role Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements *per discussion thread*	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement *per discussion thread*	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.