MSN COMPREHENSIVE EXAM 1

MSN Comprehensive Exam

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MSN COMPREHENSIVE EXAM 2

MSN Comprehensive Exam

Introduction

Students who earn a master's degree in nursing are prepared to be skilled caregivers.

Assisting patients necessitates using several thoughts, ideas, and abilities. Additionally,

preparation for a variety of patient expectations is essential (Sultz & Young, 2017). The reasons

outlined above demonstrate why nurses should be knowledgeable about new breakthroughs,

theories, and technologies. The following article discusses the nine pillars of master's nursing

education and their impact on healthcare. The paper demonstrates how more nurses can reach

their full potential. This comprehensive exam paper is based on "Diabetes in the Underserved

Communities in Harlem, NY." The paper will be categorized into various essentials that make up

the subheadings.

Background for Practice from Sciences and Humanities

Along with genetics, quality improvement, and biopsychosocial sciences, a master's

degree should prepare nurses to synthesize findings from different disciplines. Nurses with this

background can make more informed clinical decisions and improve their nursing practice.

According to the AACN, master's-level nurses must integrate empirical data from public health,

organizational sciences, genetics, biopsychosocial sciences, nursing, and quality improvement.

According to the AACN, this helps improve care delivery in a variety of situations.

This session demonstrated how a master's-prepared nurse applies scientific discoveries

from various sources to improve nursing care in a variety of settings. Each week's case studies

necessitated extensive study from a variety of sources (ANA, 2015). Introductory classes taught

me how to interpret information included in written assignments. This class helped me apply my

knowledge in real-world situations while attempting to understand the pathology and develop
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patient care strategies. I gained a great deal of knowledge from my peers due to my responses to

their questions.

Nurses with a master's degree are skilled in integrating systems and organizational

science within and across care systems. Coordination of care is a system-wide endeavor. Care

management blends clinical and community context knowledge with relevant research. This

nurse level considers the needs of a family, significant others, and the community while

designing and delivering care (Guido, 2014). Practitioners integrate nursing and ethical

principles with clinical issues, disease prevention, and health promotion. Numerous groups

benefit from information sciences, health communication, and health literacy.

Organizational and Systems Leadership

Initiatives at the leadership level promote safe, timely, and high-quality patient care.

These are the kind of abilities that assist companies in making ethical decisions. Nurses with a

master's degree can leverage these abilities to help minimize health disparities and improve

nursing practice (Sultz & Young, 2017). These techniques will improve healthcare outcomes and

patient satisfaction. This, the author believes, is a necessary condition for practitioners to manage

and lead their companies effectively. Respect and communication are fostered by effective

leadership.

According to Guido (2014), leadership is critical for ensuring high-quality patient care in

organizations and systems. We require leaders capable of making ethical and consequential

decisions. To reduce health disparities and improve practice excellence, master's-prepared

nurses' knowledge and abilities must be aligned with these objectives (Borkowski, 2016).

Master's level work is concentrated on therapeutic systems that meet the needs of a population or

community.
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Graduates must be able to build and maintain positive working relationships with inter-

professional teams and demonstrate care coordination, delegation, and conflict resolution

abilities. They administer and coordinate holistic care in various settings for individuals,

families, groups, and communities. These nurses are responsible for guiding patients through the

healthcare system and ensuring excellent outcomes. Teamwork, negotiation, delegation, and

coordination are examples of leadership skills.

Nurses with a master's degree work as members of and leaders of healthcare teams. We

are incredibly fortunate to have them as part of our team (Borkowski, 2016). These nurses seek

physician involvement and advice to plan, coordinate, and assess patient care. All master's-

prepared nurses need to understand healthcare policy, organization, and financing in today's

evolving healthcare environment.

Quality Improvement and Safety

Practitioners who have completed master's training must be familiar with various tools,

including performance measures, procedures, and safety considerations. Additionally, they

should be informed on the varied quality requirements for health care. To be a change agent,

nurses must ensure that their organizations adhere to quality standards. These abilities will

benefit healthcare systems by reducing injury and enhancing patient safety (Mcgonigle &

Mastrian, 2018). According to the AACN, qualified nurses should monitor and improve specific

areas. Implement appropriate care delivery plans using quality improvement and organizational

efficiency theories.

Knowledge and abilities in human factors and fundamental safety principles are

necessary. To foster a healthy work environment where employees feel comfortable addressing

difficulties, even their own, master’s graduates must be capable of system analysis (Duncan,
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Ginter & Swayne, 2018). Nurses with a master's degree must develop the ability to assess,

quantify, and improve the reliability of processes. National resources, programs, and legislation

for patient safety and the use of national benchmarks are critical. Students must know whether or

not standards of practice, performance, and competence have been met in light of Medicare's

"never occurs" list and regulatory demand for greater transparency on quality outcomes.

The master's-prepared nurse serves as a leader across the care continuum in various

settings, leveraging highly reliable knowledge. Regardless of operational conditions or

intrinsically dangerous jobs, these businesses consistently function safely and successfully

(Mcgonigle & Mastrian, 2018). A nurse with a master's degree can track, analyze, and prioritize

outcomes. These nurses will study action plans using quality improvement and high-reliability

ideas.

Translating and Integrating Scholarship into Practice

To meet this requirement, all nursing students and staff must have a strong background in

research-based practice. Essentially, nurses' work environments and ideas on health care must be

questioned. Theory-based decision-making and patient care are aided by its application.

According to the ACCN, this is vital since graduates must continuously ask policies and seek

evidence. They should research to solve emerging nursing issues.

A nurse with a master's degree can analyze policy and research all areas of practice,

translating current evidence and identifying gaps (Duncan, Ginter & Swayne, 2018). These

nurses apply research findings, address practice concerns, and communicate findings within and

beyond the practice, setting to promote the clinical practice. A master's-prepared nurse must be

able to question established practices, policies, and procedures. Implementation or improvement

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sciences are growing fields of study that give evidence for practical change approaches and

contexts.

To help others achieve better outcomes, master's-prepared nurses must be capable of

implementing change in response to context and outcome analyses. A master's degree in nursing

prepares students to serve as leaders in the field of continuous improvement. Assessing the

repercussions of proposed solutions and innovations and generating new questions. When

needed, master's-prepared nurses lead the way in implementing evidence-based practice. These

nurses promote lifelong learning and serve as role models and mentors when making evidence-

based decisions (Tappen, 2010). Graduates must provide both direct and indirect patient care

using evidence-based practices. Among these abilities are knowledge acquisition, collaboration,

and change management.

Informatics and Healthcare Technologies

A master's-prepared nurse must be able to improve care delivery through healthcare

technologies and informatics. Informatics can aid in the utilization of electronic health records

and care coordination. Individualized patient care will be provided by practitioners who are adept

in healthcare technology. According to the author, health technology enables practitioners to

offer beneficial assistance in various situations. With technology, we can communicate, plan, and

decide more effectively.

To provide high-quality patient care, knowledge in information and healthcare

technologies is required (Mcgonigle & Mastrian, 2018). The healthcare industry is transforming.

Choosing which evidence to employ in practice necessitates the use of information technology.

These activities involve information management and technology: EHRs, outcomes research,
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inter-professional care coordination. The utilization of these technologies will evolve to suit the

needs of patients better as nursing and healthcare practices evolve.

Modern technology allows the master's-prepared nurse to communicate with persons or

groups such as legislators or other healthcare experts and the general public. They necessitate an

aptitude for learning and adaptation, as information systems and healthcare technology,

particularly their use at the point of treatment, are constantly evolving (Mcgonigle & Mastrian,

2018). Graduates of nursing master's degree programs will assess existing and emerging

technology in their own and others' practices to improve care outcomes. Additionally, they can

educate other health professionals, workers, patients, and caregivers about the fundamentals of

safe and effective care and information technology use.

Health Policy and Advocacy

Economic, technological, and political changes in the healthcare profession require

practitioners to advocate for suitable values, advance social justice, promote health, and provide

methods to reform diverse care delivery systems (Borkowski, 2016). They will engage in policy

debates, define principles, and encourage initiatives to improve health care. The author

professionally translates this vital text. As well as health determinants and delivery systems of

care. Effective policies ensure that care is affordable and responsible.

Due to technical, economic, political, and sociological pressures, the healthcare

environment constantly evolves. Nurses with a master's degree are prepared to advance health,

influence health policy, and advocate for social justice (Pozgar, 2013). Political participation and

policy advocacy are beckoned from a variety of directions. A rising corpus of studies reveals the

critical role of broad psychosocial, economic, and cultural factors in determining a person's

health status. Often, broad health determinants are most affected by policy procedures and
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system-level initiatives. Nurses must comprehend the system's legal and political drivers to

collaborate for system improvement. Nurses who participate in policy debates bring our

professional values to the table. Nurses with a master's degree in leadership will use their

expertise to improve population health and the healthcare delivery system.

Inter-professional Collaboration for Improving Patient and Population Health Outcomes

This critical component fosters interprofessional collaboration to enhance health care

systems. Inter-professional collaboration and communication can help ensure the continuity of

care (ANA, 2015). This strongly affects clinical practice by facilitating the achievement of

targets on time. Nurses can collaborate with other specialists, continue their education, and

recommend improved care delivery methods. Collaboration also benefits health. According to

the AACN, practitioners should be aware of the scope of practice of different fields to engage

effectively. Collaboration is required for paradigm innovation and patient-centered treatment.

To promote the health of patients and the general population, professionals must

collaborate. As a result, inter-professional practice is an essential component of healthcare

education and lifelong learning. The master's graduate can manage and organize

multidisciplinary teams across care settings, removing obstacles, expanding accessibility, and

improving health outcomes (Tappen, 2010). Nurses must have excellent interpersonal skills and

interact effectively with other healthcare professionals to be a team leader.

Patient-centered care necessitates horizontal and vertical health delivery systems founded

on research. Patients' expressed values, objectives, and preferences must be incorporated into

shared decision-making and care management. A master's degree in nursing entails active

collaboration with other healthcare professionals to coordinate and arrange therapy.

Clinical Prevention and Population Health for Improving Health

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This prerequisite is predicated on the assumption that global civilization is impacted by

health disparities, chronic disease, and poverty. Enhance the country's health status through the

implementation of clinical preventative measures. This critical component immediately

influences clinical practice by empowering additional persons to support all health promotion

efforts. According to Borkowski (2016), nurses who take clinical preventative steps will address

medical demands. Practitioners should take their leadership responsibilities seriously to enhance

the health of all Americans.

Professionals apply broad organizational, patient-centered, and culturally relevant

approaches in daily practice. Each of these groups benefits from evidence-based clinical

preventative and population health initiatives that each group develops and implements (Purnell,

2013). To develop and implement evidence-based culturally relevant therapeutic, preventative

treatments, graduates will be able to synthesize ecological, global, and social determinants of

health ideas.

Master’s-Level Nursing Practice

It requires master's-prepared nurses to have acquired the skills to influence population

health outcomes and systems. They should revise and improve their lifetime learning strategies

that support professional growth (Leger & Dunham-Taylor, 2018). This concept helps nursing

practice by offering superior medical care, effectively utilizing health technology, and

advocating for socially acceptable policies. These strategies will ensure that patients receive

high-quality care in various settings. The AACN recommends that master's-prepared nurses have

a firm grasp on nursing philosophy, practice, and science. Thus, they may stay abreast of current

events and assimilate them into their views.

Conclusion
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All of the Essentials of a Master's Degree in Nursing are demonstrated to be relevant and

adaptable across a variety of health care settings. Graduates of this program will provide superior

patient care and revolutionize the health care business in America. Those who master these

abilities will improve health care delivery and accomplish their objectives. Practitioners must

research novel technologies, concepts, and ideas to be effective. Clinical experiences within the

master's program assist in integrating didactic learning, developing creative thinking, and

exploring novel potential solutions to clinical/practice/system challenges. Thus, diverse learning

opportunities in various locations can aid in the acquisition of new talents and practice

expectations. Additionally, the master's-prepared nurse must place a premium on continuing

education and professional growth.

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References

Guido, G. W. (2014). Legal and ethical issues in nursing (6th ed.). Upper Saddle River, NJ:

Prentice Hall. ISBN: 978-0-1333-5587-1

Pozgar, G. D. (2013). Legal and ethical issues for health professionals (3rd ed.). Boston: Jones

and Bartlett. ISBN: 978-1-4496-7211-9Text books

Tappen, R. M (2010). Advanced Nursing Research. Jones & Bartlett Learning. Kindle Edition.

Purnell, L. D. (2013). Transcultural health care: A culturally competent approach (4th ed.).

Philadelphia, PA: F.A. Davis.

Leger, M. & Dunham-Taylor, J. (2018). Health care financial management for nurse

managers: Merging the heart with the dollar (4th ed.). Boston: Jones & Bartlett.

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2018). Strategic management of health care

organizations (8th ed.). Wiley.

Association, A. N. (2015). Nursing (3rd Edition). American Nurses Association.

https://bookshelf.vitalsource.com/books/9781558106215

Sultz, H. A., & Young, K. A. (2017). Health care USA: Understanding its organization and

delivery (9th ed.). Boston: Jones & Bartlett.

Duncan, J. W., Ginter, P. M., & Swayne, L.E. (2018). The Strategic Management of Health Care

Organizations (8th Edition): Wiley.

Mcgonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge

(4th ed.). Burlington, Ma: Jones & Bartlett Learning

Borkowski, N. (2016). Organizational Behavior, Theory, and Design in Health Care. 17th Ed.

Jones & Bartlett Publishers.