NRS 493 Week 10 Scholarly Activities

NRS-493-RS-Scholarly Activities

Scholarly Activities Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.NRS-493-RS-Scholarly Activities Essay.

You are required to post at least one documented scholarly activity by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis. Submit, by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the \”Scholarly Activity Summary\” resource to help guide this assignment. While APA style 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. APA style is not required, but solid academic writing is expected. You are not required to submit this assignment to LopesWrite.NRS-493-RS-Scholarly Activities Essay.

Quality Improvement (QI) Committee Meeting on Reduction of Hospital-Acquired Infections (HAI)

Overview

The scholarly activity I attended was a quality improvement (QI) committee meeting held in the boardroom of the hospital in which I work. The QI committee meets at least ten times in a year with the sole purpose of reviewing incident reports and other quality benchmarks such as nosocomial infection rates, patient fall rates, and readmissions. The meeting is usually held on the last Friday of the month, with the one I attended taking place on the last Friday of last month (August). The meeting was chaired by the committee chairman, who is the Chief Medical Officer. In his abscence, he usually appoints a member of the committee to do so on his behalf. Minutes of the meeting were taken to serve as points of deliberation in the subsequent meeting. The target of the meeting’s deliberations is all the employees of the organization who provide direct healthcare services to patients. The benefit of this scholarly activity to me was that it introduced me to the important process of healthcare quality improvement.NRS-493-RS-Scholarly Activities Essay.

Problem

In this particular QI meeting, the agenda was to discuss the recent rise in cases of hospital-acquired infections (HAI) in the hospital and come up with recommendations on how to reduce the rates. The current state of HAI in the facility is that:NRS-493-RS-Scholarly Activities Essay.

• Catheter-associated urinary tract infections or CAUTI rates have risen from 3.5 per 1,000 hospital admissions in January 2020 to 5.8 per 1,000 admissions by the end of August (Ravi & Joshi, 2019).
• Central line-associated blood stream infections or CLABSI rates have also risen from 2% in January to 6% in August (Aloush & Alsaraireh, 2018).
• Ventilator-acquired pneumonia (VAP) in the critical care unit has also risen from 3% to 10% between January and August 2020 (Álvarez-Lerma et al., 2018).NRS-493-RS-Scholarly Activities Essay.

This is a problem because it shows that the quality of nursing care is falling. It is a problem to the hospital because its patient satisfaction ratings as well as Joint Commission for the Accreditation of Healthcare Organizations (JCAHO) ratings will fall. By participating in this activity, a nurse takes note of the importance of quality improvement for better patient outcomes and familiarises themselves with the QI process. This is what they achieve.NRS-493-RS-Scholarly Activities Essay.

Solution

The recommended solution to the problem of increasing rates of HAI by the QI committee included that:

• Nurse managers will review their units’ standard operating procedures and infection prevention protocols.
• The infection control committee whose members are also members of the QI committee will come up with evidence-based care bundles for preventing HAI (Prakash et al., 2017).NRS-493-RS-Scholarly Activities Essay.

Opportunity

The objectives and goals that were met or the opportunity the activity was designed to capture included to identify the cause(s) of the increase in HAI, to identify resources needed to facilitate better nursing care, and to train and educate nurses on evidence-based device care bundles. Participating in this scholarly activity will help me grow as a nurse by inculcating in me the culture of quality improvement.NRS-493-RS-Scholarly Activities Essay.

Program Competencies Addressed

• Identifying areas of quality gaps and expressing the quality deficit in quantitative terms.
• Proposing evidence-based solutions for addressing the quality gaps.

Suggesting the evaluative measures to be used to assess whether the above interventions are successful.

This document describes the scholarly activity elements that should be included in a five paragraph summary.You may use thisresource to help guide thepreparation of the Scholarly Activities assignment, due in Topic 10.NRS-493-RS-Scholarly Activities Essay.

Overview

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you.

Problem

This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate:What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more.NRS-493-RS-Scholarly Activities Essay.

Solution

This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section.NRS-493-RS-Scholarly Activities Essay.

Opportunity

This section consists ofshort paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse?

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP.NRS-493-RS-Scholarly Activities Essay.

NRS 493 Benchmark – Professional Capstone and Practicum Reflective Journal

Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, 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.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style 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.

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

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

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3:     Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1:     Utilize patient care technology and information management systems.

4.3:     Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3:     Provide culturally sensitive care.

5.4:     Preserve the integrity and human dignity in the care of all patients.

Journal Entries

BERI SUNJO

Grand Canyon University

NRS 493

12/19/2020

Journal Entries

Week #1

New Practice Approaches

I have learned and gone through different peer reviewed articles which has enabled me to become competent and familiar with new practice approaches in nursing practice. So much has changed in the 21st century as nurses and healthcare workers in general have adopted evidence based strategies in solving eminent and persistent diseases. An example is where use of hand hygiene to decrease chances of getting hospital acquired infection is implemented in different hospitals (Patelarou et al., 2017). Other conditions such as obesity, asthma, and diabetes have evidence based strategies to tackle them. Nurses and healthcare practitioners are also focusing more on patient based strategies as diseases and health concerns are different which helps them treat conditions appropriately. The use of statistics to improve healthcare outcomes has also been improved in the 21st century as nurses evaluate patient outcomes using statistics which helps them to devise new methods that are relevant to certain conditions and patients based strategies in healthcare.

Inter-professional Collaboration

I have observed and experienced a lot when it comes to inter-professional collaboration. I believe that as a nurse, I need to always partner with other professionals in the organization to ensure that I achieve and improve patient care. An example is where information technology professional’s partners with nurses to come up with relevant technology to for example improve safety of the patients in the wards (Kristensen, Nymann & Konradsen, 2015). I have also learned that collaboration makes work easier and improves quality of care that is given by professions in care. Accountability and transparency also comes with inter-professional collaboration as nurses and other professionals have to work together to ensure that an objectives is achieved.

Health Disparities

I have learned that health disparities need to be advocated for by nurses for patients to receive quality healthcare irrespective of their economic, social, and political orientation in the society. This can be done through lobbying federal and state governments to increase resource allocation which will consequentially improve buying of drugs and improvement in health facilities in vulnerable areas and populations such as immigrants and refugees as well as African American communities and other minority groups in America (Knipe et al., 2020). I have also noted that wealthy people are always faced with chronic diseases such as diabetes, obesity, and heart conditions because of the foods and lifestyle they live compared to poor people whose prevalence of these diseases are not prevalent as seen among economically stable persons in America.

Ethical Considerations in Healthcare

Observing ethical code of conduct in healthcare is relevant in ensuring that patients’ rights are not crossed and nurse’s relevance of decisions they make during care of the patients. An example is where I have learned that patient’s informed consent is crucial and legally binding before a procedure can be performed on the patients (Suleiman, 2019). Privacy and confidential of information is also crucial ethical conduct that nurses need to have with the information of patients as when they leak it without patients consent they can be sued an pay for damages an even their license revoked. I have also learned to be accountable for my actions as a nurse that makes me become more responsible and concentrate on doing what is right for the patient. Non-maleficence, fidelity, beneficence, normative ethics are some of the ethics that I have learned that they exist in the nursing practice and they are important in observing if a nurse wants to improve patient outcomes.

Population Health Concerns

My reflective journal for this week is on population healthcare concern. Despite the expanding literature on the importance role public policy plays in influencing the broader determinants of the public’s health, profound differences exist among jurisdictions in the attention placed by the State – as represented by public health authorities and agencies – upon such activities. In this reflective journal we examine the dominant public health models of Canada and USA The Canadian public health communities are focused upon individualized approaches to risk management. In contrast, the US public health scenes are more oriented toward broader approaches to health determinants. We argue that the extent to which governments, public health agencies and public health workers concern themselves with public policy approaches to address broader determinants of health depends upon the particular model of health adhered to within each jurisdiction. And whether a health model is adopted depends upon the ideological and political context within which a nation is situated. Canada represents a situation where concerted effort to influence governmental Population Health Concerns policy directions by the public health community could reap significant benefits

The role of Technology in improving Healthcare Outcomes

The role of technology in improving health care outcomes. A central plank of health care reform is an expanded role for educated consumers interacting with responsive health care teams. However, for individuals to realize the benefits of health education also requires a high level of engagement. Population studies have documented a gap between expectations and the actual performance of behaviours related to participation in health care and prevention. Interventions to improve self-care have shown improvements in self-efficacy, patient satisfaction, coping skills, and perceptions of social support. Significant clinical benefits have been seen from trials of self-management or lifestyle interventions across conditions such as diabetes, coronary heart disease, heart failure and rheumatoid arthritis. However, the focus of many studies has been on short-term outcomes rather that long term effects. There is also some evidence that participation in patient education programs is not spread evenly across socio economic groups. This review considers three other issues that may be important in increasing the public health impact of patient education. The first is health literacy, which is the capacity to seek, understand and act on health information. Although health literacy involves an individual’s competencies, the health system has a primary responsibility in setting the parameters of the health interaction and the style, content and mode of information. Secondly, much patient education work has focused on factors such as attitudes and beliefs. That small changes in physical environments can have large effects on behavior and can be utilized in self-management and chronic disease research.

Health Policy

Healthcare policies are relevant in addressing healthcare concerns in the society and in the country in this case America. I have learned so much about healthcare concerns which include different policies which include Medicare, Medicaid, and affordable care act which were enacted to improve healthcare outcomes. I have also learned a lot about the importance of advocacy as a nurse which enables governments to increase resource both physical and financial in healthcare sectors or come up with health policies that are meant to improve health conditions of patient populations. However, health policies are not just enacted at national and state levels only but even at the workplace. An example is where at the place I work, there is a policy not to smoke tobacco or drink alcohol at the workplace. This ensures that there is reduction of conditions that are associated with alcohol and smoking related lifestyles

Practices of culturally sensitive care

Being sensitive t cultural orientation of the patients is one of the strategies that is used by health professionals to increase quality of patient care. I have learned that as a nurse, it is always good to be sensitive about culture and language that patients speak so that one can resonate well with patients for them to feel comfortable. Studies show that patients recover faster or pen up to health professionals when they know that they are from their culture or that they understand their cultural diversity. This means that as a healthcare professional, one need to develop listening skills, be aware of cultural diversity, and stop making assumptions which might lead to judgment from the patients.

Ensuring the integrity of human dignity in the care of all patients

Privacy, confidentiality, and respect are some of the issues that patients expect from nurses and other health care professionals when attending to them to ensure that they preserve their dignity in their care. Through beneficence and non-maleficence ethics, nurses should always ensure that they give patients human dignity required (Winter, 2018). Through continuum of care, nurses and healthcare professionals can also ensure that they give their patients human dignity through quality of care to ensure their safety in hospital. Effective communication and being sensitive to older patient needs is an expression of human dignity from nurses.

Health care delivery and clinical systems

I have learned about the clinical systems importance in storing and manipulating patient data. This is essential as it enables people to come up with treatment plans and diagnostic tools in nursing which eases work and improves patient’s outcomes. Healthcare delivery system comprise of social expectations, budget, technology, and structure of healthcare and how this can be utilized to improve community healthcare (Miller et al., 2020). I have learned that this is essential as it enables organizations to make informed decisions in healthcare. One of the clinical systems that I have come to learn about and is widely used by the clinicians is electronic health records which are essential in manipulating healthcare data.

Leadership and economic models

There are different leadership skills that I have learned that exist in the nursing profession. They include servant leadership, democratic, and transformative leadership. However, I prefer to use democratic leadership skills as it involves team work and inter-professional collaboration which is essential in ensuring that there is achievement of goals and objectives of the organization collectively (Duncan, 2019). I have also established that economic models are essential in achieving success in leadership in healthcare. Education and continued working hard to gain experience are relevant to one improving their leadership and economic skills in the healthcare organization.

References

Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient

safety. Saudi medical journal, 38(12), 1173.

Duncan, M. (2019). Integrated care systems and nurse leadership. British journal of community

nursing, 24(11), 538-542.

Knipe, D., Evans, H., Marchant, A., Gunnell, D., & John, A. (2020). Mapping population mental

health concerns related to COVID-19 and the consequences of physical distancing: a Google trends analysis. Wellcome Open Research, 5(82), 82.

Kristensen, N., Nymann, C., & Konradsen, H. (2015). Implementing research results in clinical

practice-the experiences of healthcare professionals. BMC health services

research, 16(1), 48

Patelarou, A. E., Kyriakoulis, K. G., Stamou, A. A., Laliotis, A., Sifaki-Pistolla, D.,

Matalliotakis, M., … & Patelarou, E. (2017). Approaches to teach evidence-based practice among health professionals: an overview of the existing evidence. Advances in medical education and practice, 8, 455.

Suleiman AlMakhamreh, S. (2019). Ethical Considerations for Health Care in Social Work in

Jordan: What Could Bring Joy to Elderly Refugees in Times of Despair?. Ethics and Social Welfare, 13(4), 409-423.

Miller, K. E., Singh, H., Arnold, R., & Klein, G. (2020). Clinical decision-making in complex

healthcare delivery systems. In Clinical Engineering Handbook (pp. 858-864). Academic Press.

Winter, S. F. (2018). Human dignity as leading principle in public health ethics: a multi-case

analysis of 21st century German health policy decisions. International journal of health policy and management, 7(3), 210.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NRS 493 Week 10 Scholarly Activities

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NRS 493 Week 10 Scholarly Activities

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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