Reflective narratives Assessment 1
Reflective narratives
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
- New practice approaches
- Intraprofessional collaboration
- Health care delivery and clinical systems
- Ethical considerations in health care
- Population health concerns
- The role of technology in improving health care outcomes
- Health policy
- Leadership and economic models
- Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
NRS-490 Individual Success Plan
REQUIRED PRACTICE HOURS: 100
| PRACTICEIMMERSION | Complete Contact Information |
ISP Instructions
Use this form to develop your Individual Success Plan (ISP) for NRS-490, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your mentor at the beginning and end of this course so that he or she will know what you need to accomplish.
Application-based learning assignments are listed in the course syllabus with a Practice Portfolio Statement requirement element noted within the assignment itself. In order for you to successfully complete and graduate from the RN-to-BSN Program you must meet the following programmatic requirements: (1) completion of 100 practice immersion hours, and (2) completion of work associated with all program competencies.
In this ISP, you will identify all of the objectives, tasks, and/or assignments relating to the 100 practice immersion hours you need to complete by the end of this course. Specify the dates by which you will complete each tasks and/or assignments. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A).
ALL course assignments listing a “Practice Hours Portfolio” statement must be included in the ISP and are worth and recorded here as approximately 10 hours each. Actual clock hours must be recorded on this time log.
General Requirements
Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:
· Use the Individual Success Plan to develop a personal plan for completing your practice immersion hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course.
Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (Appendix A).
Completing your ISP does not earn practice hours, nor does telephone conference time, or time spent with your mentor.
· Within the Individual Success Plan, ensure you identify all course assignments which may include the following: Memorandums of Understanding (MOU)(if Affiliation Agreement is not required); comprehensive log of practice immersion hours applied to baccalaureate level learning outcomes; evaluations from faculty and mentors; your evaluations of your mentor; scholarly activity report; competency self-assessment (part of your ISP); reflective journal (Submitted in Week 10 but covering all weeks in the course); course goals and plan for how competencies and practice immersion hours will be met; and both faculty and mentor approvals of course goals and documented practice immersion hours.
| Application-based Learning Course Assignments | List of Current Course Objectives | Number of Clock Hours Associated with Each Assignment | AssignmentDate Due | Self-Assessment:GCU RN-to-BSNUniversity Mission Critical Competencies andProgrammatic Domains & Competencies(See Appendix A) | DateAssignmentCompleted |
| WEEK 1Course Mentor Identification and Approval ProcessIndividual Success Plan | 1. Identify problems, issues, and opportunities to improve patient care, patient outcomes, and organizational procedures within a clinical practice setting.2. Examine a health care clinical problem or an organization issue and its implications to nursing practice.3. Determine evidence-based solutions that address patient-care or clinical practice quality problems or issues.4. Analyze health care clinical problems and organizational issues utilizing the PICO (T) process.5. Demonstrate values consistent with the role of a nursing professional through fundamental knowledge and advanced skills. | 10 hours | 11/11/2018 | MC1 – MC5Domains1.1, 1.2, 1.3, 1.4, 1.5,2.1, 2.2, 2.3,3.1, 3.2, 3.44.3,5.1, 5.4 | 11/11/2018 |
| WEEK 2Capstone Project Topic Selection and Approval (Fall in Patients with Dementia) | 1. Identify problems, issues, and opportunities to improve patient care, patient outcomes, and organizational procedures within a clinical practice setting.2. Examine a health care clinical problem or an organization issue and its implications to nursing practice.3. Determine evidence-based solutions that address patient-care or clinical practice quality problems or issues.4. Analyze health care clinical problems and organizational issues utilizing the PICO (T) process.5. Demonstrate values consistent with the role of a nursing professional through fundamental knowledge and advanced skills. | 10 | 11/18/2018 | MC1 – MC5Domains:1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2, 5.3, 5.4 | 11/18/2018 |
| WEEK 3PICOT Statement Paper | 1. Evaluate evidence-based research and other appropriate resources to inform the development of a change plan.2. Identify strategies for logistical implementation of proposed solutions.3. Demonstrate the ability to evaluate levels of evidence into a concise format.4. Integrate evidence, clinical judgement, inter-professional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care | 10 | 11/25/2018 | MC1 – MC5Domains:1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2, 5.3, 5.4 | 11/25/2018 |
| WEEK 4Literature Evaluation Table | 1. Evaluate evidence-based research and other appropriate resources to inform the development of a change plan.2. Identify strategies for logistical implementation of proposed solutions.3. Demonstrate the ability to evaluate levels of evidence into a concise format.4. Integrate evidence, clinical judgment, inter-professional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care. | 10 | 12/02/2018 | MC1 – MC5Domains:1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2, 5.3, 5.4 | 12/02/2018 |
| WEEK 5Evidence-Based Practice Proposal Project Development & Implementation Plan 1 | 1. Identify objectives, strategy, and measurable outcomes of the evidence-based practice plan.2. List steps needed to implement each strategy in a change proposal.3. Outline the resources needed to develop and implement a change proposal.4. Describe methods for obtaining necessary support from key stakeholders.5. Develop a plan to evaluate the effectiveness of the change proposal project.6. Evaluate the role of information sources and technologies impacting the delivery of care within ad adequate environment of care.7. Develop appropriate change plans that promote health and prevent disease. | 10 | 12/09/2018 | MC1 – MC5Domains:1.1, 1.2, 1.3, 1.4, 5.1 | 12/09/2018 |
| WEEK 6Literature Review | 1. Identify objectives, strategy, and measurable outcomes of the evidence-based practice proposal.2. List steps needed to implement each strategy in a change proposal.3. Outline the resources needed to develop and implement a change proposal.4. Describe methods for obtaining necessary support from key stakeholders.5. Develop a plan to evaluate the effectiveness of the change proposal project.6. Evaluate the role of information sources and technologies impacting the delivery of care within an adequate environment of care.7. Develop appropriate change plans that promote health and prevent disease. | 10 | 12/16/2018 | MC1 – MC5Domains:1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2, 5.3, 5.4. | 12/16/2018 |
| WEEK 7Change Proposal Project Evaluation & Dissemination Plan 1 | 1. Identify methods to evaluate a proposed solution.2. Describe variables and outcomes to be assessed pre- and post – project implementation.3. Utilize appropriate tools such as basic statistics to evaluate project outcomes.4. Summarize plans for disseminating evidence.5. Use communication and collaboration skills to deliver high-quality, evidence-based, patient-centered care. | 10 | 12/23/2018 | MC1 – MC5Domains:1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2, 5.3, 5.4. | 12/23/2018 |
| WEEK 8Change Proposal Project Evaluation & Dissemination Plan 2 | 1. Identify methods to evaluate a proposed solution.2. Describe variables and outcomes to be assessed pre- and post – project implementation.3. Utilize appropriate tools such as basic statistics to evaluate project outcomes.4. Summarize plans for disseminating evidence.5. Use communication and collaboration skills to deliver high quality, evidence-based, patient-centered care. | 10 | 01/13/2019 | MC1 – MC5Domains:1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2, 5.3, 5.4. | 01/13/2019 |
| WEEK 9Evidence-Based Practice Proposal Project Plan 1 | 1. Produce a comprehensive and professional change initiative presentation.2. Integrate acquired knowledge and skills into professional practice.3. Examine the implementation of evidence-based research in nursing practice.4. Analyze research findings for the enhancement of evidence-based practice in the clinical setting.5. Apply leadership concepts, and decision-making in the provision of high-quality nursing care in a collaborative inter-professional setting.6. Analyze the impact of organizational and environmental factors on health care delivery and practice.7. Demonstrate leadership and communication skills to effectively8. Implement change initiatives for nursing practice. | 10 | 01/20/2019 | MC1 – MC5Domains:1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2, 5.3, 5.4. | 01/20/2019 |
| WEEK 10Evidence-Based Practice Proposal Project Plan 2 | 1. Produce a comprehensive and professional change initiative presentation.2. Integrate acquired knowledge and skills into professional practice.3. Examine the implementation of evidence-based research in nursing practice.4. Analyze research findings for the enhancement of evidence-based practice in the clinical setting.5. Apply leadership concepts, and decision-making in the provision of high-quality nursing care in a collaborative inter-professional setting.6. Analyze the impact of organizational and environmental factors on health care delivery and practice.7. Demonstrate leadership and communication skills to effectively implement change initiatives for nursing practice. | 10 | 01/27/2019 | MC1 – MC5Domains:1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2, 5.3, 5.4. | 01/27/2019 |
| Log of Comprehensive Documentation of Practice Hours | 100 | 1/27/2019 |
By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty and/or program director.
Mentors will sign upon initial receipt and at the end of the course to confirm that assignments have been complete with your guidance.
Running head: REFLECTIVE JOURNAL
REFLECTIVE JOURNAL
Week 1
In the week we discussed the topic of extraprofessional collaboration. From the discussion I had with my trainer, we were able to define extraprofessional collaboration. I was able to learn the various strategies which can be applied in order to be able to strengthen collaborative practice among the medical care practitioners, particularly the ones who work with rehab centers, the reason for coming together is due to the fact that effective collaborative practice is important for any healthcare organization that wishes to achieve its goals. We were also able to discuss the impact of interprofessional collaboration on the provision of healthcare services.
Week 2
This week marked the end of the discussion regarding professional collaboration. We spent a good amount of time discussing the various ways through which we could improve the outcome of geriatric patients. With the help of the trainer, we were able to analyze various strategies which can be put in place to ensure that the geriatric patients are able to recover within the shortest time possible (Lewitzka, 2018).
Week 3
This week marks the closing of the geriatric patient outcome improvement, and we are introduced to technology and its use in healthcare facilities. We were able to discuss how various techniques could be integrated into healthcare facilities, particularly the rehab centers to ensure that all the activities of the facility are well coordinated, and the patient expectations are met. Also, we also learnt that technology offers empirical evidence which supports potential changes in nursing which can be applied in teaching new techniques which are capable of bringing a remarkable contribution to the provision of improved medical care for geriatric patients.
Week 4
In this week, we had a discussion with my unit manager. We discussed the standards or norms for performing various actions within a healthcare facility, specifically rehab centers. In healthcare, ethical consideration simply entails all that is expected from the healthcare providers. In particular, we were able to discuss various norms which should be maintained when handling geriatric patients. We were also able to discuss various ways through which such norms could be improved within healthcare facilities particularly the rehab centers.
Week 5
During this week I met my unit trainer, and we were able to discuss the most common health concerns, which usually affect a given society or a group of individual who are in the same environment. An example of population health concerns is alcohol-related harm. The main healthcare concern which we discussed is the illnesses which are likely to affect geriatric patients (Moghaddam, 2015).
Week 6
During the sixth week, a study on health policy was very positive; we were able to learn various health policies. We were also able to see that health policies mainly entail the decisions, plans as well as the actions, which are carried out with the goal of achieving specific health care objectives within a society. Health policy should be able to define the vision for the future and this helps in determination of the points and targets of reference.
In the course of the week, I met my mentor, and we were able to discuss various health policies, their impact on the delivery of healthcare services and also some of their benefits of such policies. In addition, our discussion also entailed various strategies which can ensure that the health policies do not interfere with provision of healthcare services to geriatric patients.
Week 7
This week marks the closing weeks, which we learned about evidence-based practice. A satisfactory duration of time was spent on educational strategies on various technologies which aid in the provision of improved healthcare services to geriatric patients. Health information technology provides tools which might be required by the patients to manage their health conditions based on the guidance which is provided by the primary care team.
Week 8
In this week we were able to learn the various ways through which technology has helped in improving the healthcare sector, specifically by improving the outcomes of the patients. We were also able to see the roles played by technology to ensure that health care services are provided in an effective manner (Lamoth, 2018).
Week 11
The first three days of this week were spent carrying out research on the topic of evidence-based practice for geriatric patients. We were able to learn more about the conscientious and judicious utilization of existing best evidence in concomitance with clinical expertise as well as patient values to oversee decisions regarding delivery of health care services; this is highly applicable for the geriatric patients (Morgan, 2017). From this week we also able to learn that the doubling of the geriatric population over the next ten to twenty years is likely to challenge the current health care system.
Week 12
During this week I was able to establish a good relationship with my trainer who was my role model, by doing so I was able to gather various skills pe tortaining care for geriatric patients, this is because it most case I will be working in a rehab center and am likely to meet geriatric patients most of the times and hence it is essential for me to have knowledge on how to handle this group of patients. We were also able to discuss various technologies which can be integrated in the medical care for geriatric patients in order to ensure that they receive the best medical care services from the rehab center. This was the last week and we were able to discuss all the topics which we had learnt all through the duration which we had been learning about geriatric patients. We were also able to discuss my future development of professional goals because this is one of the professions which require planning as well as support from various sources.
References
