Health care issues

Analyze your healthcare process problem or issue in the context of your practicum site in a 46 page scholarly paper, and submit your required practicum hours. Hours must be detailed per shift and confirmed by your preceptor before submitting your assessment. Papers submitted without detailed and confirmed hours submitted to the CAP will not be graded.

Expand AllIntroduction

Organizational data, such as readmission rates, hospital-acquired infections, falls, medication errors, staff satisfaction, serious safety events, and patient experience can be used to prioritize time, resources, and finances. Healthcare organizations and government agencies use benchmark data to compare the quality of organizational services and report the status of patient safety. Professional nurses play a critical role in collecting, reporting, and monitoring data to enhance healthcare safety, improve quality of care, and ensure cost-effectiveness.

Your practicum provides you with a unique opportunity to practice this aspect of community nursing by identifying a process issue related to your particular site and exploring the issue. Each assessment will build on the next, culminating in a mock presentation.

Instructions

For this assessment, you will analyze your healthcare process or issue in the context of your practicum site.

• Describe your practicum site.
• What type of institution are your practicum hours taking place in?
• Describe the patient population of your practicum site.
• Estimate how many full-time healthcare staff are employed at your practicum site.
• What kind of nursing or healthcare decisions do you encounter in your practicum site? Are you in a position to make or have input in any of those decisions at your site?
• What are the primary patient health outcomes for your practicum site?
• Identify your process issue as it relates to a patient diagnosis and patient outcomes.
• Summarize the healthcare process problem or issue youll explore.
• Provide context, data, or information that substantiates the presence of the problem and its significance.
• Analyze your chosen process for impact on the organization and the patient client in terms of quality, safety, and cost.
• What are the causes of the problem? What do you think is the root cause?
• Provide evidence to support your claims.

Additional Requirements

• Format: Format your paper using APA style. Refer to for guidance in writing and formatting your paper. Be sure to include the following:
• A title page and reference page. An abstract is not required.
• Appropriate section headings.
• Length: Your paper should be approximately 46 pages in length, not including the title page and reference page.
• Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old, relevant to your topic. Provide in-text citations relevant to the issue and references in APA format.
• Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Practicum Hours Submission

You have been tracking your completed practicum hours using the . By placing the hours into the , you will ensure that you accumulate all hours needed to meet the requirements for your degree.

Submit at least 10 detailed practicum hours with this assessment in the . Reminder: Only hours which are detailed and confirmed by your preceptor will be considered for grading your assessment.

Your faculty will review your hours to date and will contact you if there are any questions or concerns.

To summarize:

• Use to submit your practicum hours.
• You must submit a minimum of 10 detailed and confirmed hours with this assessment.
• Failure to complete the required hours will result in a non-performance for this assessment.

Please review the Campus page for more information and instructions on how to log your hours.

Reflective Journaling

Reflective journaling serves as a powerful tool for self-reflection during your academic journey. Reflective journaling enables you to assess your performance and to develop the regular practice of self-reflection. During your practicum, youll complete four reflective journal entries, each aligned with one of the four spheres of care.

Complete your first entry. You can choose any of the four spheres for this entry, but you will need to complete all four by the end of the course. Remember that youll need to submit your completed nursing reflection as part of the final assessment for the course.

Instructions

You will complete four reflective journal entries during your practicum, with an emphasis on the integration of professional standards and values in practice. Each entry will align with one of the four spheres of care.

Begin your new responses for NURS-FPX4905 .

Use 200400 words for each of the four required journal entries in the . In this course, remember to respond from a perspective of leadership and professional standards.

You do not need to include scholarly resources or a reference list. Your reflections should be your own original thoughts. Please do not include patient or clinic identifying information. Do not use your previous reflection journal entries.

As you complete your practicum hours (a total of 40 hours is required), it is good practice to complete a reflection journal entry every 10 hours. Take a moment to review the four spheres of care and the assigned readings for each assessment. This can help you focus your practicum time on specifics of learning and experiencing the courseroom content.

AACN Definition of the Four Spheres of Care

Wellness and Disease Prevention: This sphere emphasizes health promotion, as well as the treatment of minor uncomplicated diseases or injuries for those not experiencing chronic illness or life-limiting conditions. Prenatal care, screenings, immunizations, and health promotion are some examples of care in this sphere (AACN, 2021). Nursing knowledge and competency in disease prevention and addressing social determinants of health are vital to promoting wellness across populations.

Chronic Disease Management: This sphere encompasses caring for those with one or more chronic diseases and preventing adverse outcomes associated with them. Specialized nursing care is often needed for this population due to the complex needs, along with integrated interprofessional team-based care. Four in 10 people in the United States have two or more chronic diseases, and those diagnosed with multiple comorbidities are projected to increase.

Regenerative and Restorative Care: This sphere includes critical and trauma care, complex acute care, acute exacerbations of chronic disease, and care of unstable patients who are typically in acute care hospital settings (AACN, 2021). This sphere includes the acute management of illness, such as a stroke or mental health crisis, and progression through the rehabilitative phase. Nursing skills and management of these populations are resource-intensive and specialized.

Hospice and Palliative Care: The final sphere relates to competencies surrounding palliative care in advanced illness and hospice care at the end of life. All registered nurses provide generalist palliative care in compassionate and patient-centered care while managing pain and other symptoms associated with advanced, progressive illnesses. The End-of-Life Nursing Education Consortium has mapped its competencies and recommendations for educating nursing students to the new AACN Essentials to assist educators in this endeavor.

Reflection Questions

By the end of your practicum, make sure that you have answered each of these questions as they relate to integrating professional standards and values into practice.

Wellness and Disease Prevention: Reflect on the health promotion disease prevention interventions you witnessed in your practicum site, as it relates to the social determinants of health most prevalent in your community. What did you see? What does this time mean to you as a professional nurse in your role?

Chronic Disease Management: Reflect on the integration of interprofessional team-based care as it relates to chronic disease management in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role?

Regenerative and Restorative Care: Reflect on the acute management of illnesses such as stroke or mental illness that falls in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role?

Hospice and Palliative Care: Reflect on end-of-life nursing and advanced illness and hospice care in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role?

Reference

American Association of Colleges of Nursing (2021). The essentials: Core competencies for professional nursing education. https://www.aacnnursing.org/Portals/0/PDFs/Essentials/Essentials-Executive-Summary.pdf

Submission ChecklistCompetencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 2: Make practicum and operational decisions based upon the best available evidence.
• Describe practicum and operational decisions encountered at the practicum site, including one’s input in those decisions.
• Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
• Identify a process issue at a site that relates to a patient diagnosis and patient outcomes.
• Analyze the impact of a current process on an organization and client in terms of quality, safety, and cost.
• Competency 8: Apply professional, scholarly, evidence-based strategies to create effective written and oral communications.
• Describe the practicum setting.
• Organize content so ideas flow logically with smooth transitions.
• Apply APA style and formatting to scholarly writing.
• Complete a minimum of 10 detailed & confirmed practicum hours to the CAP.

I attached the health care topic and issues for the facility also

please attached a journal for this assignment the total hours I complete is 10 for this assignment

You will complete four reflective journal entries during your practicum, with an emphasis on the integration of professional standards and values in practice. Each entry will align with one of the four spheres of care.

Begin your new responses for NURS-FPX4905 .

Use 200400 words for each of the four required journal entries in the . In this course, remember to respond from a perspective of leadership and professional standards.

You do not need to include scholarly resources or a reference list. Your reflections should be your own original thoughts. Please do not include patient or clinic identifying information. Do not use your previous reflection journal entries.

As you complete your practicum hours (a total of 40 hours is required), it is good practice to complete a reflection journal entry for every 10 hours. Take a moment to review the four spheres of care and the assigned readings for each assessment. This can help you focus your practicum time on specifics of learning and experiencing the courseroom content.

AACN Definition of the Four Spheres of Care

Wellness and Disease Prevention: This sphere emphasizes health promotion, as well as the treatment of minor uncomplicated diseases or injuries for those not experiencing chronic illness or life-limiting conditions. Prenatal care, screenings, immunizations, and health promotion are some examples of care in this sphere (AACN, 2021). Nursing knowledge and competency in disease prevention and addressing social determinants of health are vital to promoting wellness across populations.