NR667 Complete Course Latest 2022 January (Full)

NR667 FNP Capstone Practicum & Intensive

Week 1 Discussion

Purpose

The purpose of this assignment is to provide an analysis and synthesis-level evaluation of the factors that influence both contemporary advanced practice nursing and the time-period of transition that occurs within the first year of clinical practice.

Activity Learning Outcomes

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

Reflect on the elements of successful transition from Registered Nurse to Advanced Practice Registered Nurse. (CO 5)

Evaluate the patient-centered medical home, value-based payment, and interdisciplinary care models espoused by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its' impact on the quality of healthcare. (CO 2, 5)

Requirements:

Part 1: Using Brown and Olshansky's (1997) model, describe what interventions you plan to do during your first year of practice to help you navigate the changes described during in each phase.

Part 2: We are seeing rapid change in primary care as stakeholders are demanding higher quality healthcare at reduced costs. After reading the Cuenca (2017) and Shi, et al. (2017) articles, provide a synthesis-level evaluation of how you believe the patient-centered medical home and value-based payment models will: (1) impact your personal practice as a nurse practitioner, and (2) transform the way primary care is delivered in the United States.

Part 3: After reading the AANP (2015) and White, et al. (2017) articles, what are your thoughts on the economic benefits of using nurse practitioners in healthcare practices? How would you respond to this question if asked in a job interview? Support your response in Part 3 with evidence from the literature.

NR667 FNP Capstone Practicum & Intensive

Week 5 Discussion

Grand Rounds Presentation

Purpose

The purpose of this assignment is to increase your knowledge regarding a chronic health condition that is commonly encountered in primary care. This health condition should be chosen from one of the weak areas identified from the APEA Pre-Predictor Exam in NR603.

Activity Learning Outcomes

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

Apply clinical practice guidelines to common chronic conditions seen in primary care. (CO 1, 4)

Requirements

Create an Infographic using the software of your choice regarding a complex chronic health condition that you would like to learn more about. This health condition should be chosen from one of the weak areas identified from the APEA Pre-Predictor Exam in NR603. The Infographic should include the following:

Provide a description of the disease that will be treated by your algorithm.

Provide the criteria for diagnosis.

Review common diagnostic tests required for diagnosis and/or ongoing management.

Present a pharmacologic treatment algorithm that includes the most commonly prescribed drugs for the condition.

Provide evidence by sharing clinical guidelines, research articles, or other scholarly materials to support your Infographic

Identify reasons that each medication might be selected, barriers to practice, or issues related to the condition and the use of pharmacologic treatment.

Describe the expected outcomes for medication management, including expectations for follow up care.

A full reference list should be included in APA format on a reference page.

NR667 FNP Capstone Practicum & Intensive

Week 1 Assignment  

Certification Review Plan

Purpose

The purpose of this assignment is to identify potential strengths and weaknesses to better prepare the student for the: (a) APEA post-predictor Exam, (b) national certification exam after graduation (i.e., ANCC, AANP), and (c) first year of FNP clinical practice. A certification review study plan will be created to address any identified content-area opportunities for improvement. This study plan should be used throughout the course to guide the student.

Activity Learning Outcomes

Through this assignment, the student will:

Demonstrate a command of essential knowledge needed for safe, quality, primary care practice as a family nurse practitioner. (CO #4)

Demonstrate competencies essential of the family nurse practitioner role as leaders and advocates of holistic, safe, and quality care. (CO #5)

Requirements:

Review the results of the APEA Pre-Predictor exam taken during NR603 in detail. Include a copy of this report as an appendix in your assignment submission.

Review the following APEA knowledge areas: Cardiovascular, dermatology, endocrine, EENT, gastroenterology, health promotion, hematology, men's health, neurology, orthopedics, pediatrics, pregnancy, professional issues, psychiatry, respiratory, sexually transmitted infections, urology, and women's health.

Review the following APEA testing domains: Assessment, diagnosis, evaluation, pharmacotherapeutics, and planning and intervention.

NR667 FNP Capstone Practicum & Intensive

Week 4 Assignment  

Virtual Interactive Student Evaluation

The Clinical VISE Assignment may be completed between Weeks 3-5. Please work with your instructor to set up a time.

Purpose: The VISE assignment (Virtual Interactive Student Evaluation) is to evaluate student progress in clinical, based on per course clinical objectives. This will be a mid-term check to identify and assist students who may be struggling with clinical critical thinking and communication. Students who do not pass the VISE on the first attempt will be placed on a clinical PIP and given a second attempt at passing the VISE prior to course end.

Directions: The VISE will be completed by video conference between the course faculty and the student sometime between the beginning of Week 3 and the end of Week 5. Immediately following the VISE, the faculty and student will complete the mid-term phone call check in, review of clinical practicum, and clinical logs in MyEvaluations.

Description: This final virtual check builds upon skills learned in the previous clinical courses and emphasizes ability to professionally communicate, gather appropriate data, make a correct diagnosis, and develop the plan of care. Faculty will choose one of top 25 diagnosis and give a scenario to the student. The student will have a list of the diagnoses they should know in presentation, diagnosis, and management. The student will need to have video and audio capability and have someone, who is older than 12, to act as a patient during the VISE.

Diagnoses List:

Hypertension

Hyperlipidemia

Diabetes Type II

Back pain

Anxiety

Obesity

Allergic rhinitis

Reflux esophagitis

URI

Hypothyroidism

Osteoarthritis

Fibromyalgia / myositis

BPH

Pain in knee

Pain in shoulder

Pain in hip

Acute laryngopharyngitis

Acute maxillary sinusitis

Acute bronchitis

Asthma

Depressive disorder

Nail fungus

Tinea corporis

Eczema

Urinary tract infection

Total Points Possible: 50*

*If a student does not pass first attempt with a score of 25 points (50%) or greater, the student will be required to take a second VISE assessment after successfully completing: (a) the criteria set forth by course faculty in a Performance Improvement Plan (PIP), and (b) a minimum 14-day waiting period between the time of the first and second attempts. If the student does not achieve a score of 25 points (50%) or greater on the second VISE attempt, the score for this assessment will be recorded as 0 (zero).

NR667 FNP Capstone Practicum & Intensive

Week 7 Assignment  

ePortfolio

For complete assignment guidelines refer back to the Week 1: ePortfolio explore page.

Purpose

The purpose of the ePortfolio assignment is to provide the graduate nurse practitioner student opportunity to synthesize and reflect on the process of becoming an entry-level nurse practitioner. This process should include review of psychomotor, affective and cognitive growth over the course of the program and involves professional self-assessment. The specific aim of the ePortfolio is for the nurse practitioner student to provide evidence of what has been accomplished during their graduate education and how the MSN program outcomes have been satisfied.

Activity Learning Outcomes

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

Individualize and broaden the scope of assessment (student educational outcomes). Empower student growth by providing opportunity for faculty guided student reflection concerning intellectual and affective growth during their graduate school experience. Enhance development of higher-level metacognition and meta-comprehension through intentionality of teaching/learning design.

Requirements:

The ePortfolio assignment is embedded in select courses throughout the nurse practitioner program. Refer to the table below for a list of courses. You will begin developing your ePortfolio by watching the "how-to" video and by creating the sections of the ePortfolio. Next you will upload the required artifact for each course indicated. Courses that requires an artifact (an assignment is considered an ePortfolio artifact) you will see a prompt in the course to add the required document. Grading of the entire ePortfolio will take place in the final course, NR661, your final practicum course.