In a written assessment, assess the effect of the patient, family, or population problem you’ve previously defined on the quality of care, patient safety, and costs to the system and individual. Plan to spend approximately 2 direct practicum hours exploring these aspects of the problem with the patient, family, or group you’ve chosen to work with and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Report on your experiences during your first two practicum hours.
INTRODUCTION
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. Health care organizations and government agencies use benchmark data to compare the quality of organizational services and report the status of patient safety. Professional nurses are key to comprehensive data collection, reporting, and monitoring of metrics to improve quality and patient safety.
PREPARATION
In this assessment, you’ll assess the effect of the health problem you’ve defined on the quality of care, patient safety, and costs to the system and individual. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.
To prepare for the assessment:
Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
Conduct research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.
Review the Practicum Focus Sheet: Assessment 2 [PDF], which provides guidance for conducting this portion of your practicum.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
INSTRUCTIONS
Complete this assessment in two parts.
Part 1
Assess the effect of the patient, family, or population problem you defined in the previous assessment on the quality of care, patient safety, and costs to the system and individual. Plan to spend at least 2 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. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Use the Practicum Focus Sheet: Assessment 2 [PDF] provided for this assessment to guide your work and interpersonal interactions.
Part 2
Report on your experiences during your first 2 practicum hours, including how you presented your ideas about the health problem to the patient, family, or group.
Whom did you meet with?
What did you learn from them?
Comment on the evidence-based practice (EBP) documents or websites you reviewed.
What did you learn from that review?
Share the process and experience of exploring the influence of leadership, collaboration, communication, change management, and policy on the problem.
What barriers, if any, did you encounter when presenting the problem to the patient, family, or group?
Did the patient, family, or group agree with you about the presence of the problem and its significance and relevance?
What leadership, communication, collaboration, or change management skills did you employ during your interactions to overcome these barriers or change the patient’s, family’s, or group’s thinking about the problem (for example, creating a sense of urgency based on data or policy requirements)?
What changes, if any, did you make to your definition of the problem, based on your discussions?
What might you have done differently?
CAPELLA ACADEMIC PORTAL
Update the total number of hours on the NURS-FPX4900 Volunteer Experience Form 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.
Proposal
Describe your proposed solution (100-250 words).
Preparing an Implementation Plan
Develop an implementation plan (1,000-1,500 words). The elements that should be included in your plan are listed below:
Method of obtaining necessary approval(s) and securing support from your organization’s leadership and fellow staff.
Description of current problem, issue, or deficit requiring a change. If you are proposing a change in current policy, process, or procedure when delivering patient care, describe first the current policy, process, or procedure as a baseline for comparison.
Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit).
Rationale for selecting proposed solution.
Evidence from your review of literature in Topic 2 to support your proposed solution and reason for change.
Description of implementation logistics. (When and how will the change be integrated into the current organizational structure, culture, and workflow? Who will be responsible for initiating the change, educating staff, and overseeing the implementation process?)
Resources required for implementation: staff; educational materials (pamphlets, handouts, posters, and PowerPoint presentations); assessment tools (questionnaires, surveys, pre- and post-tests to assess knowledge of participants at baseline and after intervention); technology (technological or software needs); funds (cost of educating staff, printing or producing educational materials, gathering and analyzing data before, during, and following implementation); and staff to initiate, oversee, and evaluate change.
Evaluation Plan
Prepare an evaluation plan (500-750 words) supported by your critical appraisal of the literature.
Discuss methods to evaluate the effectiveness of your proposed solution.
Describe what your projected outcomes will be and what variables will be assessed.
Evaluation of Plan Effectiveness Criteria
There are two parts to this assignment.
Part 1: A presentation addressing the following:
A detailed description of the aggregate including strengths and weaknesses
A risk assessment of the aggregate
Diagnoses based on the risk assessment
A detailed care plan for the aggregate
A description of at least one intervention that was implemented (or the implementation itself if presented as a power point)
Part 2: Describe the evaluation process of the intervention(s) you implemented.
Include the following in your paper:
An evaluation of the effectiveness of the intervention:
Did I implement the intervention as planned? If not, what were the reasons?
Interview/measure outcomes for two or three members of your group to determine/measure the effectiveness of the intervention(s).
Include transcripts of the interviews with the participants from the group in the appendix of your paper.
Finally, compare the projected effectiveness of your plan before implementation with the actual effectiveness after implementation.
Are there visible signs of success (for example, reduced health issues)? If yes, describe. If no, describe what signs you would anticipate and rationale for no change.
You may want to use the responses to the above two criteria to measure the actual effectiveness of the intervention.
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