Journal Entry 2

This week, you complete and submit your second journal entry. Your journal draws from evidence, concepts, and/or theories you have examined in this program, especially those related to your specialization. What have you observed during your Practicum Experience that you would like to analyze through your journal writing?

To prepare:

• Reflect on your Practicum Experiences in Weeks 4-7.
• Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.
• Analyze a problem, issue, or situation that you have observed during your Practicum Experience.
• Using a minimum of three peer-reviewed sources of evidence, consider what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from the scholarly literature.
• Determine how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.
• Given the various evidence-based approaches that can be used in handling the observed problem, situation, or issue, think about a plan for approaching the matter differently.

To complete the Practicum and Journal Entry 2:

In your saved version of the NURS 6600 Practicum Journal document, do the following:

• Write a 250- to 300-word journal entry (identified as Journal Entry 2) in which you do the following:
  • Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page).
  • Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature.
  • Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.
  • Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently.
  • Include references immediately following the content.
  • Use APA style for your journal entry and references.

 

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus

Matthews, J. H. (2012). Role of professional organizations in advocating for the nursing profession. Online Journal of Issues in Nursing, 17(1), 1.
Note: Retrieved from the Walden Library databases.

The author addresses the importance of involvement in professional organizations for nursing professionals.

Shekleton, M. E., Preston, J. C., & Good, L. E. (2010). Growing leaders in a professional membership organization. Journal of Nursing Management, 18(6), 662–668.
Note: Retrieved from the Walden Library databases.

“In order to grow leaders an organization must make a commitment to develop and maintain an infrastructure that supports leadership development activities” (Shekleton, Preston, & Good, 2010, p. 667). The authors discuss findings from a leadership development program.

American Association of Critical Care Nurses. (n.d.). Certification for nurse managers and leaders. Retrieved May 20, 2013, from http://www.aacn.org/wd/certifications/content/cnmlhome.pcms?menu=certification

The American Association of Critical Care Nurses Certification Corporation, in collaboration with the AONE credentialing center, offers certification for the nurse leader-manager.

American Medical Informatics Association. (2011). Clinical informatics becomes a board-certified medical subspecialty following ABMS vote. Retrieved from http://www.amia.org/news-and-publications/press-release/ci-is-subspecialty

This article addresses the movement to recognize clinical informatics as a subspecialty.

American Nurses Association. (2013). Leadership. Retrieved from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Leadership

The ANA offers a leadership institute for professional development.

American Nurses Credentialing Center. (2013). ANCC certification center. Retrieved from http://www.nursecredentialing.org/certification.aspx

The ANCC is the largest and most prestigious credentialing organization. View the certifications available by specialty area.

American Organization of Nurse Executives. (2012). AONE credentialing center. Retrieved from http://www.aone.org/resources/certification/about_certifications.shtml

The AONE credentialing center, in collaboration with American Association of Critical Care Nurses Certification Corporation, offers certification for the nurse leader-manager.

Healthcare Information and Management Systems. (2013). Health IT certifications. Retrieved from http://www.himss.org/health-it-certification?navItemNumber=13588

The Office of the National Coordinator for Health Information Technology has specified certification criteria for electronic health records.

NMA. (2012). Welcome to NMA! Retrieved from http://www.nma1.org/

This organization promotes the development of leadership competencies and interpersonal skills.

Project Management Institute. (2013). What are PMI certifications? Retrieved from http://www.pmi.org/Certification/What-are-PMI-Certifications.aspx

PMI recognizes that many professionals of varying skill and education levels are or will be involved with projects. The organization offers certification for professionals involved in project management.

 

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 As the environment in which we operate continues to change, how often should an organization update their mission and vision statements? Has any of your organizations gone through this process lately, if so, can you share the experience?  

 

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Choose a type of healthcare delivery system to study from the list below. Prepare a 2-3 page paper which includes information about a specific hospital organization within your chosen delivery system.  Explain why you chose the organization as the basis of your paper. In your paper, include the types of consumers (patients) that would use the services of the chosen facility, how those individuals would access the healthcare system and the effect and needs of insurance. Compare and contrast your chosen healthcare delivery system to one other type of delivery system from the list with regards to the populace that would use it, how it is paid for, and your current thoughts on its effectiveness. Include your definition of “health” and how your definition would be met with your chosen healthcare system. Include a minimum of two (2) authoritative references using in-text citations and a reference list.

1. For-profit hospital
2. Not-for-profit hospital
3. Health maintenance organization
4. For-profit ambulatory surgical center

Submit the 2-3 page paper 

Assignment 3 Grading CriteriaMaximum PointsIdentified and explained a specific healthcare system and why it was chosen.20Described the consumers who would use the service, how those individuals would access the healthcare system and the effect and needs of insurance.20Compared and contrasted chosen healthcare system to a different healthcare system and identified the populace at the selected healthcare system and how they would use it and pay for it and your thoughts on its effectiveness.20Provided personal definition of “health” and how that definition would be met with the chosen healthcare system.20Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of at least two authoritative sources; displayed accurate spelling, grammar, and punctuation.20

 

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1. Read your text, Finkelman (2016), pp- 111-116.
2. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
3. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
4. Write a 5-7 page paper.
5. which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC.  Click on the envelope at the top of the page.
6. Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
7. Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
8. Discuss your observations about how the current nursing care model is being implemented. Be specific.
9. Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
10. Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
11. Write your paper using APA format using Microsoft Office 2010 or later.
12. Submit your paper no later than 11:59 p.m. MT on Sunday by the end of Week 5.

**Academic Integrity Reminder**

Rubric

Nursing_Care_ModelsCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeNursing Care Model in PracticeIdentify Nursing Care Model in practice including specifics about who, what when, where, etc.60.0 ptsAfter an introduction paragraph, thoroughly identifies Nursing Care Model in practice including all the specifics about who, what when, where, etc.53.0 ptsAfter an introduction paragraph, generally identifies Nursing Care Model in practice including most of the specifics about who, what when, where, etc.48.0 ptsAfter an introduction paragraph, briefly identifies Nursing Care Model in practice including minimum specifics about who, what when, where, etc.23.0 ptsAfter an introduction paragraph, briefly identifies Nursing Care Model in practice, but describes only one or two specifics.0.0 ptsDoes not provide an introduction paragraph. Fails to identify a Nursing Care Model. Does not include any specifics.60.0 pts
This criterion is linked to a Learning OutcomeScholarly Sources Related to Nursing Care ModelIn addition to Finkelman, locates four scholarly resources related to Nursing Care Models. Summarizes all resources in body of paper.40.0 ptsThoroughly reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also, thoroughly reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed.35.0 ptsGenerally reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also, generally reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed.32.0 ptsBriefly reviews only one resource (besides the course textbook) related to nursing care model observed in practice setting. Also, briefly reviews only one resource (besides text) related to a nursing care model that is different from the one you observed.15.0 ptsReviews only one resource (besides the course textbook) related to the nursing care model observed in practice, and fails to review a resource (besides the course textbook) related to a nursing care model that is different from the one you observed.0.0 ptsFails to provide any resources related to the nursing care model that was observed and that was different.40.0 pts
This criterion is linked to a Learning OutcomeImplementation and RecommendationsDescribe implementation of current Nursing Care Model and recommend a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction.60.0 ptsThoroughly describes implementation of current Nursing Care Model and recommends a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction53.0 ptsGenerally describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits quality or safety or staff satisfaction.48.0 ptsBriefly describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits two of the following (quality/safety/staff satisfaction).23.0 ptsMinimally describes implementation of current Nursing Care Model but does NOT recommend a different model that could be utilized. Various elements are missing related to improving quality of nursing care, safety and staff satisfaction.0.0 ptsDoes NOT describe a Nursing Care Model or a different model that could be utilized. Elements are missing related to improving quality of nursing care, safety and staff satisfaction.60.0 pts
This criterion is linked to a Learning OutcomeConclusion and summarySummarize what you learned about this experience including new knowledge about nursing care models.20.0 ptsIncludes conclusion paragraph and thoroughly summarizes what you learned about this experience including new knowledge about nursing care models.18.0 ptsIncludes conclusion paragraph and clearly summarizes what you learned about this experience including new knowledge about nursing care models.16.0 ptsIncludes conclusion paragraph but briefly summarizes what you learned about this experience or includes new knowledge about nursing care models but not both.8.0 ptsConclusion/ summary is present but difficult to find in closing paragraphs of paper.0.0 ptsDoes not Include a conclusion paragraph.20.0 pts
This criterion is linked to a Learning OutcomeClarity of writingContent is organized, logical, and with correct grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent and CCN template is utilized. References are properly cited within the paper; reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious.20.0 ptsContent is organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious. Less than three errors are noted.18.0 ptsContent is mostly organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check is obvious. Four to six errors are noted.16.0 ptsContent is somewhat organized, logical and grammar, punctuation, spelling, and sentence structure are correct. Minor APA formatting errors exist. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check are not obvious. Seven to 10 errors are noted.8.0 ptsContent is somewhat organized, but may lack logic. Several errors occur in grammar, punctuation, spelling, and sentence structure. Major APA formatting errors exist. Reference page does not match up with in-text citations, i.e., references may be missing for in-text citations, or references appear with no comparable in-text citation. Eleven to 15 errors are noted.0.0 ptsContent is disorganized and writing has numerous grammar, spelling, or syntax errors. APA formatting was not used. Spell check and grammar check are not obvious. More than 15 errors are noted.20.0 pts

 

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Discussion Question:

Newman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288).

Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook

 

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