Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

Scenario: Family
An 83, year old woman is recovering from pneumonia. She has Alzheimer’s disease and has become increasingly hostile and unmanageable in the home setting. Her 65, year old daughter is distraught about the idea of placing her mother in a long term care facility but feels she is not able to care for her.

• As a nurse, what is your role in this situation?
• How might you help the daughter with her decision?
• What information would you give the daughter?

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal (Dementia Patient Prevention). Students should consider the clinical environment in which they are currently employed or have recently worked (Long-term/Acute care center). The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed (Dementia Patient Prevention). 

Write a 500 word description of your proposed capstone project topic. Include the following:

1. The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
2. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
3. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
4. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
5. Significance of the topic and its implications for nursing practice.
6. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.

You are required to cite to a minimum of eight peer-reviewed sources from the University Library to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Let me know if you dont understsnd

Assignment Details

Collaboration in Pediatric Primary Care

This formal paper should include APA format, literature review, and logical sequence. This assignment should demonstrate your understanding of the topic. Citations and reference list is required. Please refer to the Grading Rubric for point distribution. This paper should be 3–5 pages excluding the title and reference pages.

This assignment is specific to a particular pediatric primary care practice and is mostly based upon student observation and experience. In your paper, include the following elements:

• From your observations and experiences in your pediatric clinical rotation, provide an example of multidisciplinary collaboration.
• From your observations and experiences in your pediatric clinical rotation, provide an example of how multidisciplinary and family collaboration affect patient outcomes.
• Discuss how you have been able to promote communication and collaboration among healthcare professionals, patients, and family/caregivers.
• Discuss a particular case where collaboration among healthcare professionals and family members affected patient/family satisfaction.
• In your clinical practicum, what are some barriers you have observed to collaboration among health care professionals, patients, and families?

need this done in 12 hours

 Nurses play a crucial and essential role in delivering patient’s quality of care, being the most direct caregivers for many of them. Nurses like Florence Nightingale, Isabel Hampton, and Lilian Wald were heroes who provided a tremendous knowledge that nowadays we are still using, and made a profound difference in the quality of care of patients, being their legacies followed today (Black, 2017, p. 324). Nursing has evolved in various aspects meaning that many changes have occurred in ways that are responsive to changes in the environment we are surrounded for. One of the changes we can observe in which this nursing field has evolved is gender equality knowing that in previous decades, and when Florence Nightingale started her nursing profession was a female dominated career where only women were the ones who provided care for patient, but today many males’ candidates are practicing the profession and are involved in patient’s care.

  The way they used to dress was totally different and not the same we use to wear today, they worn long white dresses, white hats, and white stockings, and nowadays nurses wear comfortable and beautiful scrubs, no hats, no dresses, and appropriate shoes and socks as well. As time has passed nurses have grown into highly specialized, and respected members of health care teams being a key element of the healthcare industry. Nursing education 100 years ago was a more direct training on how to address doctors, while nursing education today is more complex, formal, and comprehensive than it was before. Actually, today we as nurses need to take a complex and national exam as a requirement for becoming a licensed RN. While we get more knowledge and foundation of a stronger education we take into consideration the patient’s responsibility in our shoulders, and especially when we become advanced practice nurses.

  The impact of technology has allowed nurses become more precise, and efficient, alleviating some of the physical demands. The way nurses do their job today is easier than before keeping in mind that patient’s records are digital helping us with less paperwork, and preventing human mistakes on charts, that way is easier for us while doing an assessment on a patient. Another advantage we have with technology use is using the mobile apps to look up any medical information, as well as the special beds and chairs providing us a more comfortable environment as we don’t have to do so much heavy lifting (Dawn, 2016).

 Today, Nursing is what I expected when I entered this education. Although I never imagined being a nurse, I’m more than happy and proud of myself for having chosen this beautiful career. This teaches me every day to be a better person and value the love and care I provide to people who really need my help. I always thought about the tremendous responsibility I would have while dealing with real people who are really sick, but I’m always eager to learn new things and expand my knowledge to be more successful in my life and be the great nurse I always dreamt of when I decided to get into this field.

 References:

Black, B. P. (2017). Professional nursing: concepts & challenges. 8th ed. St. Louis, Mo.:

Saunders/Elsevier.

Dawn, P. (2016, August 3). Nursing is in transformation, and that’s good for nurses. Retrieved  

from http://blog.nurse.org/2016/08/03/

REPLY 2

Nursing is one of the fields that require much attention, dedication, and passion concerning how nurses treat patients under their care. Nursing program entails taking care of patients, this involves giving them guidelines on various issues such as medication, feeding and dietary habits as well as offering assistance to patients with various medical challenges to ensure their good stay while at the health care facility. Nurses plays a pivotal role of assisting doctors identify the best care plan for patients. They are also involved in executing the care plan offered by doctors and can sometimes advice doctors more about the health condition of patients since they spent most of the time with the patients (Ronquillo, Currie & Rodney, 2016). While most people enter the nursing profession with the wrong mental perspective that nursing is a simple duty, some of them drop out during the training program as the task requires much dedication and perseverance as one interacts with diverse people with different health complications. While the different people may have various personalities, the nurse is expected to display high level of professionalism and care to patients, which calls for ethical values as a nurse (Clavijo, de Julián Romero & Paniagua, 2016). Although I expected nursing to be quite challenging while I was taking my nursing program, I never thought it would be that hard. The modern evolution trends have drastically changed the nursing roles unlike in the past.
During my studies as a nurse, I thought the nursing profession would be hard since I could see various nurses doing their duties with ease. When I visited the some of the healthcare facilities within my locality, I would see nurses doing their work perfectly and enjoying interacting with different patients and examining their medical conditions. For me, I was passionate about the profession since I like assisting people who are suffering from various conditions. Therefore, nursing was a good choice for me since I was able to identify the various people with different medical conditions and assist them to recover. However, I never thought that the task would be that difficult. I thought the task was easy while I was taking the nursing program in college until I entered the actual profession. I realized that the task was not as easy as I thought since most of the times, I found myself interacting with different patients with various medical conditions and who have different medical illnesses.
Working at the ICU was challenging for me since I found myself working with patients who were facing different critical issues. When I entered the nursing profession, I thought that nursing involved taking care of patients and giving them directions on how they would take their drugs as well as assisting doctors in treatment of patients. I never imagined that nurses play a more involving and critical role than the doctors assigned to treat the patients. I found myself working for more hours in a day than I expected. At times, I would work both day and night taking care of different patients since the nurses in my healthcare facility was limited. I realized that nursing has greatly changed and the profession has become more involving since nurses perform some of the task that doctors do not do.
Arguably, the nursing role has changed drastically since I have been using most of my time in the hospital taking care of patients, giving them directions on dietary habits and offering emotional support to different patients. This is one of the aspects that have drastically changed since I left my nursing program from college.
 

References
Clavijo, M. C., de Julián Romero, F. J., & Paniagua, M. V. (2016). Evolution of education in nursing. Medwave, 16(6), e6505-e6505.
Ronquillo, C., Currie, L. M., & Rodney, P. (2016). The evolution of data-information-knowledge-wisdom in nursing informatics. Advances in nursing science, 39(1), E1-E18.

All replies must be constructive and use literature where possible

Your assignment will be graded according to the grading rubric.

two page paper

apa format

references from the last 5 years

Discussion Question:

Reflecting on what you have learned about the social determinants of health, SDOH, how can nurses work collaboratively with physicians and other health care professionals to improve primary care, reduce overutilization and improve underutilization of healthcare services? Include in your response how fostering an environment of diversity and cultural awareness among healthcare providers builds a stronger healthcare team and improves care delivery to healthcare consumers. 400 words.

Select either EBP, research, or QI and identify how the selected approach is implemented to improve outcomes at your workplace.

            Nursing practice involves three inquiries that are significant to healthcare outcomes.  Since the inception of the nursing profession, many advancements have occurred.  Healthcare will continue to evolve through research leading to evidence-based practice (EBP), and consistently including quality improvement (QI).  Nurses are particularly instrumental with their knowledge base and skills learned.  Quality improvement (QI), research, and evidence-based practice (EBP) each have a role in nursing.  Although their aims, methods, and outcomes differ, the common goal is to promote optimal outcomes.   

            Quality improvement (QI) is a model implementing change.  When problems are identified, the process for quality improvement is executed (Zaccagnini & White, 2017).  QI is utilized in identifying performance gaps within nursing practice, process, or systems.  It is applied throughout units, departments, and organizations.  The Quality Improvement Model (QIM) contains four phases: Plan, Do, Study, and Act [PDSA] (Joyce, et al., 2019).  Working in the public/community health setting, nursing care is directed towards prevention.  The key is to educate patients and ensure their competency with their healthcare.  The QIM is implemented at my workplace from evaluating the patients’ behaviors based on their understanding of preventive care and continuing regularly scheduled appointments.  Typically, in public/community health facilities, monthly meetings are held with the providers to review measures defined by the Uniform Data System (UDS).  Facilities receive standardized reporting for review to compare to other facilities, then establish goals to increase the patients’ outcomes. 

How do you know this approach is utilized?

             QI is the approach utilized because it is referenced at every provider meeting.  On a smaller comparison, quality improvement is separated into the different departments and for each provider.  QI is a huge component considered in bonus compensation as well. 

Is this selected approach used apart from or in conjunction with the other approaches?

 Quality improvement (QI) is used in conjunction with research and evidence-based practice (EBP).  Meetings also consist of providing feedback relating to research and EBP.

Can one approach be effectively applied without the others? Why or why not?

 Although each inquiry is aimed to promoting optimal outcomes in healthcare, one approach can effectively be applied without the use of another in some instances.  They can be applied separately because there are differences in their aims, methods, and outcomes.  Each inquiry has a unique process yet complement one another for best practice (Mick, 2015). QI identifies the problem using an active approach for ideal results.  Research uses a scientific approach and in turn produces new education.  EBP tests the research to create new practice.  On other occasions, one approach may not be as effective without the other because each has an added value in some form.   

Hello I need a comment for this post at least 2 paragraphs and the sources no later than 5 years.