1.During the current interview for a FHT NP position, Mira expresses that she would like to embrace all competencies of the NP role which would require some protected time that does not involve direct clinical care or administration work. The CEO of the FHT asks her to elaborate on what she means by “all competencies”? Further to this, they request her to provide some examples of how she envisions the NP competencies would align with the FHT mandate of improving access and providing quality primary health care to the community. According to CNO’s NP practice standard (2016), NPs needs work within legal scope of practice and Collaborate/consult with others to achieve best outcomes for patients. In order to meet the requirement of practice standard, NPs needs advanced education and training. These education and training provide the NPs foundation to make independent judgement within the scope of practice. In addition to clinical care to patients, NPs are also required to participate in research, leadership, as well as health promotion and prevention of illness and injuries (CNA, 2010). For example, Mira may need to engage/participate in research to improve NP performance. She may need to participate in NP mentorship and requires special arrangement for such activity. And she may need to spend more time in health promotion by providing patient teaching. Such teaching sometimes can be time consuming due to the fact that a thorough assessment and health history are done. 2. The interview team is very impressed with Mira’s depth of understanding of the NP role and her creative vision for inter-professional team work. She is selected for the position and accepts the offer of a full time NP position. She will be working in a collaborative model with her physician partners. Outline the key components of a collaborative relationship (minimum 3). Outline at minimum of three examples that do not represent a collaborative relationship. Some of the key components of a collaborative relationship are (CNO, 2016): 1. Communication: “working with others, together with clients, to establish a clear and common understanding of the desired outcomes, how client information will be communicated and how they will work together to achieve outcomes”. An example that demonstrate the violation to such component will be: team member fail to document assessment, finding, or care plan in a timely manner, or unable to provide clear message on such information: patient expressed interest on a bariatric program to lose weight. Yet this message was not documented when such interest was initially expressed. 2. Share decision making: although each team member should be responsible for the decision they made, other team member should participate if multidisciplinary effort is needed. The example that will violate such component will be: A patient is diagnose with diabetes. Instead of referring to a diabetic center or getting dietician involve for restrictive diet education, NP provides limited education on this disease only and fails to cover the daily eating habit modification education. 3. Mutual trust: a team effort will not be successful if there is no trust among members. For example, a physician agrees to work with NPs but lack of knowledge on NP roles and
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She will explain traditionally, nurses, including NPs, focus more on holistic care which view people as a whole. They cooperate other factors, such socioeconomic status, social connection, culture background etc, into practice in order to care for the patient. A physician focuses more on absent of disease and provide treatment to the disease.
5. What if Mira had accepted the first offer described above by the team that did not seem to understand the NP role or were not open to change. How could she have implemented the NP role to the best of her ability? What kind of positive impact may she have had on the team? What supports could she have drawn on to rise to this challenge?
Mira will first try to get to know all members in the clinic. She will slowly explain to management as well as other team members her potential as an NP. She will spend time to provide education about NP’s roles and responsibilities, as well as current legislation and regulation. She will also slowly show research about NP’s important role in health care reform to other team
She will explain traditionally, nurses, including NPs, focus more on holistic care which view people as a whole. They cooperate other factors, such socioeconomic status, social connection, culture background etc, into practice in order to care for the patient. A physician focuses more on absent of disease and provide treatment to the disease.
5. What if Mira had accepted the first offer described above by the team that did not seem to understand the NP role or were not open to change. How could she have implemented the NP role to the best of her ability? What kind of positive impact may she have had on the team? What supports could she have drawn on to rise to this challenge?
Mira will first try to get to know all members in the clinic. She will slowly explain to management as well as other team members her potential as an NP. She will spend time to provide education about NP’s roles and responsibilities, as well as current legislation and regulation. She will also slowly show research about NP’s important role in health care reform to other team