Concept map nursing scope of practice and impact
We recommend that you create your concept map using Microsoft PowerPoint. A template has been provided for you in the Supporting Materials section of this document to help get you started (a text-only version is also provided). However, there is no requirement for you to use the template and you have the option of developing a different format that works best for you. As you create, you may choose to illustrate each step of the analysis using a different slide or you could alternately combine multiple factors on a single slide. Each component must include a fully detailed written description, either on the slide or in the speaker notes section, and citations should be included as appropriate. Address the following criteria as you complete this project. MSN Role: Explain the MSN role according to your specialty track and support claims with specific evidence from at least one scholarly or professional source. Fully define your specialty role, including the overall responsibilities and the anticipated practice settings. This will ensure you have set the parameters for your future analysis. Address the following in your response. One of the standards from the Nursing Scope and Standards of Practice Level of education (consider the differences between RN practice, MSN-level nurse, and advanced practice registered nurse) Additional training and certification Stakeholder Contributions: Evaluate stakeholder contributions in determining scope of practice and support claims with specific evidence from at least one scholarly or professional source. It is recommended that you start by considering your scope of practice broadly before specifically identifying the impacts of different stakeholders. As you work, think about how the stakeholders’ goal and interest is to protect the public. Be sure to address each of the following questions as you explore the impact of various stakeholders. State: What are the roles of state agencies (such as the Department of Health and Human Services (DHHs) and State Boards of Nursing) in nursing practice? Some areas you may consider are as follows. State Nurse Practice Act Licensure Disciplinary action (licensure restriction or loss, criminal charges) Liability Standardized model legislation (Nurse Compact License, APRN Compact, APRN Consensus Model) Federal: What are the roles of federal agencies (such as the Drug Enforcement Administration (DEA), Centers for Disease Control and Prevention (CDC), and Centers for Medicare and Medicaid Services (CMS)) in nursing practice? Some areas you may consider are as follows. Prescriptions Guidelines Reimbursements Non-Government: What are the roles of non-governmental agencies (such as accrediting bodies, professional organizations, or workplace organizations) in nursing practice? Some areas you may consider are as follows. The Joint Commission Professional nursing organizations (ANA or specialty organization position statements) Workplace Policies and Procedures Spheres of Care: Evaluate elements of the MSN scope of practice within one sphere of care, and support your claims with specific evidence from at least one scholarly or professional source. You have already explored each sphere of care during previous modules; now it is time to select the sphere of care that you anticipate your MSN practice to be in. Remember the spheres of care can cross all practices, but you should choose the one that will be your primary focus. Then ask yourself, how is the scope of practice manifested in the sphere of care you selected? What is the nursing process as it might be carried out in this sphere when representing your anticipated MSN role? The elements of scope of practice to include are as follows: Assess (collect subjective and objective data of persons and processes) Diagnose (interpret findings, consider ethics, identify goals/anticipated outcomes, and address diversity, equity, and inclusion (DEI)) Outcomes identification Plan (treatment, interventions, collaboration, delegation, supervision) Implement Evaluate (outcomes) Document The spheres of care include the following: Wellness and Disease Prevention Chronic Disease Management Regenerative/Restorative Care Hospice/Palliative Care Education, Training, Personal Competence, and Ethics: Analyze how education, training, personal competence, and ethics relate to scope of practice and support claims with specific evidence from at least one scholarly or professional source. Note that personal competence encompasses knowledge, skills, abilities, and judgements. Consider the following questions as you work: How is the allowed practice level dependent on achieved education? Consider the Nursing Scope and Standards of Practice competencies. What is the best course of action when your patient needs a procedure you have never performed even though it is allowed by the Nurse Practice Act in your state? How can you explain the boundaries of your own scope of practice? You may be unintentionally asked to perform a skill outside your own scope of practice so consider how you will communicate in that situation. It is also important to have awareness of various scopes of practice so you do not ask someone else to perform outside their scope of practice. Authentic Practice: Apply a scope of practice analysis to authentic practice and support claims with specific evidence from at least one scholarly or professional source. It is now time to take everything you have analyzed thus far in the creation of your concept map and apply it to a scenario that could occur in your professional practice. Select the most relevant scenario for your anticipated MSN role, from the options provided in the Scenario section of this document and illustrate its implications. Using the understanding you developed for your own scope of practice, explain how you would determine what your next steps will be. You do not need to describe the issue’s resolution. You just need to describe the decision-making process to get to the resolution. Be specific regarding the resources you would use.