This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study, Family Nurse Practitioner. 

Week 4 Reflection Post Prompt:  Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Formulate a plan for ongoing contributions to improvement of healthcare delivery and development of health policy in a cost-effective manner. 

Post your reflection in 100 to 150 words. No references required.

Considerations and Challenges for Implementation

The project manager has planned and prepared for barriers to impact project implementation. Implementing mindfulness will require leadership and staff support to be successful long term. The staff has endured a two-year pandemic, and staffing resources are limited. The lack of nurses will limit the amount of time the team will be available for training. The facility does not have a solid shared governance structure, and the staff may be resistant to change initially. The culture is established, and the nurses work well together and respect the more experienced nurses. The project manager will identify unit champions and leverage their rapport to gain participants to change the culture.

Outcomes

The Figley Compassion Fatigue Scale will be utilized as the pretest and post-test. The data will be collected electronically using Survey Monkey. The nurses will answer the same 41-questions that were asked during the pretest. The data will be analyzed and compared. The Compassion fatigue scale was created in 1995 and has been validated. The nurse will respond to each question, rating it 0-5. The zero represents never, and five means very often. The nurse with points more significant than 36 will be identified as high risk for compassion fatigue (Kelly & Lefton, 2017).

The test will be completed in 30 minutes or less. The project manager will not collect demographic data and will identify each nurse by the same number on the pre and post-test. The data will be abstracted from the post-test and compared to the pretest answer following the intervention. The subscale scores for each observation (baseline and post-intervention) will be calculated using the associated scoring rubric for the CFS (Beaumont et al., 2018). The CFS will be administered at baseline before the intervention is provided to each participant and then again at the end of the intervention to see a significant change in the subscale scores. Because the outcome variables are subscales yielded from a validated instrument, the values will be considered as being continuous level measures. All analyses will be performed using SPSS Version 28 (Armonk, NY: IBM Corp.), and statistical significance will be assumed at an alpha value of 0.05 (Sinclair et al., 2017).

References

Beaumont, E., Durkin, M., Hollins Martin, C. J., & Carson, J. (2018). Measuring relationships between self-compassion, compassion fatigue, Burnout and well-being in student counsellors and student cognitive behavioural psychotherapists: A quantitative survey. Counselling and Psychotherapy Research, 16(1), 15–23. https://doi.org/10.1002/capr.12054

Kim, S. H., Schneider, S. M., Bevans, M., Kravitz, L., Mermier, C., Qualls, C., & Burge, M. R. (2013). PTSD symptom reduction with mindfulness-based stretching and deep breathing exercise: Randomized controlled clinical trial of efficacy. The Journal of Clinical Endocrinology & Metabolism, 98(7), 2984–2992. https://doi.org/10.1210/jc.2012-3742

Sinclair, S., Raffin-Bouchal, S., Venturato, L., Mijovic-Kondejewski, J., & Smith-MacDonald, L. (2017). Compassion fatigue: A meta-narrative review of the healthcare literature. International Journal of Nursing Studies, 69, 9–24. https://doi.org/10.1016/j.ijnurstu.2017.01.003

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE AT LEAST 3 SOURCES NO LATER THAN 5 YEARS.

A paradigm shift is occurring across the United States from volume-based to value-based care. Reflect upon your organizational culture to address the following:

1. Analyze and assess the culture of your healthcare setting as it relates to patient safety.
2. Examine one opportunity to improve patient safety outcomes. Include in your strategy current technology being used to support safety and explain the importance of interprofessional collaboration to help promote a safer environment.

Health Information Exchange in the Kingdom 

Create a PowerPoint presentation that reviews four articles written in the last five (5) years on sharing patient information in a cloud-based Health Information Exchange (HIE) in the Kingdom of Saudi Arabia.  Your presentation should cover the following concepts:

Discuss how data creates information in the EHR so that it can be shared.

Discuss how patient health information is protected in the cloud. 

Evaluate how health information systems help healthcare organizations to provide increased access to healthcare.

Discuss how informatics support the use of information systems and technology to improve the way work is done in the healthcare setting.

Discuss how leaders engage their staff so that the information systems meet their daily work needs.

Discuss the advantages and disadvantages of the cloud-based HIE. 

Provide recommendations to improve workflows and processes in an information system.

Provide your conclusions.

Your presentation should meet the following structural requirements:

Be 11 slides in length, not including the title or reference slides.

Be formatted  APA writing guidelines. 

Provide support for your statements with citations from a minimum of six scholarly articles. These citations should be listed in the Notes section of the slide in which they appear. 

In-text citations.

Each slide must provide detailed speaker’s notes to support the slide content. These should be a minimum of 100 words long (per slide) and must be a part of the presentation. 

Utilize the following headings to organize the content in your presentation:

Data Creates Information in the EHR

Protecting Health Information in the Cloud

Increasing Access to Health Care

Informatics to Improve Processes

Leadership Support 

Advantages and Disadvantages of Cloud-Based HIE

Recommendations

Conclusion

Scenario

You are making a staffing assignment knowing that you are short-staffed. You have five registered nurses (RNs), two licensed practical nurses (LPNs), and two nursing assistants. Those nine employees need to provide a 12-hour shift of services to 30 clients with a high acuity required to a ratio of nurse to client at 1:3.

Client acuity level

• Six acuity level 1
• Eight acuity level 2
• Nine acuity level 3
• Seven acuity level 4

You will use the acuity-based staffing model to develop the staffing assignment based on the needs of the clients. You will use the created template.

NUR2832_Staffing

Instructions

As you create this assignment, include the following in an email to your manager to justify your short-staffing plan:

• Complete the staffing assignment based on the acuity level.
• Defend how you would direct the staff to their assigned roles for this shift and provide a rationale for the staffing assignment.
• Describe how you would communicate with each level of care provider to assure the best outcomes possible.
• Address how you would ensure client equity in the delivery of services.
• Provide stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.