Assignment: NSG 302 Nursing Role And Practice

Assignment: NSG 302 Nursing Role And Practice

Assignment: NSG 302 Nursing Role And Practice

PHOENIX NSG302 All Assignments Latest 2020 March

NSG302 Professional Contemporary Nursing Role And Practice

Week 1 Assignment: Baccalaureate Self-Reflection

Complete the Baccalaureate Self-Reflection worksheet. Do NOT create your own template. Use the one provided.

Cite at least two scholarly articles to support your self-assessment and include them in your references at the end of your template. Copy and paste the “Baccalaureate Self-Reflection” grading rubric on the final page or your assignment.

Reflection 1: Critical Thinking, Critical Reasoning, and Clinical Judgment

As frontline workers in health practice, nurses encounter many patients and health problems requiring timely interventions. Due to patient care’s complexity and demanding nature, nurses must be critical thinkers who embrace evidence-based practice. From a health dimension, critical thinking enables nurses to minimize errors and apply reflective thinking to maximize patient outcomes (Van Nguyen & Liu, 2021). EBP is encouraged since nurses’ clinical knowledge is insufficient to address patient needs. EBP integrates scientific evidence, clinical expertise, and patient values and preferences to improve patient care (Li et al., 2019). The purpose of this reflection is to explore how critical thinking, clinical reasoning, and clinical judgment intersect and their application in making nursing practice decisions.

Application in Evidence-Based Practice

Nurses must make informed health decisions. Understanding the meaning and importance of critical thinking, clinical reasoning, and clinical judgment is instrumental to enabling nurses to achieve excellence in care delivery. Since nursing practice is evidence-based, critical thinking requires nurses to examine ideas, analyze arguments, and query evidence regarding patient care decisions. As critical thinkers, nurses can improve patient outcomes by avoiding habitual thinking since they analyze clinical situations to make fast and correct decisions (Van Nguyen & Liu, 2021). Clinical reasoning entails defining a problem, hypothesizing outcomes, drawing conclusions, and judging the validity of inferences. Like critical thinking, clinical reasoning emphasizes the analytical evaluation of issues and the application of appropriate evidence. As Guerrero (2019) noted, clinical judgment is the outcome of critical thinking and clinical reasoning. It is the decision that nurses make after a cycle of clinical reasoning and critical thinking.

Using EBP as a Practitioner Providing Direct Care

Health outcomes depend on nurses’ decision-making ability. Embracing EBP as direct care providers is crucial for nurses to offer holistic and satisfactory care. To achieve the best outcomes, nurses analyze available evidence and its implications in nursing practice. Critical thinking helps nurses to reflect and analyze situations and interventions to choose what maximizes positive outcomes (Van Nguyen & Liu, 2021). Clinical reasoning allows nurses to embrace interventions that optimize outcomes through a problem-solving approach. Eventually, combining their skills and reflective analysis of situations to make the best decisions helps nurses to achieve the best possible care for patients.

Using EBP as a Leader

The demand for quality patient care is universal across health care organizations. As leaders and EBP implementers, nurses must continually engage in practice change. Leading change entails in-depth thinking of the best interventions to improve patient care and overcoming resistance that characterize practice change (Nilsen et al., 2020). The process also entails collecting, analyzing, and implementing evidence from current literature to improve patient outcomes. Essential skills to succeed in this role include problem-solving, communication, and clinical judgment.

Using EBP as an Educator

As educators, nurses primarily engage in behavior change. As Arlinghaus and Johnston (2018) noted, health education imparts knowledge to allow patients to make informed health decisions. Nurses utilize EBP to execute this role by exploring problems hampering patient care and the suitability of patient education in different situations. Through critical thinking and clinical reasoning, nurses analyze the best education strategy to improve patients’ knowledge. Next, nurses also evaluate outcomes to determine the effectiveness of different education programs.

How Experience Influence Critical Thinking, Clinical Reasoning, and Clinical Judgment

In regular practice, nurses gain massive experience regarding the value of evidence-based interventions, evolving patient care needs, innovation, and other critical aspects of care. As Van Nguyen and Liu (2021) observed, experience and knowledge gathering during regular practice influence critical thinking since patient care issues require clarification, reflection, and accurate decision-making. Experience also allows nurses to embrace the problem-solving approach and procedural decision-making. As a result, they recognize the need for clinical reasoning as the foundation of clinical judgment.

Conclusion

Critical thinking and clinical reasoning are the foundation of clinical judgment. As nurses continue integrating EBP into the evolving practice, they must understand the meaning and importance of critical thinking and clinical reasoning. As discussed in this reflection, nurses can effectively handle complex and demanding patient issues with critical thinking and clinical reasoning. Such an approach allows them to optimize patient outcomes by avoiding habitual thinking that can lead to errors.

References

Arlinghaus, K. R., & Johnston, C. A. (2018). Advocating for behavior change with education. American Journal of Lifestyle Medicine, 12(2), 113–116. https://doi.org/10.1177/1559827617745479

Guerrero, J. G. (2019). Practice rationale care model: the art and science of clinical reasoning, decision making and judgment in the nursing process. Open Journal of Nursing, 9(2), 79-88. https://doi.org/10.4236/ojn.2019.92008

Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses-systematic review. Medicine, 98(39), e17209. https://doi.org/10.1097/MD.0000000000017209

Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC Health Services Research, 20(1), 1-8. https://doi.org/10.1186/s12913-020-4999-8

Van Nguyen, T., & Liu, H. E. (2021). Factors associated with the critical thinking ability of professional nurses: a cross‐sectional study. Nursing Open, 8(4), 1970-1980. https://doi.org/10.1002/nop2.875

Resources

Center for Writing Excellence

Reference and Citation Generator

Grammar and Writing Guides

Learning Team Toolkit

University of Phoenix Material

Baccalaureate Self-Reflection

Review the guiding entities from the Guiding Baccalaureate Education activity and reflect on the expectations for a BSN-prepared nurse. Whether you’ve been in practice for years or are just starting your career as a nurse, learning should never stop. As you remember from the School of Nursing Philosophical Framework, lifetime learning is one of the tenets of becoming a nurse leader.

Identify competencies and essentials you need to develop. Select

• two competencies from QSEN Pre-licensure KSAs,

• two essentials from the AACN The Essentials of Baccalaureate Education,

Complete the table.

1. In the second column, identify the competency or essential you need to address.

2. In the third column, identify specific knowledge, skills, or attitudes (KSAs) you need to develop, and cite your source.

a. QSEN citation hint: Per the QSEN Competencies web page, the competencies were taken from another source, which is cited in footnote 2. The page number in the example below was taken from the primary source.

3. In the fourth column, describe how you will develop yourself and give yourself a timeframe.

4. In the fifth column, explain why this improvement is important to your development as a nurse.

Guiding Entity Competency/Essential Needed KSAs Improvement Plan Importance

Example:

QSEN Pre-licensure KSAs Example:

Evidence-based practice Example:

Knowledge: “Describe reliable sources for locating evidence reports and clinical practice guidelines” (Cronenwett et al., 2007, p. 124). Example:

I will learn how to evaluate sources using the University Library’s Evaluate Sources tutorial at https://library.phoenix.edu/evaluating_sources/ in 14 days or less. Example:

In order to base practice decisions in evidence, I have to first understand how to find good, credible information.

QSEN Pre-licensure KSAs

QSEN Pre-licensure KSAs

The Essentials of Baccalaureate Education

The Essentials of Baccalaureate Education

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References

Cronenwett, L., Sherwood, G., Barnsteiner J., Disch, J., Johnson, J., Mitchell, P., … Warren, J. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3)122-131. doi:10.1016/j.outlook.2007.02.006

NSG302 Professional Contemporary Nursing Role And Practice

Week 2 Assignment

Critical Thinking Case Study

Assignment Content

Read the following case study.

You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.

Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress.

You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she many years of critical care experience and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.

Determine a plan of care for the patient using the nursing process. Use at least two nursing diagnoses and include their associated goals, interventions, and outcomes that you expect to see for each diagnosis.

Define each step of the nursing process and align each step to critical thinking and clinical decision-making processes. This can be accomplished by using bubbl.us and developing multi-directional links in your concept map to demonstrate the interrelationships that exist among the various concepts.

Format your care plan as a concept map using visual presentation software from the College of Education Technology Resource Library

Click Web Tools. (I am requesting that you use bubbl.us to develop your concept map)

Click Collaboration & Productivity.

Format your alignment of the nursing process with the critical thinking process and clinical decision-making process in a document, table, or other visual representation approved by your instructor. This can all be done within your bubbl.us concept map. Your concept map image should be copied and pasted into a Microsoft Word document with a title page, concept map image, reference page. Attach the week two grading rubric on the last page of your MS Word document.

Submit your assignment.

Assignment adapted from Leading and Managing in Nursing (Ch. 21), by Patricia S. Yoder-Wise, 2015, St Louis, MI: Elsevier. Copyright 2015 by Elsevier. Adapted with permission.

NSG302 Professional Contemporary Nursing Role And Practice:

Week 3 Assignment: Building Tribes

Using the case study from Week 2, identify the interdisciplinary care providers you need to include to ensure your patient receives the best treatment.

Outline how you will coordinate, engage, and transition your patient to other providers.

Format your assignment as one of the following:

18- to 20-slide presentation (Excludes title page and reference page slide)

3- to 4-minute podcast (please mention your sources and research within your podcast)

15- to 20-minute video presentation

860-word paper (APA format). Please stay within the word count by +/- 10%.

another format approved by your instructor (please ask beforehand)

Copy and paste the week three (Interdisciplinary Care Providers) grading rubric at the end of your assignment.

Cite at least two scholarly articles as a basis for your interdisciplinary recommendations.

NSG302 Professional Contemporary Nursing Role And Practice

Week 4 Assignment: PICO Question

Recall the Case Study from week 2:

You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks.

Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.

Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him.

The patient turned red and began coughing, and it was obvious he was in distress. You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions.

You told her this was no longer an acceptable practice. She stated that she many years of critical care experience and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.

Outline the strategies you will use to search for evidence related to best practices for suctioning and whether the instillation of saline while suctioning is an acceptable technique.

Search for evidence related to best practices and provide a summary of all evidence.

Develop a PICO question for the instillation of saline during endotracheal suctioning.

Consider how you could apply PICO to problems in the workplace to influence things in clinical practice.

Submit your search strategies, search results, and PICO question and application to clinical practice as one of the following:

18- to 20-slide presentation (Excluding Title and Reference Slide. Please include speaker notes)

860-word paper (APA Format and within word count by +/- 10%)

Copy and paste the PICO Question grading rubric at the end of your assignment.

NSG302 Professional Contemporary Nursing Role And Practice

Week 5 Assignment: Report on Progress

Assignment Content

You have been tasked by your CNO to provide a report and present to the board of directors about how your organization is transforming based on Health and Medicine Division (HMD) recommendations in high-profile reports.

Review the HMD reports.

Determine which recommendations directly affect how nurses provide care at the bedside.

Research quality indicators at the organization where you practice, one in your community, or one of interest.

Cite evidence from the organization’s quality measures that demonstrate they are carrying out the HMD’s vision.

Provide specific examples from the organization in the form of changes in care, governance, training, communication, and partnerships.

Write a 260-word executive summary and create a 10- to 12-slide presentation (excluding title and reference slide. Include speaker notes on each slide) about your findings with detailed speaker notes. ** Please include the executive summary in the SPEAKER NOTES of the PowerPoint Presentation. The Executive Summary needs to be clearly identified in the SPEAKER NOTES so it is easily seen and recognized. Rather than spread out the Executive Summary on several speaker notes, I would suggest that you set up a slide with the title -Executive Summary- and include the actual summary in the speaker notes of that slide.