Paper must be 3 pages excluding the reference page and the title page. Must be in APA format and have an introduction and a conclusion. Introduction: Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy. Body: Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent BSN Essential and sub-competencies (AACN, 2008) as a result of active learning throughout this course. Be sure to use examples from selected readings, threaded discussions, and/or applications to support your assertions to address each of the following sub-competencies: (a) Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. (b) Recognize the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness, using a constructed pedigree from collected family history information as well as standardized symbols and terminology. (c) Implement holistic, patient centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health illness continuum, across the lifespan, and in all healthcare settings. (d) Communicate effectively with all members of the healthcare team, including the patient and the patients support network. (e) Deliver compassionate, patient centered, evidencebased care that respects patient and family preferences. (f) Implement patient and family care around resolution of end of life and palliative care issues, such as symptom management, support of rituals, and respect for patient and family preferences. (g) Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. (h) Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. (i) Monitor client outcomes to evaluate the effectiveness of psychobiological interventions. (j) Facilitate patient centered transitions of care, including discharge planning and ensuring the caregivers knowledge of care requirements to promote safe care. (k) Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes within healthcare microsystems. (l) Create a safe care environment that results in high quality patient outcomes. (m) Revise the plan of care based on an ongoing evaluation of patient outcomes. (n) Demonstrate clinical judgment and accountability for patient outcomes when delegating to and supervising other members of the healthcare team. (o) Develop a beginning understanding of complementary and alternative modalities and their role in health care. (p) Develop an awareness of patients as well as healthcare professionals spiritual beliefs and values and how those beliefs and values impact health care. (q) Manage the interaction of multiple functional problems affecting patients across the lifespan, including common geriatric syndromes. (r) Understand ones role and participation in emergency preparedness and disaster response with an awareness of environmental factors and the risks they pose to self and patients (s) Engage in caring and healing techniques that promote a therapeutic nurse patient relationship. (t) Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system as related to nursing practice. Conclusion: An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. Summarize the benefits of the pertinent BSN Essential and sub-competencies (AACN, 2008) pertaining to scholarship for evidence-based practice.