Assessment 1 | Nursing homework help

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Nursing Reflection Journal Andres Munoz Professional Standards and Values Activity

Wellness and Disease Prevention:

Reflect on the health promotion disease prevention interventions you witnessed in your practicum site, as it relates to the social determinants of health most prevalent in your community. What did you see? What does this time mean to you as a professional nurse in your role? During my practicum experience, I observed a wide range of health promotion and disease prevention interventions designed to reduce disparities related to the social determinants of health. Many patients in the community faced challenges such as limited transportation, low health literacy, financial instability, and cultural barriers that influenced their ability to access care and maintain wellness. I witnessed nurses intentionally adjusting their teaching approaches to match each patient's needs. For example, they used diagrams, simplified language, teach back methods, and demonstrations to reinforce understanding of medication adherence, lifestyle changes, and follow up instructions. Preventive screenings such as blood pressure checks, glucose monitoring, fall risk assessments, and depression screenings were incorporated into nearly every encounter. I also noticed a strong emphasis on immunizations, nutrition counseling, and early identification of chronic conditions. One of the most meaningful observations was how nurses advocated for patients by coordinating resources such as social services, insurance support, smoking cessation programs, and food assistance referrals. These actions showed how prevention is deeply connected to equity and compassion. This experience strengthened my understanding that nursing leadership begins with the ability to recognize the broader context in which patients live. Prevention is not only a clinical task--it is a mindset that prioritizes education, empowerment, and respect for individual circumstances. As a professional nurse, this practicum helped me appreciate how early intervention can change the trajectory of a patient's health and reduce long term suffering. It reinforced my commitment to promoting wellness through holistic and culturally sensitive care, always considering what barriers patients face and how I can support them in overcoming those challenges.

Chronic Disease Management:

Reflect on the integration of interprofessional team-based care as it relates to chronic disease management in your practicum site this week. What did you see? What does this time mean to you as a professional nurse in your role? Throughout my practicum, I observed the powerful impact of interprofessional, team based care on chronic disease management. Many patients managed complex conditions such as diabetes, hypertension, COPD, chronic kidney disease, and heart failure. The coordinated efforts of nurses, physicians, pharmacists, dietitians, social workers, and case managers created an environment where patient needs were addressed from every angle. Nurses played a central role by assessing symptoms, reinforcing medication education, monitoring lab trends, and evaluating patient understanding during every interaction. I saw pharmacists reviewing medication lists closely, identifying potential interactions, and adjusting dosages in collaboration with the medical team. Dietitians provided essential education on nutrition plans, especially for diabetes and heart disease. Social workers and case managers supported patients by arranging transportation, follow up appointments, community resources, and insurance assistance services that often make or break a patient's ability to successfully manage their chronic conditions. As I observed this collaboration, I realized how essential communication is in preventing hospital readmissions and improving quality of life. Patients felt more supported and confident when surrounded by a team working toward the same goals. This experience emphasized the leadership role of nurses in coordinating care, advocating for patient needs, and ensuring continuity across disciplines. As a future nurse leader, these moments taught me the importance of strong communication, shared decision making, and building trusting relationships with both patients and colleagues. Chronic disease management is not only about stabilizing health it is about empowering patients to maintain control of their conditions with the guidance of a cohesive, compassionate team. This practicum experience increased my confidence in my ability to collaborate effectively, anticipate patient needs, and actively contribute to long term health outcomes.

Regenerative and Restorative Care:

Reflect on the acute management of illnesses such as stroke, mental illness, and falls in your practicum site this week. What did you see? What does this time mean to you as a professional nurse in your role? During this practicum week, I observed acute management of conditions such as stroke, mental illness, and fall related injuries, which deepened my understanding of regenerative and restorative care. Stroke care required immediate recognition of symptoms, activation of protocols, neurological checks, and coordination with imaging and specialty teams. Nurses played a key role in stabilizing patients, maintaining airway safety, monitoring vital signs, and updating families on each step of care. In cases involving mental health crises, I watched nurses use calm communication, active listening, and therapeutic techniques to promote emotional stability and patient safety. They collaborated with behavioral health specialists to develop care plans that prioritized dignity and compassion. These encounters reminded me that mental illness requires the same urgency and sensitivity as any physical condition. Fall related injuries highlighted the importance of physical assessments, pain control, mobility support, and prevention strategies. Nurses evaluated gait, balance, and home safety risks while educating patients and families about preventing future falls. This experience helped me understand the nurse's critical role in restoring function, independence, and confidence for patients recovering from acute illness or trauma. Regenerative care is not only about treating the condition it is about addressing the physical, emotional, and psychosocial aspects of healing. I realized how essential leadership, teamwork, and clinical judgment are when caring for patients in vulnerable moments. This practicum reinforced my commitment to advocating for patient safety, maintaining calm under pressure, and providing compassionate care that promotes recovery and long term resilience.

Hospice and Palliative Care:

Reflect on end-of-life nursing and advanced illness and hospice care in your practicum site this week. What did you see? What does this time mean to you as a professional nurse in your role? During my practicum, I had the opportunity to observe the meaningful and compassionate work involved in hospice and palliative care. This type of care focuses on comfort, dignity, and quality of life for patients facing life limiting illnesses. I saw nurses prioritizing symptom management such as pain control, respiratory comfort, and emotional support while also addressing the needs of families who were experiencing anticipatory grief and stress. The team used calm communication, gentle presence, and culturally sensitive care to ensure that patients felt supported and not alone. Interdisciplinary collaboration was central to this care. Nurses worked closely with social workers, chaplains, physicians, and volunteers to create individualized care plans that honored patient preferences and goals. What impacted me most was seeing how nurses advocate for patient comfort, facilitate difficult conversations, and support families through the end-of-life process. This experience deepened my understanding of what it means to provide truly holistic care. As a professional nurse, I recognize the importance of empathy, presence, and therapeutic communication when caring for patients during their final stages of life. Hospice and palliative care reinforced that nursing leadership involves compassion, ethical decision making, and the ability to create a peaceful and dignified environment for both patients and families. Analyze your healthcare process problem or issue in the context of your practicum site in a 4–6 page paper, and submit your required practicum hours. Organizational data, such as readmission rates, hospital-acquired infections, falls, medication errors, staff satisfaction, serious safety events, and patient experience can be used to prioritize time, resources, and finances. Healthcare organizations and government agencies use benchmark data to compare the quality of organizational services and report the status of patient safety. Professional nurses are key to comprehensive data collection, reporting, and monitoring of metrics to improve healthcare safety and deliver quality care in a cost-effective manner. Your practicum provides you with a unique opportunity to practice this aspect of community nursing by identifying a process issue related to your particular site and exploring the issue. Each assessment will build on the next, culminating in a presentation. Expand All

Instructions

For this assessment, you will analyze your healthcare process or issue in the context of your practicum site. · Describe your practicum site. · What type of institution are your practicum hours taking place in? · Describe the patient population of your practicum site. · Estimate how many full-time healthcare staff are employed at your practicum site. · What kind of clinical and operational decisions do you encounter in your practicum site? Are you in a position to make or have input in any of those decisions at your site? · What are the primary patient health outcomes for your practicum site? · Identify your process issue as it relates to a patient diagnosis and patient outcomes. · Summarize the healthcare process problem or issue you’ll explore. · Provide context, data, or information that substantiates the presence of the problem and its significance. · Analyze your chosen process for impact on the organization and the patient client in terms of quality, safety, and cost. · What are the causes of the problem? What do you think is the root cause? · Provide evidence to support your claims. Additional Requirements · Format: Format your paper using APA style. Refer to APA Style Paper Tutorial [DOCX] for guidance in writing and formatting your paper. Be sure to include the following: · A title page and reference page. An abstract is not required. · Appropriate section headings. · Length: Your paper should be approximately 4–6 pages in length, not including the reference page. · Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format. · Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance. Practicum Hours Submission · · · Reflective Journaling

Submission Checklist

· Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria: · Competency 2: Make clinical and operational decisions based upon the best available evidence. · Describe clinical and operational decisions encountered at the practicum site, including one's input in those decisions. · Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care. · Identify a process issue at a clinical site that relates to a patient diagnosis and patient outcomes. · Analyze the impact of a current process on an organization and client in terms of quality, safety, and cost. · Competency 8: Apply professional, scholarly, evidence-based strategies to create effective written and oral communications. · Describe the practicum setting. · Organize content so ideas flow logically with smooth transitions. · Apply APA style and formatting to scholarly writing. · Complete a minimum 10 hours of clinical practicum. Submit clinical hour documentation to CAPS. Scoring Guide Use the scoring guide to understand how your assessment will be evaluated. Expand All Criterion 1 Describe the practicum setting. Distinguished Describes the practicum setting, including the patient population and staff. Proficient Describes the practicum setting. Basic Identifies the practicum setting. Non Performance Does not describe the practicum setting. Criterion 2 Describe clinical and operational decisions encountered at the practicum site, including one's input in those decisions. Distinguished Describes clinical and operational decisions encountered at the practicum site, including one's input in those decisions. Identifies primary patient health outcomes of those decisions. Proficient Describes clinical and operational decisions encountered at the practicum site, including one's input in those decisions. Basic Describes clinical and operational decisions encountered at the practicum site, but without describing one's input in those decisions. Non Performance Does not describe clinical and operational decisions encountered at the practicum site, including one's input in those decisions. Criterion 3 Identify a process issue at a clinical site that relates to a patient diagnosis and patient outcomes. Distinguished Identifies a process issue at a clinical site that relates to a clinical diagnosis and outcomes, providing context, data, or information that substantiates the presence of the problem and its significance. Proficient Identifies a process issue at a clinical site that relates to a clinical diagnosis and outcomes. Basic Identifies a process issue at a clinical site, though it's unclear how it relates to a clinical diagnosis or outcomes. Non Performance Does not identify a process issue at a clinical site that relates to a clinical diagnosis and outcomes. Criterion 4 Analyze the impact of a current process on an organization and client in terms of quality, safety, and cost. Distinguished Analyzes the impact of a current process on an organization and client in terms of quality, safety, and cost, including evidence to support the claim for the root cause. Proficient Analyzes the impact of a current process on an organization and client in terms of quality, safety, and cost. Basic Describes the impact of a current process on an organization and client. Non Performance Does not analyze the impact of a current process on an organization and client in terms of quality, safety, and cost. Criterion 5 Organize content so ideas flow logically with smooth transitions. Distinguished Organizes content so clarity is enhanced and all ideas flow logically with smooth transitions. Proficient Organizes content so ideas flow logically with smooth transitions. Basic Organizes content with some logical flow and smooth transitions. Non Performance Does not organize content for ideas to flow logically with smooth transitions. Criterion 6 Apply APA style and formatting to scholarly writing. Distinguished Applies APA style and formatting to scholarly writing. Exhibits strict and nearly flawless adherence to stylistic conventions, document structure, and source attributions. Proficient Applies APA style and formatting to scholarly writing. Basic Applies APA style and formatting to scholarly writing incorrectly or inconsistently, detracting noticeably from good scholarship. Non Performance Does not apply APA style and formatting to scholarly writing. Criterion 7 Complete a minimum 10 hours of clinical practicum. Submit clinical hour documentation to CAPS. Distinguished Completes more than 10 hours of clinical practicum. Submits clinical hour documentation to CAPS. Proficient Completes a minimum 10 hours of clinical practicum. Submits clinical hour documentation to CAPS. Basic Completes fewer than 10 hours of clinical practicum. Non Performance Does not complete a minimum 10 hours of clinical practicum, and does not submit clinical hour documentation to CAPS.