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Foundational Concepts and applications

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Foundational Concepts and applications

Foundational Concepts and applications

Area of Interest Family Nurse Practitioner

NR500: Foundational Concepts and applications

Introduction

This presentation discusses the importance of master’s-prepared nurses in conducting evidence-based practice (EBP) in nursing practice. NR500: Foundational Concepts and applications

It will also outline an appropriate model for developing EBP projects. NR500: Foundational Concepts and applications

The selected specialty track will be highlighted including the area of interest

This includes a recommendation for positive change

This presentation will include AACN’s essentials relevant to the selected area of interest

Evidence-based practice is important in advanced nursing practice. This presentation discusses the importance of master’s-prepared nurses in conducting evidence-based practice (EBP) in nursing practice. The presentation will also outline the appropriate model of developing EBP projects and illustrate it with a diagram. In addition, the selected specialty track including the area of interest is highlighted in the presentation. A recommendation for positive change related to the area of interest is also discussed. This presentation will include AACN’s essentials relevant to the selected area of interest. NR500: Foundational Concepts and applications

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Evidence-Based Projects

Master’s prepared nurses should conduct EBP projects related to nursing practice. Foundational Concepts and applications

It promotes quality delivery of care through the integration of the latest evidence

EBP is essential in the validation of existing knowledge and researching new knowledge in nursing practice.

Advanced practice nurses utilize EBP knowledge in clinical decision-making and guiding practice.

Master’s prepared nurses are charged with the responsibility of promoting change in clinical settings using EBP.

Master’s prepared nurses should conduct EBP projects related to nursing practice and profession since they act as change agents to promote safe and quality patient care. This is based on the integration of the latest evidence-based findings in clinical practice. In addition, it is important for master’s prepared nurses to engage in evidence-based practice because it promotes clinical discussion-making based on the evidence-based guidelines. Clinical guidelines are developed using the EBP knowledge and findings.

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Conceptual Model

EBP project can be developed using the ACE Star Model, which has five steps.

ACE Star Model puts emphasis on the unique aspect of EBP

It simple and clearly depicts the various stages of evidence-based knowledge and integration into practice.

ACE Star Model involves familiar processes of knowledge transformation

This Model is vital in placing previous scientific work in nursing into the context of EBP.

(Orta et al., 2016)

ACE is regarded as the simplest and parsimonious depiction of different phases involved in the transformation of the EBP knowledge and its integration into practice. It emphasizes the unique characteristics of evidence-based practice hence critical in the development of EBP projects. The model is critical in placing the past scientific work in nursing within the context of EBP. The steps of ACE Star Model include research discovery, summarizing evidence, translating the evidence to guidelines, integration into practice and evaluating the evidence and outcomes (Stevens, 2016). These underline the different premises of transformation of knowledge.

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Area of Interest

My selected specialty track is a family nurse practitioner (FNP)

I decided to pursue this specialty since I am passionate about providing direct care to my patients and I will get a chance to work in diverse settings.

FNP allows me to diagnose and treat patients with unique healthcare needs

It enables me to provide direct care to the patients while focusing on a holistic approach.

My selected specialty track is the family nurse practitioner (FNP). I decided to pursue this specialty since I am passionate about providing direct care to my patients and I will get a chance to work in diverse settings. Advanced practice nurses should focus on integrating EBP into their practice to promote patient safety and quality care (White, Dudley-Brown, & Terhaar, 2016). As an FNP, I will be involved in independent practice making diagnosis, medication prescription and providing direct care. NR500: Foundational Concepts and applications

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Area of Interest

I work in an oncology unit and I selected this area interest to align it with FNP practice

Palliative care patients require holistic care throughout the management of terminal illnesses.

This involves working with palliative caregivers and physicians to support and manage the terminally ill patients.

Essential in improving the quality of life of oncology patients

This can be achieved through implementation of the concept of holistic approach.

My area of interest is oncology nursing since I am currently working in an oncology unit. This area is closely related with my specialty track in family nursing practice as the nurse practitioner. Palliative care patients require holistic care to improve the quality of life and manage any psychological and spiritual needs of the patients. As an FNP. I will be working closely with surgeon, physician, palliative caregivers and families to care for cancer patients and support them in the management of the chronic condition.

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Issue/Concern and Recommendation

One common issue is palliative care/oncology nursing is pain management

Oncology patients go through so much pain that needs effective pain management

Pain affects the behavior and comfort of patients in palliative care

Chronic pain does not respond to the common analgesic agents

Oncology patients experience chronic pain which requires constant management of analgesics. This affects the comfort and behavior of palliative care patients. Oncology nurses should be able to implement effective pain management strategies to prevent and control pain among the cancer patients (Schug & Chandrasena, 2015).

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Recommendation for Change

Palliative care patients should be educated about pain and pain management so that they can actively participate in pain management.

Both pharmacologic and non-pharmacologic approaches should be used in pain management.

The onset of pain should be prevented using the ‘by the clock’ method

Chronic pain management should involve regular prescription of analgesic not on the need basis

It is essential to ensure that the palliative care patients are taking an active role in pain management. Therefore, they should be informed about pain and the importance of pain management to achieve their collaboration during care (Greco et al., 2014). Also, nurses should use both pharmacologic and non-pharmacologic pain management strategies to gain adequate control of pain in oncology units. The prevention of pain in terminally ill cancer patients should use the by the clock method of analgesic administration (Schug & Chandrasena, 2015). This considers the half-life, bioavailability, and duration of action of the different drugs. Chronic pain management should involve regular prescription of analgesic not on the need basis. The simplest drug to administer and manage should be prescribed for the patients.

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Factors Influencing Change

Internal factors

Different factors influence pain management by FNPs in oncology care and implementation of the recommended practice.

Increased workload makes the implementation of effective pain management strategies tedious.

Palliative care patients need much attention from the nurses

Another factor is lack of patient cooperation

Collaboration is necessary for pain management to improve effectiveness

Internal and external factors can influence the implementation of the recommended change in pain management. Management of chronic pain is a priority for oncology nurses to promote patient comfort and quality of life. One common factor is the increased workload in oncology units which may hamper the implementation of both pharmacologic and non-pharmacological pain management strategies. Close monitoring and assessment of the patients for pain are vital in achieving effective control and management of pain (Greco et al., 2014). Another factor is poor patient cooperation during pain management. We need the active collaboration among patients and nurses during pain management. Without patient cooperation, the management of chronic pain in cancer patients is affected.

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External factors

External factors include knowledge of strategies to cope with pain in palliative care.

Pain management requires the application of the correct knowledge and coping strategies by the nurses and patients.

The second factor is the limits of opioid use and risk for addiction

This challenge is common since prolonged use of opioid analgesics increases the risk of addiction and abuse.

Nurses should be well conversant with the pain management knowledge and empower their patients with the coping strategies for the chronic pain. Pain management requires the application of the correct knowledge and coping strategies by the nurses and patients. The second factor is the limits of opioid use and risk for addiction. Opioid abuse is common, and therefore there should be a balance between the medical use and prevention of the risk for addiction among the patients with chronic pain (Greco et al., 2014).

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AACN MSN Essentials

VIII: Clinical prevention and population health for improvement.

FNP involves caring for diverse populations

This entails providing physical, emotional and spiritual care to the patients

This is also applicable in my current practice in oncology unit since these patients require holistic care

Clinical prevention and improvement of quality of life for cancer patients is a key component of nursing care.

Family nurse practitioners can apply the VIII AACN master’s essentials which entail clinical prevention and improvement of population health. This is because the FNPs are involved in providing direct care to the patients in diverse settings (AACN, 2017). For example, in the oncology unit patients require physical, spiritual and emotional care due to their terminal illnesses. This can be achieved through implementation of holistic care in nursing practice. Clinical prevention and improvement of quality of life for cancer patients is a key component of nursing care. This is to promote the quality of their lives and comfort even when faced with the reality of death.

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AACN MSN Essentials

Essential IX: Master’s-Level Nursing Practice

This essential entails recognizing that the Master’s prepared nurses have a role in implementing intervention in nursing practice to change the health outcomes of populations.

MSNs provide direct and indirect care through implementation of patient-centered interventions.

As an FNP, I will integrate advanced knowledge in patient management (AACN, 2017).

Essential IX: Master’s-Level Nursing Practice outlines that master’s prepared nurses should be involved in the implementation of nursing interventions that have a direct impact on the health outcomes of the different populations being served. It also influences the health outcomes of individuals and systems. MSNs must integrate evidence-based knowledge into practice to improve the quality of patient care and lead to better patient outcomes. This can be accomplished through the implementation of direct and indirect care interventions(AACN, 2017).

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Conclusion

Master’s prepared nurses must be actively involved and conducting evidence-based projects.

Promoting the development of clinical knowledge in nursing practice and profession

My selected specialty track in MSN is FNP, and the area of interest is oncology nursing practice.

Pain management can be influenced by both internal and external factors affecting the desired change.

The applicable AACN MSN Essentials are VIII and IX.

Master’s prepared nurses must be actively involved and conducting evidence-based projects. Promoting the development of clinical knowledge in nursing practice and profession. EBP is essential in the development of new knowledge and validation of existing knowledge in nursing practice. The EBP knowledge must be integrated into the clinical practice to improve patient safety and quality of care. My selected specialty track in MSN is FNP, and the area of interest is oncology nursing practice. Pain management can be influenced by both internal and external factors affecting the desired change. The applicable AACN MSN Essentials are VIII and IX. Family nurse practitioners can apply the VIII AACN master’s essentials which entail clinical prevention and improvement of population health. Under Essential IX, the nurse should influence the health outcomes of individuals, populations, and systems through the implementation of direct and indirect interventions.

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References

American Association of Colleges of Nursing. (2017). The Essentials of Master’s Education in Nursing. Washington, DC: AACN; 2011.

DiCenso, A., Guyatt, G., & Ciliska, D. (2014). Evidence-Based Nursing-E-Book: A Guide to Clinical Practice. Elsevier Health Sciences.

Greco, M. T., Roberto, A., Corli, O., Deandrea, S., Bandieri, E., Cavuto, S., & Apolone, G. (2014). Quality of cancer pain management: an update of a systematic review of undertreatment of patients with cancer. Journal of clinical oncology, 32(36), 4149-4154.

Orta, R., Messmer, P. R., Valdes, G. R., Turkel, M., Fields, S. D., & Wei, C. C. (2016). Knowledge and competency of nursing faculty regarding evidence-based practice. The Journal of Continuing Education in Nursing, 47(9), 409-419.

Schug, S. A., & Chandrasena, C. (2015). Pain management of the cancer patient. Expert opinion on pharmacotherapy, 16(1), 5-15.

Stevens, K. R. (2016). Stevens star model of EBP: Knowledge transformation. San Antonio Academic Center for Evidence-Based Practice (ACE), University of Texas Health Science Center, San Antonio, TX. Retrieved from http://nursing. uthscsa. edu/onrs/starmodel/star-model. asp on, 23.

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