discussion: The DNP-Prepared Nurse and Their Communities of practice
· The need for vaccine and immunization clinics for school age children with a school district
· The need for nutritional assistance programs pre-K students in a state-funded early childhood education program
· The need for diabetes education for elderly outpatients in a community health clinic
· The need to reduce the number of re-admits of patients who have had outpatient procedures in freestanding outpatient clinics
· The need to reduce the number of post-operative patient falls on an acute care in-patient hospital unit
These are just a few examples of the needs, challenges, and issues that may exist within a community of practice, and that merit the attention and require the knowledge, experience, and advocacy of a DNP-prepared nurse.
As a DNP-prepared nurse, you will likely belong to multiple communities of practice related to the various contexts and populations with which you are involved. Within each, you may work in a variety of ways to improve health outcomes and catalyze positive social change—at the individual patient level, as well as on increasingly larger scales within your organization, and potentially even at the national or global level.
Resources
Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.
WEEKLY RESOURCES
· Document: Nursing Communities of Practice Template Download Nursing Communities of Practice Template(PDF)
· Africa, L., Frantz, J. M., & Mlenzana, N. B. (2023). Activities to promote interprofessional practice at primary healthcare level: A systematic reviewLinks to an external site.. Social and Health Sciences, Article 12130. https://doi.org/10.25159/2957-3645/12130
· American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing educationLinks to an external site. . https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf
· American Association of Colleges of Nursing. (n.d.). T he essentials: Domain 6: Interprofessional partnershipsLinks to an external site. . https://www.aacnnursing.org/essentials/tool-kit/domains-concepts/interprofessional-partnerships
· Bradley, C., & Bleich, M. (2024). The DNP graduate and the potential to advance nursing: An interview with thought leader Michael Bleich, PhD, RN, FAAN, by Carol Bradley, MSN, RN, FAONLLinks to an external site.. Nursing Administration Quarterly, 48(1), 80–82. https://doi.org/10.1097/NAQ.0000000000000621
· Interprofessional Education Collaborative. (2023, November 20). IPEC core competencies for interprofessional collaborative practice: Version 3Links to an external site. . https://ipec.memberclicks.net/assets/core-competencies/IPEC_Core_Competencies_Version_3_2023.pdf
· Healthy People 2030. (n.d.). Healthy people in actionLinks to an external site. . https://health.gov/healthypeople/tools-action/healthy-people-in-action
· Ho, J. T., See, M. T. A., Tan, A. J. Q., Levett-Jones, T., Lau, T. C., Zhou, W., & Liaw, S. Y. (2023). Healthcare professionals’ experiences of interprofessional collaboration in patient education: A systematic reviewLinks to an external site.. Patient Education and Counseling, 113, Article 107965. https://doi.org/10.1016/j.pec.2023.107965
· King, R. J., Heisey-Grove, D. M., Garrett, N., Scott, K. A., Daley, M. F., Haemer, M. A., Podila, P., Block, J. P., Carton, T., Gregorowicz, A. J., Mork, K. P., Porter, R. M., Chudnov, D. L., Jellison, J., Kraus, E. M., Harrison, M. R., Sucosky, M. S., Armstrong, S., & Goodman, A. B. (2022). The childhood obesity data initiative: A case study in implementing clinical-community infrastructure enhancements to support health services research and public healthLinks to an external site.. Journal of Public Health Management and Practice, 28(2), E430–E440. https://doi.org/10.1097/PHH.0000000000001419
· McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behavioursLinks to an external site.. Healthcare Management Forum, 35(2), 112–117. https://doi.org/10.1177/08404704211063584
· Merriam, D., Wiggs, C., Provencio, R., Goldschmidt, K., Bonnett, P., Valazza, V., Brodhead, J., Scardaville, D., & Stalter, A. (2022). Concept analysis of systems thinking in the context of interprofessional practice and improved patient outcomesLinks to an external site.. Nursing Education Perspectives, 43(4), E20–E25. https://doi.org/10.1097/01.NEP.0000000000000951
· O’Leary, N., Salmon, N., O’Donnell, M., Murphy, S., & Mannion, J. (2023). Interprofessional education and practice guide: Profiling readiness for practice-based IPELinks to an external site.. Journal of Interprofessional Care, 37(1), 150–155. https://doi.org/10.1080/13561820.2022.2038551
· Ruebling, I., Eggenberger, T., Frost, J. S., Gazenfried, E., Greer, A., Khalili, H., Ochs, J., Ronnebaum, J., & Stein, S. M. (2023). Interprofessional collaboration: A public policy healthcare transformation call for actionLinks to an external site.. Journal of Interprofessional Education and Practice, 33, Article 100675. https://doi.org/10.1016/j.xjep.2023.100675
Communities of Practice Resources
· Adler, R. H., & Sickora, C. (2023). Research, practice and teaching united: Implementing AACN academic guidelines in a community based behavioral health settingLinks to an external site.. Journal of Professional Nursing, 49, 21–25. https://doi.org/10.1016/j.profnurs.2023.08.001
· Bekemeier, B., Kuehnert, P., Zahner, S. J., Johnson, K. H., Kaneshiro, J., & Swider, S. M. (2021). A critical gap: Advanced practice nurses focused on the public’s healthLinks to an external site.. Nursing Outlook, 69(5), 865–874. https://doi.org/10.1016/j.outlook.2021.03.023
· Corbo, S. A., & Flatekval, A. M. (2022). An academic-practice partnership to provide community vaccinationsLinks to an external site.. Nursing Management, 53(3), 36–42. https://www.doi.org/10.1097/01.NUMA.0000821704.29642.ee
· Goglio, K., Crespin-Mazet, F., Simon, L., Cohendet, P., & Wenger-Trayner, E. (2023). Managing with communities for innovation, agility, and resilienceLinks to an external site.. European Management Journal, 41(4), 534–539. https://doi.org/10.1016/j.emj.2023.07.005
· Groff, A. (2023). Community of practice (CoP)Links to an external site.. Salem Press Encyclopedia. https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=ers&AN=90558267&site=eds-live&scope=site&custid=s6527200
· Shirey, M. R., Bruck, M., Patton, E., Bowers, D., & Watts, P. I. (2022). COVID-19 telehealth fair partnership for capacity building in primary care nursing.Links to an external site. Nursing Administration Quarterly, 46(2), 113–124. https://doi.org/10.1097/NAQ.0000000000000517
· Truax, F. N., Low, J., Mochizuki, T., Asfaha, S., Nguyen, T. N., Carson, M., Katrak, S., Shah, N., & Nguyen, D. (2022). Latent tuberculosis infection testing and treatment at a federally qualified health center in Southern California: A quality improvement projectLinks to an external site.. J ournal of Nursing Care Quality, 37(2), 155–161. https://doi.org/10.1097/NCQ.0000000000000579
· UC Davis Health School of Medicine. (n.d.). Communities of practice: A toolkitLinks to an external site.. https://health.ucdavis.edu/workforce-diversity/What_We_Do/Communities-of-Practice/COPToolkit.html
To prepare:
· Review this week’s Learning Resources, paying special attention to the various examples communities of practice you encounter.
· Use the Communities of Practice template, located in this week’s Learning Resources, to help you identify the various communities of practice with which you are currently involved and those you may want to become involved with in the future.
· Select one of these communities of practice on which to focus for this Discussion.
· Consider the most important needs, challenges, or issues facing the community of practice you selected.
· Select one of these needs, challenges, or issues on which to focus for this Discussion.
· Using Walden Library and the internet, search for and identify three scholarly, peer-reviewed articles (within the last 5 years) that address the need, challenge, or issue you selected.
· Consider the kinds of practice changes you might recommend to address this need, challenge, or issue.
· Consider how your recommendations align with specific Domains from The Essentials.
Post the following:
· Describe the community of practice and associated need, challenge, or issue you selected for this Discussion.
· From your perspective as a future DNP-prepared nurse, explain why this need, challenge, or issue is important and merits attention. Be specific and provide examples.
· Citing the three scholarly articles you identified, describe at least two practice changes you recommend to address the need, challenge, or issue facing the community of practice you selected.
· Explain how your recommendations align with at least three specific Domains from The Essentials.
Note: Your posts should be substantial (700 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful post but cannot stand alone as the entire post.
, on different days, by suggesting an additional practice change or other intervention that your colleague might consider to address the need, challenge, or issue facing the community of practice they selected.
Note: Your responses to colleagues should be substantial (250 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful response but cannot stand alone as a response. Your responses should enrich the initial post by supporting and/or adding a fresh viewpoint and be constructive, enhancing the learning experience for all students.
Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.
RESPOND TO THIS DISCUSSION POST
ve many patients miss their appointments, and neglect valuable health information, due to a lack of transportation. Many patients know transportation is an issue for them, but have no way to get around this obstacle. As reported by the Community Transportation Association of America, annually, 3.6 million Americans fail to make doctor appointments because of a constraint of dependable transportation (PR Newswire, 2019).
Transportation to and from healthcare appointments is important and deserves attention because it affects multiple aspects of patient care. A barrier in transportation can decrease patient compliancy, increase ER and hospital visits, and reduce needed evaluations (Quintero-Ahumada et al., 2024). Patients are more prone to be noncompliant with care and medications when they lack routine follow ups with guidance by healthcare professionals. Noncompliance promotes an increase in ER and hospital visits due to a lack of proper medication administration or examining. Reduced clinic visits will increase the likely hood of missed physical indications of insufficient care This issue can be mitigated by placing directly impactful interventions in place.
Two practice changes I would recommend to address the deficiency in transportation to and from primary care appointments includes implementing virtual visits and providing transportation to and from healthcare appointments to local patients in need. Virtual visits provide patients the convenience of being seen in the comfort of their home and having family in attendance with them for better comprehension of care (Kate et al., 2024). Virtual appointments lessen the worry of finding or paying for transportation. Next, according to Rep Panetta (2024), providing transportation to lacking patients eases the unmerited problem for patients, so they can obtain the care they deserve. Provided transportation benefits the patients that prefer in-person visits to arrive with no stress, and a clear mind to understand the plan of care.
Implementing Virtual visits and assisted transportation both align with domain 2: Person-Centered Care, Domain 5: Quality and Safety, and Domain 8: Information and Healthcare Technologies from The Essentials (AACN, 2021). Virtual visits promote patient centered care by focusing on the patient needs in their personalized environments, with no disruption. Assisted transportation supports quality and safety by providing the patients with licensed, certified, and reliable drivers, who provide excellent and secure transportation to and from healthcare appointments. Lastly Virtual visits align with information and healthcare technologies, as it involves using electronic technique to deliver optimal patient care. Overall, I believe virtual visits and assisted transportation will both have a major impact on optimal healthcare outcomes in outpatient rural community primary care clinic settings.
References
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdfLinks to an external site.
Kates, J., Stricker, C. T., Rising, K. L., Gentsch, A. T., Powers, V., Salcedo, V. J., Solomon, E., & Worster, B. (2024). Perspectives from patients with chronic lung disease on a telehealth-facilitated integrated palliative care model: a qualitative content analysis study. BMC Palliative Care, 23(1). https://doi.org/10.1186/s12904-024-01433-3Links to an external site.
McCorkle, T., Goode, P., & Onsomu, E. O. (2023). Telemedicine with Phone Coaching on Diabetes Self-Care Practices in Rural Adults. ABNFF Journal, 2(3), 25–31.
PR Newswire. (2019, May 14). Good Days Partners with Uber Health to Provide Free Transportation to Medical Appointments. PR Newswire US.
REP. PANETTA REINTRODUCES BIPARTISAN LEGISLATION ENSURING VETERANS TRANSPORTATION TO MEDICAL APPOINTMENTS. (2024, October 4). States News Service, NA. https://link.gale.com/apps/doc/A811163417/EAIM?u=minn4020&sid=ebsco&xid=ff729cd8Links to an external site.
Quintero-Ahumada C, Ibrahim A PA-C, & Reddy S MD, F. (2024). Integrating Telehealth Into the Primary Care Workday to Improve Access and Continuity. Family Practice Management, 31(5), 12–17.
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