Professional Capstone and Practicum Reflective Journal
Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.
The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:
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
Interaction Between Nurse Informaticists and Other Specialists
APA format. 350 words. Scholars authors only. Please see references. Please read All instructions. Please ask questions if needed.
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
References
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)
American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/
Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf
Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/
Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf
Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.
Note: You will access this article from the Walden Library databases.
Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs
Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.
Note: You will access this article from the Walden Library databases.
Required Media
Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html
Public Health Informatics Institute. (2017). Public Health Informatics: “shipping” information for better health [Video file]. Retrieved from https://www.youtube.com/watch?v=q1gNQ9dm0zg.
Public Health Informatics Institute. (2017). Public Health Informatics: knowledge “architecture” [Video file]. Retrieved from https://www.youtube.com/watch?v=sofmUeQkMLU
Discussion
Write a 5-7 page recommendation to senior leadership about steps the organization needs to take to resolve a patient safety issue that occurred. Include an explanation of why it is important to address the issue and the role the patient safety officer will play in helping to resolve the issue.
Alarming numbers of unnecessary patient deaths occur in U.S. hospitals and around the world. ""Quality and patient safety in health care have been on the forefront of the public's mind since the publication of the Institute of Medicine's (IOM) seminal report, 'To Err Is Human,' in 1999"" (Johnson, Haskell, & Barach, 2016, pg. xv). The literature supports revising systems and processes in an effort to narrow the difficult safety and quality gaps. Worldwide, issues of patient safety and patient-centered quality care drive health care reform. Current approaches are not adequate; patients remain at risk for needless harm.
Demonstrating a firm understanding of the various components of patient safety is fundamental to understanding health care quality, risk management, and patient safety overall.
For this first assessment, you will assume the role of a patient safety officer at your local hospital. You will analyze a patient safety issue that occurred and then prepare a five- to seven-page recommendation for senior leaders about why it is important to address the issue, along with your recommendations about how to address it. You will also need to detail the role you as the patient safety officer will play in helping the organization resolve the issue.
Reference
Johnson, J. K., Haskell, H. W., & Barach, P. R. (2016). Case studies in patient safety. Burlington, MA: Jones & Bartlett Learning.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Analyze the quality and performance improvement activities within the health care organization.
Recommend evidence-based best practice tools and techniques to reduce or eliminate patient safety threats.
Competency 3: Analyze the importance of patient safety in health care.
Apply the health care safety imperative to a patient safety issue.
Evaluate the risk to patients, employees, and the organization if patient safety threats are not addressed.
Analyze regulatory agencies' role and impact on organizations' patient safety programs.
Competency 4: Apply leadership strategies to quality improvement in a health care organization.
Analyze the patient safety officer's role in implementing patient safety plans.
Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
Write a clear, persuasive, organized recommendation plan that is generally free of errors and is reflective of professional communication in the health care field.
Provide citations and title and reference pages that conform to APA style and format.
Preparation
To help prepare for successfully completing this assessment:
From the Vila Health: Patient Safety simulation activity that interests you the most for further analysis in your assessment:
HIPAA/Privacy Violation.
Instructions
For the scenario you selected, write a five- to seven-page recommendation for leadership that describes the safety threat, the importance of addressing the threat, and your recommendations for resolving it. Be sure to include all of these headings in your paper and to address all of the bullets underneath each heading:
Potential threat to patient safety:
Identify the issue you selected from the simulation activity as the potential safety threat.
Describe the issue that occurred with sufficient detail so that leadership has a clear understanding of what happened.
Implications of not addressing threat:
Evaluate the risk to the organization if this issue is not addressed. In your evaluation, be sure to address all of the following:
What does the health care safety imperative say about the issue?
How does the health care safety imperative apply in this case?
Which regulatory agency(ies) have oversight about the issue?
What specifically do the regulation(s) state about the issue? For example, you might consider the Joint Commission's national patient safety goals.
What impact do regulatory agencies have on organizations' patient safety programs?
How do health care organizations incorporate regulatory agencies' guidance when establishing reporting and investigation best practices?
If the hospital fails to correct the threat, what are the potential consequences to patients, employees, and to the organization?
Patient safety officer's role in effective implementation of patient safety plans:
Explain the role patient safety officers assume in implementing patient safety plans in health care organizations.
Clarify your responsibility and role as the patient safety officer in this specific instance.
Provide one example from the literature to illustrate your points.
Recommendations to reduce patient safety threat:
Describe your five-point plan to reduce or eliminate this patient safety threat.
What best practice tools or techniques does your plan include to reduce or eliminate these types of errors? Consider processes for responding, rounding, detecting, incident reporting, operational considerations, et cetera.
In a health care professional setting, recommendations to leadership would typically not be in APA format. As a result, your paper does not need to conform to APA format and style guidelines. It does, however, need to be clear, persuasive, organized, and well written without spelling, grammar, and/or punctuation errors. In addition, recommendations you write in a professional setting would be single-spaced. For the purpose of this assessment, however, please use double-spacing.
Also, health care is an evidence-based field. Your senior leaders will want to know the sources of your information, so be sure to include at least two peer-reviewed sources. You may use the suggested resources for this assessment. Your citations and references do need to conform to APA guidelines.
Additional Requirements
Length: Your recommendation will be 5–7 double-spaced pages, not including title and reference pages.
Font: Times New Roman, 12-point.
APA Format: Your title and reference pages need to conform to APA format and style guidelines. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines.
Scoring Guide: Please review this assessment’s scoring guide to ensure you understand how your faculty member will evaluate your work.
The Impact of Ethnicity on Antidepressant Therapy
Provide the case number in the subject line of the Discussion thread.
List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?
If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations
ZERO PLAGIARISM
Please pay attention to the case study
Mental health nursing in the community
A Mental Health Concern - and the Patient or Community - for your project.
A brief history of the patient including diagnoses and medications - or a brief description of the community issue.
Any substance abuse, addiction or violence issues surrounding this mental health problem. Describe the attempted interventions that have been made for your patient or community, and identify what has been successful and what has not. Submit a rough draft of information gathered so far.
Describe your thoughts regarding your patient's or community's mental health issue. Are there any cognitive concerns? Think about interventions that may be helpful. Include sources for evidence-based practice.
List appropriate nursing interventions for your chosen patient or community. How will you evaluate effectiveness? Include an evaluation tool or rubric.
Complete your Semester Project by identifying mental health resources that can be used for your chosen patient or community. Finish with an educational tool for your patient or community
Individual and Family Homeostasis, Stress, and Adaptation
1. Mr. Smith, a 52-year old patient, is admitted to the coronary care unit with the diagnosis of acute inferior myocardial infarction. The patient has a history of smoking two packs per day of cigarettes for 35 years, and he drinks a six-pack of beer on weekend nights, but does not drink the rest of the week. He is the sole financial support for his family. He is a consultant for a company and is out of town during week days. Over the past year, Mr. Smith has gained 20 pounds. He is 5 foot 6 inches, weighing 200 pounds. His diet consists mostly of fast food. He rarely exercises. His wife cares for their three teenage children. The eldest son, 17 years of age, totaled the family car when drinking and driving 2 days ago and he is in the local children’s hospital in the intensive care unit in critical condition. Mr. Smith developed chest pain and slumped over in his chair during an argument with his wife about their teenage daughter, who is 15 years of age and wanted to get birth control pills. The wife is in the waiting room while the nurses settle Mr. Smith into his room. The youngest son, 13 years of age, is at a friend’s house. The teenage daughter is staying at the bedside of the critically ill eldest son. The wife blames her eldest son for her husband’s heart attack and told the emergency department nurse that she does not care to see her son at all. (Learning Objectives 6, 10, and 11)
What maladaptive responses to stress may have contributed to Mr. Smith’s development of an illness?
Based on the case study, what family assessment data may be used to determine coping strategies being currently used by the family in crisis?
What nursing interventions should be used to promote effective coping for the patient and his family?
2. Mary Turner stepped on a nail 5 days ago and sustained a puncture about 1 inch deep. She immediately cleaned the area with soap and water and hydrogen peroxide, and applied triple antibiotic ointment to the site. Today she comes to the clinic with complaints of increased pain and swelling in her foot. On assessment, the nurse notes that the puncture site is red and edematous, and has a moderate amount of yellowish drainage. (Learning Objective 9)
Describe the sequence of events that caused the local inflammation seen in Mary’s foot.
What is the role of histamine and kinins in the inflammatory process?
Which of the five cardinal signs of inflammation does Mary exhibit?
Because Mary’s injury occurred 5 days ago, the nurse should assess for what systemic effects?
Discussion
Identify diseases with idiopathic, iatrogenic, and multifactorial causes, and discuss the importance of identifying risk factors for diseases. Explain how measurements of structural, physiologic, biochemical, and genetic parameters provide a basis for disease screening and identification of risk factors
Overview of Genetics and Genomics in Nursing
1. A patient who is 38 years of age is diagnosed with autosomal dominant polycystic kidney disease, a hereditary disease that results in fluid-filled cysts occupying space in the kidneys. The cysts can interfere with the function of the kidney and may burst and cause bleeding inside the kidney. The patient with polycystic kidney disease may or may not have a berry aneurysm of a blood vessel in the brain that could lead to bleeding and death, cysts on the ovaries, and a mitral valve prolapse (in females) that can lead to dysrhythmias (irregular heart rhythms), or diverticula (outpouching of the bowel) that are susceptible to infection and inflammation and may lead to gastrointestinal bleeding. The patient is susceptible to retaining fluid in the abdomen so the abdomen is large to constipation, and to hypertension. There is no cure for the disease. The patient receives supportive care for the various symptoms or complications the patient may have. (Learning Objectives 1 to 3)
When explaining to the patient and family about polycystic kidney disease, the nurse should explain what characteristics about an autosomal dominant genetic disease?
How does variable expression of genetic characteristics play a role in the course of polycystic kidney disease and how can the nurse further predict the level of the disease?
Identify the roles of the nurse in integrating genetics in the nursing care provided for the patient.
2. Mr. Wayne is a 38-year-old man with a significant family history of elevated cholesterol levels. His father died at age 42 from a massive heart attack secondary to elevated cholesterol and triglycerides, and two of his older siblings are currently taking medications to lower their cholesterol levels. Mr. Wayne makes an appointment to discuss his risk for hypercholesterolemia. The nurse recognizes that Mr. Wayne is at risk for familial hypercholesterolemia because this is an autosomal dominant inherited condition. (Learning Objective 2)
Describe the pattern of autosomal dominant inheritance.
Mr. Wayne asks what chance his children have of developing familial hypercholesterolemia. How should the nurse respond?
Explain the phenomenon of penetrance observed in autosomal dominant inheritance.
Healthcare Financial Management
Access the American Public Health Association (APHA) News and Media webpage located at the below link. Locate recent news releases or podcast related to healthcare cost, national or global pandemics, population health, healthcare quality or healthcare technology.
https://www.apha.org/News-and-Media
Create an initial post with a minimum of 150 words discussing 1 recent event in public health related to financial healthcare, population health, technology, healthcare quality or healthcare pandemics. Make sure to include the items below:
Health Care Finance: Basic Tools for Nonfinancial Managers--Vitalsource [email protected]
Quality in Healthcare Systems
Prepare a 3 page, that addresses the following:
This activity is designed to provide you with insight regarding quality measures implemented in healthcare facilities in your community. You may choose two facilities for comparison in your area to research - if you have any issues finding information from the healthcare systems/hospitals in your area, you may expand your search.
• Research and discuss quality management programs and services of two existing hospitals or healthcare systems in the community.
• Provide details of any quality assurance programs in place at each facility.
• Compare the quality programs and services of both hospitals. Are there any trends, similarities or major differences?
• Propose any suggestions to the quality programs of the facilities and summarize the findings of the comparison.
Long-Term Care-Vitalsource [email protected]#magicMAN61
