respond to this:
The first nurse practitioner (NP) program was implemented in 1965 by Loretta Ford and Henry Silva (Sullivan-Marx, McGovern, & Mezey, 2003). It focused primarily on a unique nursing model, which incorporated health promotion, growth and development for children and families, and disease and disability prevention (Sullivan-Marx, McGovern, & Mezey, 2003). That model remains ingrained in modern-day nurse practitioners’ education and training, which focuses on health promotion and disease prevention. The shortage of primary care physicians was one of the major factors that contributed to the expansion of nurse practitioners (Sullivan-Marx, McGovern, & Mezey, 2003). In the United States, there are well over 205,000 practicing NPs who require the minimum education of a Master of Science in Nursing (MSN) degree (Woten & Karakashian, 2017). Each course in this Family Nurse Practitioner (FNP) program is gleaned towards the achievement of outcomes and competencies that serve to expand the NP student’s knowledge base. Hence, the objective of this assignment is to provide a reflection, with supporting examples, on how I achieved the specific NP program outcome, the MSN essential competency, and the NP core competency in this course.
Achievement of Program Outcomes
In my reflection on this course, I believe that I have met Chamberlain College of Nursing (CCN, 2018) MSN Program Outcome #2, which elaborates on creating a caring environment for achieving quality health outcomes (care-focused). The first concept of quality health outcomes was presented in week’s one assignment, the Healthy People Impact Paper, which covered the topic of hospital-acquired infections (HAIs). This assignment shed light on the staggering incidence, mortality rate, and the economic burden of HAIs in the hospitalized patient population. Proper hand-washing technique is a basic hygiene measure that can prevent transmission of HAIs. The second concept of achieving quality health outcomes was met in week’s two class discussion, which focused on the positive predictive value, reliability, and validity of a selected screening test. These two assignments have enhanced my NP preparation because they allowed me as a future NP (1) to research and become well-informed about the goals and objectives of Healthy People 2020, which focus on population outcomes and (2) to research and become knowledgeable on a valid and reliable screening test, called pap smear, which when applied in the clinical setting, can assist with preventing cervical cancer in women.
Achievement of MSN Essential Competency
In my reflection on this course, I believe that I have met AACN (2011) MSN Essentials IV, which focuses on extraordinary nurses and their advocacy for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice. One primary goal of all nurse practitioners is to provide compassionate evidence-based care. The first assignment that contributed to the achievement of MSN Essentials IV was the assignment in week three, which required the discussion of a current article related to epidemiology. I selected a contemporary evidence-based article by Guo, Cofie, and Benson (2018), which informed me about the cervical cancer incidence in the young female population before and after the human papillomavirus vaccine (HPV) introduction. This article was highly informative and instilled in me that as a future nurse practitioner, I should advocate for the adolescent and young female population to obtain the HPV vaccine, which can protect against cervical cancer. The second assignment was in week five, which required the selection of an infectious disease. My selection was influenza. Again, this was a highly informative assignment, which will allow me as a nurse practitioner to advocate for the annual flu vaccine in patients aged six months or older. Both assignments involved secondary prevention measures, which were gleaned from the evidence and will produce positive population health outcomes.
Achievement of Nurse Practitioner Core Competency
In my reflection on this course, I believe that I have met the Nursing Organization of Nurse Practitioner Faculty (NONPF, 2017) Core Competency #4, which focuses on distinct leadership competencies. These are (1) to provide leadership in the translation of new knowledge into practice (2) to generate knowledge from clinical practice to improve practice and patient outcomes (3) to apply clinical investigative skills to improve health outcomes (4) to lead practice inquiry, individually or in partnership with others (5) to disseminate evidence from inquiry to diverse audiences using multiple modalities, and (6) to analyze clinical guidelines for individualized application into practice (NONPF, 2017). Specifically, the first example where I met this core competency was in week six, which required an epidemiological disease evaluation. My knowledge base on the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) was expanded enormously as the assignment required me to provide a comprehensive research and detailed presentation of HIV/AIDS. I plan to not only translate the findings from the evidence into my future practice setting but also create a PowerPoint Presentation on HIV/AIDS to share with my future NP colleagues and students. Furthermore, the assignment will allow me to target high-risk populations and introduce early interventions, such as screenings and pre-exposure prophylaxis, to decrease the transmission of such a devastating infectious disease. The second opportunity that facilitated my leadership competencies in this course was in week seven, which required me to construct an abstract on my selected epidemiological problem, HIV/AIDS. Since this involved extensive review of the literature, this abstract can be disseminated to future colleagues and be submitted for a poster presentation or peer-reviewed journal article opportunity. According to Schub and Balderrama (2017), one function of an effective leader is to develop and strengthen current evidence-based practices.
In conclusion, I have provided specific examples of how I achieved MSN Program Outcome #2, MSN Essentials IV, and Nurse Practitioner Core Competency #4 in this course. The learning was attained through the course readings, modules, discussions, and assignments. Furthermore, I believe that as a future nurse leader, I am well-equipped to collaborate with my colleagues and other healthcare providers to deliver population-based care which can result in effective population health outcomes. Epidemiology is an important branch of medicine that seeks to analyze the distribution (who, when, where) of diseases and infections (CDC, 2018). Many times, nurse practitioners are the first healthcare providers to encounter a patient with an infectious disease. They must have knowledge of the infectious disease causation model and provide interventions to prevent exposures and transmissions. Undoubtedly, the epidemiological concepts learned in this course have not only enhanced my knowledge-base but also will be applied directly to my current and future practice settings