NAME OF PRACTICUM SITE; Nassau University Medical center
Analyze your healthcare process problem or issue in the context of your practicum site in a 4–6 page paper, and submit your required practicum hours.
Organizational data, such as readmission rates, hospital-acquired infections, falls, medication errors, staff satisfaction, serious safety events, and patient experience can be used to prioritize time, resources, and finances. Healthcare organizations and government agencies use benchmark data to compare the quality of organizational services and report the status of patient safety. Professional nurses are key to comprehensive data collection, reporting, and monitoring of metrics to improve healthcare safety and deliver quality care in a cost-effective manner.
Your practicum provides you with a unique opportunity to practice this aspect of community nursing by identifying a process issue related to your particular site and exploring the issue. Each assessment will build on the next, culminating in a presentation.
Instructions
For this assessment, you will analyze your healthcare process or issue in the context of your practicum site.
- Describe your practicum site.
o What type of institution are your practicum hours taking place in?
o Describe the patient population of your practicum site.
o Estimate how many full-time healthcare staff are employed at your practicum site.
- What kind of clinical and operational decisions do you encounter in your practicum site? Are you in a position to make or have input in any of those decisions at your site?
o What are the primary patient health outcomes for your practicum site?
- Identify your process issue as it relates to a patient diagnosis and patient outcomes.
o Summarize the healthcare process problem or issue you’ll explore.
o Provide context, data, or information that substantiates the presence of the problem and its significance.
- Analyze your chosen process for impact on the organization and the patient client in terms of quality, safety, and cost.
o What are the causes of the problem? What do you think is the root cause?
o Provide evidence to support your claims.
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
You have been tracking your completed practicum hours using the Capella Academic Portal. By placing the hours into the Capella Academic Portal, you will ensure that you accumulate all hours needed to meet the requirements for your specialization and degree.
Submit at least 10 practicum hours with this assessment in the Capella Academic Portal. Reminder: Only confirmed and approved hours will be considered for grading your assessment.
You will not receive a grade for this assessment without a practicum hours log showing a minimum of 10 confirmed hours for the time period of this assessment. Your faculty will review your hours to date and will contact you if there are any questions or concerns.
To summarize:
- Use Capella Academic Portal to submit your practicum hours.
- You must submit a minimum of 10 confirmed hours with this assessment.
- Failure to complete the required clinical 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?
Reference
American Association of Colleges of Nursing (2021). The essentials: Core competencies for professional nursing education [PDF]. https://www.aacnnursing.org/Portals/0/PDFs/Essentials/Essentials-Executive-Summary.pdf
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 2: Make clinical and operational decisions based upon the best available evidence.
o Describe clinical and operational decisions encountered at the practicum site, including one’s input in those decisions.
- Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
o Identify a process issue at a clinical site that relates to a patient diagnosis and patient outcomes.
o Analyze the impact of a current process on an organization and client in terms of quality, safety, and cost.
- Competency 8: Apply professional, scholarly, evidence-based strategies to create effective written and oral communications.
o Describe the practicum setting.
o Organize content so ideas flow logically with smooth transitions.
o Apply APA style and formatting to scholarly writing.
o Complete a minimum 10 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
Describe the practicum setting.
Distinguished
Describes the practicum setting, including the patient population and staff.
Proficient
Describes the practicum setting.
Basic
Identifies the practicum setting.
Non Performance
Does not describe the practicum setting.
Criterion 2
Describe clinical and operational decisions encountered at the practicum site, including one’s input in those decisions.
Distinguished
Describes clinical and operational decisions encountered at the practicum site, including one’s input in those decisions. Identifies primary patient health outcomes of those decisions.
Proficient
Describes clinical and operational decisions encountered at the practicum site, including one’s input in those decisions.
Basic
Describes clinical and operational decisions encountered at the practicum site, but without describing one’s input in those decisions.
Non Performance
Does not describe clinical and operational decisions encountered at the practicum site, including one’s input in those decisions.
Criterion 3
Identify a process issue at a clinical site that relates to a patient diagnosis and patient outcomes.
Distinguished
Identifies a process issue at a clinical site that relates to a clinical diagnosis and outcomes, providing context, data, or information that substantiates the presence of the problem and its significance.
Proficient
Identifies a process issue at a clinical site that relates to a clinical diagnosis and outcomes.
Basic
Identifies a process issue at a clinical site, though it’s unclear how it relates to a clinical diagnosis or outcomes.
Non Performance
Does not identify a process issue at a clinical site that relates to a clinical diagnosis and outcomes.
Criterion 4
Analyze the impact of a current process on an organization and client in terms of quality, safety, and cost.
Distinguished
Analyzes the impact of a current process on an organization and client in terms of quality, safety, and cost, including evidence to support the claim for the root cause.
Proficient
Analyzes the impact of a current process on an organization and client in terms of quality, safety, and cost.
Basic
Describes the impact of a current process on an organization and client.
Non Performance
Does not analyze the impact of a current process on an organization and client in terms of quality, safety, and cost.
Criterion 5
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 6
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 7
Complete a minimum 10 hours of clinical practicum. Submit clinical hour documentation to CAPS.
Distinguished
Completes more than 10 hours of clinical practicum. Submits clinical hour documentation to CAPS.
Proficient
Completes a minimum 10 hours of clinical practicum. Submits clinical hour documentation to CAPS.
Basic
Completes fewer than 10 hours of clinical practicum.
Non Performance
Does not complete a minimum 10 hours of clinical practicum, and does not submit clinical hour documentation to CAPS.
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