Clinical expertise, patient values, optimum safe care

#6 Demonstrate an ability to reflect on interpersonal and interactional processes with individuals, families, and groups and critically analyze own role in relation to them.

#8 Evaluate the outcomes of therapeutic nursing interventions and plan further interventions accordingly.

JOURNAL 5

TOPIC Clinical expertise, patient values, optimum safe care

DIRECTIONS Complex and even “simple” nursing interventions may consist of several steps or components and may require various resources (additional personnel or equipment) to safely implement depending on individual patient characteristics. For example, bathing a patient who is morbidly obese with chest tubes, central lines, and is unconscious and intubated can make this seemingly simple task a multi-person undertaking to insure patient safety and wellbeing.

“Factors such as the strength . . . of an intervention and the resources required for delivering it (e.g., personnel, setting and equipment) are rarely described, nor are extraneous variables such as contextual or environmental features and patient characteristics, which can significantly influence the intervention process . . . (Sidani & Braden, 1998)” (Thompson and Clark, 2012, p. 277).

Think of a nursing intervention that you have performed on a specific (complex) patient. Consider these “factors” and carefully outline each step to illustrate the actual detail of this intervention, noting the influence of extraneous variables and clinical expertise. Note a “take away” from this eye opening exercise. This may be in an essay format or as a concept map to illustrate the intervention and intertwining elements.

Discuss how and where you might apply the new knowledge to your current (or future) nursing practice.

In this discussion, reflect on the history and development of the doctorate of nursing practice (DNP). Also, refer to the Doctor of Nursing Practicetext reading and the AACN’s “The Essentials of Doctoral Education for Advanced Nursing Practice” to address the following:

Compare and contrast the inquiry processes of the DNP and the Doctor of Philosophy (PhD) in Nursing.

As you develop your post, consider these questions based on your readings this week:

What do you see as the major impetus for the DNP degree?

How does this degree differ from the PhD?

How will you apply the DNP degree in practice?

Who are the key stakeholders and how did they add credence and credibility to the DNP?

Remember to follow APA guidelines for citing and referencing your sources.

Response Guidelines

Respond to two learners. Suggest ways the DNP might add to their skills and knowledge, and suggest ways their nursing practice will change as a result of this degree.

Role of the DNP in Health Care Delivery

Resources

Discussion Participation Scoring Guide.

Capella Graduate Online Writing Center – APA Style and Formatting.

Choose one item from the following list and discuss how the DNP role can make a unique contribution to the topic. Integrate the DNP essentials into your response. Consider an area in your current role and practice that you might want to look at for your scholarly inquiry question. Your work on this unit will help you begin to formulate your clinical question.

Post your choice of topic for feedback from your peers.

The state of health care delivery.

Patient safety issues.

Leadership in nursing practice.

The use of information technology in health care.

Health care policy issues.

Quality improvement.

Remember to follow APA guidelines for citing and referencing your sources.

Response Guidelines

Respond to two learners on their choices of topic. Discuss what you want to know about each topic and how you would conduct research in this area. Finally, discuss the benefits of researching each topic—the benefits to your peer and to the field.

Role of the DNP in Health Care Delivery

Resources

Discussion Participation Scoring Guide.

Capella Graduate Online Writing Center – APA Style and Formatting.

Choose one item from the following list and discuss how the DNP role can make a unique contribution to the topic. Integrate the DNP essentials into your response. Consider an area in your current role and practice that you might want to look at for your scholarly inquiry question. Your work on this unit will help you begin to formulate your clinical question.

Post your choice of topic for feedback from your peers.

The state of health care delivery.

Patient safety issues.

Leadership in nursing practice.

The use of information technology in health care.

Health care policy issues.

Quality improvement.

Remember to follow APA guidelines for citing and referencing your sources.

Response Guidelines

Respond to two learners on their choices of topic. Discuss what you want to know about each topic and how you would conduct research in this area. Finally, discuss the benefits of researching each topic—the benefits to your peer and to the field.

Review and Reflect

Readings

Use your Doctor of Nursing Practice text to review the following:

Chapter 2, “Leadership, Collaboration, and the DNP Graduate,” pages 39–66.

Use the Capella library to read the following:

Marchionni and Ritchie’s 2008 article “Organizational Factors That Support the Implementation of a Nursing Best Practice Guideline” from the Journal of Nursing Management, volume 16, issue 3, pages 266–274.

Murphy’s 2005 article “Transformational Leadership: A Cascading Chain Reaction” from the Journal of Nursing Management, volume 13, issue 2, pages 128–136.

Sheehan, Robertson, and Ormond’s 2007 article “Comparison of Language Used and Patterns of Communication in Interprofessional and Multidisciplinary Teams” from the Journal of Interprofessional Care, volume 21, issue 1, pages 17–30.

Stichler’s 2006 article “Emotional Intelligence: A Critical Leadership Quality for the Nurse Executive” from AWHONN Lifelines, volume 10, issue 5, pages 422–425.

Resources

Discussion Participation Scoring Guide.

A final step in each part of your DNP program is an evaluation of each course, reflection on what you have learned, and a consideration of how you can apply this new knowledge and new skills to your professional practice.

For this discussion, write a brief evaluation of what you have learned in this course and how you will apply your new knowledge and skills to your professional career and your development as a doctorally prepared nurse professional. Your discussion post should include the following:

Discuss the leadership capacity you currently have and how you see this evolving as a DNP leader interacting with health care teams with diverse backgrounds.

Identify at least two areas of new knowledge that you have acquired.

Discuss how and where you might apply the new knowledge to your current (or future) nursing practice.

As a result of this course, what have you learned about your own strengths and weaknesses in developing a clinical question?

What knowledge gaps still exist related to the content in this course? How will you fill those gaps?

Your initial post should be succinct but at least 150 words, and should demonstrate clarity of thought and precision in writing. Use examples to support your reflection. Evidence-based references are not required for this discussion.

Refer to the Vann (2012) article to discuss the relationship between leadership and mentoring.

DIRECTIONS MENTORING: “Mentoring in nursing encompasses a guided experience, formally or informally assigned, over a mutually agreed-on period, that empowers the mentor and mentee to develop personally and professionally within the auspices of a caring, collaborative, culturally competent, and respectful environment” (Grossman as cited in Vann, 2012)

According to Vann (2012), mentoring encourages collaboration and leadership development.

Refer to the Vann (2012) article to discuss the relationship between leadership and mentoring. (Must use citations within your journal)

Reflect on your own clinical experience with leadership and mentoring (mentor or mentee) opportunities.

Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.

Reflect on everything you have accomplished in your program and what it means in terms of career advancement. There is no required minimum length for your summary, but be sure you address each program outcome as thoroughly as possible.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
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Health Assessment – Conduct comprehensive and focused assessments of health and illness parameters in individuals, groups, and vulnerable populations.
Safety and Quality Practices – Incorporate concepts of patient safety, clinical management, and quality improvement to improve patient outcomes.
Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.
Policy, Finance, and Regulations – Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.
Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.
Organizational and Systems Management – Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice.
Health Promotion and Disease Prevention – Apply and incorporate a basic understanding of the concepts of health promotion and disease prevention as a means of improving health at the individual, population, and community level.
Diversity – Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and the health of individuals, groups, and vulnerable populations.
Professional Role – Incorporate the qualities, skills, behaviors, and knowledge required to function as a patient advocate, practice high-quality care, assess and evaluate patient outcomes, and provide leadership in improving care.
Global Accountability and Public Service – Integrate a holistic approach to local, regional, national, and global dynamics in nursing and health care system delivery.
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 the business community.
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How has this program changed you as an individual and as a professional?
How can you highlight the skills you have demonstrated with your current employer or with a potential employer?
What can you do to remain aware of current best practices in your area of interest or expertise?

Required Resources

Use the completed assessments in this course as supporting evidence for your portfolio.
Your Professional Development Portfolio is the final portion of your capstone project. For Part I, compile specific artifacts that would be suitable to present at a job interview or performance review. In addition to the four previous assessments you have completed in this course, prepare a written summary (Part II) of your proficiency in all of the program outcomes and highlight accomplishments from your portfolio that illustrate your level of competence.

Note: You will not be re-evaluated on the four previous assessments you submit as artifacts for your Portfolio; you will only be evaluated on your written summary. Be sure, however, that you submit your entire portfolio.
Part I

Prepare your Professional Development Portfolio by compiling into a .zip file all the assessments (artifacts) you have completed for this course. Organize your portfolio in a manner that makes sense for you. To make it easier to reference specific assessments, use a numbering or lettering system such as A, B, C, and so on.

For example:

Assessment A: Health Assessment and Communication.
Assessment B: Health Promotion and Disease Prevention.

For example, in the summary you write in Part II, you would reference portions of Assessment A to support your proficiency in the corresponding competencies.
Part II

Complete the following:

Write a summary of your proficiency in each of the program outcomes. Refer to specific assessments and content to support your summary. Answer how well are you able to do the following:
Conduct comprehensive and focused assessments of health and illness parameters in individuals, groups, and vulnerable populations.
Incorporate concepts of patient safety, clinical management, and quality improvement to improve patient outcomes.
Incorporate evidence-based practice interventions (for example, information systems and patient-care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.
Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.
Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.
Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice.
Apply and incorporate a basic understanding of the concepts of health promotion and disease prevention as a means of improving health at the individual, population, and community level.
Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and health of individuals, groups, and vulnerable populations.
Incorporate the qualities, skills, behaviors, and knowledge required to function as a patient advocate, practice high quality care, assess and evaluate patient outcomes, and provide leadership in improving care.
Integrate a holistic approach to local, regional, national, and global dynamics in nursing and health care system delivery.
Conclude your summary explaining how lifelong learning can help support you in your career goals.

Additional Requirements

Format: You do not need to use APA formatting for this assessment.
Length: There is no required minimum length for your summary, but be sure you address each program outcome as thoroughly as possible.
References: You do not need to use any supporting resources other than your completed assessments.
Font: Use double-spaced, 12-point, Times New Roman font.