healthcare is available to all patients with gained quality improvement skills. I have learned to take part in healthcare reform with the knowledge gained in identifying quality care issues, developing and implement strategies for improvement, tracking such improvements, and make necessary changes to ensure quality care. # 2 Leadership Competencies Through this course I have gained a further understanding of the different advanced practice nursing professions and their varied scope of practice and the ongoing need to advocate for autonomous practicing rights in all states. This course has reinforced the nurse practitioners responsibility of coordinating and maintaining patient-centered care while collaborating with other healthcare providers within the organization. I feel a greater sense of confidence and empowerment with the strength and knowledge to collaborate with other healthcare professionals. This course has reinforced the skills in conflict resolution and conflict management. The class educated on how to collaborate on multiple levels of the healthcare team and through successful collaboration one can create an environment of trust, open