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:( 1500 words)

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

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

4.1:     Utilize patient care technology and information management systems.

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

5.3:     Provide culturally sensitive care.

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

  

What will happen to the readmission rate of patients with congestive heart failure if they receive strict follow up from nurses versus no follow up care within 30 days?

Please locate an academic nursing journal article related to congestive heart failure readmissions and follow up after discharge. Using the article selected, construct a critique of the article, 7-8 pages (including cover page and references).

· identify the problem statement or statement of purpose of the article

· describe the participants being studied, stating inclusion and exclusion criteria

· discuss the sampling issues, such as probability or nonprobability and number of subjects used

· identify the study setting—where data collection occurred

· discuss informed consent—whether the participants were fully informed, how their consent was obtained, and any other ethical considerations

· identify the hypothesis or research question

· identify the research design—for example, experimental or nonexperimental; descriptive, exploratory, explanatory, or predictive?

· identify research variables, both independent and dependent

· comment the on article’s literature review—how the study data were analyzed (what statistical measures were used)

· describe the results of the study and appropriateness of the methods used; include study limitations

· accurately critique comments on level of evidence used, nursing theory, and implications for nursing practice or research

· discuss how the research findings can be applied to the clinical area

 EW

The two types of elder abuse I decided to discuss are emotional abuse and exploitation.  Emotional abuse is inflicting mental pain, anguish, or distress on an older person through verbal and nonverbal acts.  Examples of emotional abuse are as follow: name calling, verbally telling someone they are worthless, intimidation, and playing mind games.  Exploitation is taking, misusing, or concealment of funds, property, or assets of an older adult for one’s own personal gain.  Examples of exploitation are as follow:  taking money from an older person, borrowing the older person’s vehicle and not returning it, moving in with an older person without consent and treating the poverty as your own.  I consider the types of abuse discussed as crucial because they are difficult to prove.  These types of abuse can be done without physical evidence.  The abuser can easily deny the allegations.  As we discuss the elderly, we often assume that there’s cognitive impairment and memory difficulties. With there being cognitive impairment, the accuser can easily detour the mistreatment.  Growing population of the elderly, the demand for elderly care, workload of social welfare agencies, and age-related changes in the elderly such as cognitive and mobility impairments are challenges in abolishing the abuse.  The elderly client often has a decline in mobility and cognition; making if difficult to effectively communicate with others.  Elderly clients can easily be retained and controlled, contributing to easy target for abuse without it being known.  Social welfare agencies often have overwhelming workload, contributing to insufficient assessments and follow-up of the alleged abuse and possible overlooked abuse.  There are ways to protect the elderly, while in the community and workplace.  While in the workplace, being familiar with the patient and their behavior is helpful.  Often the abuse victim will exhibit abnormal behaviors when being abused.  The patient may be withdrawn, fearful, and shameful.  The facility social worker is then involved for assessment for psychological factors such as depression.  The assessment is on-going. The care team along with the abuse coordinator for the facility will continue the investigation.  When in the community; neighbors, family, friends, and primary care physicians are our main sources that will help with possible abuse of an elderly.  If the elderly has not had a routine doctor’s visit over an amount of time; this should be reported for follow-up to assess the reason for no doctor visits.  If a neighboring elderly person has not been seen in a while, alert police and local social welfare agencies for courtesy checks.  Families should check on their elderly family members (uncles, aunts, grand dad, grand-mother, etc,); and the same for elderly friends.  If anything suspicious, report it. 

1. What are your upcoming week’s specific learning goals and objectives as a Case Manager?
2. What is your upcoming week’s detailed schedule at your community practice experience placement?
3. Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates?
4. Give a brief description of an objective you worked on this week as a Case Manager. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices.

Remember, your journal entries are an important aspect of clinical learning as they serve to help you reflect upon and get the most out of your community practice experience. Therefore, your journal entry should include the who, what, where, and when of your community practice experience. Remember, this should simulate a dialogue that would normally take place face-to-face with your community practice experience instructor.
 

 

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

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.

AttachmentsNRS-493-RS4-LiteratureEvaluationTable.docx