End of NURS 308 Reflection Post

This course has given me a more in-depth knowledge of the applications and importance of essentials and standards in nursing practice. In NURS 308 I was able to relate the standards more to nursing practice. I knew we had to learn both the essential and the standards but didn’t know that they were already aligned under the different objectives of this course. I do feel I have acquired a lot of knowledge in this course as it exposed me to the different areas of nursing. Some of the areas include those proposed by the American Nurses Association while some focused on the major responsibilities of nurses such as ways to resolve clinical issues, and the use of the evidence-based practice. It is interesting to know the nine essentials, the seventeen standards of professional nursing practice, and be able to discern where, why and how each concept relates to nursing practice. This course also exposed me to the model of Professional Nursing Practice Regulation. Although the components of the model appear inter-related each has its own distinct meaning and relates differently to nursing practice. Understanding the model and the objectives of this course, have helped emphasize the important steps on how to achieve a major nurse’s role which is the delivery of safe and quality patient care.

Aligning NURS 308 with Program outcomes & Standards

NURS 308 is titled foundation of Professional Nursing II that is focused on a lot of topics. One objective it focuses on is the use and application of standards, the Nurse Practice Act, and Regulation. This helps improve the judgments that guide nursing practice. With this knowledge, nurses are in a better position to protect their licenses as well as providing quality care for patients.

Assignment: Model of Professional Nursing Practice applied to Troy’s: The practice model reflects how nurses apply the standards, scope of practice, Nurse Practice Act and regulations towards achieving safe and quality patient care. The evidence-based practice in conjunction with standard 9-communication and standard 10-collaboration goes a long way in achieving positive patient outcomes. (Essential III & Essential VI)

Assignment: Clinical Issue Concept Map 308 pdf: This assignment reflects the use of the evidence-based practice to solve a clinical issue on Catheter-Associated Urinary Tract Infection-CAUTI (Essential III). When nurses take on the role of change agents, they could also apply an evidence-based practice as this helps in optimizing patients’ health outcomes which is another major objective of NURS 308.

Journal Reflection on Nursing Practice Standards (1-6) & Professional Performance Standards (7-17) NURS 308 by Florence-Ann Ozoude

 

Nursing Practice Standards 1-6:

Standard 1 Assessment: Assessing my patients is usually the first thing I do. This helps me collect both objective and subjective data on my patient’s health situation. Sometimes I do a focused assessment depending on the issue. An example was when I cared for a patient with pneumonia. I did a focused assessment by auscultating the patient’s lungs to monitor the lungs sounds and I did her vital signs too. Another example of an assessment was when I found a resident on the floor. I had to first assess her breathing, level of consciousness, alertness, and vital signs.

Standard 2 Diagnosis: The analysis of the assessment obtained gives rise to a nursing diagnosis. For example, after assessing the patient’s alertness and level of consciousness of the patient that fell, the patient was at risk for fall-related to hypoglycemia as evidenced by dizziness. Another example of diagnosis was with a chemo patient receiving chemotherapy. The patient was exhausted and finding it difficult to cope with activities of daily living. After the assessment, a nursing diagnosis for activity intolerance was identified.

Standard 3 Outcome Identification: When a diagnosis is made, the expected outcome for the patient should be identified. For my patient who fell due to dizziness from hypoglycemia, the expected outcome will be a normal blood glucose level and no falls. Another example is identifying that the chemo patient will participate in activities of daily living without getting exhausted.

Standard 4 Planning: In planning, once the outcomes are identified, a plan on how to achieve them is made. For example, For my patient whose identified outcomes are to maintain normal blood sugar and no falls, a plan was made to monitor the blood sugar through finger sticks before every meal for a period of time. For the fall risk, a plan to implement fall precautions was made. Another example for the chemo patient was the plan for her to have assistance during her ADL’s and plan to re-enforce the teaching on the use of call bell when needed.

Standard 5 Implementation: The plan made for the patient under standard 4 was implemented. The interventions were carried out. Blood glucose monitoring was done and fall precautions were implemented for the period of time it was needed. Another example for the patient on chemotherapy was that assistance was provided when needed and to help with ADL’s

Standard 6 Evaluation: This standard emphasizes reviewing the outcome. The essence is to know if the identified outcome was achieved via the interventions or not. If they weren’t, then why? Any setbacks? For those patients, the plan made for them in standard 4 was effective in achieving their identified outcome during the plan period. The evaluations were done by observing, interacting with the patient, and reviewing charted information.

Professional Performance Standards 7-17:

Standard 7 Ethics: This includes the moral principle that is guiding an individual. In nursing, ethics is also a major aspect of the profession. Abiding by the professional code of ethics, conduct, and principle is important in nursing. Patients are respected and treated with kindness. The cultural values of patients are also respected without judgments. Ethics also helps me act professionally as an advocate for my patients, also knowing what is right and wrong is vital in delivering quality patient care.

Standard 8 Culturally Congruent Practice: Registered nurses should be open to care for all individuals regardless of their cultural beliefs and norms. Nurses should be non-judgmental but respect the values and beliefs of patients. An example is when a patient is dying, there could be some religious rites the patient and family could want to observe. Registered nurses should respect it when delivering care regardless of what the nurse’s beliefs are.

Standard 9 Communication & Standard 10 Collaboration: Standards 9 &10 oftentimes work together. Effective communication is needed by registered nurses when collaborating with other professional team members on a patient’s care. Communication has to be clear, specific, and sometimes with feedback. An example was when a care partner was delegated to do vital signs for specific patients and report back on their vital sign’s values. Also, that was a collaborative effort to monitor the blood pressure of those patients.

Standard 11 Leadership: Nurses should possess some leadership qualities and skills. This is because leadership is part of the nursing profession. An example is the position of a charge nurse who is making sure team members are completing their assigned duties and reporting back on the assignment. Also, a leader should be prompt in resolving issues that arise concerning patient care.

Standard 12 Education: Education helps nurses to acquire more knowledge and skill in their profession. This helps nurses to be more equipped and competent in delivering quality care to patients. Examples of avenues to acquire knowledge besides readings include training, seminars, continuous education program, and the BS program.

Standard 13 Evidence-based Practice and Research: This is important because it enables nurses to aim at the most effective care, based on evidence. Due to the changing medical situations and technology, researchers contribute to ensuring that evidence-based information is available for use to achieve positive patient outcomes.

Standard 14 Quality of Practice: This is a major responsibility of nurses. Nurses should provide quality nursing. Acquiring knowledge and skills enable nurses to practice competently within their scope of practice delivering quality nursing care to patients. An example is the use of critical thinking judgment and skill to know when to apply a focused assessment on a patient when needed to avoid delay in care.

Standard 15 Professional Practice Evaluation: This standard allows for nurses to self-assess their nursing practice and also evaluate others. This goes a long way in determining if things are going in the right direction or whether changes and adjustments are needed.

Standard 16 Resource Utilization: The appropriate use of available resources helps in achieving efficiency and quality on the job. Resource utilization also helps alleviate certain workloads off nurses, making them focus on more critical areas. For example, with staffing, if a registered nurse has a care partner assisting with vital signs, she can go ahead for an IV insertion with another patient.

Standard 17 Environmental Health: A healthy work environment is important in achieving a positive outcome that is sustained for both patients and healthcare professionals. An example is when a working environment is safe and free from environmental hazards, nurses can provide care safely to patients.

 

 

 

 

 

Portfolio Components and Reflection: Essentials and Standards #13 & #16 By Florence-Ann Ozoude

Vision Board C

Prerequisite Courses

Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice

  • BIO 141- Human Anatomy & Physiology I: I was introduced to the fundamentals of human anatomy and physiology. Learned the basic unit of life (cytology) from which humans are built. It also gave me a better understanding of the biological systems and structural organization of the human body.
  • Psychology 230- Developmental Psychology: This gave me a better understanding of why human beings change over time. I also learned the changes in human behavior as they develop and the factors that affect human behavior.
  • Humanities 246 – Creative thinking: This course thought me how to think creatively and think “outside the box”. This has also help me in critical thinking and judgments during my clinical experience.

Prior nursing Courses

Essential V: Health Care Policy, Finance, and Regulatory Environments

  • NSG 130 (1st Semester RN) Professional Nursing Concept IAn overview of the Code of Ethics and HIPAA with Patient confidentiality and rights was covered. This was an introduction to Ethics and HIPAA regulations and the importance of patient confidentiality.

Essential IV: Information Management and Application of Patient Care Technology

  • NUR 301 (1st Semester BSN, VCU) Nursing Informatics: Clinical decision support was covered, and the assignment was done on Consumer Health Technologies which exposed me to different technologies patient can on their own use to manage their health.

Current Nursing Courses

Essential VI Interprofessional Communication and collaboration for improving patient health outcomes

  • NSG 230 (4th Semester, Southside) Advanced Professional Nursing Concept I am learning that Conflicts do exist in workplaces for different reasons and there are different conflict resolution strategies a manager can adopt to resolve them. Also, good communication skill is vital in nursing.

Essential III Scholarship for Evidence-Based Practice

  • NUR 307 (1st Semester VCU) Foundation of Professional Nursing Practice I- This course is helping me get a better understanding of a healthy work environment and its importance. During this course, I will learn about research development. PICO assignment will also be done.

Professional Standards

Collaboration Standard # 13: Registered nurses in the course of their profession should collaborate with patients, family and others involved in patient care. Collaboration helps promote teamwork thereby achieving a target goal in a timely and efficient manner. When collaboration is effectively carried out during patient care, it results in a positive patient outcome. Collaboration helps with conflict resolution which also helps maintain a healthy work environment. I have experienced collaboration at the clinical facility when delivering care to patients with more than one health problem and need. The teamwork performed with my colleagues enabled us to provide proficient quality care. Also, in both NSG 301 and NSG 307, group assignments have been done where members of my group collaborated in making sure the assignment was done. An example of collaboration in NSG 307 is the presentation on nursing history and another is the presentation on the scholarship of teaching, a type of scholarship in the nursing discipline. On NSG 301, My group collaboratively worked on a High Tide Scenario, analyzing the case assigned from different perspectives such as what the problem was and what the ethical dilemma was in the scenario.

Environmental Health # 16: Maintaining a healthy environment is also important in ensuring the safety of both patients and nurses in the workplace and the community as well. I gained a better understanding of the benefits of a healthy work environment in this course. Standard #16 entails the use of products and their effect on the environment. This will help avoid environmental hazards. It was also analyzed, with reference to the American Association of Critical-Care Nurses (AACN) standards. This was to know if they had the standards required to establish a healthy work environment. Reflecting on my clinical setting, the AACN standards are integrated although they struggle with having adequate staffing.

Essential III Scholarship for Evidence-Based Practice: According to the American Association of Colleges of Nursing (AACN), Essential III is when “professional nursing practice is grounded in the translation of current evidence into one’s practice” (2008). With the growing healthcare system and its complexity, it is important that practices that are implemented are evidence-based to yield positive patient outcomes.  Some of the areas that relate to essential III in NSG 301 and NSG 307 are discussed below.

Cumulative Update on NSG 307 & NSG 301

  • NUR 307 (2nd Semester VCU-RESEARCH) Foundation of Professional Nursing Practice I- This course has given me a better understanding of what evidence-based clinical research entails. How to formulate a good PICOT clinical research question. This was done by first formulating a background question, then a foreground question which will help lead one to an evidenced-based PICOT question. The PICOT components of the question are Problem/Population (P), intervention (I), comparison ( C), Outcome (O), Time (T). The background question helps the researcher identify a problem to work on and it gives broader and general information on the problem area. While the foreground question is more specific on the area researchers want to focus on. (Essential III).

My assignment on formulating PICO questions are as follows:

Background Question: How can the rate of catheter-induced infection in hospitalized patients be reduced?

Foreground Question: Does the length of time in which indwelling catheter is used affect the incidence of urinary tract infection in hospitalized patients?

PICO Question: In adult female hospitalized patients under the age of 50 years (P) how does the short term use of foley catheter (I) compared to long term use (C) affect the incidence of catheter induced urinary tract infection (O) during the admission period (T)?

Other areas of this course that I have gained from, were the assignments on Institute of Medicine (IOM) recommendations, the HTHS scenario on clinical ladder progression, and an analysis of a patient’s story that borders on quality and safety of patient care. (Essential III)

NUR307-QUALITY IMPROVEMENT: This course has reinforced my understanding of what a healthy work environment entails and the importance of achieving a positive outcome that is sustained for both patients and healthcare professionals. A journal reflection assignment was done on a healthy work environment. The High Tide Health System (HTHS) work environment was also analyzed, with reference to the American Association of Critical-Care Nurses (AACN) standards. This was to know if they had the standards required to establish a healthy work environment. (Standard #16)

The different scholarship in the nursing discipline is also an interesting aspect I came across in this course. Examples are the scholarship of discovery, the scholarship of practice, and the scholarship of teaching. My group and I had a collaborative assignment done on the Scholarship of Teaching. During this assignment, a slide presentation was done of the different aspects of the scholarship of teaching such as the examples of the scholarship of teaching and methods for advancement. (Standard #13)

  • NUR 301(1st Semester VCU-INFORMATICS) Nursing Informatics: Clinical decision support was covered and an assignment was done on Consumer Health Technologies which exposed me to different technologies patient can on their own use to manage their health. Importance of nursing documentation and standard technology in health care. An assignment that focused on evidence-based search was done which was on comparing google Vs database search (Essential III).

Reference:

Nursing: Scope and Standards of Practice. (2010). Retrieved from          https://www.bethelu.edu/uploads/general/Nursing-Program-ApplicationProcess_Scope-and-Standards.pdf

Reflection on Essentials and Professional Standards #13 & #16

This course has enlightened me on what the essentials and standards are, the content of each, and how it relates to nursing practice. I knew we had a curriculum but didn’t know that they were already aligned under different essentials as proposed by the American Nurses Association. It is interesting to know the nine essentials and be able to discern where each concept belongs as my program progresses. The knowledge of the essentials and standards helps equip nurses to be able to perform their professional duties aimed at delivering the best quality care to patients. These entail both skills and knowledge such as Essential II which focuses on knowledge of leadership and quality improvement and Essential III which entails evidence-based practice.

The standards focused on during this course were standards #13 and #16 which were collaboration and a healthy work environment respectively. Collaboration and teamwork were seen amongst team members in this course which helped us to achieve our desired goal in the assignments. An assignment was also done on healthy work environments and the benefits were identified which is categorized under standard #16. The Essentials and Standards of practice are requirements in nursing and are important in the nursing profession.

 

 

 

 

 

 

Professional Standard #13 and #16 and Cumulative Update by Florence-Ann Ozoude

Professional Standards

Collaboration Standard # 13: Registered nurses in the course of their profession should collaborate with patients, families, and others involved in patient care. Collaboration helps promote teamwork thereby achieving a target goal in a timely and efficient manner. When collaboration is effectively carried out during patient care, it results in a positive patient outcome. Collaboration helps with conflict resolution which also helps maintain a healthy work environment. I have experienced collaboration at the clinical facility when delivering care to patients with more than one health problem and need. The teamwork performed with my colleagues enabled us to provide proficient quality care. Also, in both NSG 301 and NSG 307, group assignments have been done were members of my group collaborated in making sure the assignment was done. An example of collaboration in NSG 307 is the presentation on nursing history and another is the presentation on the scholarship of teaching, a type of scholarship in the nursing discipline. On NSG 301, My group collaboratively worked on a High Tide Scenario, analyzing the case assigned from different perspectives such as what the problem was and what the ethical dilemma was in the scenario.

Environmental Health # 16: Maintaining a healthy environment is also important in ensuring the safety of both patients and nurses in the workplace and the community as well. I gained a better understanding of the benefits of a healthy work environment in this course. Standard #16 assesses the use of products and their effect on the environment in order to avoid an environmental hazard. In NSG 307, a journal reflection assignment was done on a healthy work environment. The High Tide Health System (HTHS) work environment was also analyzed, with reference to the American Association of Critical-Care Nurses (AACN) standards. This was to know if they had the standards required to establish a healthy work environment. Reflecting on my clinical setting, the AACN standards are integrated although they struggle with having adequate staffing.

Essential III Scholarship for Evidence-Based Practice: According to the American Association of Colleges of Nursing (AACN), Essential III is when “professional nursing practice is grounded in the translation of current evidence into one’s practice” (2008). With the growing healthcare system and its complexity, it is important that practices that are implemented are evidence-based to yield positive patient outcomes.  Some of the areas that relate to essential III in NSG 301 and NSG 307 are discussed below.

Cumulative Update on NSG 307 & NSG 301

  • NUR 307 (2nd Semester VCU) Foundation of Professional Nursing Practice I- This course has given me a better understanding of what evidence-based clinical research entails. How to formulate a good PICO clinical research question. This was done by first formulating a background question, then a foreground question which will help lead one to an evidenced-based PICO(T) question. The PICO(T) components of the question are Problem/Population (P), intervention (I), comparison ( C), Outcome (O), Time (T). The background question helps the researcher identify a problem to work on and it gives broader and general information on the problem area. While the foreground question is more specific on the area researchers want to focus on. (Essential III).

My assignment on formulating PICO questions are as follows:

Background Question: How can the rate of catheter-induced infection in hospitalized patients be reduced?

Foreground Question: Does the length of time in which indwelling catheter is used affect the incidence of urinary tract infection in hospitalized patients?

PICO Question: In adult female hospitalized patients under the age of 50 years (P) how does the short term use of foley catheter (I) compared to long term use (C) affect the incidence of catheter induced urinary tract infection (O) during the admission period (T)?

Other areas of this course that I have gained from, were the assignments on Institute of Medicine (IOM) recommendations, the HTHS scenario on clinical ladder progression, and an analysis of a patient’s story that borders on quality and safety of patient care. (Essential III)

This course has reinforced my understanding of what a healthy work environment entails and the importance of achieving a positive outcome that is sustained for both patients and healthcare professionals. A journal reflection assignment was done on a healthy work environment. The High Tide Health System (HTHS) work environment was also analyzed, with reference to the American Association of Critical-Care Nurses (AACN) standards. This was to know if they had the standards required to establish a healthy work environment. (Standard #16)

The different scholarships in the nursing discipline is also an interesting aspect I came across in this course. Examples are the scholarship of discovery, the scholarship of practice, and the scholarship of teaching. My group and I had a collaborative assignment done on the Scholarship of Teaching. During this assignment, a slide presentation was done of the different aspects of the scholarship of teaching such as the examples of the scholarship of teaching and methods for advancement. (Standard #13).

  • NUR 301 (1st Semester VCU) Nursing Informatics: Clinical decision support was covered and an assignment was done on Consumer Health Technologies which exposed me to different technologies patient can on their own use to manage their health. Importance of nursing documentation and standard technology in health care. An assignment that focused on evidence-based search was done which was on comparing google Vs database search (Essential III).

Reference:

Nursing: Scope and Standards of Practice. (2010). Retrieved from https://www.bethelu.edu/uploads/general/Nursing-Program-ApplicationProcess_Scope-and-Standards.pdf

 

 

 

 

 

 

 

 

 

 

 

 

 

Portfolio Reflection: Nursing Essentials

Nursing Essentials in Prior and Current Education                                                    

Prerequisite Courses

Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice

  • BIO 141- Human Anatomy & Physiology I: I was introduced to the fundamentals of human anatomy and physiology. Learned the basic unit of life (cytology) from which humans are built. It also gave me a better understanding of the biological systems and structural organization of the human body.
  • Psychology 230- Developmental Psychology: This gave me a better understanding of why human beings change over time. I also learned the changes in human behavior as they develop and the factors that affect human behavior.
  • Humanities 246 – Creative thinking: This course thought me how to think creatively and think “outside the box”. This has also help me in critical thinking and judgments during my clinical experience.

Prior nursing Courses

Essential V: Health Care Policy, Finance, and Regulatory Environments

  • NSG 130 (1st Semester RN) Professional Nursing Concept IAn overview of the Code of Ethics and HIPAA with Patient confidentiality and rights was covered. This was an introduction to Ethics and HIPAA regulations and the importance of patient confidentiality.

Essential IV: Information Management and Application of Patient Care Technology

  • NUR 301 (1st Semester BSN, VCU) Nursing Informatics: Clinical decision support was covered, and the assignment was done on Consumer Health Technologies which exposed me to different technologies patient can on their own use to manage their health.

Current Nursing Courses

Essential VI Interprofessional Communication and collaboration for improving patient health outcomes

  • NSG 230 (4th Semester, Southside) Advanced Professional Nursing Concept I am learning that Conflicts do exist in workplaces for different reasons and there are different conflict resolution strategies a manager can adopt to resolve them. Also, good communication skill is vital in nursing.

Essential III Scholarship for Evidence-Based Practice

  • NUR 307 (1st Semester VCU) Foundation of Professional Nursing Practice I- This course is helping me get a better understanding of a healthy work environment and its importance. During this course, I will learn about research development. PICO assignment will also be done.