Topic 3 DQ 2: What is your personal worldview?

Sample Answer for Topic 3 DQ 2: What is your personal worldview? Included After Question

Topic 3 DQ 2 What is your personal worldview

Topic 3 DQ 2

What is your personal worldview? Connect your worldview to cultural and spiritual competence. How will your worldview and cultural and spiritual competence affect your role and scope of practice as an advance registered nurse? Consider both the provision of safe, quality care to diverse populations and interprofessional relationships.

In response to your peers, what components of your worldview would be important to integrate into a nursing theory? Think deeply about your views and patient care. This will help prepare you for the Topic 4 assignment. Cite at least one source to support your response.

A Sample Answer For the Assignment: Topic 3 DQ 2: What is your personal worldview?

Title: Topic 3 DQ 2: What is your personal worldview?

REPLY TO DISCUSSION

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Share a resource that helped you to understand the advanced registered nurse roles and provide a brief summary. Choose a source that is not an assigned reading and one that others have not yet shared. Format the reference using APA.

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In the acute inpatient, bedside nurses frequently admit, transfer, and discharge patients. The discharge instructions are not only a document in the medical record but a reminder for patients. Guide the patient to follow up with their primary provider, outpatient procedure, and follow up with specialists. Many times, we have patient acknowledge their incidental findings during hospitalization. But no control over their care after discharge; this is a pure discrepancy in our health care system. Our hospital has a customer service that will call patients the day after their release; it’s just customer service and doesn’t cover professional advice or track patient follow-up appointments.

According to Siegmund, incidental finding coordinator or care coordinator is a new role for advanced practice registered nurses (APRN). This care coordinator’s role was to manage a patient with incidental findings and required ongoing coordination of their care. The care coordinator ensures patients keep their appointments, provides patient-based care and coordinates with other healthcare team members. Their position can potentially reduce inefficiencies and improve patient outcomes, close the gap for lack of tracking of patients, collaborate with the specialist, refer patients to the right place for their incidental findings, and stop the discrepancies in our health care system. (Siegmund et al., 2020)

Siegmund, L., Hamilton, A., & Nespeca, T. (2020). Incidental findings coordinator: A new role for advanced practice registered nurses. OJIN: The Online Journal of Issues in Nursing, 25(2). https://doi.org/10.3912/ojin.vol25no02ppt5422

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One of the many resources I have come across is an article that easily explains different opportunities for growth for a nurse. It

discusses the four recognized Advanced Practice Registered Nurse (APRN) roles of Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), Certified Nurse Midwife (CNM), and Nurse Practitioner (NP) and offers additional resources to explore more information on each role. The article also discusses other opportunities for advanced nursing degrees including a Master of Science in Nursing (MSN), Nurse Educator (NE), doctorate of nursing practice (DNP), doctorate of philosophy (PhD), and also mentions certifications for multiple roles. The article also has a table with specialty, course type, online options, credit hours, certifications, and salary that is helpful and easy to compare roles for anyone thinking about furthering their education as a nurse.

References

McClelland, M. (2014). A Guide to Advanced Practice Registered Nurse Roles. Academy of Medical-Surgical Nurses, 23(4), 10-14. https://eds-p-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=3&sid=fb0c5bcd-f337-45c9-899d-38a125f06a02%40redis

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One resource that helped me understand advanced practice registered nurse roles is titled “Advanced nursing practice roles: closing the knowledge gap.” The authors begin the article by outlining the growing demand for improved patient outcomes. Ko et al. (2019) acknowledge that achieving improved outcomes require recognition of advanced practice roles. The outlined roles include certified RN anesthetists (CRNAs), certified nurse midwives (CNMs), clinical nurse specialists (CNSs), advanced practice RN (APRN), and clinical nurse leaders (CNL).

The article goes ahead to outline that all these four key roles require master’s level and doctoral level degrees. The authors also indicate that advanced registered nurse roles significantly influence patient and healthcare outcomes. In the next ten years, the need for advanced practice nurses will rise by 31%, given the mandate to address the aging population and promote preventive care (Ko et al., 2019). They conducted an educational intervention to obtain knowledge on advanced practice roles in an 877-bed level 1 hospital.

The study results indicate that practice guidelines and toolkits are crucial in guiding advanced registered nurses in their roles. Good leadership is also important in ensuring the appropriate implementation of the four key roles. There is a gap in leadership knowledge of the roles of advanced practice nurses. However, they should understand that NPs, CNMs, and CRNA deliver high-quality care to patients in diverse settings (Ko et al., 2019). On the other hand, a CNS consults with other nurses on patient care, provides direct patient care, and works to enhance health practices at the macro and local levels. The CNL roles are mainly focused on the micro level with a key focus on safety and care quality.

Reference

Ko, A., Burson, R., & Mianecki, T. (2019). Advanced nursing practice roles: closing the knowledge gap. Nursing management, 50(3), 26-36.

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Thanks for sharing. The reference looks good, just remember to include the doi number as well.

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In regard to roles of the advanced registered nurse, a resource that I have found helpful is from New England Institute of Technology. The reason I like this resource is because it briefly explains roles of various master’s prepared nurses: nurse practitioner, nurse educator, nurse anesthetist, nurse midwife, nurse manager, clinical nurse specialist, research nurse, nurse consultant, forensic nurse consultant, nurse ethicist, and health informatics nurse. Some of the roles listed above are completely new to me, so this has been very helpful. Additionally, this resource also lists basic skills you will acquire from getting your master’s in nursing. Arguably, my favorite part of this resource is that it not only informs you of benefits of becoming a master’s prepared nurse, but it also lists some possible drawbacks of being a master’s prepared nurse (New England Institute of Technology, 2020). A negative thing I can say about this resource is that is does not go into great detail about each role, but it does give you a general understanding. I enjoy reading resources like this because it is interesting to see all of the roles that a nurse can pursue.

References

New England Institute of Technology. (2020, September 11). What can you do with a masters in nursing in 2022? https://www.neit.edu/blog/what-can-you-do-with-masters-in-nursing

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I wanted to share this article regarding role of the Advanced Practice Registered Nurse (APRN), although the focus is more on public health. It is relevant to the current topic on health equity as one of the strategies discussed in this article is promoting more APRN to provide primary care in the communities since they are particularly skilled in collaboration, partnership development, communication, system transformation, engaging across sectors, and other competencies needed for effective systems change to address health equity. (Bekemeier et al., 2021). It also enumerated APRN skills and competencies in relation to the roles they perform.

The COVID-19 pandemic has highlighted the need for nurse leaders who “embrace the interconnection” between medicine and public health. The inequitable impact of COVID-19 on people of color demonstrates the importance of applying expertise from nursing practice and public health systems to work with communities and other professions on complex health issues. (Bekemeier et al., 2021)

The nation needs more advanced practice nurses prepared for leadership roles focused on the health of whole populations, marginalized communities, and the systems and policies that promote their health. APRNs bring into their practice nursing’s relationship-focused and holistic view of health, competencies like analytic assessment, policy development, program planning, communication, cultural humility, financial planning and management, and leadership. (Bekemeier et al., 2021)

References:

Bekemeier, B., Kuehnert, P., Zahner, S., Johnson, K., Kaneshiro, J., Swider, S. (2021) A critical gap: Advanced practice nurses focused on the public’s health, Nursing Outlook, 69 (5), 865-874, https://doi.org/10.1016/j.outlook.2021.03.023.

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Clinical nurse specialists are expert clinicians with advanced education and training in a specialized area of nursing practice. They work within three spheres of influence: patient, nursing practice, and organization. Spheres are interrelated and share the goal of improving the quality of patient care. CNSs have an enormous impact on the quality of patient care, decreasing healthcare costs, decreasing hospital length of stay, and preventing hospital readmissions. A vital benefit of the CNS is the ability to translate expert clinical knowledge into transforming nursing personnel and systems to achieve improved patient outcomes. CNSs are the only APRNs who practice in the three spheres of influence and have advanced education in all three spheres. It gives them a unique perspective on tackling complicated problems, enhancing practice in each sphere, and improving overall patient outcomes.

Reference

Ward, Cynthia(2018). Clinical Nurse Specialist: The Unknown APRN. Medsurg Nursing, 27(6), 347. https://lopes.idm.oclc.org/login?url=https://www.proquest.com/scholarly-journals/clinical-nurse-specialist-unknown-aprn/docview/2159928418/se-2s:

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I have found the American Nurses Association (ANA) website to be an informative source for clear and concise information about the roles of Advanced Practice Registered Nurses (APRNs). Upon beginning this class, I did not have a full understanding of what the four APRN roles are or fully understand their scopes of practice. The roles of Nurse Practitioners, Clinical Nurse Specialists, Certified Nurse Midwives and Certified Registered Nurse Anesthetists are explained as well as each of these professionals’ potential to be involved in both primary and acute care as well as contributing to facilitating change in the profession. The ANA website also gives an introductory explanation of the consensus model which I was not previously aware of. The consensus model is a uniform standard for APRN licensure, certification, educational accreditation and program content (American nurses association, n.d.). Having not been previously aware of this, I was encouraged to learn that there is work being done to set one standard for APRN definition and practice.

I found this resource helpful for me to gain an entry-level understanding of APRN structure. It laid a foundation from which I can learn more in-depth knowledge about these roles from other sources that provide more information about the complexities and nuances of each type of APRN role.

References:

American nurses association. (n.d.). Advanced Practice Registered Nurse. ANA. https://Nursingworld.org

Worldview is defined as a collection of attitudes, values, stories, and expectations about the world around us, which inform our every thought and action. A worldview is how culture works out in individual practice. (Gray, 2011). I was raised by a Muslim father and a Catholic mother. I am close to both sides of my family so my upbringing was diverse. I also experienced discrimination while I was growing up, because of my religion and ethnic background so I know how it feels when you are not receiving the same care and attention as the majority.

I started nursing in the Philippines. In the middle of my nursing career, I worked in Saudi Arabia for 7 years and that also had a huge influence on my worldview. Then I immigrated to the US and have been here since. Nursing in the Philippines, where resources are very limited, and patients are mostly uninsured, was very challenging. In Saudi Arabia, we have abundant resources but the challenge there was being mindful of the culture. Saudi’s have very strict rules when it comes to male and female interactions. Male nurses are usually not allowed to take care of younger female patients and this can prove to be very challenging to staffing allocation. In the United States, our practice is well guided by regulations. We can also have some challenges with insurance eligibility and socio-economic resources. We also have a very diverse population of patients in the US.

All these experiences that I had in my career as a nurse have made me realize how important cultural competency is when providing care to our patients as well as working with colleagues from different cultural backgrounds. It may have caused some misunderstandings in the past but these experiences shaped the kind of nurse I am now and how I want to be when I practice as an APRN.

Cultural competency is an essential component to be infused into professional practice. The professional nurse practices in a multicultural environment and must possess the skills to provide culturally appropriate care. Assume every encounter is a cross-cultural encounter even if you appear to have the same cultural background. It is very important to ask questions, discuss relevant issues, and avoid making assumptions in all clinical encounters. Cultural awareness is being knowledgeable about one’s own thoughts, feelings, and sensations as well as the ability to reflect on how these can affect one’s interaction with others. (DeNisco, 2021). As an APRN, having cultural awareness and cultural competency is key to caring for a diverse patient population and working in a culturally diverse organization.

References:

Gray A. J. (2011). Worldviews. International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists, 8(3), 58–60.

DeNisco, S. (Ed). (2021). Advanced practice nursing: Essential knowledge for the profession (4th Ed.). Jones and Bartlett Learning

Topic 3 DQ 2: What is your personal worldview? 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.