Analyze the application of technology and professional standards related to your health process issue at your practicum site in a 4–6 page paper, and submit your required practicum hours.
In your previous assessment, you defined and analyzed your health process issue in the context of your practicum site. Now that you’ve gained more experience, continue to build on the information you’ve gathered about your practicum site and research your chosen issue. In Assessment 3, you’ll focus on the application of technology and professional standards. Your ultimate goal at the end of the course will be to present a strategy for improving your selected process issue.
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Instructions
- Explain aspects of your role in process change and professional standards.
o Explain the aspects of the role of the BSN-prepared RN in process change and professional standards.
o Identify your potential role in process change at your existing practicum. If so, describe that role.
o If your role is limited, explain how you would envision your role in process change if you were a nurse at this site.
o Summarize what your state’s nurse practice act says related to the nurses role and process change. (The Find Your Nurse Practice Act website in your Assessment 3 resources provides a search function to assist you in finding individual state nurse practice acts.)
- Explain what interprofessional collaboration you have and will implement.
o What opportunities for collaboration do you see?
o Are you able to implement some of them in your current role at your practicum site? If not, how would you implement interprofessional collaboration as a nurse at this site?
- Review government agencies associated with your process of concern. Explain the recommendations.
o Examples of agencies include:
- Joint Commission.
- NDNQI.
- CMC.
- Describe current technology used in your practicum site to address your practice issue.
o What are they currently using? Did you notice any problems or issues with the use of this technology?
- Review the literature to determine technology available and recommended for your practice issue. Summarize the recommendations.
o Do you see new technology that isn’t being used?
- Describe any potential implementation issues you see for using the new technology?
Additional Requirements
- Format: Format your paper using APA style. Refer to APA Style Paper Tutorial [DOCX] for guidance in writing and formatting your paper. Be sure to include the following:
o A title page and reference page. An abstract is not required.
o Appropriate section headings.
- Length: Your paper should be approximately 4–6 pages in length, not including the reference page.
- Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
- Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.
Practicum Hours Submission
- Use Capella Academic Portal to submit your practicum hours.
- You must submit a minimum of 20 confirmed hours with this assessment. Your cumulative total should be between 25–35 hours.
- Failure to complete AND submit the required practicum hours will result in a non-performance for this assessment.
Please review the BSN Practicum Campus page for more information and instructions on how to log your hours.
Reflective Journaling
Reflective journaling serves as a powerful tool for self-reflection during your academic journey. Reflective journaling enables you to assess your performance and to develop the regular practice of self-reflection. During your practicum, you’ll complete four reflective journal entries, each aligned with one of the four spheres of care.
Complete your first entry. You can choose any of the four spheres for this entry, but you will need to complete all four by the end of the course. Remember that you’ll need to submit your completed nursing reflection as part of the final assessment for the course.
Instructions
You will complete four reflective journal entries during your practicum, with an emphasis on the integration of professional standards and values in practice. Each entry will align with one of the four spheres of care.
First, review your previous entries on the four spheres of care from NURS-FPX4065, Patient-Centered Care Coordination. Go to the Nursing Reflection Journal home page to review your entries, and select the Course button. Select the down arrow and scroll to NURS-FPX4065.
Once you have reviewed your previous entries, you may begin your new responses for NURS-FPX4905. Use 200–400 words for each of the four required journal entries in the Nursing Reflection Journal: Professional Standards and Values Activity. In this course, remember to respond from a perspective of leadership and professional standards.
You do not need to include scholarly resources or a reference list. Your reflections should be your own original thoughts. Please do not include patient or clinic identifying information.
As you complete your practicum hours (total of 40 hours required), it is good practice to complete a reflection journal entry every 10 hours. Take a moment to review the four spheres of care and the assigned readings for each assessment. This can help you focus your practicum time on specifics of learning and experiencing the courseroom content.
AACN Definition of the Four Spheres of Care
Wellness and Disease Prevention: This sphere emphasizes health promotion, as well as the treatment of minor uncomplicated diseases or injuries for those not experiencing chronic illness or life-limiting conditions. Prenatal care, screenings, immunizations, and health promotion are some examples of care in this sphere (AACN, 2021). Nursing knowledge and competency in disease prevention and addressing social determinants of health are vital to promoting wellness across populations.
Chronic Disease Management: This sphere encompasses caring for those with one or more chronic diseases and preventing adverse outcomes associated with them. Specialized nursing care is often needed for this population due to the complex needs, along with integrated interprofessional team-based care. Four in 10 people in the United States have two or more chronic diseases, and those diagnosed with multiple comorbidities are projected to increase.
Regenerative and Restorative Care: This sphere includes critical and trauma care, complex acute care, acute exacerbations of chronic disease, and care of unstable patients who are typically in acute care hospital settings (AACN, 2021). This sphere includes the acute management of illness, such as a stroke or mental health crisis, and progression through the rehabilitative phase. Nursing skills and management of these populations are resource-intensive and specialized.
Hospice and Palliative Care: The final sphere relates to competencies surrounding palliative care in advanced illness and hospice care at the end of life. All registered nurses provide generalist palliative care in compassionate and patient-centered care while managing pain and other symptoms associated with advanced, progressive illness. The End-of-Life Nursing Education Consortium has mapped its competencies and recommendations for educating nursing students to the new AACN Essentials to assist educators in this endeavor.
Reflection Questions
By the end of your practicum, make sure that you have answered each of these questions as they relate to integrating professional standards and values into practice.
Wellness and Disease Prevention: Reflect on the health promotion disease prevention interventions you witnessed in your practicum site, as it relates to the social determinants of health most prevalent in your community. What did you see? What does this time mean to you as a professional nurse in your role?
Chronic Disease Management: Reflect on the integration of interprofessional team-based care as it relates to chronic disease management in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role?
Regenerative and Restorative Care: Reflect on the acute management of illnesses such as stroke or mental illness that falls in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role?
Hospice and Palliative Care: Reflect on end-of-life nursing and advanced illness and hospice care in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role?
Submission Checklist
Before you submit your assessment, take a moment to complete the following checklist to ensure your work is ready for submission:
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
- Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
o Explain aspects of one’s role in process change and professional standards.
- Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.
o Explain the recommendations of government agencies that apply to a practice issue or problem at a specific clinical site.
o Describe current technology used in a clinical site to address a practice issue, including issues with use of the technology.
o Summarize the technology available and recommended for a clinical practice issue based on the literature.
- Competency 5: Collaborate inter professionally to improve patient and population outcomes.
o Explain what inter professional collaboration one has and will implement at a specific clinical site.
- Competency 6: Implement patient centered care to improve quality of care and the patient experience.
o Describe any potential implementation issues for using the new technology.
- Competency 8: Apply professional, scholarly, evidence-based strategies to create effective written and oral communications.
o Organize content so ideas flow logically with smooth transitions.
o Apply APA style and formatting to scholarly writing.
o Complete a minimum 20–25 MORE hours of clinical practicum. Submit clinical hour documentation to CAPS.
Scoring Guide
Use the scoring guide to understand how your assessment will be evaluated.
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Criterion 1
Explain aspects of one’s role in process change and professional standards.
Distinguished
Explains aspects of one’s role in process change and professional standards, providing examples.
Proficient
Explains aspects of one’s role in process change and professional standards.
Basic
Identifies aspects of one’s role in process change and professional standards.
Non Performance
Does not explain aspects of one’s role in process change and professional standards.
Criterion 2
Explain what inter professional collaboration one has and will implement at a specific clinical site.
Distinguished
Explains what inter professional collaboration one has and will implement at a specific clinical site, and includes the benefits of this collaboration.
Proficient
Explains what interprofessional collaboration one has and will implement at a specific clinical site.
Basic
Identifies opportunities for collaboration.
Non Performance
Does not explain what interprofessional collaboration one has and will implement at a specific clinical site.
Criterion 3
Explain the recommendations of government agencies that apply to a practice issue or problem at a specific clinical site.
Distinguished
Explains the recommendations of government agencies that apply to a practice issue or problem at a specific clinical site, explaining the assumptions on which the recommendations are based.
Proficient
Explains the recommendations of government agencies that apply to a practice issue or problem at a specific clinical site.
Basic
Explains the recommendations of government agencies, though it’s unclear how they apply to a practice issue or problem at a specific clinical site.
Non Performance
Does not explain the recommendations of government agencies that apply to a practice issue or problem at a specific clinical site.
Criterion 4
Describe current technology used in a clinical site to address a practice issue, including issues with use of the technology.
Distinguished
Describes current technology used in a clinical site to address a practice issue, including issues with use of the technology, as well as the impact of the technology on outcomes for the site.
Proficient
Describes current technology used in a clinical site to address a practice issue, including issues with use of the technology.
Basic
Describes current technology used in a clinical site to address a practice issue.
Non Performance
Does not describe current technology used in a clinical site to address a practice issue, including issues with use of the technology.
Criterion 5
Summarize the technology available and recommended for a clinical practice issue based on the literature.
Distinguished
Summarizes the technology available and recommended for a clinical practice issue based on the literature, outlining pros and cons.
Proficient
Summarizes the technology available and recommended for a clinical practice issue based on the literature.
Basic
Summarizes technology available for a clinical practice issue, though the recommendation is not based on the literature.
Non Performance
Does not summarize the technology available and recommended for a clinical practice issue based on the literature.
Criterion 6
Describe any potential implementation issues for using the new technology.
Distinguished
Describes any potential implementation issues for using the new technology and how those issues might be addressed.
Proficient
Describes any potential implementation issues for using the new technology.
Basic
Identifies any potential implementation issues for using the new technology.
Non Performance
Does not describe any potential implementation issues for using the new technology.
Criterion 7
Organize content so ideas flow logically with smooth transitions.
Distinguished
Organizes content so clarity is enhanced and all ideas flow logically with smooth transitions.
Proficient
Organizes content so ideas flow logically with smooth transitions.
Basic
Organizes content with some logical flow and smooth transitions.
Non Performance
Does not organize content for ideas to flow logically with smooth transitions.
Criterion 8
Apply APA style and formatting to scholarly writing.
Distinguished
Applies APA style and formatting to scholarly writing. Exhibits strict and nearly flawless adherence to stylistic conventions, document structure, and source attributions.
Proficient
Applies APA style and formatting to scholarly writing.
Basic
Applies APA style and formatting to scholarly writing incorrectly or inconsistently, detracting noticeably from good scholarship.
Non Performance
Does not apply APA style and formatting to scholarly writing.
Criterion 9
Complete a minimum 20–25 MORE hours of clinical practicum. Submit clinical hour documentation to CAPS.
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