May 30, | nursing, med, NURS, Paper
AACN Essentials Self-Assessment and Patient-Centered Care Discussion Essay
AACN Essentials Self-Assessment and Patient-Centered Care Discussion Essay
Week 1 discussion The Affordable Care Act Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon. Share with the class implementation of the Affordable Care Act in your organization. (If you are not working as a nurse, think about what was happening when you were a prelicensure student). How did your fellow healthcare workers react to implementation of the ACA? How were citizens in your community impacted? Week 2 discussion AACN Essentials Self-Assessment and Patient-Centered Care Week 2: The AACN Essentials of Baccalaureate Education for Professional NursingSelf-Assessment Understanding the competencies related to the AACN Essentials of Baccalaureate Education for Professional Nursing Practice provides you with valuable information as you begin to study this course. Complete this self-assessment, which is based on The Essentials of Baccalaureate Education for Professional Nursing from the American Association of Colleges of Nursing (2008) prior to posting to the discussion on this topic Place a check mark or X in the column that best describes your current level of competency or understanding of the Essential’s statement. There are no incorrect answers. After you have completed the assessment, total the number of points that you earned. Record this number in a location where you will be able to retrieve it at the end of the course, when it will serve as the basis for a future discussion. AACN (American Association of Colleges of Nursing) Baccalaureate Essentials Poor 1 Good 2 Very Good 3 Excellent 4 Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety Apply leadership concepts, skills, and decision-making in the provision of high qualitynursing care, healthcare team coordination, and the oversight and accountability for care delivery in a variety of settings. Demonstrate leadership and communication skills to effectively implement patientsafety and quality improvement initiatives within the context of the interprofessional team. Participate in quality and patient safety initiatives, recognizing that these are complex systemissues, which involve individuals, families, groups, communities, populations, and other members of the healthcare team. Employ principles of quality improvement, healthcare policy, and cost-effectiveness to assist in the development and initiation of effective plans for the microsystem and system-wide practice improvements that will improve the quality of healthcare delivery. Essential V: Healthcare Policy, Finance, and Regulatory Environments Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends. Explore the impact of sociocultural, economic, legal, and political factors influencing healthcare delivery and practice. Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice. Advocate for consumers and the nursing profession. Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes Use inter and intrarofessional communication and collaborative skills to deliver evidence-based, patient-centered care. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships. Demonstrate appropriate teambuilding and collaborative strategies when working with interprofessional teams. Advocate for high-quality and safe patient care as a member of the interprofessional team Essential VIII: Professionalism and Professional Values Demonstrate the professional standards of moral, ethical, and legal conduct. Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession. Reflect on one’s own beliefs and values as they relate to professional practice. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development. Total for each column Grand total (add all columns) Source: American Association of Colleges of Nursing (AACN). (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: AACN. Retrieved from http://www.aacn.nche.edu/education-resources/baccessentials08.pdf/ After you have completed your self-assessment, answer the following questions: If you are willing, please share your total score on the AACN Essentials Self-Assessment. If you do not wish to share your score, give a general description of your current KSA levels. Candidly identify and share with your classmates areas where knowledge, skills or abilities (KSAs) are lacking? Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve? Week 3 discussion Conflict and Collaboration Please watch the video and listen to the dialogue before posting. Second Life Video (Links to an external site.)Links to an external site. Transcript (Links to an external site.)Links to an external site. At times the needs of our families conflict with our work responsibilities. Could this possibly be the underlying issue here? Explain the conflict resolution skills displayed by the leader in the scenario. On a scale of 1-10, how would you rate those of the leader. How might earlier collaboration have been beneficial? Some organizations utilize non Registered Nurses in the Case Manager role. What additional skills, knowledge and attributes would the BSN-prepared Registered Nurse bring to case management in this scenario? Week 4 discussion Transformational Nursing Leaders Review Appendix A, Sections I–V in Finkelman (2016). Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies. Your comments should be about the “highest nursing leader” in your organization. Typically this is the leader who represents nurses and nursing to the governing board. In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive? Describe how the Nurse Executive “leads the charge” for transformational leadership in an organization where you work or have done prelicensure clinical experiences. Week 5 discussion Patient Outcomes Review the story at the link below before posting to the discussion: Rau, J. (2015). Half of nation’s hospitals fail again to escape Medicare’s readmission penalties. Kaiser Health News. Retrieved from http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/ (Links to an external site.)Links to an external site. After you have finished, consider how you would respond to the following situation: Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates. As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONE of the areas of deficiency. Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity. Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes. Week 6 discussion Civility in the Workplace Complete the Clark Workplace Civility Index Assessment (Links to an external site.)Links to an external site.. After you are finished, read the assigned article: Lachman, V. D. (2015). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39-42. Retrieved from http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=c9h&AN=100927729&site=eds-live&scope=site (Links to an external site.)Links to an external site. Next watch the video by clicking on the link below. Video (Links to an external site.)Links to an external site. Transcript (Links to an external site.)Links to an external site. Reflect on what you observed in the video as you answer the following: Based on what you observed, what leadership skills should you, as Masaya’s preceptor, model for your fellow coworkers to promote his acceptance into the work-group or team. Does incivility seem to be an issue in the scenario? Describe any common themes you discovered among the article, the video and the Civility Index Share how you may improve your score on the index based on what you have read. Week 7 discussion Our Future Leaders In Huston’s (2010) brief, but impressive article (required reading this week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it? Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This should promote a robust discussion as we come from different clinical and nonclinical perspectives. Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse. Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14–15. Retrieved from http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105060080&site=ehost-live (Links to an external site.) Week 8 discussion Closing the Loop Complete the Week 8 AACN Essentials Self-Assessment (Links to an external site.)Links to an external site.. Compare your scores from Week 2 to Week 8. Describe how far have you come and how much further do you wish to go in improving your competencies during the next two years of practice. Next, review the Course Outcomes as listed in the Syllabus. Select one of the course outcomes and share with your classmates how you feel you have achieved the outcome and how you will utilize the essentials and course outcomes in your practice setting.
May 30, | nursing, med, NURS, Paper
Gabriel Martinez Asthma Shadow health
Gabriel Martinez Asthma Shadow health Experience Overview
Patient: Gabriel Martinez
Digital Clinical Experience Score
100%
This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent Gabriel Martinez Asthma Shadow health.
Student Performance Index
44.6
out of
46
Proficiency Level:
Proficient
Gabriel Martinez Asthma Shadow health. Students rated as “proficient” demonstrate entry-level expertise in nursing competencies and clinical reasoning skills. In comparable nursing programs, the top 25% of students perform at the level of a proficient nurse.
Subjective Data Collection
31
out of
ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE
31
Objective Data Collection
9.6
out of
11
Education and Empathy
4
out of
4
Time
223 minutes total spent in assignment
Interaction with patient
185 minutes
Post-exam activities
38 minutes
.
.
.
Why did you throw away the inhaler?
Question
01/23/21 7:32 PM PST
I hate the way that inhaler makes me all . . . shaky. It makes my heart beat too fast. That’s why, when my mom told me to clean out my backpack, I threw it in the trash. Gabriel Martinez Asthma Shadow health
Sorry about that
Empathize
01/23/21 7:32 PM PST
Oh wow, thanks.
Those are side effects of the medication but they soon fade away. You should not throw away the medication
Educate
01/23/21 7:33 PM PST
Yeah, you’re right.
Have you experienced the side effects before?
Question
01/23/21 7:33 PM PST
The emergency inhaler makes my heart beat fast and makes me all shaky.
Do you exercises?
Question
01/23/21 7:34 PM PST
My mom says I can’t play sports because of my asthma.
Sorry about that
Empathize
01/23/21 7:34 PM PST
Ok, thanks.
What happens when you play sport? (No matching questions found.) Gabriel Martinez Asthma Shadow health
Question
01/23/21 7:34 PM PST
What happens when you exercise? (Clarified to What happens when you have an asthma attack?.)
Question
01/23/21 7:35 PM PST
When my asthma attacks it’s kind of scary. It gets hard to breathe because I’m coughing and wheezing . . . I feel a lot better now though. My chest isn’t as tight as it was. (Clarified to to tell you about my asthma attacks.)
Sorry about that
Empathize
01/23/21 7:35 PM PST
Thanks, that makes me feel better.
Who do you live with?
Question
01/23/21 7:35 PM PST
Me and my mom live in a apartment.
Where do you live?
Question
01/23/21 7:36 PM PST
I live in a apartment with my mom in Shadowville.
Do you smoke?
Question
01/23/21 7:36 PM PST
No way. Those things will kill you..
.
.
.
Past Medical History Guardian
Finding:
Asked about patient’s general allergies
Finding:
Denies patient has food allergies
(Found)
Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
What allergies does your son have?
Finding:
Denies patient has a latex allergy
(Found)
Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
What allergies does your son have?
Finding:
Denies patient has medication allergies
(Found)
Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
What allergies does your son have?
Finding:
Reports environmental allergies
(Found)
Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
What allergies does your son have?
Finding:
Followed up on environmental allergies
Finding:
Reports patient has allergies to tree pollen, pet dander, and dust mites
(Found)
Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Gabriel Martinez Asthma Shadow health.
Example Question:
What environmental allergies does your son have?
Finding:
Followed up on impact of allergies on asthma
Finding:
Reports allergies have caused previous exacerbations
(Found)
Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Gabriel Martinez Asthma Shadow health
Example Question:
How do your son’s environmental allergies impact his asthma?
Finding:
Reports high pollen count traditionally worsens asthma symptoms
(Found)
Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
How do your son’s environmental allergies impact his asthma?
Finding:
Asked about previous hospitalizations
Finding:
Reports one previous hospitalization for moderate asthma exacerbation Gabriel Martinez Asthma Shadow health
(Found)
Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
Has your son been hospitalized before?
Finding:
Reports hospitalization was one year ago
(Found)
Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
Has your son been hospitalized before?
Finding:
Followed up on factors leading to prior hospitalization
Finding:
Reports patient had been exposed to smoke the night before hospitalization
(Found)
Pro Tip: Gabriel Martinez Asthma Shadow health Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
Why was your son last hospitalized?
Finding:
Reports rescue inhaler was not effective in managing symptoms
(Found)
Pro Tip: Asking a guardian about the pediatric patient’s relevant medical history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Gabriel Martinez Asthma Shadow health
Example Question:
Why was your son last hospitalized?
Social History Guardian
Finding:
Asked about patient’s activity level
Finding:
Reports preventing patient from performing aerobic exercise
(Found)
Pro Tip: A patient’s and their guardian’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, and substance use. These factors can influence their current health and wellness. Asking a guardian about a pediatric patient’s social history can also unveil the influence of their present illnesses on their social lives.
Example Question:
Gabriel Martinez Asthma Shadow health How does exercise impact your son’s asthma?
Finding:
Asked about patient’s exposure to secondhand smoke
Finding:
Denies using tobacco products
(Found)
Pro Tip: A patient’s and their guardian’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, and substance use. These factors can influence their current health and wellness. Asking a guardian about a pediatric patient’s social history can also unveil the influence of their present illnesses on their social lives.
Example Question:
Does anyone in your family use tobacco?
Finding:
Asked about childcare
Finding:
Reports working around 55 hours per week
(Found)
Pro Tip: A patient’s and their guardian’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, and substance use. Gabriel Martinez Asthma Shadow health These factors can influence their current health and wellness. Asking a guardian about a pediatric patient’s social history can also unveil the influence of their present illnesses on their social lives.
Example Question:
What is your childcare situation?
Finding:
Reports utilizing after-school programs during the school year
(Found)
Pro Tip: A patient’s and their guardian’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, and substance use. These factors can influence their current health and wellness. Asking a guardian about a pediatric patient’s social history can also unveil the influence of their present illnesses on their social lives.
Example Question:
What is your childcare situation?
Finding:
Reports patient’s maternal grandparents care for him once a weekend
(Found)
Pro Tip: A patient’s and their guardian’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, and substance use. These factors can influence their current health and wellness. Gabriel Martinez Asthma Shadow health Asking a guardian about a pediatric patient’s social history can also unveil the influence of their present illnesses on their social lives.
Example Question:
What is your childcare situation?
Family Medical History Guardian
Finding:
Asked about relevant family medical history
Finding:
Denies family history of respiratory illness
(Found)
Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information from a guardian can contextualize a pediatric patient’s current complaint and how their family’s health history might be influencing it.
Example Question:
What health problems run in your family?
Review of Relevant Systems Guardian
Finding:
Followed up on patient’s integumentary system
Finding:
Reports patient is diagnosed with eczema
Gabriel Martinez Asthma Shadow health
