Rasmussen College Physiological Integrity & Healthcare Policy Reflection Paper 4

PROFESSOR’S Feedback on your Activity Statements and Reflection Answers

Criterion 1: Integrate evidence and client preferences when planning, implementing and evaluating nursing care.

a.There is a lot to planning, implementing and evaluation nursing care as a leader. Sometimes we get to still do this directly with our patients and often interdisciplinary teams but sometimes we support these initiatives by supporting our bedside nurses as their leader. You did a great job of capturing this lens as a nurse and a nurse leader. GREAT JOB! PASSED

Criterion 2: Demonstrate knowledge of healthcare policy, finance, and regulatory environments, including healthcare trends.

b.Wonderful examples of medicare from both your selected immersion but also from your practice experience regarding policy, finance, and regulatory environments specific from the leadership realm. I especially loved the robust approaches leaders need to take as a foundation for each of these topics. Being the eyes and ears of the organization is so important as a leader to keep each of these areas in check, and that often starts with a strong relationship with your bedside nurses. They know what is happening in the unit and can provide such avital information!! They often can be one of the most vital resources in looking at financial and regulatory needs. THANK YOU! PASSED

Criterion 3: Design a holistic, client-centered plan of care that reduces risks and manages health alterations. FAILED

1.Please design a holistic, client-centered plan of care that looks at reducing risks and manages health alternations and resubmit. Make sure to focus on leadership issues.

Here is a strong example to get you started: Issue: Reduced Patient outcomes R/T Quality of Nursing Care Background: Our unit struggles with staffing shortages and nursing retention like every other nursing facility.This dilemma is actually a new phenomenon in our cardiac ICU unit.Our management identified that our nursing turnover has increased over the past three years and has resulted in a decline in …………. Leadership Solutions: By using an adapted clinical judgment model, my leadership mentors were able to identify a problem that reduced client health outcomes and increased patient and staff member risk for injury.It was hypothesized that the cause of our increased risk and reduced health outcomes was related to nursing experience and retention. A decision was made to make changes to our current orientation and new employee onboarding process.We have not implemented our changes yet, but thorough reassessment and evaluation will take place followed by interventions as needed. Changes to the program include an added mentorship and counseling during the 14-week orientation as well as arts and medicine relaxation and stress relief training.This will be in addition to a year long transition to ………….

The goal of these additions is to give new employees a sense of being valued personally and to provide an avenue to communicate frustrations, fears, and stresses to a fellow employee unrelated ………….

The leadership characteristic of emotional intelligence, specifically relational awareness, was evident throughout my practicum.Amber has taken a collaborative approach to developing a new training program with an ultimate goal of increased quality of nursing care and improved patient outcomes……

By using transparent, open, and honest communication she has encouraged all of our employees to take part in the development……

Core Clinical Objective

Promote physiologic integrity by providing care and comfort, reducing risk potential and managing health alterations.

Activity Statements

• Integrate evidence and client preferences when planning, implementing, and evaluating nursing care.
• Demonstrate knowledge of healthcare policy, finance, and regulatory environments, including healthcare trends.
• Design a holistic, client-centered plan of care that reduces risks and manages health alterations.

Reflective Questions

• How did you integrate evidence and client preferences in the practicum experience?
• How would you feel about integrating client preferences that may not align with your own values and beliefs?
• How does the integration of new knowledge of healthcare policy, finance, and regulatory environments impact the healthcare environment and your nursing practice?

Instructions

Please review the grading rubric before beginning your reflection on the above core clinical objective. Make sure to answer the reflective questions thoroughly with substantial reference to your practicum experience.