Response 2 (Samuel Biss)

Respond to your colleagues’ posts on two different days and provide additional insight to your colleagues related to issues and topics they may want to also consider. Use the Learning Resources and/or the best available evidence from current literature to support your explanation.

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Response 2 (Samuel Biss)
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Colleagues Post
Prof. Maurer and class,

Personal Interests

My name is Samuel Biss, I live in South Florida working as a Trauma step-down nurse. I have been a nurse for five years working in various units such as ER, Tele, and Med-Surg. In this time, I have also found that our current healthcare system, has many faults, in my opinion one of the biggest is the lack of focus on preventative healthcare. I’m not saying that this will change overnight, however, the healthcare system needs to shift back towards a foundation that is based on health and the promotion of disease prevention, not putting band-aids on open wounds and sending the patient out the door. My interest throughout this program and interest in each clinical rotation I go through is looking for unity and leadership of the healthcare members in the community. I am looking forward to another clinical rotation and the opportunity to dive into learning about the role of a nurse practitioner caring for women during their reproductive years and assessing the preventative aspects associated with this process. One of the nurse competencies that I believe should pave our future is, according to NONPF (2017), leadership competencies focus on advancing practice through the development and implementation of innovations incorporating principles of change. At this point in the healthcare history, we are able to look back on evidence-based studies and use these results to shape the future of healthcare that we hope to see. I believe that this should be done as a united healthcare front, not separate from hospital to hospital and clinic to clinic. The healthcare system in the United States should encourage our communities to take pride in their health and know that they can rely on us for guidance, education, and if the need arises, the quality care a human deserves.

After reviewing the ANA guidelines for Nurse Practitioners, I found one to captivate my attention over the others. This ANA guideline fell under my interest of leadership and unity. According to ANA (n.d.), the protection and advancing scope of practice for nurses is a major initiative for ANA. While I believe these statements are made by the association, I don’t feel that I have truly feel sense of support and being part of a team that shares this initiative. Before I was a nurse, I was a medic in the military, and one the biggest aspects of the military is comradery. The feeling of working together for a common purpose to achieve a goal. I must say I truly miss that, while the healthcare field is working together, there is no feeling of comradery or if we are truly making a difference in our communities. I want to take that back as a Nurse Practitioner and stand for preventative healthcare that works together as one team and one human race! When reviewing the code of ethics, this document truly embodies the focus that humans are special and have rights. They can be placed in situations that question their own beliefs and understandings, however, we as nurses must respect our patients’ beliefs, honor their wishes and continue to do so regardless of race, gender, beliefs, or age.

Practitioner Specialties

While there are many specialties one can focus their attention on, the united goal of helping our patients, educating them and standing by them in their times of need is still paramount. With a focus on caring for women, women who are pregnant, or women post-delivery, there are quite a few. The specialties include Certified Mid-Wife (CPM), Certified Nurse Mid-wife (CNM), and Certified Mid-Wives (non-nursing). According to Marzalik, Feltham, Jefferson, and Pekin (2018), CPMs’ are currently allowed to operate in 31 states within the United States, and scope of practice is limited according to their state laws and regulations. CPMs primarily focus on low-risk women, with attention during times of pregnancy, however, when it comes to medication administration, the state in which they practice determines the range of approval. Differences can be found when looking into the role of CNMs and CMs however, these individuals have a larger scope of practice and are much more hands on with their education and greater scope of practice. According to Marzalik, Feltham, Jefferson, and Pekin (2018), CNMs and CMs share the same scope of practice, which includes, primary health care for women during their ages of adolescence until post-menopausal. This scope also includes pre-conception, pregnancy, as well as, postpartum. The focus for these specialties is broad, from STDs to disease prevention and health promotion. Each of these specialties plays an important role, not only for the woman during her lifetime, but as a guide, an educator, and a comforter. According to Onchonga, Várnagy, Keraka, and Wainaina (2020), mid-wivery holds a special of focus for maternal healthcare providing education in a variety of areas including; fear of harm, eclampsia, pre-eclampsia, pelvic inflammation disease, hemorrhages, sepsis, uterine perforation, and death. Each of these topics have their own signs and symptoms that require education, and each requires a certain finesse when education occurs. Specialty mid-wives must be able to maintain compassion and assertiveness in the most delicate of times in a woman’s life. Understanding each of these specialties role’s and their primary focus allows the Family Nurse Practitioner to expand upon already taught subjects and educate where teaching has not yet been done. Using a collaborative approach, in which the healthcare team recognizes each other’s specialties and expertise and provides a foundation of understanding for the patient and their family with the focus on health and prevention can optimize patient and baby outcomes. This approach enhances quality of care and continues to address the promotion of health in our communities.

Samuel Biss


American Nurses Association (ANA). (n.d.). Scope of practice.

Marzalik, P. R., Feltham, K. J., Jefferson, K., & Pekin, K. (2018). Midwifery education in the U.S. – certified nurse-midwife, certified midwife and certified professional midwife. Midwifery, 60, 9–12.

Onchonga, D., Várnagy, Á., Keraka, M., & Wainaina, P. (2020). Midwife-led integrated pre-birth training and its impact on the fear of childbirth. A qualitative interview study. Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives, 25, 100512.

The National Organization of Nurse Practitioner Faculties (NONPF). (2017). Nurse Practitioner Core Competencies Content. Comps_with_Curric.pdf

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