NSG 6006 Strickland Jessie Remediation Mastery Assignment 1

Identify 5 subject areas from The Role of the Advanced Practice Nurse that you have identified as a weakness in your learning. 1.Knowing the differences in Role Concepts 2.Remembering Practice Models for APNs 3.Hamric's Integrative Model One 4.Difference between AACN & AANP 5.Core competencies of practice Provide an analysis of your readings which demonstrates an understanding of the areas you have identified as a weakness. 1. Differences between Role Concepts: • Role Ambiguity: unclear expectations, diffuse responsibilities, uncertainty about sub roles • Role Incongruity: a role with incompatibility between skills and abilities and role obligations or between personal values, self- concept and role obligations. • Role Conflict: occurs when role expectations are perceived to be mutually exclusive • Interprofessional Role Conflict: conflicts between physicians and APNs constitute the most common situations of interprofessional conflict. • Role Transition: a dynamic process of change over time as new roles are acquired. • Role Stress: a situation of increased role performance demand • Role Strain: subjective feeling of frustration, tension, or anxiety in response to role stress. • Role stressors: factors that produce role stress. • Role Insufficiency: feeling inadequate to meet role demands • Role Supplementation: anticipatory socialization References: Brown, J., Lewis, L., Ellis, K., Stewart, M., Freeman, T., & Kasperki, M. (2011). Conflict on interprofessional primary health care teams – can it be resolved? Retrieved January 27, 2018, from Hamric, A., Hanson, C., Tracy, M & O'Grady, E. (2013). Advanced Practice Nursing: An Integrative Approach, 5th Edition. Saunders, Vitalbook file. 2. Practice Models for APNs: • AACN Synergy Model: "is that the needs or characteristics of patients and families influence and drive the characteristics or competencies of nurses. Synergy results when the needs and characteristics of a patient, clinical unit or system are matched with a nurse's competencies." (AACN, n.d.) The Synergy Model identifies the continuum that parallels health and illness. These include stability, complexity, predictability, resiliency and vulnerability, participation in decision making and care and resource availability. • Dunphy and Winland- Brown Circle of caring: The Circle of Caring Model is a transformational model of advanced practice essential in addressing standards of risk assessment. (McKnight, 2011) The model is synthesized problem- solving approach to APN that builds on nursing and medical models. (Hamric, 2014) References: AACN. (n.d.). Synergy Model. Retrieved January 27, 2018, from McKnight, S. (2011). Risk Assessment in the Electronic Age: Application of the Circle of Caring Model. Retrieved January 27, 2018, from 3. Hamric's Integrative Model: Proposed conceptual definition of APN and defining characteristics and a set of core competencies. There are seven AP competencies, with direct care as a core competency on which other competencies depend. References: Sprous, J. (2016, October 19). Conceptualizations of Advanced Practice Nursing. Retrieved January 27, 2018, from Hamric, A., Hanson, C., Tracy, M & O'Grady, E. (2013). Advanced Practice Nursing: An Integrative Approach, 5th Edition. Saunders, Vitalbook file. 4. The Difference Between AACN & AANP: • American Association of Colleges of Nursing (AACN): "drives patient health and safety through comprehensiv