NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Reflection

Sample Answer for NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Reflection Included After Question

Instructions

Complete this assessment in two parts: (a) present your approved intervention to the patient, family, or group and (b) record a video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program.

PART 1

Present your approved intervention to the patient, family, or group. Plan to spend at least 3 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Be sure you’ve logged all of your practicum hours in CORE ELMS.

Use the Intervention Feedback Form: Assessment 5 [PDF] as a guide to capturing patient, family, or group feedback about your intervention. You’ll include the feedback as part of your capstone reflection video.

Part 2

Record a 10-15 minute video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program. A transcript of your video is not required.

You are welcome to use any tools and software with which you are comfortable, but make sure you’re able to submit the deliverable to your faculty. Capella offers Kaltura, a program that records audio and video. Refer to Using Kaltura for more information about this courseroom tool.

Note: If you require the use of assistive technology or alternative communication methods to participate in these activities, please contact [email protected] to request accommodations. If you are unable to record a video, please contact your faculty as soon as possible to explore options for completing the assessment.

A Sample Answer For the Assignment: NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Reflection

Title: NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Reflection

INTRODUCTION

The continued demand of improved patient care services and ensuring that patients are safe in the care environment implies that nurses should have adequate training. Apart from attending theory classes, nurses engage in other activities to better prepare them for better management of chronic diseases such as diabetes (Hockenberry & Wilson, 2018). One of such is practicum experience. Practicum or clinical experience helps baccalaureate-prepared nurse have a chance of contributing to an identified patients’ outcomes. As way of continued learning, the nurse can reflect on such experiences. One way of reflection is video reflection. As such, this presentation explores a reflection on the practicum experience. In addition, the presentation will also focus on a formulated intervention used in addressing a health problem impacting a chosen patient.

ASSESSMENT OF THE INTERVENTION CONTRIBUTION

The patient whom I had an experience with during my clinical hours is the Mr. Y.  He is my neighbor and suffers from diabetes. He also has congestive heart failure as a comorbid condition. The patient was diagnosed with diabetes five years ago and has been treating it with medications, lifestyle, and behavioral modifications. Three months ago, he was also diagnosed with congestive heart failure and initiated treatment. The main evidence-based practice intervention applied in patient education. I have managed to educate the patient about lifestyle modifications and the importance of medication adherence. I also helped coordinate interprofessional collaboration for better health outcomes. Interprofessional collaboration is especially key in managing the patient’s comorbid conditions. Such interventions have been connected to improved quality of life.

PATIENT FEEDBACK  AND PATIENT EXPERIENCE

One of the sources through which one can know about the impact of an implemented intervention is patient feedback (Hockenberry & Wilson, 2018). In most cases, patients give honest opinion on what they think regarding the intervention and how their lives have been impacted by the intervention in question. Mr Y gave a feedback on the intervention. Earlier, Mr Y shared some worrying statements regarding his condition. conditions have increased the healthcare costs that he incurs in treating them. He faces the challenge of increased need for frequent hospital visits, hospitalization, and the purchase of expensive medications.

He has also lost his social and occupational productivity due to health problems. He is worried that the medications he currently uses may predispose him to further adverse health outcomes. The increased demands due to the conditions have affected the social, emotional, and psychological wellbeing of his family. However, the intervention positively impacted on the patient’s health. He was appreciative of the intervention and indicated improved medication adherence and better increased involvement in physical exercise and healthy diet.

USE OF PEER-REVIEWED LITERATURE AND EVIDENCE

The successful planning and implementation of a capstone project requires a lot of input and focus on various aspects of research. Central to such a process is the use of peer-reviewed literature and evidence (Chinn et al., 2021). Therefore these two were key in informing the plan and implementation of the capstone project. The use of literature review was key in offering a theoretical framework upon which the intervention was to be based. From literature, it was evident that nursing interventions require theoretical foundations. The evidence used was that the use of comprehensive educational initiatives have shown efficacy in addressing and managing various chronic conditions, so it was a foundation for argument that the intervention would help manage Mr. Y. the project was also guided by the principles of evidence-based practice. For example, that evidence used should come from four sources which include scientific findings, the organization, practitioners and stakeholders.

LEVARAGING HEALTHCARE TECHNOLOGY

In recent years, technology has widely been applied not only in healthcare but also in other sectors. Technologies that have been adopted for diabetes management include Telehealth, automated bolus calculators, continuous glucose monitoring, implantable continuous glucose monitors/sensors, integrated systems, smartphone, applications, and wearable technologies (Alcántara-Aragón, 2019). In this project, one of the technology leveraged is telehealth. Telehealth was important in improving communication. In some cases, I would teach the patient the phone calls. To enhance care, I also advised and helped the patient to access useful resources on diabetes and congestive heart failure from the internet. Therefore, leveraging various technological applications led to better patient outcomes.

OPPORTUNITIES OF IMPROVING HEALTH CARE TECHNOLGY

As earlier indicated, technology was successfully leveraged to enhance the project outcomes. However, it is worth noting that the leveraged technology can still be improved for future use. For example, in ensuring that Mr. Y had better patients outcomes phone calls were used in cases where physical visits were not necessary or inconveniencing. During the phone calls, various aspects of care were discussed including medication adherence, the progress with diet and addressing of the patient’s daily concerns regarding the management of his condition. This telehealth engagement can be improved to video calls to enhance the process of engagement (Vaughan et al, 2021). During video calls a lot more can be looked at such as patient’s non-verbal reactions to various questions. Such reactions are key in formulating care plans going forward.

INFLUENCE OF HEALTH POLICY

Health policy influences the planning and implementation  of capstone projects since they directly deal with patients. One of the healthcare policies in the US is improved access to care for every patient, especially those who live with chronic conditions (Mason et al, 2020). This informs the development of the Affordable Care Act which was formed with the aim of improving access to care. In line with such policy, I encouraged the patient to always seek care and ensure that he adheres with the treatment and management goals and medication schedules. Health Insurance Portability and Accountability Act (HIPAA) also influenced the intervention. I had to ensure that while integrating telehealth into the intervention I made sure that the telehealth data remained confidential and safe.

OBSERVATIONS ON NURSE’S ROLE IN POLICY IMPLEMENTATION AND DEVELOPMENT

One of the ways of enhancing patient care and outcomes is through policy development and implementation. Various policies can be formulated and be used to influence patient care outcomes (Mason et al., 2020). It is worth noting that the baccalaureate-prepared nurses have a significant role to play in the policy implementation and development. One of the roles is influence policy decision. For example, they can speak to the influential legislators responsible for enacting and passing various laws. They can also offer expert advice on policy matters, especially on policies touching on patient care and healthcare in general. The nurses can also engage in public campaigns to support or oppose certain policies, depending on their impact on healthcare. Again, they can educate members of the public and make policy proposals.

THE PROJECT, PREDICTIONS AND EXPECTATIONS

There were various predictions before the start of the project. The predictions were around the potential health outcomes regarding patient Y who was living with both diabetes and congestive heart failure. One of the predictions was that the patient would have a better glycemic control (Rosenstock, 2021). It was also predicted that the patient would engage in activities that help reduce the potential negative impacts of the congestive heart failure. It is important to note that the project partially initial predictions. While the project did not meet some expectations, others were met. There were also some expectation which were exceeded. For example the glycemic control was not achieved as expected as the patient posted inconsistent values. Health lifestyle was achieved. One aspect which exceeded the expectations was the positivity shown towards the intervention by the patient.

PROJECT IMPLEMENTATION AND GENERALIZABILTY

One of the major aims of nursing research is to find new evidence which can be used to improve patients care (Chinn et al., 2021). Such findings can then be translated into practice to improve patient care outcomes. The intervention used in this project can be adopted into a best practice as it shows that integration of telehealth improves the outcomes for the patient. However, it is worth noting that such an implementation depends on the intervention’s clinical significance and statistical significance. Generalizability is another aspect that impacts the overall quality of an intervention. The intervention used in this project produced results that can have limited generalizability as the setting was very specific. In addition, the patients addressed also had very specific characteristics.

PERSONAL  AND PROFESSIONAL GROWTH

Capstone project is an opportunity to learn for nursing students as an individual can personally and professionally grow. One of the growths I obtained in research. I learned more about research ethics and why research ethics is an important part of research. Dealing with patients and seeing the extent of the adverse impacts the diseases had on them made me appreciate more the importance of health. This motivated me more to become an established nurse researcher and come up with more interventions to address the patient conditions. I also improved my collaboration skills, especially inter-disciplinary collaboration in care teams to improve patient conditions. I also learned more patient data confidentiality which is an important aspect of patient care.

ETHICAL CARE AND PROFESSIONAL STANDARDS

Ethical and professional standards are important in nursing practice as their violation can risk a patient’s life and may put the professionalism into question (Chinn et al, 2021). As an individual, I believe that I have made important strides towards provision of ethical care and demonstration of professional standards. I believe that patients should have a say in the plans of care formulated to help them. Therefore, while I serve patients as informed by evidence-based practice and professional knowledge, I am always keen to ensuring that I consider the patient’s opinions and inputs. I also strive so that I do not cause harm to any patient. I have also demonstration professional standards in advocating for the provision of high quality and safe patient care to the patients. Besides, I actively participate in assessment of care outcomes to inform nursing practice.

REFERENCES

Alcántara-Aragón, V. (2019).Improving patient self-care using diabetes technologies.Therapeutic Advances in Endocrinology and Metabolism, 10,   
                2042018818824215. https://doi.org/10.1177/2042018818824215.

Chinn, P. L., Kramer, M. K., & Sitzman, K. (2021). Knowledge Development in Nursing E-Book: Theory and Process. Elsevier Health Sciences.

Hockenberry, M. J., & Wilson, D. (2018). Wong’s nursing care of infants and children-E-book. Elsevier Health Sciences.

Mason, D. J., Perez, A., McLemore, M. R., & Dickson, E. (2020). Policy & Politics in Nursing and Health Care-E-Book. Elsevier Health Sciences.

Rosenstock, J. (2021). Response to Comment on Rosenstock et al. Impact of a Weekly Glucagon-Like Peptide 1 Receptor Agonist, Albiglutide, on Glycemic Control and on Reducing Prandial Insulin Use in Type 2 Diabetes Inadequately Controlled on Multiple Insulin Therapy: A Randomized Trial. Diabetes Care 2020; 43: 2509–2518. Diabetes Care44(11), e196-e197. https://doi.org/10.2337/dci21-0004

Vaughan, E. M., Hyman, D. J., Naik, A. D., Samson, S. L., Razjouyan, J., & Foreyt, J. P. (2021). A Telehealth-supported, Integrated care with CHWs, and MEdication-access (TIME) program for diabetes improves HbA1c: A randomized clinical trial. Journal of general internal medicine36(2), 455-463. https://doi.org/10.1007/s11606-020-06017-4