DQ: Analysis and synthesis-level evaluation

DQ: Analysis and synthesis-level evaluation

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:

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

2. 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.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource

 

 

Articles:

Shi, L., Lee, D., Chung, M., Liang, H., Lock, D., & Sripipatana, A. (2017). Patient-centered medical home recognition and clinical performance in U.S. community health centers. Health Services Research, 52(3), 984-1004. https://doi.org/10.1111/1475-6773.12523

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441497/

White, D.L., Torabi, E., & Froehle, C.M. (2017). Icebreaker vs. standalone: comparing alternative workflow modes of mid-level care providers. Production and Operations Management, 26(11), 2089-2106.

American Association of Nurse Practitioners. (2015). Nurse Practitioner Cost Effectiveness. https://www.aanp.org/advocacy/advocacy-resource/position-statements.

Brown, M., & Olshansky, E. (1997). From limbo to legitimacy: a theoretical model of the transition to the primary care nurse practitioner role. Nursing Research, 46(1), 46-51. https://uw.instructure.com/courses/812898/files/22971045/download

Cuenca, A.E. (2017). Preparing for value-based payment: five essential skills for success. Family Practice Management, 24(3), 25-30. DQ: Analysis and synthesis-level evaluation https://www.aafp.org/fpm/2017/0500/p25.html

Week 1 Discussion Grading Rubric

Week 1 Discussion Grading Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome Knowledge

Student discusses the stages of the Brown and Olshansky model and interventions necessary to navigate each state; and, Student discusses the risks and benefits of the patient-centered medical home model for the APRN working in primary care; and, Student discusses the risks and benefits of the value-based care models for the APRN working in primary care; and, Student analyzes impact of payment models on the delivery of primary care; and, Using the weekly readings plus one outside resource, the student analyzes the economic benefit (or risk) of using APRNs in primary care practices.

25.0 pts

Excellent

All 5 elements are present

23.0 pts

Very Good

1 element is missing

21.0 pts

Satisfactory

2 elements are missing

13.0 pts

Needs Improvement

3-4 elements are missing

0.0 pts

Unsatisfactory

5 elements are missing

25.0 pts

This criterion is linked to a Learning Outcome Support of Research & Interactive Dialogue

Discussion post is supported with appropriate sources*^; and, Source is published within the last 5 years; and, Reference list is provided and in-text citations match; and, Student provides a substantive** response to at least one topic-related post of a peer; and, Student responds to all direct faculty questions OR if student was not asked a direct question student responds to either a 2nd peer post or a faculty question directed towards another student * Textbooks, non-US journals, nursing journals not intended for advanced practice providers. ^ State specific websites from regulatory boards are acceptable) ** A substantive post adds new content or insights to the discussion thread and information from student’s original post is not reused in peer or faculty response DQ: Analysis and synthesis-level evaluation

20.0 pts

Excellent

All 5 elements are present

18.0 pts

Very Good

1 element is missing

16.0 pts

Satisfactory

2 elements are mi