Article Critique
DUE October 11, 2023
DUE October 11, 2023
Discuss the implications of complexity and chaos theories for use in the advanced nursing leadership role.
Expectations
Initial Post:
As a Doctor of Nursing practice (DNP) graduate, address the following questions;
1. When you start using the term “doctor,” do you believe physicians, pharmacists, or other professionals with practicing doctorates would intimidate you? And if so, how will you handle these circumstances?
2. What strategy would you employ to address this problem in your situation if you encounter resistance to your proper title?
3. What strategies may DNP holders employ, in your opinion, to raise public knowledge and comprehension of the DNP degree?
Document this assignment in a 3 pages word document. Include 5 articles published in last 5 years.
BLOG
POSITIVE SOCIAL CHANGE AND THE DNP-PREPARED NURSE
After reviewing Module 6: Lecture Materials & Resources, explain approaches to community intervention and evaluation. Implement a teaching and evaluation plan.
Conc of Pathophys for Nsg.
https://files.galencollege.edu/media/ADN/NUR242_170/fluid_and_electrolytes/FluidsOverview/story.html
https://files.galencollege.edu/media/ADN/NUR242_170/fluid_and_electrolytes/electrolytes/story.html
Week 2 Discussion: Anorexia and fluid and electrolyte imbalances (USLOs 1, 2, 3, 4)
You are a nurse caring for 16-year-old Jonathan Collins. He was admitted to the emergency department after passing out during gym class. During your admission assessment, he admits he has not been eating much and exercising more to lose weight. Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of anorexia and fluid and electrolyte imbalances, respond to the following prompts:
1. Thoroughly explain the pathophysiology of
anorexia. Use a
scholarlyor
authoritative source to support your answer.
2. Examine each of the following three factors related to this disease process.
Support all three with a scholarly source.
· cultural
· financial
· environmental implications
3. Identify 3-5 priority nursing interventions for the client while in the
emergency department.
4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators?
Support with a scholarly source.
5. What members of the interdisciplinary team need to be included for holistic patient-centered care?
Provide a rationale and support with a scholarly source.
The purpose of this assignment is to identify a health issue requiring advocacy from the nursing
profession on a local, regional, state, national, or international level. This topic can be related to
health promotion, population health, disease management, or patient safety in the community or
other healthcare setting. You are assuming the role of advocate in various capacities. The topic
you select for this paper will be the subject of your Policy Brief and Advocacy Letter
Assignment. Therefore, research thoroughly your topic of interest to ensure that it can be applied
across both assignments.
In this paper you will identify a health issue which may or may not already be represented in the
form of legislation or health policy. Individuals may just take a position on an issue affecting
local policy with decision makers.
An example of this with legislation includes:
• Health issue: primary care access for patients
• Health policy: increasing primary care providers using nurse practitioners; support of PA
HB 765 for CRNP independent practice
An example of this without legislation includes:
• Health issue: increased chronic back pain from integration of technology in healthcare
• Health policy: ergonomic evaluation of work environments for all employees; letter of
support to employers for new healthcare organization policy
Using APA format and criteria from the Grading
Rubric for Written Assignments, in 5 double spaced pages (excluding the title page and reference
page) present the following details:
Criteria for Your Advocacy as a Nursing Professional
Introduction
Outline of health issue and existing or necessary health policy
and/or politics. Why is this significant to nursing?
List and discuss any other stake holders who would be concerned
with the health issue, in favor or opposition.
Propose a plan on this health issue advocacy:
• Effect of the health issue on health policy and politics
• Interventions to be implemented in this advocacy to enact
change; incorporate health politics as pertinent
• Identify opposition which can be encountered.
Conclusion
Present your approved intervention to the patient, family, or group and record a 10–15 minute video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
Baccalaureate-prepared nurses have many opportunities to reflect on their contributions to patient care outcomes during clinical experiences. Research suggests that creating and sharing video reflections may enhance learning (Speed, Lucarelli, & Macaulay, 2018).
For this assessment, you’ll present your approved intervention to the patient, family, or group and reflect on various aspects of your capstone practicum experience. Such reflection will give you a chance to discuss elements of the project of which you are most proud and aspects of the experience that will help you grow in your personal practice and nursing career.
Reference
Speed, C. J., Lucarelli, G. A., & Macaulay, J. O. (2018). Student produced videos—An innovative and creative approach to assessment.
Sciedu International Journal of Higher Education, 7(4).
Complete this assessment in two parts: (a) present your approved intervention to the patient, family, or group and (b) record a video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program.
Present your approved intervention to the patient, family, or group. Plan to spend at least 3 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Be sure you've logged all of your practicum hours in Capella Academic Portal.
The BSN Capstone Course (NURS-FPX4900 ) requires the completion and documentation of nine (9) practicum hours. All hours must be recorded in the Capella Academic Portal. Please review the
BSN Practicum Campus page for more information and instructions on how to log your hours.
Use the
Intervention Feedback Form: Assessment 5 [PDF]
Download Intervention Feedback Form: Assessment 5 [PDF]as a guide to capturing patient, family, or group feedback about your intervention. You’ll include the feedback as part of your capstone reflection video.
Record a 10–15 minute video reflection on your practicum experience, the development of
your capstone project, and your personal and professional growth over the course of your RN-to-BSN program. A transcript of your video is not required.
You’re welcome to use any tools and software with which you are comfortable, but make sure you're able to submit the deliverable to your faculty. Capella offers Kaltura, a program that records audio and video. Refer to
Using Kaltura for more information about this courseroom tool.
Note: If you require the use of assistive technology or alternative communication methods to participate in these activities, please contact
[email protected] to request accommodations. If you’re unable to record a video, please contact your faculty as soon as possible to explore options for completing the assessment.
The assessment requirements, outlined below, correspond to the scoring guide criteria, so address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for supporting evidence.
· Assess the contribution of your intervention to patient or family satisfaction and quality of life.
· Describe feedback received from the patient, family, or group on your intervention as a solution to the problem.
· Explain how your intervention enhances the patient, family, or group experience.
· Describe your use of evidence and peer-reviewed literature to plan and implement your capstone project.
· Explain how the principles of evidence-based practice informed this aspect of your project.
· Assess the degree to which you successfully leveraged health care technology in your capstone project to improve outcomes or communication with the patient, family, or group.
· Identify opportunities to improve health care technology use in future practice.
· Explain how health policy influenced the planning and implementation of your capstone project, as well as any contributions your project made to policy development.
· Note specific observations related to the baccalaureate-prepared nurse's role in policy implementation and development.
· Explain whether capstone project outcomes matched your initial predictions
·
· Discuss the aspects of the project that met, exceeded, or fell short of your expectations.
· Discuss whether your intervention can, or will be, adopted as a best practice.
· Describe the generalizability of your intervention outside this particular setting.
· Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
· Assess your personal and professional growth throughout your capstone project and the RN-to-BSN program.
· Address your provision of ethical care and demonstration of professional standards.
· Identify specific growth areas of which you are most proud or in which you have taken particular satisfaction.
· Communicate professionally in a clear, audible, and well-organized video.
Cite at least three scholarly or authoritative sources to support your assertions. In addition to your reflection video, submit a separate APA-formatted reference list of your sources.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
· Competency 2: Make clinical and operational decisions based upon the best available evidence.
· Describe one's use of evidence and peer-reviewed literature to plan and implement a capstone project.
· Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
· Explain whether capstone project outcomes matched one's initial predictions and documents the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Document the completion of nine hours of practicum time.
· Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.
· Assess the degree to which one successfully leveraged health care technology in a capstone project to improve outcomes or communication with a patient, family, or group.
· Competency 5: Analyze the impact of health policy on quality and cost of care.
· Explain how health policy influenced the planning and implementation of one’s
·
· capstone project, as well as any contributions the project made to policy development.
· Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
· Assess the contribution of an intervention to patient, family, or group satisfaction and quality of life.
· Competency 8: Integrate professional standards and values into practice.
· Assess one’s personal and professional growth throughout a capstone project and the RN-to-BSN program.
· Communicate professionally in a clear and well-organized video.
Evidenced-based practice in healthcare utilizes the current best and most relevant research, clinical experience, and patient/family valued preferences to deliver healthcare that not only improves patient experiences, but also provides better quality care for the patient and empowers clinicians, which leads to increased job satisfaction (Melnyk & Fineout-Overholt, 2023). While research clearly shows the benefits of evidence-based practice, there are a multitude of barriers that stand in the way of it becoming the standard of care such as: the lack of knowledge pertaining to evidence-based practice, lack of belief that this will result in more positive outcomes, overwhelming patient loads, and resistance to change just to name a few. Overcoming these barriers is necessary to move from practices based on outdated research in order to be able to provide better and safer healthcare.
Utilizing evidenced-based practice within the scope of my nursing license promotes lifelong learning and continuously improved nursing practice. My hospital has recently implemented bedside shift report for nurses, which has been shown to improve patient satisfaction and safety. Bedside shift report allows me to visualize both the patient and the surroundings in addition to communicating the plan of care to the patient. Initially, there was much resistance to changing the process of our shift report. Some nurses reported overwhelming patient loads (e.g. “I have to give report to 4 different nurses”) as a reason for which they struggled to do bedside report. After much encouragement from peers and leaders, the transition to bedside shift report has improved nursing accountability and teamwork. Visualizing all of my patients first thing in the morning allows me to ensure accuracy of the report and prioritize care.
References
Melnyk, B. M., & Fineout-Overhold, E. (2023).
Evidence-Based Practice in
Nursing & Healthcare (5th ed). Lippincott Williams & Wilkins.
