Category: Nursing

  • NURS_6221 Interviews on Employee Empowerment and Psychological Safety

    NURS_6221 Interviews on Employee Empowerment and Psychological Safety

    Employee Interviews: Guidelines & Questions

    Module 2 Assignment

    Interviews on Employee Empowerment and Psychological Safety

     

    Planning and Arranging the Interviews

    Identify three individuals to interview: one in healthcare and two from other fields or industries (e.g., state/local government; business). Choose family members and friends you know well that will be comfortable answering honestly. Interview each person separately, and plan for 20–30 minutes per interview. Confirm that all answers will be confidential, and each person will be identified by a pseudonym in the Assignment you submit.
    Note:
    You must request each person’s signature to confirm the interview. Fill in the information below, print out Page 1, and obtain the signatures.
    Scan and submit Page 1 with your completed Assignment. NURS_6221 Interviews on Employee Empowerment and Psychological Safety

    Interviewee #1 Healthcare

    Name

    Job Title

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    Years in Position

    Relationship to You

    Signature:

    Interviewee #2 (Industry)

    Name

    Job Title

    Years in Position

    Relationship to You

    Signature:

    Interviewee #3 (Industry)

    Name

    Job Title

    Years in Position

    Relationship to You

    Signature:

    Conducting the Interviews

    There are five sets of questions, which are repeated below for each interview. Also develop a working definition of “employee empowerment” and “psychological safety,” based on your own understanding, to anchor the interviews for you and to explain to your interviewees, as needed. Take notes on each person’s responses in the spaces on the right. If you record the interviews, be sure to get each person’s permission before you begin. You are still encouraged to take notes on the person’s responses as a safeguard in case there is a problem with the recording. NURS_6221 Interviews on Employee Empowerment and Psychological Safety

     

    Questions

     

    Interview #1 Healthcare

    1. What does “empowerment” mean to you as an employee?

    Note:
    Share your definition, as needed, and compare perspectives.

    1: Responses

    2.
    Is autonomy in your job important to you? Why, or why not?

    Can you provide examples of how you are able to exercise autonomy in your job?

     

    Can you provide examples of areas where you would like to have additional autonomy but are constrained at this time?

     

     

    2: Responses

    3.
    Thinking about your organization (or department, unit):

    Have you been asked for input/advice on organizational (or department/unit) goals or processes?

    –
    If yes, is it important to you to give your opinion on organization-wide (department/unit) issues? Why, or why not?

    – Can you give examples of how you have provided input, and to what extent you felt your views were taken seriously, valued, and acted upon? (Probe as needed to uncover meaning in the answers.)

     

    – If no, would you like to be consulted? Why, or why not?

    – (For both yes/no): Can you provide examples of input that you would like to provide but feel constrained or inhibited to do so? Why do you feel constrained
    ?

    NURS_6221 Interviews on Employee Empowerment and Psychological Safety

     

    3: Responses

    4.
    How would you describe decision- making authority in your organization:

    Is it limited mainly to individuals at senior levels? Or are decisions made at multiple organizational levels?
     

    4: Responses

    5.
    Do you feel comfortable making suggestions about:

     

    – How work is done in your organization (department/unit)?

    – The direction of the organization (department/unit)? 

     

    If you see a problem, are you comfortable pointing it out?

     

    – 
    If yes, what accounts for your comfort?

     

    – 
    If no, what accounts for your reluctance or holding back?

     

    5: Responses

     

    Questions

    Interview #2 (Industry)

    1. What does “empowerment” mean to you as an employee?

     Note:
    Share your definition, as needed, and compare perspectives.

     

    1: Responses

    2.
    Is autonomy in your job important to you? Why, or why not?

    Can you provide examples of how you are able to exercise autonomy in your job?

     

    Can you provide examples of areas where you would like to have additional autonomy but are constrained at this time?

     

    2: Responses

    3.
    Thinking about your organization (or department, unit):

     

    Have you been asked for input/advice on organizational (or department/unit) goals or processes?

    –
    If yes, is it important to you to give your opinion on organization-wide (department/unit) issues? Why, or why not?

    NURS_6221 Interviews on Employee Empowerment and Psychological Safety

     

    – Can you give examples of how you have provided input, and to what extent you felt your views were taken seriously, valued, and acted upon? (Probe as needed to uncover meaning in the answers.)

     

    – If no, would you like to be consulted? Why, or why not?

    – (For both yes/no): Can you provide examples of input that you would like to provide but feel constrained or inhibited to do so?

     

    Why do you feel constrained
    ?

     

     

    3: Responses

    4.
    How would you describe decision- making authority in your organization?

    Is it limited mainly to individuals at senior levels?

     

    Or are decisions made at multiple organizational levels?

     

     

    4: Responses

    5.
    Do you feel comfortable making suggestions about:

     

    – How work is done in your organization (department/unit)?

    – The direction of the organization (department/unit)?

     

    If you see a problem, are you comfortable pointing it out?

     

    – 
    If yes, what accounts for your comfort?

    – 
    If no, what accounts for your reluctance or holding back?

     

     

     

     

     

    5: Responses

     

    Questions

     

    Interview #3 (Industry)

    1. What does “empowerment” mean to you as an employee?

    Note:
    Share your definition, as needed, and compare perspectives.

     

     

     

    1: Responses

    2. Is autonomy in your job important to you? Why or why not?

     

    Can you provide examples of how you are able to exercise autonomy in your job?

     

    Can you provide examples of areas where you would like to have additional autonomy but are constrained at this time?

     

     

    2: Responses

    3.
    Thinking about your organization (or department, unit):

    Have you been asked for input/advice on organizational (or department/unit) goals or processes?

    –
    If yes, is it important to you to give your opinion on organization-wide (department/unit) issues? Why, or why not?

    NURS_6221 Interviews on Employee Empowerment and Psychological Safety

     

    – Can you give examples of how you have provided input, and to what extent you felt your views were taken seriously, valued, and acted upon? (Probe as needed to uncover meaning in the answers.)

     

    – If no, would you like to be consulted? Why, or why not?

    – (For both yes/no): Can you provide examples of input that you would like to provide but feel constrained or inhibited to do so? Why do you feel constrained
    ?

     

    3: Responses

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    4.
    How would you describe decision- making authority in your organization?

    Is it limited mainly to individuals at senior levels?

     

    Or are decisions made at multiple organizational levels?

    4: Responses

    5.
    Do you feel comfortable making suggestions about:

     

    – How work is done in your organization (department/unit)?

    – The direction of the organization (department/unit)?

     

    If you see a problem, are you comfortable pointing it out?

     

    – 
    If yes, what accounts for your comfort?

    – 
    If no, what accounts for your reluctance or holding back?

     

     

     

    5: Responses

    Comparing and Analyzing the Interviews

    When you have completed all three interviews, review each individual’s responses and experiences, focusing particularly on each interviewee’s sense of empowerment, engagement, and psychological safety at work. Compare and contrast the responses, with the goal of arriving at clear conclusions on how degree of employee empowerment, engagement, and psychological safety influences job performance, satisfaction, and morale.

     

    Compare and contrast the responses of the individual who works in healthcare and your own experiences in professional practice in healthcare to the responses of your interviewees working in other areas. Consider conclusions you can make about employee empowerment, engagement, and psychological safety in healthcare compared with other professions.

     

    Completing the Module 2 Assignment

    In a separate Word document, write 4–5 pages to produce an Interviews Summary and Analysis that includes the following:

     

    ·         Describe the three employees you interviewed, including their industries and job titles. NURS_6221 Interviews on Employee Empowerment and Psychological Safety

    ·         Explain your working definitions of “employee empowerment” and “employee engagement” that are the basis of the interviews.

    ·         Summarize how the interviewees characterized the culture of employee empowerment and engagement within their organizations.

    ·         Analyze how employee empowerment and employee engagement within healthcare organizations compare with other industries.

     

    ·         Explain your working definition of “psychological safety” that is the basis of the interviews.

    ·         Summarize how the interviewees characterized the presence, absence, and/or degree of psychological safety within their organizations.

    ·         Analyze how psychological safety within healthcare compares with other industries.

    ·         Analyze how degree of psychological safety, employee empowerment, and engagement are positive or negative factors for quality care and safety issues within healthcare.

     

    ·         From the position of a nurse executive, explain at least two leadership strategies you would recommend for actions to improve or sustain psychological safety, employee empowerment, and engagement within healthcare organizations. Speak generally, or specifically, to your current healthcare organization or one where you have worked in the past.

    Final Submission

       In two separate Word files:

    ·         Interviews Summary and Analysis

    ·         Interviewees Information and Confirmation Signatures (Page 1 from this document) NURS_6221 Interviews on Employee Empowerment and Psychological Safety

  • Autism CARES Act of 2019 impacts on nursing essay

    Autism CARES Act of 2019 impacts on nursing essay

    Assignment 1

    Select a House of Representatives or Senate bill (national or state level), either currently in process or one that has been passed within the last year that impacts mental health care operations, advanced practice nursing, or mental health care financing.

    The bill has been identified as H.R. 1058 (116
    th
    ): Autism Collaboration, Accountability, Research, Education, and Support Act of 2019. It is cited as Autism CARES Act of 2019. The legislation reauthorized some provisions of the Public Health Service Act (PHS Act) with the intention of improving autism management. It is a federal legislation that specifically focuses on amending the PHS Act to enhance the activities of the National Institution of Health with regards to research and management of autism spectrum disorders (ASD). In addition, the legislation reauthorizes the provisions of PHS Act that are concerned with education, early detection and intervention targeted at ASD. Besides that, the legislation mandates the Interagency Autism Coordinating Committee (IACC) to continue with its activities. The legislation offers three other advantages not included in the prior version of PHS Act. The first advantage is that the changes target all persons with ASD rather than targeting only the youth, an inherent shortcoming in the previous framing of PHS Act framing Autism CARES Act of 2019 impacts on nursing essay. The second advantage is that it focuses funding on shortages identified in personal health services. The third advantage is that it reduces health-outcome disparities across diverse populations (GovTrack, 2020).

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    The Autism CARES Act of 2019 was introduced into the 116
    th
    congress on 7
    th
    February 2019 and sponsored by Rep. Christopher “Chris” Smith of New Jersey’s 4th congressional district. It was then referred to the Health Committee that held hearings on 25
    th
    June 2019 and 11
    th
    June 2019. The legislation was ordered reported by the committee on 17
    th
    July 2019 with the recommendation that the full chamber consider the bill further. The house committee on energy and commerce reported on the bill on 23
    rd
    July 2019, and offered helpful exclamatory background information on the bill’s intentions and the issues it addressed. The Congress voted to pass the bill on 24
    th
    July 2014. The Senate voted to pass the bill on 19
    th
    September 2019. The bill was signed into law by the president on 30
    th
    September 2019 (GovTrack, 2020).

    Its legislative history dates back to 2006 when President George W. Bush signed it into law as Combating Autism Act (P.L. 109-416). The intention of the law was to offer coordinated federal response to the dramatic increase in persons diagnosed with autism spectrum disorder in the country. It increased public investment to address the growing needs of persons diagnosed with autism spectrum of disorders, while authorizing the IACC to coordinate federal efforts targeted at the disorder. The legislation was reauthorized in 2014 as the Autism CARES Act (P.L. 113-157). It had to be reauthorized by September 2019 for the Federal activities conducted under the legislation to continue (Autism Society, 2020).

    Discuss your support or opposition of the Bill based on policy, legal, and ethical considerations, and the Christian worldview.

    The Autism CARES Act of 2019 is a good legislation that addresses legitimate policy concerns that improve autism management at the federal level in the USA. The legislation offers three advantages from the policy perspective. Firstly, it reauthorizes Combating Autism Act of 2006 thus ensuring that the gains made over the years are continued and not lost. Secondly, it expands the provisions presented in previous legislation so that federal intervention has greater impact Autism CARES Act of 2019 impacts on nursing essay. Thirdly, it ensures that there is federal support for research, prevalence tracking, services and other government activities targeted at autism. Fourthly, it increases the annual federal budget for autism management efforts with $1.8 billion allocated to fund efforts through 2024. The funding is intended to primarily support research grants that advance scientific understanding of ASD, and develop treatments for medical conditions associated with ASD. Also, the funding helps address the needs of persons affected by ASD. Fifthly, it expands the focus of federal-based intervention efforts by ensuring that support is provided for persons with ASD while responding on their well-being and health throughout their entire lifespan. Finally, it reauthorizes and expands the IACC (GovTrack, 2020) Autism CARES Act of 2019 impacts on nursing essay.

    In addition to having policy implications, the legislation has ethical implications. It acknowledges that autism is a lifelong condition. The previous legislation targeted the youth so that other age groups were left with unmet needs. The new legislation support the existing activities, and expands them so that health disparities are reduced even as services are provided throughout the lifespan (GovTrack, 2020). The health disparities exist along lines of demographic groups and they are ethically wrong because they exemplify injustices. Through focusing on the youth, the previous legislation presented ethical concerns as other age groups were ignored although they had needs. Utilitarian and Kantian ethics all offer theoretical reasons for considering health disparities as ethically wrong, as do many other ethical principles. The declaration of human rights further supports (ethically) efforts to address health disparities. Every American with ASD has the right to reasonable equal access to health care, a right that was violated by the previous legislation that only targeted the youth. The new legislation condemns unjust practices while promoting just practices, and avoids doing harm to others through ensuring that every person with ASD has an equal opportunity to receive care. Besides that, it is ethically problematic that there were persons with ASD who bore the societal burdens of the medical but who did not receive the same basic benefits that youths with ASD received (Sang & Dearholt, 2018). Overall, the new legislation ensures that all persons with ASD experience reasonably equivalent health outcomes thus addressing the ethical concern of health disparity presented in previous legislation.

    Also, the legislation has legal implications. The previous legislation were due to expire with the implication that the activities they supported would halt unless new legislation was presented. Presenting the new legislation guarantees that federal autism management programs and activities have the legal foundation to continue (Pokorski, 2018).

    The Autism CARES Act of 2019 is aligned with the Christian worldview that focuses on stewardship and compassion. Persons with ASD cannot take care of themselves, and it is only right that the government intervenes in facilitating the management of their medical condition. This is affirmed in the Bible when Jesus instructs his disciples and followers to take care of others as his substitutes (Mathew 25:40). Given that the federal government has extensive public resources and is in office with the primary objective of addressing public concerns, then it is not hard to accept that they are stewards. As stewards, the federal government can use its powerful means to ensure that persons with ASD to get care. Overall, the legislation ensures that the federal government serves the needs of its citizens rather than being focused profit, thus matching the Christian worldview that advocates for compassion and stewardship (Shellenbarger, 2019). Autism CARES Act of 2019 impacts on nursing essay

    Discuss how the bill impacts, or will impact, the role of the PMHNP. Discuss the impact on health care quality and outcomes.

    The Autism CARES Act of 2019 impacts resource allocation to support the delivery of nursing care. It highlights the role of PMHNP to influence policy through their responsibility and capacity to influence health care delivery systems. The PMHNP practice is based on the science of caring and science of human health. It operates from a perspective that values every member of the society equally and holistically while seeking to foster and advance public health across all society levels and throughout the lifespan. To achieve these objectives, PMHNP understand that legislation must define and integrate the appropriate standards for care delivery while addressing the necessary condition for delivering care. Through policy work, nurses can identify and present the shortcomings of the legislation, and influence the appropriate changes to assure high care quality with regards to nursing processes and standards. In essence, the legislation highlights the role of PMHNP as policy advocates who can influence policy while helping to shape care. Similarly, the American Nurses Association and National League for Nursing highlight the role of PMHNP as policy advocates by noting that it is reasonable for PMHNP to identify problems with the policies affecting their practice and galvanize other stakeholders to make the appropriate changes (Christensen & Simmons, 2019). In addition, the legislation identifies the role of PMHNP in conducting the activities identified in the PMHNP. Through the legislation, there is an expectation that PMHNP will engage in ASD research activities, manage surveillance activities, and facilitate care delivery with regards to public education, early detection and intervention (Christensen & Simmons, 2019).

    The legislation has a profound impact on health care quality and outcomes. It is the primary source of federal funding for autism monitoring, training, services and research. It requires and supports research and programs to benefit persons with ASD. It manages a center of excellence in autism surveillance and epidemiology. It supports the IACC and its plan. Besides that, it development treatments for ASD. Also, it trains medical personnel to detect and diagnose ASD. Additionally, it monitors ASD prevalence (GovTrack, 2020). ASD is a present concern since management efforts are hindered by a dearth of information that would be best addressed through research. The legislation ensures that significant advances would be reported in three areas. Firstly, research efforts are well coordinated through supporting research funded by the National Institute of Health. Secondly, data and surveillance is streamlined through building infrastructure at the CDC to monitor ASD. Finally, training efforts are supported to address the reported shortages of personnel who facilitate screening, diagnosis and treatment efforts (Autism Society, 2020). As a result, the legislation improves health care quality and outcomes. Autism CARES Act of 2019 impacts on nursing essay

    References

    Autism Society (2020).
    Autism CARES Act Reauthorization (2019)
    . Retrieved from https://www.autism-society.org/public-policy/autism-cares-act-reauthorization-2019/

    Christensen, L. & Simmons, L. (2019).
    The scope of practice for academic nurse educators and academic clinical nurse educators
    (3
    rd
    ed.). Riverwoods, IL: Wolters Kluwer Health.

    GovTrack (2020).
    H.R. 1058 — 116th Congress: Autism Collaboration, Accountability, Research, Education, and Support Act of 2019
    . Retrieved from https://www.govtrack.us/congress/bills/116/hr1058

    Pokorski, M. (2018).
    Current concepts in medical research and practice: advances in experimental medicine and biology
    . Cham: Springer International Publishing AG.

    Sang, D. & Dearholt, S. (2018).
    John Hopkins nursing evidence-based practice
    (3
    rd
    ed.). Indianapolis, IN: Sigma Theta Tau International.

    Shellenbarger, T. (2019).
    Clinical nurse educator competencies: creating an evidence-based practice for academic clinical nurse educators
    . Riverwoods, IL: Wolters Kluwer Health. Autism CARES Act of 2019 impacts on nursing essay

     

    Select a House of Representatives or Senate bill (national or state level), either

    currently in process or one that has been passed within the last year that impacts

    mental health care operations, advanced practice nursing, or mental health care

    financing. (Include the name of the bill: e.g., H.R. 4909 (115th): Stop School

    Violence Act of 2018. Note if the bill is federal or state level legislation and

    indicate the state, if applicable. Also note if the bill was passed and the date, if in

    committee [house or senate], or if awaiting the president’s signature).

    Discuss your support or opposition of the Bill based on policy, legal, and ethical

    considerations, and the Christian worldview. Consider the nursing practice act in

    state of Maryland and other state-level documents pertaining to practice, the Social

    Policy Statement of the American Nurses Association, and your biblical worldview

    as you support your viewpoint. Consider funding of the bill and who should pay, if

    applicable.

    Discuss how the bill impacts, or will impact, the role of the PMHNP. Discuss the

    impact on health care quality and outcomes.

    5 pages in APA format, with at least 3 peer-reviewed references in addition to the

    course textbooks and the Bible.

    Here are some websites for consideration to locate and track bills:

    • United States Bills Autism CARES Act of 2019 impacts on nursing essay

    • State Bills

    • https://www.congress.gov Autism CARES Act of 2019 impacts on nursing essay

  • NRS 493 – professional capstone and practicum

    Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of

    The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours.

    Completion of work associated with program competencies.

    Work associated with completion of the student’s capstone project change proposal.

    Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.

    Student expectations and instructions for completing the ISP document are provided in the “NRS-493 Individual Success Plan” resource, located in the Study Materials and in the assignment instructions.

    Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

    After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP.

    You are not required to submit this assignment to LopesWrite.

     

    NRS-493 Individual Success Plan

    REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours.

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    Complete Contact Information

    Student Information

    GCU

    Name:

     

    E-mail:

     

     

    Phone Number:

     

     

    Course Faculty Information

    GCU

    Name:

     

    E-mail:

     

     

    Phone Number:

     

     

    Practicum Preceptor Information

    Practice Setting

    Name:

     

    E-mail:

     

     

    Phone Number:

     

     

     

     

     

    ISP Instructions

    Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish.

    In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect clinical practice hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A).

    General Requirements

    Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:

    Use the Individual Success Plan
    to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies
    and
    the Programmatic Domains & Competencies (Appendix A) related to that course.

    Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A).

    Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time, or time spent with your preceptor.

    Within the Individual Success Plan,
    ensure you identify all graded course assignments and indirect clinical assignments listed in the table on the next page.

     

     

     

     

     

     

    Topic

    Graded Assignment

    Indirect Clinical Assignments

    Topic 1

    1.      Individual Success Plan

    2.      Reflection Journal Entry

    1.      List of potential topics for the change proposal

    Topic 2

    1.      Topic Selection Approval Paper

    2.      Reflection Journal Entry

    1.      Search the literature for supporting journal articles

    2.      Summary of topic category; community or leadership

    Topic 3

    1.      PICOT Question Paper

    2.      Reflection Journal Entry

    1.      List of objectives

    Topic 4

    1.      Literature Evaluation Table

    2.      Reflection Journal Entry

    1.      List of measurable outcomes

    Topic 5

    1.      Reflection Journal Entry

    1.      Summary of the strategic plan

    2.      Midterm Evaluation Tool

    Topic 6

    1.      Literature Review Table

    2.      Reflection Journal Entry

    1.      List of resources

    Topic 7

    1.      Reflection Journal Entry

    1.      Summary of the evaluation plan

    2.      Remediation-if required

    Topic 8

    1.      Benchmark Written Capstone Project Change Proposal

    2.      Reflection Journal Entry

     

    Topic 9

    1.      Reflection Journal Entry

    1.      Professional Presentation

    Topic 10

    1.      Finalized ISP

    2.      Scholarly Activity Summary

    3.      Benchmark-Reflection Journal Summary

    1.      Summary of presentation

    2.      Final Clinical Evaluation Tool

    3.      Practice Clinical Evaluation Tool-Agency

    4.      Practice Clinical Evaluation Tool-Preceptor

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Application-based Learning Course Assignments

    List of Current Course Objectives

    Assignment

    Date Due

    Self-Assessment:

    Programmatic Domains & Competencies

    (see Appendix A)

    Self-Assessment:

    GCU RN-to-BSN

    University Mission Critical Competencies

     (see Appendix A)

    Date

    Assignment

    Completed

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty.

    Preceptors will sign upon initial receipt and at the end of the course to confirm that assignments have been complete with your guidance.

     

    Student Signature

    Name:

     

    Date:

     

    Preceptor Signature [Upon Initiation of Course]

    Name:

     

    Date:

     

    Preceptor Signature [Upon Completion of Course]

    Name:

     

    Date:

     

     

    APPENDIX A:

    GCU RN-to-BSN Domains & Competencies

    University’s Mission Critical Competencies

    How does this Individual Success Plan support the GCU Mission?

    MC1: Effective Communication:
    Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.

    MC2: Critical Thinking:
    Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.

    MC3: Christian Worldview:
    Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.

    MC4:

    Global Awareness, Perspectives, and Ethics:
    The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice.

    MC5: Leadership:
    Students are required to develop skills and knowledge associated with their professional role. Courses require students to develop self-leadership skills such as time management, setting priorities, self-control, and evaluation of their abilities and performance.

     

    Domains and Competencies

    How does this Individual Success Plan support the Program Domains and Competencies?

    Domain 1: Professional Role

    Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.

    Competencies:

    1.1:
          Exemplify professionalism in diverse health care settings.

    1.2:
          Manage patient care within the changing environment of the health care system.

    1.3:
          Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

    1.4:
          Participate in health care policy development to influence nursing practice and health care.

    1.5:
          Advocate for autonomy and social justice for individuals and diverse populations.

     

    Domain 2: Theoretical Foundations of Nursing Practice

    Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice.

    Competencies:

    2.1:
          Incorporate liberal arts and science studies into nursing knowledge.

    2.2:
          Comprehend nursing concepts and health theories.

    2.3:
          Understand and value the processes of critical thinking, ethical reasoning, and decision making.

    Domain 3: Nursing Practice

    Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.

    Competencies:

    3.1:
          Utilize the nursing process to provide safe and effective care for patients across the lifespan

    3.2:
          Implement patient care decisions based on evidence-based practice.

    3.3:
          Provide individualized education to diverse patient populations in a variety of health care settings.

    3.4:
          Demonstrate professional standards of practice.

    Domain 4: Communication/Informatics

    Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.

    Competencies:

    4.1:
          Utilize patient care technology and information management systems.

    4.2:
          Communicate therapeutically with patients.

    4.3:
          Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

    Domain 5: Holistic Patient Care

    Graduates of Grand Canyon University’s RN-BSN program will be able to provide holistic individualized care that is sensitive to cultural and spiritual aspects of the human experience.

    Competencies:

    5.1:
          Understand the human experience across the health-illness continuum.

    5.2:
          Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

    5.3:
          Provide culturally sensitive care.

    5.4:
          Preserve the integrity and human dignity in the care of all patients.

     

     

     

    Practice Experience Conference Form (Pre-Conference)

     

    Pre-/mid-/ and post- conference or evaluation between students, faculty, and preceptors are
    mandatory
    for students enrolled in the RN-BSN Capstone and Practicum course. Conferences may be conducted face-to-face or via synchronous technology.

     

    Overall Course Objectives
    :

    This course provides students the opportunity to integrate what they have learned in the program in a practicum experience. Students are expected to integrate nursing knowledge, knowledge gained throughout the program, leadership, and advanced critical-thinking and problem-solving skills in the development of a comprehensive and professional capstone project change proposal.

     

    Student Specific Objectives:
    Students are responsible for completing all experiences as mandated for program.

     

    A
    pre-conference
    will occur prior to the start of the clinical practice experience. This meeting is intended for the student and preceptor to review course and student-specific learning objectives:  the roles, responsibilities, and expectations of student and preceptor during this practicum experience.  All faculty and preceptor contact information will be given to each party per the student.  Any course or program information requested by the preceptor will be provided by the student. Faculty will review submitted document.

     

    A
    mid-conference/evaluation
    will occur at the mid-point of the course. This meeting is intended for the student, faculty, and preceptor to discuss student progress toward meeting the competencies in the clinical evaluation tool (CET).  Progress toward completing the written capstone project change proposal will also be discussed with faculty recommendations for project development

     

    A
    post-conference/evaluation will
    occur at the end of the practicum experience. This is intended for the student and preceptor to review and evaluate all competencies and validate that all areas are “at meets expectations” prior to progression. Faculty will provide final review and evaluation after conferring with preceptor.

     

    Proposed Practicum Experience (Brief Description of Experience Identified by Student), Practicum goals/objectives reviewed in pre-meeting.

    Preceptor contact information (email or phone): _______________________________________

     

    Preceptor Signature
    : __________________________________                          Date: _______________

     

    Student Signature
    : ____________________________________                         Date: _______________

     

    Review progress towards meeting goals/ objectives with rationales provided to student at mid-term conference.

     

    Preceptor Signature
    : __________________________________                          Date: _______________

     

    Student Signature
    : ____________________________________                         Date: _______________

     

    Review progress towards meeting goals/ objectives with rationales provided to student at end of rotation.

     

    Preceptor Signature
    : __________________________________                          Date: _______________

     

    Student Signature
    : ____________________________________                         Date: _______________

     

     

    Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

    This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

    In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

    New practice approaches

    Interprofessional collaboration

    Health care delivery and clinical systems

    Ethical considerations in health care

    Practices of culturally sensitive care

    Ensuring the integrity of human dignity in the care of all patients

    Population health concerns

    The role of technology in improving health care outcomes

    Health policy

    Leadership and economic models

    Health disparities

    While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

    You are not required to submit this assignment to LopesWrite.

     

    NRS-493 Professional Capstone and Practicum Reflective Journal

    No of Criteria: 
    13
     
    Achievement Levels: 
    5

    Criteria

    Achievement Levels

    Description

    Percentage

    1: Unsatisfactory

    0.00 %

    2: Less Than Satisfactory

    75.00 %

    3: Satisfactory

    79.00 %

    4: Good

    89.00 %

    5: Excellent

    100.00 %

    Group 1

    100.0

    New Practice Approaches

    8.0

    New practice approaches are not present.

    New practice approaches are present, but they are incomplete or otherwise lacking in required detail.

    New practice approaches are present. Some minor details or elements are missing, but the omissions do not impede understanding.

    New practice approaches are present and complete. The submission provides the basic information required.

    New practice approaches are present, complete, and incorporate additional relevant details and critical thinking to engage the reader.

    Interprofessional Collaboration (C4.3)

    8.0

    Interprofessional collaboration information is not present.

    Interprofessional collaboration information is present, but it is incomplete or otherwise lacking in required detail.

    Interprofessional collaboration information is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Interprofessional collaboration information is present and complete. The submission provides the basic information required.

    Interprofessional collaboration information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Health Care Delivery and Clinical Systems

    8.0

    Health care delivery and clinical systems information is not present.

    Health care delivery and clinical systems information is present, but it is incomplete or otherwise lacking in required detail.

    Health care delivery and clinical systems information is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Health care delivery and clinical systems information is present and complete. The submission provides the basic information required.

    Health care delivery and clinical systems information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Ethical Considerations In Health Care (C2.3)

    8.0

    Information regarding ethical considerations in health care is not present.

    Information regarding ethical considerations in health care is present, but it is incomplete or otherwise lacking in required detail.

    Information regarding ethical considerations in health care is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information regarding ethical considerations in health care is present and complete. The submission provides the basic information required.

    Information regarding ethical considerations in health care is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Practice of Culturally Sensitive Care (C5.3)

    8.0

    Information regarding the practice of culturally sensitive care is not present.

    Information regarding the practice of culturally sensitive care is present, but it is incomplete or otherwise lacking in required detail.

    Information regarding the practice of culturally sensitive care is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information regarding the practice of culturally sensitive care is present and complete. The submission provides the basic information required.

    Information regarding the practice of culturally sensitive care is present and complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Preservation of Integrity of Human Dignity in the Care of All Patients (C5.4)

    8.0

    Information regarding the preservation of integrity and human dignity in the care of all patients is not present.

    Information regarding the preservation of integrity and human dignity in the care of all patients is present, but it is incomplete or otherwise lacking in required detail.

    Information regarding the preservation of integrity and human dignity in the care of all patients is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information regarding the preservation of integrity and human dignity in the care of all patients is present and complete. The submission provides the basic information required.

    Information regarding the preservation of integrity and human dignity in the care of all patients is present and complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Population Health Concerns

    8.0

    Information regarding population health concerns is not present.

    Information regarding population health concerns is present, but it is incomplete or otherwise lacking in required detail.

    Information regarding population health concerns is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information regarding population health concerns is present and complete. The submission provides the basic information required.

    Information regarding population health concerns is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Role of Technology in Improving Health Care Outcomes (C4.1)

    8.0

    Information on the role of technology in improving health care outcomes is not present.

    Information on the role of technology in improving health care outcomes is present, but it is incomplete or otherwise lacking in required detail.

    Information on the role of technology in improving health care outcomes is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information on the role of technology in improving health care outcomes is present and complete. The submission provides the basic information required.

    Information on the role of technology in improving health care outcomes is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Health Policy

    8.0

    Health policy information is not present.

    Health policy information is present, but it is incomplete or otherwise lacking in required detail.

    Health policy information is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Health policy information is present and complete. The submission provides the basic information required.

    Health policy information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Leadership and Economic Models

    8.0

    Information on leadership and economic models is not present.

    Information on leadership and economic models is present, but it is incomplete or otherwise lacking in required detail.

    Information on leadership and economic models is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information on leadership and economic models is present and complete. The submission provides the basic information required.

    Information on leadership and economic models is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Health Disparities

    8.0

    Information on health disparities is not present.

    Information on health disparities is present, but it is incomplete or otherwise lacking in required detail.

    Information on health disparities is present Some minor details or elements are missing, but the omissions do not impede understanding.

    Information on health disparities is present and complete. The submission provides the basic information required.

    Information on health disparities is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Outline of Overall Personal Discovery

    8.0

    Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is not present

    Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present, but it is incomplete or otherwise lacking in required detail.

    Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present and complete. The submission provides the basic information required.

    Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present and complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    4.0

    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

    Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

    Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

    Writer is clearly in command of standard, written, academic English.

    Total Percentage  
    100

    In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

    Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

    Write a 500-750 word description of your proposed capstone project topic. Include the following:

    The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.

    The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.

    A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.

    Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.

    Significance of the topic and its implications for nursing practice.

    A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.

    You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

    Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

    You are required to submit this assignment to LopesWrite. Refer to the 
    LopesWrite Technical Support articles
     for assistance.

    RUBRIC

    Attempt Start Date:
     
    25-May-2020 at 12:00:00 AM

    Due Date:
     
    31-May-2020 at 11:59:59 PM

    Maximum Points: 
    60.0

    Topic 2 Rubric: Capstone Project Topic Selection and Approval

    No of Criteria: 
    12
     
    Achievement Levels: 
    5

    Criteria

    Achievement Levels

    Description

    Percentage

    Unsatisfactory

    0.00 %

    Less Than Satisfactory

    75.00 %

    Satisfactory

    79.00 %

    Good

    89.00 %

    Excellent

    100.00 %

    Content

    80.0

    Project Topic for Focus of Change Proposal

    5.0

    The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal is omitted.

    The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal is presented but is largely incomplete.

    The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal is summarized. There are some omissions or inaccuracies. Some support is needed.

    The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal is presented. Minor aspects are unclear or require support.

    The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal is clearly and logically presented. Support and rationale are evident.

    Setting or Context Where Project Topic Is Observed

    10.0

    The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed is omitted.

    The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed is presented but is largely incomplete.

    The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed is summarized. There are some omissions or inaccuracies. Some support is needed.

    The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed is presented. Minor aspects are unclear or require support.

    The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed is logically presented. Support and rationale are evident.

    Detailed Description of Project Topic

    15.0

    A description of the project topic is omitted.

    A description of the project topic is presented but is largely incomplete.

    A description of the project topic is presented. There are some omissions or inaccuracies. Some support is needed.

    A description of the project topic is presented. Minor aspects are unclear or require support.

    A detailed description of the project topic is clearly and logically presented. Support and rationale are evident.

    Effect of Identified Problem or Issue

    15.0

    Effect of the identified problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project is omitted.

    Effect of the identified problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project is presented but is largely incomplete.

    Effect of the identified problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project is summarized. There are some omissions or inaccuracies. Some support is needed.

    Effect of the identified problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project is presented. Minor aspects are unclear or require support.

    Effect of the identified problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project is clearly and logically presented. Support and rationale are evident.

    Topic Significance and Implications for Nursing Practice

    15.0

    Significance of topic and its implications for nursing practice is omitted.

    Topic is presented but criteria are incomplete.

    Topic and most criteria are presented. There are some omissions or inaccuracies. Some support is needed.

    Topic and criteria are presented. Minor aspects are unclear or require support.

    Topic and criteria are clearly and logically presented. Support and rationale are evident.

    Proposed Solution for Identified Project Topic and Implications for Nursing Practice

    15.0

    A proposed solution to the identified project topic with an explanation of how it will affect nursing practice is omitted.

    Topic is presented but criteria are incomplete.

    Topic and most criteria are presented. There are some omissions or inaccuracies. Some support is needed.

    Topic and criteria are presented. Minor aspects are unclear or require support.

    Topic and criteria are clearly and logically presented. Support and rationale are evident.

    Peer-Reviewed Articles

    5.0

    Fewer than six peer-reviewed articles are presented.

    Fewer than seven peer-reviewed articles are presented. Overall, only five articles meet the assignment criteria.

    Eight peer-reviewed articles are presented. Overall, only six articles meet the assignment criteria.

    Eight peer-reviewed articles are presented. Overall, only seven articles meet the assignment criteria.

    Eight peer-reviewed articles are presented, and each article clearly meets the assignment criteria.

    Organization, Effectiveness, and Format

    20.0

    Thesis Development and Purpose

    5.0

    Paper lacks any discernible overall purpose or organizing claim.

    Thesis is insufficiently developed or vague. Purpose is not clear.

    Thesis is apparent and appropriate to purpose.

    Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

    Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

    Argument Logic and Construction

    5.0

    Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

    Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

    Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

    Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

    Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

    Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    5.0

    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

    Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

    Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

    Writer is clearly in command of standard, written, academic English.

    Paper Format (use of appropriate style for the major and assignment)

    2.0

    Template is not used appropriately, or documentation format is rarely followed correctly.

    Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

    Template is used, and formatting is correct, although some minor errors may be present.

    Template is fully used; There are virtually no errors in formatting style.

    All format elements are correct.

    Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

    3.0

    Sources are not documented.

    Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

    Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

    Sources are documented, as appropriate to assignment and style, and format is mostly correct.

    Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

    Total Percentage  
    100

  • USW1_NURS_6050_Global Health Comparison Grid Template

    Global Health Comparison

    Grid Template

    Global Health Comparison Grid Template

     

    Use this document to complete the Module 6 Assessment
    Global Healthcare Comparison Matrix and Narrative Statement

     

     

     

    Global Healthcare Issue

     

     

    Description

     

     

     

    Country

    United States

     

     

    Describe the policy in each country related to the identified healthcare issue

     

     

     

     

     

     

     

     

     

     

    What are the strengths of this policy?

     

     

     

     

     

     

     

     

     

     

     

    What are the weaknesses of this policy?

     

     

     

     

     

     

     

     

     

     

     

     

    Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)

     

     

     

    How has each country’ government addressed cost, quality, and access to the selected global health issue?

     

     

     

     

     

     

     

     

     

     

     

     

    How has the identified health policy impacted the health of the global population? (Be specific and provide examples)

     

     

     

     

     

     

     

     

     

     

     

    Describe the potential impact of the identified health policy on the role of nurse in each country.

     

     

     

     

     

     

     

     

     

     

     

    Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples)

     

     

     

     

     

     

     

     

     

     

     

     

     

    General Notes/Comments

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    USW1_NURS_6050_Global Health Comparison Grid Template

  • NRS-493 Professional Capstone and Practicum Reflective Journal

    Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

    This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

    In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

    New practice approaches

    Interprofessional collaboration

    Health care delivery and clinical systems

    Ethical considerations in health care

    Practices of culturally sensitive care

    Ensuring the integrity of human dignity in the care of all patients

    Population health concerns

    The role of technology in improving health care outcomes

    Health policy

    Leadership and economic models

    Health disparities

    While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

    You are not required to submit this assignment to LopesWrite.

     

    NRS-493 Professional Capstone and Practicum Reflective Journal

    No of Criteria: 
    13
     
    Achievement Levels: 
    5

    Criteria

    Achievement Levels

    Description

    Percentage

    1: Unsatisfactory

    0.00 %

    2: Less Than Satisfactory

    75.00 %

    3: Satisfactory

    79.00 %

    4: Good

    89.00 %

    5: Excellent

    100.00 %

    Group 1

    100.0

    New Practice Approaches

    8.0

    New practice approaches are not present.

    New practice approaches are present, but they are incomplete or otherwise lacking in required detail.

    New practice approaches are present. Some minor details or elements are missing, but the omissions do not impede understanding.

    New practice approaches are present and complete. The submission provides the basic information required.

    New practice approaches are present, complete, and incorporate additional relevant details and critical thinking to engage the reader.

    Interprofessional Collaboration (C4.3)

    8.0

    Interprofessional collaboration information is not present.

    Interprofessional collaboration information is present, but it is incomplete or otherwise lacking in required detail.

    Interprofessional collaboration information is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Interprofessional collaboration information is present and complete. The submission provides the basic information required.

    Interprofessional collaboration information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Health Care Delivery and Clinical Systems

    8.0

    Health care delivery and clinical systems information is not present.

    Health care delivery and clinical systems information is present, but it is incomplete or otherwise lacking in required detail.

    Health care delivery and clinical systems information is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Health care delivery and clinical systems information is present and complete. The submission provides the basic information required.

    Health care delivery and clinical systems information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Ethical Considerations In Health Care (C2.3)

    8.0

    Information regarding ethical considerations in health care is not present.

    Information regarding ethical considerations in health care is present, but it is incomplete or otherwise lacking in required detail.

    Information regarding ethical considerations in health care is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information regarding ethical considerations in health care is present and complete. The submission provides the basic information required.

    Information regarding ethical considerations in health care is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Practice of Culturally Sensitive Care (C5.3)

    8.0

    Information regarding the practice of culturally sensitive care is not present.

    Information regarding the practice of culturally sensitive care is present, but it is incomplete or otherwise lacking in required detail.

    Information regarding the practice of culturally sensitive care is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information regarding the practice of culturally sensitive care is present and complete. The submission provides the basic information required.

    Information regarding the practice of culturally sensitive care is present and complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Preservation of Integrity of Human Dignity in the Care of All Patients (C5.4)

    8.0

    Information regarding the preservation of integrity and human dignity in the care of all patients is not present.

    Information regarding the preservation of integrity and human dignity in the care of all patients is present, but it is incomplete or otherwise lacking in required detail.

    Information regarding the preservation of integrity and human dignity in the care of all patients is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information regarding the preservation of integrity and human dignity in the care of all patients is present and complete. The submission provides the basic information required.

    Information regarding the preservation of integrity and human dignity in the care of all patients is present and complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Population Health Concerns

    8.0

    Information regarding population health concerns is not present.

    Information regarding population health concerns is present, but it is incomplete or otherwise lacking in required detail.

    Information regarding population health concerns is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information regarding population health concerns is present and complete. The submission provides the basic information required.

    Information regarding population health concerns is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Role of Technology in Improving Health Care Outcomes (C4.1)

    8.0

    Information on the role of technology in improving health care outcomes is not present.

    Information on the role of technology in improving health care outcomes is present, but it is incomplete or otherwise lacking in required detail.

    Information on the role of technology in improving health care outcomes is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information on the role of technology in improving health care outcomes is present and complete. The submission provides the basic information required.

    Information on the role of technology in improving health care outcomes is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Health Policy

    8.0

    Health policy information is not present.

    Health policy information is present, but it is incomplete or otherwise lacking in required detail.

    Health policy information is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Health policy information is present and complete. The submission provides the basic information required.

    Health policy information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Leadership and Economic Models

    8.0

    Information on leadership and economic models is not present.

    Information on leadership and economic models is present, but it is incomplete or otherwise lacking in required detail.

    Information on leadership and economic models is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Information on leadership and economic models is present and complete. The submission provides the basic information required.

    Information on leadership and economic models is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Health Disparities

    8.0

    Information on health disparities is not present.

    Information on health disparities is present, but it is incomplete or otherwise lacking in required detail.

    Information on health disparities is present Some minor details or elements are missing, but the omissions do not impede understanding.

    Information on health disparities is present and complete. The submission provides the basic information required.

    Information on health disparities is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Outline of Overall Personal Discovery

    8.0

    Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is not present

    Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present, but it is incomplete or otherwise lacking in required detail.

    Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present. Some minor details or elements are missing, but the omissions do not impede understanding.

    Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present and complete. The submission provides the basic information required.

    Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present and complete, and incorporates additional relevant details and critical thinking to engage the reader.

    Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    4.0

    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

    Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

    Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

    Writer is clearly in command of standard, written, academic English.

    Total Percentage  
    100

  • NURS_6050 Healthcare Program/Policy Evaluation Analysis Template

    Healthcare Program/Policy Evaluation Analysis  

    Template

    Healthcare Program/Policy Evaluation Analysis Template

     

    Use this document to complete the Module 5 Assessment
    Assessing a Healthcare Program/Policy Evaluation

     

     

     

    Healthcare Program/Policy Evaluation

     

     

    Description

     

     

     

    How was the success of the program or policy measured?

     

     

     

     

     

     

     

     

     

     

    How many people were reached by the program or policy selected? How much of an impact was realized with the program or policy selected?

     

     

     

     

     

     

     

     

     

     

     

    What data was used to conduct the program or policy evaluation?

     

     

     

     

     

     

     

     

     

     

     

     

    What specific information on unintended consequences were identified?

     

     

    What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.

     

     

     

     

     

     

     

     

     

     

     

     

    Did the program or policy meet the original intent and objectives? Why or why not?

     

     

     

     

     

     

     

     

     

     

     

    Would you recommend implementing this program or policy in your place of work? Why or why not?

     

     

     

     

     

     

     

     

     

     

     

    Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after one year of implementation.

     

     

     

     

     

     

     

     

     

     

     

     

     

    General Notes/Comments

     

     

     

     

     

     

     

     

     

     

     

     

     

    USW1_NURS_6050_Healthcare Program-Policy Evaluation Analysis Template

  • NRS-493 Capstone Change Project Topics

    Work with your preceptor to perform a needs assessment of the organization and community for your practicum. Review the needs assessment to identify possible project topics. In preparation for the capstone change project proposal, compile a list of three to five possible topics for your project and submit to the assignment instructor in LoudCloud.

    You are not required to submit this assignment to LopesWrite.

  • NRS 493 – Practice Experience Conference (Pre-Conference)

    Practice Experience Conference Form (Pre-Conference)

     

    Pre-/mid-/ and post- conference or evaluation between students, faculty, and preceptors are
    mandatory
    for students enrolled in the RN-BSN Capstone and Practicum course. Conferences may be conducted face-to-face or via synchronous technology.

     

    Overall Course Objectives
    :

    This course provides students the opportunity to integrate what they have learned in the program in a practicum experience. Students are expected to integrate nursing knowledge, knowledge gained throughout the program, leadership, and advanced critical-thinking and problem-solving skills in the development of a comprehensive and professional capstone project change proposal.

     

    Student Specific Objectives:
    Students are responsible for completing all experiences as mandated for program.

     

    A
    pre-conference
    will occur prior to the start of the clinical practice experience. This meeting is intended for the student and preceptor to review course and student-specific learning objectives:  the roles, responsibilities, and expectations of student and preceptor during this practicum experience.  All faculty and preceptor contact information will be given to each party per the student.  Any course or program information requested by the preceptor will be provided by the student. Faculty will review submitted document.

     

    A
    mid-conference/evaluation
    will occur at the mid-point of the course. This meeting is intended for the student, faculty, and preceptor to discuss student progress toward meeting the competencies in the clinical evaluation tool (CET).  Progress toward completing the written capstone project change proposal will also be discussed with faculty recommendations for project development

     

    A
    post-conference/evaluation will
    occur at the end of the practicum experience. This is intended for the student and preceptor to review and evaluate all competencies and validate that all areas are “at meets expectations” prior to progression. Faculty will provide final review and evaluation after conferring with preceptor.

     

    Proposed Practicum Experience (Brief Description of Experience Identified by Student), Practicum goals/objectives reviewed in pre-meeting.

    Preceptor contact information (email or phone): _______________________________________

     

    Preceptor Signature
    : __________________________________                          Date: _______________

     

    Student Signature
    : ____________________________________                         Date: _______________

     

    Review progress towards meeting goals/ objectives with rationales provided to student at mid-term conference.

     

    Preceptor Signature
    : __________________________________                          Date: _______________

     

    Student Signature
    : ____________________________________                         Date: _______________

     

    Review progress towards meeting goals/ objectives with rationales provided to student at end of rotation.

     

    Preceptor Signature
    : __________________________________                          Date: _______________

     

    Student Signature
    : ____________________________________                         Date: _______________

  • NRS 493 – Individual Success Plan (ISP)

    Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of

    The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours.

    Completion of work associated with program competencies.

    Work associated with completion of the student’s capstone project change proposal.

    Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.

    Student expectations and instructions for completing the ISP document are provided in the “NRS-493 Individual Success Plan” resource, located in the Study Materials and in the assignment instructions.

    Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

    After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP.

    You are not required to submit this assignment to LopesWrite.

     

    NRS-493 Individual Success Plan

    REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours.

    P

    R

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    Complete Contact Information

    Student Information

    GCU

    Name:

     

    E-mail:

     

     

    Phone Number:

     

     

    Course Faculty Information

    GCU

    Name:

     

    E-mail:

     

     

    Phone Number:

     

     

    Practicum Preceptor Information

    Practice Setting

    Name:

     

    E-mail:

     

     

    Phone Number:

     

     

     

     

     

    ISP Instructions

    Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish.

    In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect clinical practice hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A).

    General Requirements

    Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:

    Use the Individual Success Plan
    to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies
    and
    the Programmatic Domains & Competencies (Appendix A) related to that course.

    Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A).

    Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time, or time spent with your preceptor.

    Within the Individual Success Plan,
    ensure you identify all graded course assignments and indirect clinical assignments listed in the table on the next page.

     

     

     

     

     

     

    Topic

    Graded Assignment

    Indirect Clinical Assignments

    Topic 1

    1.      Individual Success Plan

    2.      Reflection Journal Entry

    1.      List of potential topics for the change proposal

    Topic 2

    1.      Topic Selection Approval Paper

    2.      Reflection Journal Entry

    1.      Search the literature for supporting journal articles

    2.      Summary of topic category; community or leadership

    Topic 3

    1.      PICOT Question Paper

    2.      Reflection Journal Entry

    1.      List of objectives

    Topic 4

    1.      Literature Evaluation Table

    2.      Reflection Journal Entry

    1.      List of measurable outcomes

    Topic 5

    1.      Reflection Journal Entry

    1.      Summary of the strategic plan

    2.      Midterm Evaluation Tool

    Topic 6

    1.      Literature Review Table

    2.      Reflection Journal Entry

    1.      List of resources

    Topic 7

    1.      Reflection Journal Entry

    1.      Summary of the evaluation plan

    2.      Remediation-if required

    Topic 8

    1.      Benchmark Written Capstone Project Change Proposal

    2.      Reflection Journal Entry

     

    Topic 9

    1.      Reflection Journal Entry

    1.      Professional Presentation

    Topic 10

    1.      Finalized ISP

    2.      Scholarly Activity Summary

    3.      Benchmark-Reflection Journal Summary

    1.      Summary of presentation

    2.      Final Clinical Evaluation Tool

    3.      Practice Clinical Evaluation Tool-Agency

    4.      Practice Clinical Evaluation Tool-Preceptor

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Application-based Learning Course Assignments

    List of Current Course Objectives

    Assignment

    Date Due

    Self-Assessment:

    Programmatic Domains & Competencies

    (see Appendix A)

    Self-Assessment:

    GCU RN-to-BSN

    University Mission Critical Competencies

     (see Appendix A)

    Date

    Assignment

    Completed

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty.

    Preceptors will sign upon initial receipt and at the end of the course to confirm that assignments have been complete with your guidance.

     

    Student Signature

    Name:

     

    Date:

     

    Preceptor Signature [Upon Initiation of Course]

    Name:

     

    Date:

     

    Preceptor Signature [Upon Completion of Course]

    Name:

     

    Date:

     

     

    APPENDIX A:

    GCU RN-to-BSN Domains & Competencies

    University’s Mission Critical Competencies

    How does this Individual Success Plan support the GCU Mission?

    MC1: Effective Communication:
    Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.

    MC2: Critical Thinking:
    Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.

    MC3: Christian Worldview:
    Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.

    MC4:

    Global Awareness, Perspectives, and Ethics:
    The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice.

    MC5: Leadership:
    Students are required to develop skills and knowledge associated with their professional role. Courses require students to develop self-leadership skills such as time management, setting priorities, self-control, and evaluation of their abilities and performance.

     

    Domains and Competencies

    How does this Individual Success Plan support the Program Domains and Competencies?

    Domain 1: Professional Role

    Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.

    Competencies:

    1.1:
          Exemplify professionalism in diverse health care settings.

    1.2:
          Manage patient care within the changing environment of the health care system.

    1.3:
          Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

    1.4:
          Participate in health care policy development to influence nursing practice and health care.

    1.5:
          Advocate for autonomy and social justice for individuals and diverse populations.

     

    Domain 2: Theoretical Foundations of Nursing Practice

    Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice.

    Competencies:

    2.1:
          Incorporate liberal arts and science studies into nursing knowledge.

    2.2:
          Comprehend nursing concepts and health theories.

    2.3:
          Understand and value the processes of critical thinking, ethical reasoning, and decision making.

    Domain 3: Nursing Practice

    Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.

    Competencies:

    3.1:
          Utilize the nursing process to provide safe and effective care for patients across the lifespan

    3.2:
          Implement patient care decisions based on evidence-based practice.

    3.3:
          Provide individualized education to diverse patient populations in a variety of health care settings.

    3.4:
          Demonstrate professional standards of practice.

    Domain 4: Communication/Informatics

    Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.

    Competencies:

    4.1:
          Utilize patient care technology and information management systems.

    4.2:
          Communicate therapeutically with patients.

    4.3:
          Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

    Domain 5: Holistic Patient Care

    Graduates of Grand Canyon University’s RN-BSN program will be able to provide holistic individualized care that is sensitive to cultural and spiritual aspects of the human experience.

    Competencies:

    5.1:
          Understand the human experience across the health-illness continuum.

    5.2:
          Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

    5.3:
          Provide culturally sensitive care.

    5.4:
          Preserve the integrity and human dignity in the care of all patients.

  • PICOT Question Paper

    Reducing Infections in the Dialysis Department

    The PICOT Question

    For patients undergoing dialysis at the dialysis department (P),  can optimization of nursing infection preventive measures through direct supervision and step wise check-list use during and after dialysis (I) compared to the practices (absence of step-wise checklist use) (C) reduce the number of infections to the lowest cases possible and by at least 50%   (O) over a period of nine weeks (T)?.

    Dialysis Related BSIs and Evidence Based Solutions

    Center for Disease control (CDC), through research and evaluation has come up with interventions, auditing tools and checklists for use in BSI infection prevention (CDC, 2020). Strict implementation and adherence of such interventions and protocols have been shown to be a solution to BSIs. These interventions reduce infection rates by 20-50% (Fisher, 2020). Lee et al (2018) discovered that the main causative problem of BSIs was inconsistent hemodialysis tunneled catheter care (HTC) protocol in the dialysis units, lack of standardized audits for the protocols and lack of patient education. Through proper implementation of infection control protocols such as ‘scrub the hub’ protocols, standardized audits, nurse and patient education, infections were reduced by up to 50% (Lee K. G., 2018). Another investigation applied strict implementations of the aseptic techniques and sterile dressing coupled with nurses training and patient education towards infection control. This resulted to more than 50% infection reduction in a 24-chair dialysis unit within a month (Hoffman, 2018).

    Dialysis Related BSIs and Nursing Interventions

    The CDC in conjunction with the American Society of Nephrology’s Nephrologists Transforming Dialysis Safety Initiative came up with interventions which are considered the gold standard preventive measures for BSIs. When implemented strictly, nurses can optimally prevent BSIs. This study aims at carrying out full implementation of these interventions. These interventions include; hand hygiene, catheter exit-connection and disconnection using aseptic technique and antiseptic use, catheter lumen and hub care and the assessment of these techniques every three months with nursing staff training and audits. Other nursing interventions include early patient referral to nephrologists, more specialized teams, and vascular access coordinators, implantation of early-stick grafts and early peritoneal dialysis  (Fisher, 2020).

    Dialysis Related BSIs and
    Patient Care

    Patient care before, during and post-dialysis is key in infection prevention. Prior to vascular access, it is important to remove any restrictive jewelry and clothes from the patient’s arm. Other clinicians should be informed so as to avoid procedures such as blood pressure measurements and venipunctures on the same arm. When examining the patient, nurses should always disinfect their hands and put on gloves as an infection preventive measure. The vascular access should be checked for patency and smooth blood flow at least three times daily (Rushing, 2019).

    Post dialysis, the patient should be moved in a manner that will avoid any trauma or pressure on the arm. The vascular access should be checked on a daily basis for signs of infection such as swelling, tenderness, open sores and purulent discharge. Patent education on self-care and infection prevention is paramount and this is the responsibility of his/her nurse. Patient self-care is key in preventing infections associated with dialysis and proper practice effectively reduces infections (Rushing, 2019)

    Health Care Agency Involved in BSI Prevention

    CDC in collaboration with the National Safety Healthcare Network (NHSN) developed a surveillance and feedback platform for data sharing and comparisons from different facilities in the US. This plays a role in informing policy making towards mitigation methods (CDC, 2020). Agency for Healthcare Research and Quality also provides support to researches and facilities aiming at reducing BSIs (AHRQ, 2020).

    BSIs and Nursing Practice

    Dialysis associated BSIs is a significant issue in nursing practice. In the US, BSIs arise mainly due to the failure to strictly implement and stick to the nursing protocols put in place for dialysis infection control. This largely depends on nurses and can be solved through strict nursing practice, regulations and standardized audits in dialysis units. This will lead to reduced infections, reduced hospitalizations, better clinical outcomes and reduced hospital bill burdens to patients (Fisher, 2020).

    References

    AHRQ
    . (2020, June 08). Retrieved from https://www.ahrq.gov/patient-safety/settings/esrd/resource/clinicalcare.html

    CDC
    . (2020, June 07). Retrieved from https://www.cdc.gov/dialysis/prevention-tools/audit-tools.html

    Fisher, M. G. (2020). Prevention of Bloodstream Infections in Patients Undergoing Hemodialysis. .
    Clinical Journal of the American Society of Nephrology
    , 132-151.

    Hoffman, S. (2018). Reducing Blood Stream Infections from Tunneled Dialysis Catheters. . .
    Nephrology Nursing Journal.

    Lee, K. G. (2018). Reducing tunneled catheter-related infection in hemodialysis patients with nationwide standardization of catheter care protocol.
    The journal of vascular access
    , 110-111.

    Lee, K. G. (2018). Reducing tunneled catheter-related infection in hemodialysis patients with nationwide standardization of catheter care protocol. .
    The journal of vascular access
    , 110-111.

    Rushing, J. (2019). Caring for a patient’s vascular access for hemodialysis, .
    Nursing Management
    , 47.

     

    Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

    The PICOT question will provide a framework for your capstone project change proposal.

    In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

    Describe the problem in the PICOT question as it relates to the following:

    Evidence-based solution

    Nursing intervention

    Patient care

    Health care agency

    Nursing practice

    Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

    You are required to submit this assignment to LopesWrite. Refer to the 
    LopesWrite Technical Support articles
     for assistance.

     

    PICOT Question Paper

    No of Criteria: 
    9
     
    Achievement Levels: 
    5

    Criteria

    Achievement Levels

    Description

    Percentage

    Unsatisfactory

    0.00 %

    Less Than Satisfactory

    75.00 %

    Satisfactory

    79.00 %

    Good

    89.00 %

    Excellent

    100.00 %

    Content

    80.0

    PICOT Question

    20.0

    A PICOT question is not presented.

    An incomplete PICOT question is presented. The PICOT does not follow the correct format.

    A PICOT question is presented. The PICOT generally follows the correct format.

    A PICOT question is presented. Some detail is needed for clarity.

    A PICOT question is presented and provides a clear framework for the capstone project change proposal.

    Nursing Intervention

    20.0

    The intervention and comparison are omitted

    The intervention used to address the problem is not based on a nursing practice intervention. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are omitted.

    A nursing intervention used to address the problem is presented. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are summarized. Some information is needed. There are minor inaccuracies.

    A nursing intervention used to address the problem is presented. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are discussed.

    A nursing intervention used to address the problem is clearly presented. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are thoroughly discussed.

    Clinical Problem and Patient Outcome

    20.0

    The clinical problem and how it can result in a positive patient outcome are omitted.

    The clinical problem and how it can result in a positive patient outcome are incomplete.

    The clinical problem and how it can result in a positive patient outcome are summarized. More information and rationale are needed.

    The clinical problem and how it can result in a positive patient outcome are presented. Some minor detail is needed for clarity.

    The clinical problem and how it can result in a positive patient outcome are thoroughly discussed. Strong rationale is offered for support.

    PICOT Problem

    20.0

    The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is omitted.

    The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is incomplete.

    The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is summarized. More information and rationale are needed.

    The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is described. Some minor detail is needed for clarity.

    The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is described. Some minor detail is needed for clarity.

    Organization, Effectiveness, and Format

    20.0

    Thesis Development and Purpose

    5.0

    Paper lacks any discernible overall purpose or organizing claim.

    Thesis is insufficiently developed or vague. Purpose is not clear.

    Thesis is apparent and appropriate to purpose.

    Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

    Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

    Argument Logic and Construction

    5.0

    Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

    Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

    Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

    Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

    Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

    Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    5.0

    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

    Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

    Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

    Writer is clearly in command of standard, written, academic English.

    Paper Format (use of appropriate style for the major and assignment)

    2.0

    Template is not used appropriately, or documentation format is rarely followed correctly.

    Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

    Template is used, and formatting is correct, although some minor errors may be present.

    Template is fully used; There are virtually no errors in formatting style.

    All format elements are correct.

    Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

    3.0

    Sources are not documented.

    Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

    Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

    Sources are documented, as appropriate to assignment and style, and format is mostly correct.

    Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

    Total Percentage  
    100

    PICOT question

               
    Any patient that answers yes to current smoker during a physical with their primary care physician will receive educational information from nursing staff on ways to quit smoking and resources to help them quit smoking to see if they are able to become and stay a non-smoker for 6 months versus how many patients become non-smokers with no interventions from nursing staff.

    Evidence-based Solution

               
    There is not enough easily accessible education for patients in regards to smoking cessation. Currently there is no information provided to patients when they answer yes to being a current smoker. Not only would there be tips available to help quit smoking but also additional resources. “Many people find support groups and hotlines helpful when quitting tobacco” (American Heart Association, 2020). There will also be information available on the dangers of smoking. This is important to share with patients as per The World Health Organization it is the cause for 7 million deaths annually (McWilliams, et al., 2019, p.1059).

    Nursing Intervention

               
    The nursing intervention will be completed by nursing staff within the clinical environment. When a patient answers yes to being a current smoker, the nursing staff will then provide the patient with education and resources to help them quit smoking. This should only take 3-5 minutes and the patient can take the pamphlet home with them. The pamphlet will include how to contact nursing staff with additional questions or support for the patient to use as needed.

    Patient Care

               
    This pamphlet will provide information on ways to quit smoking without the use of medication for patients. It will also provide resources for additional information available online. It will also allow patients to have access to nursing staff to ask questions and provide additional support.

    Health Care Agency

               
    The health care agency this program will assist is ProHealth Care Medical Group. There are generally classes offered from ProHealth Care but unfortunately due to COVID all classes are cancelled and there is no information online about what classes were previously offered to determine if smoking cessation classes were previously offered. This organization has 12 locations that offer family practice and/or primary care services. Once this project is complete this pamphlet for smoking cessation education can be used at all of the 12 locations.

    Nursing Practice

    Providing education to patients is a nurse’s duty. Having information available to assist the education can be beneficial to the nurse and the patient. The patient may have additional questions outside of the patient information pamphlet, if the nurse is unable to provide the patient an answer at that point, they can inform the patient they will find the answer, and call them at a later time. Providing the pamphlet ensures that all patients are getting the same information, as well as resources to use to help them with their smoking cessation.

     

     

     

     

     

    References

    American Heart Association. (2020). Help! I want to quit smoking. Retrieved from https://www.heart.org/en/healthy-living/healthy-lifestyle/quit-smoking-tobacco/help-i-want-to-quit-smoking

    McWilliams, L., Bellhouse, S., Yorke, J., Lloyd, K., & Armitage, C. J. (2019). Beyond “planning”: A meta-analysis of implementation intentions to support smoking cessation.
    Health Psychology
    , 38(12), 1059–1068. https://doi-org.lopes.idm.oclc.org/10.1037/hea0000768.supp

    ProHealth Care. (2020). Medical services. Retrieved from www.prohealthcare.com