advance health assessment week 1- peer review


Please respond to at least 2 of your peer’s posts.  

  • With your understanding of your peers’ targeted advanced practice role, respond to 2 of their posts – expanding the discussion with your thoughts about how they describe they will be able to impact an identified health system problem.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.


1- Laura Helge-Smith

I believe that when I am in my advanced practice nurse role, I will be able to help improve the system problem with medical records. I would like my patient’s charts checked before they come in to see me. Patient care and safety are priorities. Sometimes patient information is entered into the wrong chart and these errors are potentially fatal. One mistake can impact every aspect of the patient’s care. For example, a misspelling of a medication, or a miscommunication of doses. I feel that if I know that I am the healthcare provider taking care of a patient, I want them to bring their medications to their first appointment with me so that I can personally double-check their medications and dosages. Medication errors are one of the leading causes of complications in healthcare and are directly related to inaccurate medication lists (Cohen et al, 2020). By doing the check at our first meeting, I am not only ensuring an accurate medication list, but I am also checking for polypharmacy issues. I am making sure that all the prescriptions are from the same physician, if they are not, I would then ask the patient who prescribed the medication. I can double-check medications by looking at previous office visits for any medication changes. I will be looking for drugs that are similar or in the same class, used for the same disease process. When checking the medications, I am also able to discuss patient history. Such as, “Why are you taking this medication?” and “How long have you been having this issue?” Doing a medication check at the patient’s first visit helps to ensure safe medication practices and opens the floor for future discussions which is an opportunity to get to know your patient and build rapport for future visits, all the while practicing safely and putting your patient’s welfare first.


2- Onyinyechi Mgbachi

The health care system remains flawed in many ways that negatively affect patient outcomes. In discussing Systems Theory, Anderson (2016) emphasized the need to focus on understanding the single parts of the health care system and how they interrelate to create the whole system. Therefore, this is an indication that every individual health care professional has a significant role in ensuring that the health care system generally improves and the set goals regarding patient needs are effectively met. As an MSN-prepared certified family nurse practitioner, I will work on effectively identifying my individual role in the success or failure of various aspects within my practice and how my relationship with others within this setting leads to specific outcomes.

                 As Anderson (2016) stated, it is essential for people to understand how each part of the system affects or is affected by its environment, thereby preventing persistent issues that negatively affect the entire system. Therefore, in applying Systems Theory as a certified family nurse practitioner, I would work with the organization’s management team and the nurses across relevant departments to identify issues that may be directly involved in hindering quality patient care services. Having been a practicing nurse, it will be easier for me to work with the nurses towards achieving common goals as a unit while ensuring that each nurse remains aware of his or her individual role to play in meeting these goals. Notably, this will be important in reminding the management to identify possible barriers that the leaders may intentionally or unintentionally place in the way of nurses and other health care professionals in attaining specific goals at the organization. Ultimately, this may create a better working environment.

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