Please Reply to the following 2 Discussion posts:
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DISCUSSION POST # 1 Reply to Nozomi
For this clinical rotation, I am hoping to expand on my previous two courses by further sharpening my skills to obtain an accurate medical history, carry out a focused physical examination, and to formulate differential diagnoses. Although I understand that speed is a skill that is achieved over time, I still want to make sure that I am managing my time more effectively with my patients, while still remaining calm and collecting pertinent information. Additionally, I am increasingly becoming aware of the vast differences between the registered nurse (RN) role and the nurse practitioner (NP) role. As I envision myself as a provider, I am still in awe at the weight of my responsibilities and expectations. In fact, according to Pleshkan and Boykins (2022), this transition from the RN to the NP role is one of the most difficult times for many new NPs. Preceptorship is the most valuable tool that will allow for a smooth transition, since it is the only way to develop one’s clinical judgment skills and the ability to formulate diagnoses (Pleshkan& Boykins, 2022). Thus, I plan on maximizing my opportunity with my preceptors by careful observation, active participation in patient care, and remaining inquisitive during my clinical rotation.
Another skill that I want to continue to strengthen during this course is my ability to utilize evidence-based sources and guidelines in order to diagnose and manage patients with various conditions. Clarke et al. (2021) emphasizes that evidence-based practice (EBP) is the key to optimizing patient outcomes and minimizing the cost of healthcare. Furthermore, the NP role is characterized by the combination of clinical practice with advanced education, leadership, EBP, research, and professional development (Clarke et al., 2021). In other words, we are not only responsible for practicing evidence-based care, but we also need to continue to develop our knowledge and skills, so that we may also lead the others in the process. Thus, my goal is to continue to become comfortable in utilizing evidence-based sources, such as UpToDate and Global Initiative for Asthma (GINA) guidelines. Eventually, I want to make sure that I can inform others of the EBP guidelines, so that I can promote the best possible practice for my patients.
Lastly, since I will be starting my women’s health rotation this term, I am looking forward to obtaining a new set of skills and gaining knowledge in this field. Since I have essentially no nursing experience in this area, this will be a new adventure for me. I am excited to be able to learn from a nurse practitioner who specializes in women’s health. I am especially interested in Pap smears and birth control prescriptions, since these are common chief complaints that I see related to women’s health in the internal medicine patients.
DISCUSSION POST # 2 Reply to Astrid
The goals for this clinical term include continuing learning to practice as a future advanced practice nurse, becoming a competent clinician, applying critical thinking and diagnostic reasoning, and constructing differential diagnoses for diverse populations affected by chronic conditions. Based on previous clinical experiences, I look forward to new learning opportunities this term. I will be going to two new clinical sites and specialties, pediatric and women’s health. I do not have nursing experience in pediatrics, which is quite nerve-wracking to learn how to be a provider in a whole new specialty. My only experience with women’s health involved managing preeclampsia treatment in pregnant patients and recovering status-post hysterectomy. There is a sense of feelings of incompetence when entering the pediatric and women’s health clinical settings for the first time and performing skills with actual patients. Fortunately, I have heard wonderful things about my clinical preceptors, who will be there to provide me with an excellent clinical experience.
Because I will be embarking on new clinical experiences and learning opportunities, it is important to set clinical objectives. Demonstrating safe and competent provider skills is crucial in the field of pediatrics. Another vital clinical objective is to diagnose and manage common illnesses and chronic conditions in children and adolescents. It is essential to learn information and gain an awareness of the developmental stages that distinguish infants, toddlers, preschoolers, school-age children, adolescents, and women of reproductive. Gibson-Young et al. (2023) state that various factors (i.e., performing assessments and procedures on pediatric patients) contribute to the anxiety experienced by students when providing care for pediatric patients. Therefore, actively participating in opportunities to practice assessment, pediatric procedures, and age-specific communication will enhance the level of preparedness before practicing as a pediatric nurse practitioner (Gibson-Young et al., 2023).
Furthermore, the same clinical objectives will be applied to my women’s health clinical rotation. Across the lifespan, women have unique concerns that require sensitivity, insight, compassion, and trust between provider and patient. It is crucial to obtain the education and clinical skills to combine the psychosocial, spiritual, physical, and medical aspects necessary to treat women holistically, emphasizing reproductive and gynecologic care. Therefore, building a therapeutic relationship with patients by providing empathy and compassionate care are fundamental within the nursing profession (Dalvandi et al., 2019).
