For this Assignment, use the Dashboard located in this week’s Resources, to interpret the data and frame a nursing plan based on best practices.
Review the Week 5 Assignment Rubric, provided in the Course Information area.
Review the Week 4 Resources that pertain to the NDNQI and use of dashboards
Choose a Nurse-Sensitive Quality Indicator that needs improvement based on the data presented in the Dashboard. Reflect on how you would develop a nursing plan with suggestions on how to improve performance in the chosen area.
Develop a nursing plan that outlines suggestions on how to improve performance in the chosen area.
Provide at least three best practices from evidenced-based literature to support your nursing plan.
Assignment
Draft a 3- to 4 page paper analyzing areas where there is good performance and areas of opportunity from the sample Dashboard.
Analyze the data provided in the Dashboard and select an area of performance that needs improvement. Include information on why this area was chosen.
Develop a nursing plan that includes suggestions on how to improve performance on the selected indicator. Be sure to provide at least three best practices from the evidenced-based literature to support your suggested nursing plan.
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Develop a professional cover letter utilizing the associated template
1. Headings
a. Includes name, address, phone number
b. Includes a professional email address
c. Includes hiring manager or position of hiring manager
d. Includes the name of company and address
2. Introduction
a. Explanation of background as it relates to the position
b. State how aware of the position
c. Include 1-2 sentences why work for that company
d. Discuss how a good fit, how the skills align with the position
3. Body
a. Elaborates on key experiences and transferable skills giving real-life examples
4. Conclusion
5. Thank the prospect for their time
6. Leaves the conversation open a. Provides time-frame for follow up
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Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:
Personal and professional accountability
Career planning
Personal journey disciplines
Reflective practice reference behaviors/tenets
Discuss how you will use your current leadership skill set to advocate for change in your workplace.
Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.
While APA format 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.
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Directions for Exemplar on Specific Clinical Event Describe a specific clinical event or situation with the last 6 months in which you played a key role that illustrates how you demonstrate clinical competence.
Directions for Exemplar on Specific Clinical Event
When writing you a narrative, please address all the points below:
Directions for Exemplar on Specific Clinical Event
* Describe the patient situation:
The patient is known as a difficult patient that many new nurses do not like to get as an assignment
*What was your role in this situation I was the RN assigned to the patient for the shift
*Why did you choose this patient as your patient scenario I decided to write about this patient because it shows that by giving these patients a little bit of control back and not trying to exert dominance goes a long way.
*How did you incorporate the principals of relationship-based care?
Directions for Exemplar on Specific Clinical Event
By building a trusting relationship with my patient I am able to create an environment that is calm and comfortable for my patient, their families and me.
*What have you learned from being in this patient situation?
Not to assume that what the patient is perceived as is actually how he/she is
*Give an example of how you have changed at least one aspect of your nursing practice
I no longer take the opinion of others and automatically assume the patient is going to be difficult. I have many times been assigned patients that have difficult personalities and have not had any issues.
*How have you seen yourself progress from an Advanced Beginner RN to a Competent RN
I have become more confident with my skills as well as my ability to address and diffuse difficult situations.
Directions for Exemplar on Specific Clinical Event
Background on my patient population:
I am a Bone Marrow Transplant nurse in a well-known cancer institute. Due to the nature of the disease and the transplant process of patients are with us for a long time. Most patients are with us for a minimum of a couple of months and some are with us for much longer.
Our patients also get readmitted a fair amount. Due to the nature of this type of nursing, we get to know our patients and their families very well. We become to some almost a part of their family.
We practice primary nursing as best as we can which means we are assigned to a patient and when we are working we likely have the same patients. This again provides for a more relationship-based nursing atmosphere.
The point that I would like to make with this examplary is that very often these patients are given a diagnosis of cancer are sent to the hospital for chemotherapy and then come to my unit for a bone marrow transplant.
Within a very short amount of time we rip them away from their families, put them in a private room, tell them when and what to eat, when to sleep, to make sure to save all their urine and stool in “hats”, wake them up in the middle of the night for labs and medicines all while they are febrile, putting out liters of stool a day, vomiting uncontrollably.
Directions for Exemplar on Specific Clinical Event
Cancer does not discriminate. These patients include doctors, lawyers, high powered businessmen and women who are every day in control of so much and now they are in control of nothing, not even their own bowl functions.
How do we expect these patients to react when we walk in whenever we want and demand they take their shower now, take their medications now, do as we say now.
Unfortunately, given that our patient to nurse ratio is not 1-1 we cannot always accommodate them and what they want for everything but giving them some control and say in their care goes a long way.
Directions for Exemplar on Specific Clinical Event
As a side note: BMT (bone marrow transplant) patients are in private rooms because they are on protective isolation for a very long time. The chemotherapy that they are given obliterates there white blood cell count in preparation for the transplant.
This leaves the patient with no immune system and the inability to fight infection. Many patients have a difficult time with the fact that they are staring at the same 4 walls of their room and are unable to leave the unit. It becomes almost like a prison to some and it does terrible things for their metal status.
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Looking to have a pro argumentative essay. Double spaced 2 – 3 pages.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
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A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence where you work. Write a 750–1,000-word article on workplace violence and prevention measures for the hospital employee newsletter.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.
Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.
Identify the main components of OSHA’s workplace violence prevention guidelines.
Explain the American Nursing Association’s position on violence in the workplace.
Explain safety policies and protocols for preventing and responding to violence against health care workers.
Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
Correctly format citations and references using APA style.
Competency Map
Check Your Progress
Use this online tool to track your performance and progress through your course.
Context
The Centers for Disease Control and Prevention’s National Institute for Occupational Safety and Health (NIOSH) (2002) defines workplace violence as any physical assault, threatening behavior, or verbal abuse occurring in the workplace. Violence includes overt and covert behaviors ranging in aggressiveness from verbal harassment to murder.
Specific to hospital workers, studies by the Institute for Occupational safety and Health (NIOSH) show that:
Violence often takes place during times of high activity and interaction with patients, such as at meal times and during visiting hours and patient transportation. Assaults may occur when service is denied, when a patient is involuntarily admitted, or when a health care worker attempts to set limits on eating, drinking, or tobacco or alcohol use. (2002, para. 4)
Reference
Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. (2002). Violence: Occupational hazards in hospitals. Retrieved from http://www.cdc.gov/niosh/docs/2002-101
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Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
What are the more common reasons for workplace violence?
What clinical risk factors can lead to workplace violence?
What obligation does a health care facility have to protect workers from violence?
What personal safety strategies do you have to protect yourself from violence at work?
Resources
Suggested Resources
The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.
Library Resources
The following e-books or articles from the University Library are linked directly in this course:
Doby, V. (2015). Leadership’s role in eliminating workplace violence and changing perceptions in the emergency department. Journal of Emergency Nursing, 41(1), 7.
Blando, J., Ridenour, M., Hartley, D., & Casteel, C. (2015). Barriers to effective implementation of programs for the prevention of workplace violence in hospitals. Online Journal of Issues in Nursing, 20(1), 1–11.
Bruce, M. D., & Nowlin, W. A. (2011). Workplace violence: Awareness, prevention, and response. Public Personnel Management, 40(4), 293–308.
Saltzberg, C. W., & Clark, C. M. (2015). A bold call to action: Mobilizing nurses and employers to prevent and address incivility, bullying, and workplace violence. (2015). American Nurse Today, 10(8), 1.
Gillespie, G. L., Gates, D. M., Miller, M., & Howard, P. K. (2010). Workplace violence in healthcare settings: Risk factors and protective strategies. Rehabilitation Nursing, 35(5), 177–184.
Magnavita, N. (2014). Workplace violence and occupational stress in healthcare workers: A chicken-and-egg situation-results of a 6-year follow-up study. Journal of Nursing Scholarship, 46(5), 366–376.
Speegle-Clark, K. (2013). Violence in the workplace: A prevention program for healthcare workers. (Doctoral dissertation). Available from ProQuest Dissertations and Theses database. (UMI No. 1539707).
Papa, A., & Venella, J. (2013). Workplace violence in healthcare: Strategies for advocacy. Online Journal of Issues in Nursing, 18(1), 1.
Course Library Guide
A University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4006 – Policy, Law, Ethics, and Regulations Library Guide to help direct your research.
Internet Resources
Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.
United States Department of Labor, Occupational Health and Safety Administration. (n.d.). Workplace violence prevention – Health care and social service workers. Retrieved from https://www.osha.gov/dte/library/wp-violence/healthcare/
Assessment Instructions
Your workplace has experienced some serious problems with workplace violence that occurred between patients and caregivers. A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence. You have been asked to write an article on workplace violence and prevention measures for the hospital employee newsletter.
Preparation
Search the library and the Internet for scholarly and professional peer-reviewed articles on workplace violence. You will need at least five articles to use as support for your work on this assessment.
Directions
Write a 750–1,000-word article (3–4 pages) on workplace violence and prevention measures for the hospital employee newsletter. Address the following in your article:
Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings. Consider the types of patients that may be treated within a clinical or hospital setting.
Compare OSHA regulations and the ANA position statement on workplace violence to organizational policies.
Explain safety policies and protocols for preventing and responding to violence against health care workers.
Additional Requirements
Your presentation should meet the following requirements:
Written communication: Written communication should be free of errors that detract from the overall message.
References: Cite a minimum of five resources, with the majority being peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
APA format: Resources and citations should be formatted according to current APA style and formatting.
Length: 750– 1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
Font and font size: Times New Roman, 12-point
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Nursing Process in the Reflective Journal Assignment Criteria for developing a reflective journal entry:
Nursing Process in the Reflective Journal Assignment
Requirement: The student will express their comprehension of the nursing process in the reflective journal.
Choose to write about any aspect(s) of practice which:
Ï Feel the intervention made a difference in a client outcome
Ï Feel went unusually well
Ï Feel did not go as planned
Ï Think captures the essence of nursing practice
Requirement: The student will identify the following elements in the reflective journal.
The focus should be on the nursing practice
Ï What was going on (the context of the situation)?
O Shift, time of day, resources, the clinical scenario
Ï What happened?
O Detailed description of situation/incident/experience
Ï Why is this incident important?
Ï What were the concerns at the time?
O What thoughts and feeling during and after the experience?
O What influenced the decision-making?
O What, if anything, was the most demanding aspect of this experience?
O What was unexpected?
Requirement: The student will analyze the positive and negative aspects of their learning.
Choose to write about the following:
Ï A reflection or evaluation of the situation showing the competencies and expertise used (skilled communication, teaching, leadership). Support these with current evidence-based practice literature.
Ï What were actions taken? Include not just, what was done, but also more importantly the rationale for the actions. Support these with current evidence-based practice literature
Ï What new knowledge or insights were gained? How would make recommendations for change in practice?
Ï Provide references to show evidence-based practice (see guidelines below)
Ï Was anything learned? If so what?
Ï Consider another way to manage nursing practice as it relates to this experience? Has the nursing practice changed in any way?
4 Requirement: The student will follow these guidelines
Ï Journal entries should exceed no more than two (2) pages in length (not including reference page).
Ï Journal entries should include a minimum of two (2) citations from a peer-reviewed, evidence-based journal. The inclusion of evidence-based practice is an integral part of learning, critical thinking and growth therefore must be relevant to the journal topic and shows relevant learning.
Ï Journal to follow 6th edition APA guidelines and should include a title page, the body of the journal, reference page.
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The Nursing Process Reflective Writing Reflective writing is one way of citing evidence of practice and learning in practice. Reflective writing involves thinking about and reviewing events to try to make sense of them, using acquired nursing knowledge and understanding.
The Nursing Process Reflective Writing Reflective
Reflective journaling also provides insight into context and emotions and addresses the matching of intellect, decision-making and problem solving appropriate for a complex and dynamic situation.
A key component of this assignment will be a reflection on specific incidents occurring during a practicum experience. The reflective journal is more than a description of what was seen, and the tasks have performed. This journal is a chance to comment on actions and experiences in a practicum placement and to explore feelings about the same. Include how these could/should affect personal and professional development.
As a novice nurse, it will be required to plan, implement and evaluate performance; the reflective journal gives the scope to begin to develop these skills while completing a practicum.
A reflective journal is a learning tool that can be used to look at experiences and help to do the following:
a) Review and reflect upon development, and how have grown on both an individual and professional level
b) Organize thoughts
c) Demonstrate practical application of the underpinnings of knowledge; link theory with clinical practice and vice versa
d) Demonstrate practical competence
e) Decide what new learning is needed; provide evidence to show where, when and how practice outcomes/standards of proficiencies have been achieved
Assignment Criteria for developing a reflective journal entry:
Requirement: The student will express their comprehension of the nursing process in the reflective journal.
Choose to write about any aspect(s) of practice which:
Ï Feel the intervention made a difference in a client outcome
Ï Feel went unusually well
Ï Feel did not go as planned
Ï Think captures the essence of nursing practice
Requirement: The student will identify the following elements in the reflective journal.
The focus should be on the nursing practice
Ï What was going on (the context of the situation)?
O Shift, time of day, resources, the clinical scenario
Ï What happened?
O Detailed description of situation/incident/experience
Ï Why is this incident important?
Ï What were the concerns at the time?
O What thoughts and feeling during and after the experience?
O What, if anything, was the most demanding aspect of this experience?
O What was unexpected?
Requirement: The student will analyze the positive and negative aspects of their learning.
Choose to write about the following:
Ï A reflection or evaluation of the situation showing the competencies and expertise used (skilled communication, teaching, leadership). Support these with current evidence-based practice literature.
Ï What were actions taken? Include not just, what was done, but also, more importantly, the rationale for the actions. Support these with current evidence-based practice literature
Ï What new knowledge or insights were gained? How would make recommendations for change in practice?
Ï Provide references to show evidence-based practice (see guidelines below)
Ï Was anything learned? If so what?
Ï Consider another way to manage nursing practice as it relates to this experience? Has the nursing practice changed in any way?
Requirement: The student will follow these guidelines
Ï Utilizing the above guidelines for contextual writing; complete two (2) journal entries throughout NUR 4180 (See AAG for assignment due dates).
Ï Journal entries should exceed no more than two (2) pages in length (not including reference page).
Ï Journal entries should include a minimum of two (2) citations from a peer-reviewed, evidence-based journal. The inclusion of evidence-based practice is an integral part of learning, critical thinking and growth, therefore, must be relevant to the journal topic and shows relevant learning.
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GUIDELINE TO COMPARE SELECTED THEORISTS GROUP POWERPOINT PRESENTATION
Purpose: The intent of this assignment is to help students analyze the relationship between middle range and grand theories for nursing.
Guidelines: Each student will prepare a 15-20-minute presentation discussing the similarities and difference between a selected middle and grand nursing theory.
Write clearly and succinctly. Present your ideas logically. Include an introduction and summary. Adhere to APA style (6th edition). Use APA format and label each section using the evaluation outline below. Use headings below to identify sections of your PowerPoint slides. The rubric below will be used to evaluate your paper. PowerPoint presentation with 10-15 slides was clear and easy to read. The rubric below will be used to evaluate your paper
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Practicum experience time log and journal template
Practicum experience time log and journal template
Practicum – Week 1 Journal Entry
As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal.
Learning Objectives
Students will:
Analyze nursing and counseling theories to guide practice in psychotherapy*
Develop goals and objectives for personal practicum experiences*
Create timelines for practicum activities*
* The Assignment related to this Learning Objective is introduced this week and submitted in Week 4.
In preparation for this course’s practicum experience, address the following in your Practicum Journal:
Review the media Clinical Interview: Intake, Assessment,& Therapeutic Alliance in your Learning Resources.
Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.
Note: For guidance on nursing and counseling theories, refer to the Wheeler textbook in this week’s Learning Resources.
Explain why you selected these theories. Support your approach with evidence-based literature.
Develop at least three goals and at least three objectives for the practicum experience in this course.
Create a timeline of practicum activities based on your practicum requirements.
Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.
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