Reflect on your learning over the past eight weeks. Describe how achieving the course outcomes has prepared you to meet program outcome #4, MSN Essential IV, and Nurse Practitioner Core Competency #7.  ** Provide two specific examples from your clinical or course activities for each that demonstrate your achievement: My clinical site was at a long term care facility/sub acute ( nursing home) in Massachusetts Program Outcome #4:  Integrate professional values through scholarship and service in health care. (Professional identity) MSN Essential IV: Translating and Integrating Scholarship into Practice Recognize that the master’s-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results. Nurse Practitioner Core Competency #7: Health Delivery System Competencies Applies knowledge of organizational practices and complex systems to improve health care delivery.Effects health care change using broad-based skills, including negotiating, consensus-building, and partnering.Minimizes the risk to patients and providers at the individual and systems levels.Facilitates the development of health care systems that address the needs of culturally diverse populations, providers, and other stakeholders.Evaluates the impact of health care delivery on patients, providers, other stakeholders, and the environment.Analyzes organizational structure, functions, and resources to improve the delivery of care.Collaborates in planning for transitions across the continuum of care.