Adult-Gerontology Primary Care Nurse Practitioner Discussion
Self-Reflection Paper
Personal Goals for this Course
My nursing speciality is Adult-Gerontology Primary care nurse practitioner. Upon completing this course, I will integrate theories, experiential knowledge, and research-based evidence into my advanced adult gerontology nurse practice. I also hope to acquire advanced practice nursing skills in providing adults and older adults with high-quality nursing care. Furthermore, I hope to acquire the knowledge and skills to manage the adult gerontology population seeking medical care in a complex healthcare system. I also plan to use evidence-based practice, policy development, leadership, and education acquired during the program in developing adult-gerontology advanced practice nursing practice. Integrate relationships between social, cultural, political and economic issues and health care delivery for adults throughout their lifespan and their families. Adult-Gerontology Primary Care Nurse Practitioner Discussion
Population to work with during Clinical Practicum, Experience Working with them, and the Comfort Level in Working with this population
I will work with the adult population across the lifespan during clinical practice. I will attend to adults presented to the clinic with cardiovascular diseases, including coronary heart disease, cerebrovascular disease, hypertension, and rheumatic heart disease. According to Aguayo et al. (2018), cardiovascular disease prevalence is higher in geriatrics compared to the general population. I have experience working with adult patients in long-term care and hospital inpatient in the cardiac care unit. Currently, I work at the Hematology/oncology infusion centre, where I attend to adults across the lifespan. It has been fantastic working with adults in different healthcare settings. Due to their cooperation, I am comfortable working with these patients in various stages of treatment, including assessment, diagnosis, and management of diagnosed health conditions. I focus on providing them with high-quality nursing care to achieve treatment goals.
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Skills that you think you have adequately developed up to this point
Up to this point, I have enhanced my interactive and collaborative skills. I can collaborate with interdisciplinary team members during care delivery. Collaboration among team members during care delivery contributes to high-quality patient care (Rosen et al., 2018). During care delivery, interdisciplinary team members, including primary care providers, nutritionists, and physiotherapists, use their knowledge, skills, experience, and competence to make decisions. Consequently, the adult gerontology population receive high-quality, safe, and effective health care, resulting in optimal health outcomes. Adult-Gerontology Primary Care Nurse Practitioner Discussion
Skills to be enhanced during this Clinical Experience
During this clinical experience, I intend to improve my cultural competence skills. According to Lee et al. (2020), cultural competence skills enable nurses to provide high-quality care to individual patients with diverse cultural and ethnic backgrounds. Therefore, cultural competence skills acquired during the course will enhance my understanding of the beliefs, values, and traditions of individuals from other cultural and ethnic groups. As a result, I will provide high-quality care to patients with different cultural perspectives. Additionally, patients will cooperate if their culture is acknowledged and respected during care delivery, resulting in positive health outcomes.
Any other thoughts or concerns relevant to this clinical experience
I am concerned with the quality of care for elderly adults with cardiovascular diseases. Studies indicate a high rate of hospital readmission and mortality among elderly adults with cardiovascular diseases (Noale et al., 2020). These adverse health outcomes indicate that elderly adults with cardiovascular diseases receive low-quality health care. Thus, cardiac units should focus on improving the quality and efficacy of healthcare received by these patients to optimize their health outcomes. Adult-Gerontology Primary Care Nurse Practitioner Discussion
References
Aguayo, G. A., Vaillant, M. T., Donneau, A. F., Schritz, A., Stranges, S., Malisoux, L., … & Witte, D. R. (2018). Comparative analysis of the association between 35 frailty scores and cardiovascular events, cancer, and total mortality in an elderly general population in England: An observational study. PLoS Medicine, 15(3), e1002543.
Lee, S. E., Lee, M. H., Peters, A. B., & Gwon, S. H. (2020). Assessment of patient safety and cultural competencies among senior baccalaureate nursing students. International Journal of Environmental Research and Public Health, 17(12), 4225.
Noale, M., Limongi, F., & Maggi, S. (2020). Epidemiology of cardiovascular diseases in the elderly: Frailty and Cardiovascular Diseases. Research into an Elderly Population, 29-38.
Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4), 433. Adult-Gerontology Primary Care Nurse Practitioner Discussion