NURS-FPX 4900 Nursing: Patient, Family, or Population Problem Solution Weekly Assessments

NURS-FPX 4900 Nursing: Patient, Family, or Population Problem Solution Weekly Assessments

NURS-FPX 4900 Nursing: Patient, Family, or Population Problem Solution Weekly Assessments

NURS-FPX 4900 Assessment 1: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

Capstone 4900 Assessment 1

Requirements

The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to 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 document format and length and for supporting evidence.

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• Define a patient, family, or population health problem that’s relevant to your practice.

• • Summarize the problem you’ll explore.
  • Identify the patient, family, or group you intend to work with during your practicum.
  • Provide context, data, or information that substantiates the presence of the problem and its significance and relevance to the patient, family, or population.
  • Explain why this problem is relevant to your practice as a baccalaureate-prepared nurse.
• Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to the patient, family, or population problem you’ve defined.

• • Note whether the authors provide supporting evidence from the literature that’s consistent with what you see in your nursing practice.
  • Explain how you would know if the data are unreliable.
  • Describe what the literature says about barriers to the implementation of evidence-based practice in addressing the problem you’ve defined.
  • Describe research that has tested the effectiveness of nursing standards and/or policies in improving patient, family, or population outcomes for this problem.
  • Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
  • Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your practicum.
• Explain how state board nursing practice standards and/or organizational or governmental policies could affect the patient, family, or population problem you’ve defined.

• • Describe research that has tested the effectiveness of these standards and/or policies in improving patient, family, or population outcomes for this problem.
  • Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
  • Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of this problem.
• Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to the patient, family, or population problem you’ve defined.

• • Discuss research on the effectiveness of leadership strategies.
  • Define the role that you anticipate leadership must play in addressing the problem.
  • Describe collaboration and communication strategies that you anticipate will be needed to address the problem.
  • Describe the change management strategies that you anticipate will be required to address the problem.
  • Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
• Organize content so ideas flow logically with smooth transitions.
• Apply APA style and formatting to scholarly writing.

Additional Requirements

NURS-FPX 4900 Assessment 2: Assessing the problem: quality, safety, and cost consideration.

In a 5–7 page 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]Download 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] Download 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?

Requirements

The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to 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 document format and length and for supporting evidence.

• Explain how the patient, family, or population problem impacts the quality of care, patient safety, and costs to the system and individual.
  • Cite evidence that supports the stated impact.
  • Note whether the supporting evidence is consistent with what you see in your nursing practice.
• Explain how state board nursing practice standards and/or organizational or governmental policies can affect the problem’s impact on the quality of care, patient safety, and costs to the system and individual.
  • Describe research that has tested the effectiveness of these standards and/or policies in addressing care quality, patient safety, and costs to the system and individual.
  • Explain how these standards and/or policies will guide your actions in addressing care quality, patient safety, and costs to the system and individual.
  • Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of care quality, patient safety, and cost to the system and individual.
• Propose strategies to improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
  • Discuss research on the effectiveness of these strategies in addressing care quality, patient safety, and costs to the system and individual.
  • Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
  • Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
• Use paraphrasing and summarization to represent ideas from external sources.
• Apply APA style and formatting to scholarly writing.

Additional Requirements

• Format: Format your paper using APA style. APA Style Paper Tutorial [DOCX]is provided to help you in writing and formatting your paper. Be sure to include:
  • A title page and reference page. An abstract is not required.
  • Appropriate section headings.
• Length: Your paper should be approximately 5–7 pages in length, not including the reference page.
• Supporting evidence: Cite at least 5 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
• Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

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.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
  • Explain how a patient, family, or population problem impacts the quality of care, patient safety, and costs to the system and individual.
  • Propose strategies to improve the quality of care, enhance patient safety, and reduce costs to the system and individual and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
• Competency 5: Analyze the impact of health policy on quality and cost of care.
  • Explain how state board nursing practice standards and/or organizational or governmental policies can affect a patient, family, or population problem’s impact on the quality of care, patient safety, and costs to the system and individual.
• Competency 8: Integrate professional standards and values into practice.
  • Use paraphrasing and summarization to represent ideas from external sources.
  • Apply APA style and formatting to scholarly writing.

Use the resources linked below to help complete this assessment.

Patient Engagement and Trust

The following guide provides evidence-based resources that show how hospital staff can work as partners with patients and families to improve quality and safety. You may use this information to discover how your selected capstone topic affects patient safety and the quality of care:

• Agency for Healthcare Research and Quality. (2020). Engaging patients and families in their health care.https://www.ahrq.gov/patient-safety/resources/patient-family-engagement/index.html

This article speaks to the importance of establishing trust with patients and families. You may find this information helpful when discussing how patients, families, or groups manage the problem you’re addressing in your capstone project. As you read this article, consider the importance of trust in the quality of care, patient safety, and costs to the system and individual:

• Lee, T. H., McGlynn, E. A., & Safran, D. G. (2019). A framework for increasing trust between patients and the organizations that care for them. JAMA, 321(6), 539–540. https://jamanetwork.com/journals/jama/article-abstract/2723080

Measuring Quality and Safety

The following article presents the importance of understanding the factors leading to improved quality processes and improved patient outcomes. You may find this information helpful when answering questions about quality metrics and patient safety indicators:

• McFadden, K. L., Stock, G. N., & Gowen, C. R. (2015). Leadership, safety climate, and continuous quality improvement.Health Care Management Review, 40(1), 24–34.

Use the information found on the following website to locate and compare hospitals, based on their overall star rating, which summarizes a variety of quality measures shown on Hospital Compare. You can use this information to discover the effect of your selected health care problem on hospitals’ quality ratings:

• gov. (n.d.). Hospital compare: Find a hospital. https://www.medicare.gov/hospitalcompare/search.html?

The following article describes one state’s efforts to reduce health care costs. You may find this information helpful when exploring your selected health care problem’s effect on the cost of care:

• Sapra, K. J., Wunderlich, K., & Haft, H. (2019). Maryland total cost of care model: Transforming health and health care. JAMA, 321(10), 939–940. https://jamanetwork.com/journals/jama/article-abstract/2726614

Leapfrog informs health care decisions by putting the right information in your hands. They collect and report one-of-a-kind data to empower patients and purchasers to choose the right hospital. Whether you want to know about maternity care or steps hospitals take to prevent errors, use Leapfrog results to compare your options. Use this information to learn more about how your problem effects a hospital quality and safety rating:

• Leapfrog Group. (n.d.). https://www.leapfroggroup.org/

Watch the following video:

• SEI – Safety Huddle.
  • This video discuss how to use data to drive a process change to address a patient safety concern.

Complete the following multimedia simulation:

• Assessing a Health Problem 2.
  • In this simulation, you’ll examine the effect of hospital readmissions on patient safety, the quality of care, and costs.
    

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NURS-FPX 4900 Assessment 3: assessing the problem: Technology, care coordination, and community resources considerations

In a 5–7 page written assessment, determine how health care technology, coordination of care, and community resources can be applied to address the patient, family, or population problem you’ve defined. In addition, 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 the second 2 hours of your practicum.
Introduction
As a baccalaureate-prepared nurse, you’ll be positioned to maximize the use of technology to achieve positive patient outcomes and improve organizational effectiveness. Providing holistic coordination of patient care across the entire health care continuum and leveraging community resource services can lead both to positive patient outcomes and to organizational improvements.
Preparation
In this assessment, you’ll determine how health care technology, coordination of care, and community resources can be applied to address the health problem you’ve defined. 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 sufficient research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.
• Review the Practicum Focus Sheet: Assessment 3 [PDF], Download Practicum Focus Sheet: Assessment 3 [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
Determine how health care technology, the coordination of care, and the use of community resources can be applied to address the patient, family, or population problem you’ve defined. 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 3 [PDF] Download Practicum Focus Sheet: Assessment 3 [PDF]provided for this assessment to guide your work and interpersonal interactions.
Part 2
Report on your experiences during the second 2 hours of your practicum.
• Whom did you meet with?
o What did you learn from them?
• Comment on the evidence-based practice (EBP) documents or websites you reviewed.
o What did you learn from that review?
• Share the process and experience of exploring the effect of the problem on the quality of care, patient safety, and costs to the system and individual.
o Did your plan to address the problem change, based upon your experiences?
o What surprised you, or was of particular interest to you, and why?
Requirements
The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to 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 document format and length and for supporting evidence.
• Analyze the impact of health care technology on the patient, family, or population problem.
o Cite evidence from the literature that addresses the advantages and disadvantages of specific technologies, including research studies that present opposing views.
o Determine whether the evidence is consistent with technology use you see in your nursing practice.
o Identify potential barriers and costs associated with the use of specific technologies and how those technologies are applied within the context of this problem.
• Explain how care coordination and the utilization of community resources can be used to address the patient, family, or population problem.
o Cite evidence from the literature that addresses the benefits of care coordination and the utilization of community resources, including research studies that present opposing views.
o Determine whether the evidence is consistent with how you see care coordination and community resources used in your nursing practice.
o Identify barriers to the use of care coordination and community resources in the context of this problem.
• Analyze state board nursing practice standards and/or organizational or governmental policies associated with health care technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
o Explain how these standards or policies will guide your actions in applying technology, care coordination, and community resources to address care quality, patient safety, and costs to the system and individual.
o Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of technology, care coordination, and community resources.
o Explain how nursing ethics will inform your approach to addressing the problem through the use of applied technology, care coordination, and community resources.
o Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
• Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
• Apply APA style and formatting to scholarly writing.
Additional Requirements
• Format: Format your paper using APA style. APA Style Paper Tutorial [DOCX] is provided to help you in writing and formatting your paper. Be sure to include:
o A title page and reference page. An abstract is not required.
o Appropriate section headings.
• Length: Your paper should be approximately 5–7 pages in length, not including the reference page.
• Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
• Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.
Capella Academic Portal
Update the total number of hours on the NURS-FPX4900 Volunteer Experience Form in BSN Practicum Campus page for more information and instructions on how to log your hours.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
• Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.
o Analyze the impact of health care technology on a patient, family, or population problem.
• Competency 5: Analyze the impact of health policy on quality and cost of care.
o Analyze state board nursing practice standards and/or organizational or governmental policies associated with health technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
• Competency 6: Collaborate interprofessionally to improve patient and population outcomes.
o Explain how care coordination and the utilization of community resources can be used to address a patient, family, or population problem.
• Competency 8: Integrate professional standards and values into practice.
o Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
o Apply APA style and formatting to scholarly writing

Use the resources linked below to help complete this assessment.
Health Care Information Technology
The following resources provide information about how technology is used in health care settings to address health problems, such as the one you’ve selected for your capstone project.
• Khanna, G. (2020). AHRQ advances new frontiers in digital healthcare. Agency for Healthcare Research and Quality. https://www.ahrq.gov/news/blog/ahrqviews/digital-healthcare.html
• Agency for Healthcare Research and Quality. (2019). Health information technology research: 2018 year in review. https://digital.ahrq.gov/2018-year-review
• Health IT Buzz. (n.d.). Consumer engagement. https://www.healthit.gov/buzz-blog/category/consumer
• HealthIT.gov. (2020). National health IT priorities for research: A policy and development agenda. https://www.healthit.gov/topic/scientific-initiatives/national-health-it-priorities-research-policy-and-development-agenda
• Pazinski, S., Karras, P., Caban, T. Z., & Chaney, K. (2020). Mapping the path forward in health IT. Health IT Buz. https://www.healthit.gov/buzz-blog/health-it/mapping-the-path-forward-in-health-it
Complete the following multimedia simulation:
• Assessing a Health Problem 3.
o In this simulation, you’ll examine current models of health care delivery and how health care technology and the use of community resources can be applied to address a patient, family, or population health problem.