Nurse Practitioner Scope of Practice

Nurse Practitioner Portfolio: A Review of Aspects Related to Nurse Practitioner (NP) Scope of Practice (SOP)
Negotiation Strategy
Numerous researches deal with patient outcomes or care quality offered by nurse practitioners, with current literature indicating that nurse practitioners’ care quality standards are nearly on an equal footing with that offered by doctors. A primary care NP meta-analysis revealed that researches which controlled for patient risks non-randomly found pathological ailment resolution and patient satisfaction to be greater in case of patients cared for by NPs; further, NPs were just as good as doctors in most variables within controlled researches (Bakken & McArthur, 2001).
Nursing professionals supplementing physicians offer services complementary to or going beyond services offered by physicians. The objective is improving care quality and extending the array of services offered to patients. On the other hand, nursing professionals substituting doctors offer services that would have otherwise been offered by physicians alone. In this context, the goal is decreasing physician demand.
In my nursing practice, I can compromise on aspects like schedule (for ensuring smooth organizational operations) and my own personal interests. For instance, I am willing to embrace effective interaction, cooperation and collaboration at every level of work when delivering patient care.
However, there are certain practice areas where I will refrain from compromising. For instance, I cannot compromise on the aspect of adequate attention to individual patients. I will do the best I can to make sure all patients receive adequate attention in their treatment/healthcare process. Further, quality of services provided and system responsiveness are other critical healthcare organizational elements. Hence, I will make sure I offer superior quality services and respond in a timely and efficient way. Lastly, non-cooperation on healthcare workers’ part is unacceptable. I will make sure to urge fellow nursing professionals to actively take part in the patient care process.
Continuing education development plan (CDP)
The 5-stage scheme outlined below will help me plan my continuing academic development. The five stages are; 1) plan; 2) do; 3) record; 4) reflect; and 5) submit, which have been explained below:
Plan (within 1 month)
CDP planning commences with honestly evaluating one’s present standing and establishing one’s professional growth objectives for the short as well as long term. As individual requirements and wishes differ, no specific program is required. As a nurse practitioner, I have to identify my personal opportunities and needs within as well as outside of my current organization, and make the most of the learning experiences available to develop continually.
Posing and attempting to answer the questions of what I desire to accomplish, what learning is required for accomplishing it, and how one may go about the learning process would prove helpful. Subsequently, one must come up with an action plan for achieving these goals. My personal CDP system groups learning under distinct activities. Further, I can link my CDP record to my Individual Development Plan.
Do (within six months)
CDP planning ought to be followed by attempting to commence my development effort through attending specific activities, which calls for motivation and time management but is associated with valuable returns, namely, improving one’s networking capabilities and keeping one connected with the broader nursing community. As has been asserted by educational psychologists, learners benefit more from networking as compared to course attendance.
I must actively reflect and commit to memory the major light bulb instances that typically lead to present practice improvements and modification.
Record (within 1 year)
I need to have a look at my CDP, and monitor and note down my current progress, comparing it with planned goals. This includes taking note of unplanned items like training, experience and learning that have added to my professional growth. That said, CDP revolves more around learning quality and not quantity. CDP recording ought to focus on the output (i.e., the advantages of learning) and not on the input (i.e., list of activities and dates).
Prudence is required when taking into consideration activities that form part of my everyday working routine, since they largely don’t contribute to development.
Reflect (within five years)
This constitutes the most salient CDP aspect, making me reflect on the worth of my efforts for myself, customers, peers, the organization and the broader society. Failure to reflect makes CDP a less meaningful and advantageous instrument. 
Posing the questions listed below to myself would prove helpful:
· What personal gain was derived from this?
· What learning has occurred?
· How did learning occur?
· How will the concepts learned be applied to everyday nursing practice?
· What change will ensue from it?
· Have any further development areas been identified that could prove valuable to me?
· How will it benefit customers and the organization?
· How can it equip me for a novel role?
At this point, I need to harness whatever I have learned through bridging the theory-practice divide. Getting this part right forms a crucial aspect of effective career management and professionalism.
Regular CDP recorders and sound reflectors are typically innovative and constantly drive for advancement. They bring benefits both to themselves and their peers, the organization and the broader healthcare sector.
Submit
I need to be ready to submit my CDP report for yearly evaluation the moment it is requested for review. 
Networking plan
As a fresh NP, I need to network effectively and market myself for finding appropriate employment upon acquiring certification. These two aspects contribute significantly to my individual professional development plan as well. Networking must commence when still studying (Jo & Knestrick, 2017). Numerous local and national level nursing profession associations exist, which advertise NP employment opportunities. Key Floridian associations include the FNPN (Florida Nurse Practitioner Network), (TBAPNC) Tampa Bay Advanced Practice Nurses Council, and FLANP (Florida Association of Nurse Practitioners). According to Xue and coworkers (2016), such associations offer a wealth of information to new recruits as well as experienced professionals, such as upcoming local events, employment opportunities, important news on fresh bills in the parliament, bills passed and rejected, regulations and rules, how to get in touch and network with fellow NPs in neighboring areas, practice opportunities, and preceptor list access.
The following service areas have been determined as areas which can probably profit from NP services: Renal Service (a fairly new, emergent service area), Mental Health, Palliative Care, Oncology, and other areas with present and expected future growth),and Emergency Departments.
Multidisciplinary team collaboration in specified areas aimed at creating awareness and initiating dialogue for ascertaining the extent of support and knowledge for implementing the role of nurse practitioner in a specialty (Bakken & McArthur, 2001). One key consideration was: establishing healthcare worker readiness and availability when it came to providing the education level required of the nurse practitioner clinical internship. Moreover, there is a need to understand knowledge levels of extended nursing SOP across the continuum of healthcare providers that operate in a uni-disciplinary team.
Examining clinical streams help decide whether uni-disciplinary NP care models would enhance current service delivery value through employing a couple of institutional flowcharts, which were developed under the EH Service Plan. The EINPP flowchart (Exploration of Implementing a Nurse Practitioner Position) aimed at facilitating clinical stream identification of differences between nurse practitioner role and that of other advanced practitioners, and the way NP practice extensions contributed positively to the role, improving patient health outcomes and service delivery (Maddalena, 2009). The flowchart delineated individual steps to be taken into account during the healthcare service delivery process from clinical stream, educational, and institutional perspectives.




























References
Bakken, S., & McArthur, J. (2001). Evidence-based Nursing Practice: A Call to Action for Nursing Informatics. Journal of the American Medical Informatics Association, 8(3), 289-290.
Jo, G. A., & Knestrick, J. M. (2017). Effective professional networking. Journal of the American Association of Nurse Practitioners, 29(8), 441-445. Retrieved from https://journals.lww.com/jaanp/Citation/2017/08000/Effective_professional_networking.5.aspx
Maddalena, V. (2009). Cultural Competence and Holistic Practice. Holistic Nursing Practice, 23(3), 153-157.
Xue, Y., Ye, Z., Brewer, C., & Spetz, J. (2016). Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review. Nursing Outlook, 64(1), 71-85.