Assignment: Week 7 Topic 7 Benchmark – Professional Capstone and Practicum Reflective Journal

Assignment: Week 7 Topic 7 Benchmark – Professional Capstone and Practicum Reflective Journal

Assignment: Week 7 Topic 7 Benchmark – Professional Capstone and Practicum Reflective Journal

Benchmark – Professional Capstone and Practicum Reflective Journal – Topic 7
The proposed project is reducing and preventing patient falls among elderly inpatients. The project requires a list of resources and in the process of getting them, one must consider the relationship between policy, regulatory requirements, and economics on expected outcomes. Policy, either organizational or sectorial, plays a critical role in shaping care outcomes. Policies set standards and guidelines for care provision (Bellot et al., 2024). For instance, in this project, the government’s policy on value-based care reimbursement by the Centers for Medicare and Medicaid Services (CMS) considers patient falls as “never events” meaning that the practicum cannot access resources to attain the expected outcomes. Regulatory requirements also have substantial effects on my project as they ensure care offered meets set standards and principles. For instance, purposeful hourly rounding is effective when providers adhere to set boundaries in their interactions and evaluation of patients. Economics is another critical aspect that impacted the project. The available funds in the practicum site determine the extent of the project’s implementation. For instance, resource limitation meant that I had to prioritize certain interventions over others.

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The interplay between policy, regulatory requirements, and economics has a significant effect on the project. The limitations emanating from these factors may influence and inform the care the practicum site can provide to patients, especially related to reducing falls using intentional hourly rounding (Lam et al., 2020). The interplay is also critical as it ensures that the proposed intervention leads to safe, effective, and high-quality care for patients to get better outcomes. The implication is that these aspects are critical to providing quality care and having expected patient outcomes.
Reflecting on my practicum site experience, I remember a meeting with the nurse floor manager in charge of geriatric patients who confided in me that the facility requires additional resources, especially nurses, to improve the frequency of doing purposeful or intentional rounding. The manager was also emphatic that reducing falls is critical to ensuring they optimally use resources since they do not get reimbursement from CMS for expenses related to the events. The nurse also asserted that implementing the intervention requires an approval process by the board of management (Ruppel et al., 2022). However, she was optimistic that based on the different aspects of the interventions, the probability of board approval was high. This experience demonstrates the challenges of implementing changes in healthcare settings and the importance of navigating the complex interplay of policy, regulatory requirements, and economics.

References
Bellot, J., Fennessey, A., Gerolamo, A., Kerr, M., & Wenner, T. (2024). Design and
Implementation of a Nursing Capstone Across a Multisite Health System. Journal of Nursing Education, 63(5): 292-297. DOI: 10.3928/01484834-20240305-03
Lam, C. K., Schubert, C. F., & Herron, E. K. (2020). Evidence‐based practice competence in
nursing students preparing to transition to practice. Worldviews on evidence‐based nursing, 17(6): 418-426. DOI: 10.1111/wvn.12479.
Ruppel, K. J., & Bone, B. A. (2022). Teaching evidence‐based practice: Knowledge to
implementation in a BSN program, part 2. Worldviews on evidence‐based nursing, 19(3): 251-253. DOI: 10.1111/wvn.12556.

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Assessment Traits

Benchmark

Assessment Description

Students are required to submit reflective journal entries at specific points throughout the course. These reflective narratives help students identify important learning events that happen throughout the course and the practicum.

Write a reflective journal (250-500 words) to outline how your experience at your practicum site related to the following reflective questions:

You have developed a list of resources needed for your project implementation in Topic 6. To complete this reflective journal, discuss with your preceptor the relationship between policy, regulatory requirements, and economics on care outcomes. Discuss how regulatory requirements and financial resources available will impact your project. How do you think this will impact the care that your practicum site will be able to provide?

Reflect on the relationship you discussed above as well as your practicum site experience. Provide an example from your practicum site of these relationships or discuss an example from your professional or personal experience.

While APA style is not required for the body of this assignment, solid academic writing is expected.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN-BSN

7.2: Incorporate consideration of cost-effectiveness of care.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 7.2

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Benchmark – Professional Capstone and Practicum Reflective Journal – Topic 7 – Rubric

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Rubric Criteria

Total15 points

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Regulatory Requirements and Financial Resources (B)

Discuss how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide. (C7.2)

0 points

A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is missing.

5.63 points

A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is incomplete or inaccurate.

5.93 points

A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is present but lacks detail.

6.68 points

A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is mostly detailed.

7.5 points

A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is thorough and accurate.

Examples

Provide an example from your practicum site of these relationships or discuss an example from your professional or personal experience.

0 points

An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is missing.

4.5 points

An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is incomplete or inaccurate.

4.74 points

An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is present but lacks detail.

5.34 points

An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is mostly detailed.

6 points

An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is thorough and accurate.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

1.13 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

1.19 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

1.34 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

1.5 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

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