APA format 2 pages long 3 references  Due Tuesday November 5,2019 at 7pm

Discussion: Using Competency Sets to Critique Lesson Plans

Graduate nursing education advances innovation and strengthens the leadership needed to improve healthcare delivery. Education at this level incorporates the foundational knowledge, skills, and competencies needed to thrive in increasingly complex clinical environments. Nursing education is undergoing major change as the profession conceptualizes master’s education and transitions advanced practice education to the doctoral level via Doctor of Nursing Practice (DNP) programs. Calls to reduce healthcare costs, persistent concerns about patient safety and the quality of care, and dramatic increases in diagnostic, therapeutic, and educational technologies all demand new thinking around the nature of graduate nursing education.
—American Association of Colleges in Nursing

Though the above quote focuses specifically on graduate nursing education, Schools of Nursing around the United States are adapting both undergraduate and graduate programs to emphasize a stronger focus on evidence-based nursing competencies. At the departmental level, this process takes much time and collaboration. Curriculum teams comprised of nurse educators, field experts, and instructional design professionals meet with schools of nursing to revamp existing curriculum plans to the competencies needed of today’s and tomorrow’s nursing students.

On a smaller scale, nurse educators are also implementing quick and effective strategies to align their current courses to evolving nursing competencies. By critiquing lessons before, during, and after instruction, nurse educators are able to assess their alignment to competency sets.

In this Discussion, you critique one of your own Lesson Plans to a competency set of your choosing.

To prepare

• Review the article, “Integrating the Institute of Medicine Competencies in a Baccalaureate Curricular Revision: Process and Strategies.” Consider how and why the nursing program adapted its curriculum to emphasize Institute of Medicine competencies.
• Review the competencies presented in this week’s Learning Resources. In addition, reflect on the competencies that you might be familiar with through your own studies and professional background. How do competencies help to guide academic and professional practice?
• Review the Lesson Plans that you have developed in this course. Select one to further investigate for this Discussion.
• Critique your lesson using a competency set. For example, if your Lesson Plan addresses interprofessional collaboration and your intended audience of learners is Master’s students, you might critique your Lesson Plan using QSEN indicators. As you conduct your critique, identify specific competencies addressed in your lesson. Then, consider ways that you might modify your lesson to prompt a deeper understanding of nursing competencies.

 DIS 3

Topic 1  Because of the pain medication, Gladys Gwynn may not be able to speak for herself. Since she has no relatives to help, is it appropriate for Dr. Johnstone to make the decision about surgery for her? Under the circumstances, is it possible that when Gladys moved into Sunny Meadows they had her sign a Health Care Power of Attorney to someone at the facility?

Topic 2  Because the accident happened when Sheri Smith was helping Mrs. Gwynn, do you think Sheri should be held responsible for the accident? Given that Sheri is an employee of Sunny Meadows, should that facility be held responsible?

Topic 3  The recovery time for internal fixation surgery is shorter than that following a total hip replacement. The surgery is also less expensive and has a less strenuous recovery period; however, Mrs. Gwynn probably will not be able to walk again. Given the patient’s condition, and the limited dollars available for health care, which procedure should be performed?

Topic 4  Would you have answered Question 3 differently if Mrs. Gwynn were your mother?

ESSAY

After visiting the Media Links for this chapter, complete this assignment by writing a 2 to 3 paragraph essay about something you learned from one or more of the web sites. Enter the essay in the submission box and submit it.

http://orthopedics.about.com/mlibrary.htm  

http://www.nof.org/ 

http://www.arthritis.org/

DIS 4

Topic 1  On what basis do you think Aifreight determined that this was a safety violation?

Topic 2  Use lay terms to explain Sandor’s injury and the treatment that was required.

Topic 3  Sandor knows how to handle heavy loads safety; however, the crate may have slipped because he was busy thinking about his daughter’s birthday party and not about his work. Could the responsibility for this accident be considered negligence on Sandor’s part? Do you think Sandor should be held responsible or is blameless in this situation?

Topic 4  It was determined that Airfreight was not responsible for the accident. Therefore, do you think the company should take away Sandor’s job if he does not return in 30 calendar days?

ESSAY

SAME AS ABOVE DIS 3

Similarities less Than 10%

Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. What do you think are some effective tactics for APN strategic positioning regarding pay equality? Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

Minimum of 250 words with peer review reference

 What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information. 

Comment

Evidence based practice are the base standards in which we base all our nursing practices on. They are methods, experiments, hypothesis that have been tried and true, and proven to be the most effective in standard nursing care. In nursing, critical thinking has been defined as the ability to use in professional actions the highest cognitive abilities, such as to analyze, to question, to evaluate, to conceptualize, comprehending individual and collective health problems in a more precise, logical and appropriate way. These skills directly implicate the achievement of adequate outcomes through effective clinical judgment and clinical decision-making (Costa et. al, 2019). This is important to healthcare and nursing in general because, daily we are made to think about and make decisions regarding healthcare and being responsible for other people’s lives. In doing so, we can’t just make decisions. We need to sit down and critically think about all that we are doing and how our decisions could be affecting the patients’ outcome. When we use evidence-based practice as well, we’re taking something that has been tried and proven to be effective to better take care of our patients. Using evidence-based practice and critical thinking in taking care of our patients sets the standards for what they are needing, and what we should all be trying to exceed in doing.

Comment

Evidence-based Practice is defined as “an integration of the evidence available, nursing expertise, and the values and preferences of the individuals, families and communities who are served.” Other Organizations defines EBP as “a continuous interactive process involving the precise, careful, thorough and judicious consideration of the best available evidence to provide care. “ Evidence-based practice supports nursing care and can contribute positively to patients and family outcomes. EBP Supports nursing care that can be “individualized to patient and their families, is more effective, streamlined, dynamic and maximizes effects of clinical judgement. All in all, these definitions are quite evident in that the focus is primarily on the best ways to find and apply research evidence. Hence, the need for EBP will always remain a constant driving force in nursing and healthcare as a whole.