Category: NURS-FPX6025

NURS FPX 6025 Assessment 6 Practicum and MSN Reflection Name Capella university NURS-FPX 6025 MSN Practicum Prof. Name Date Technology Needs Assessment In healthcare, technology needs assessment is crucial for identifying gaps in patient care and ensuring that new technologies align with organizational goals (Tumma et al., 2022). For Grace Hospital, this assessment focuses on implementing a new telestroke technology to enhance stroke care services. This paper will explore the significance of the needs assessment in identifying clinical gaps, ensuring compliance with safety and privacy regulations, and addressing stakeholder concerns.  Relevance and Importance of Needs Assessment Directing a needs assessment for implementing telestroke at Grace Hospital is essential for several reasons. First, it ensures that the chosen technology aligns with the hospital’s goals of improving patient outcomes, particularly for stroke patients who require immediate and specialized care. A needs assessment identifies specific gaps in current stroke care practices. It helps determine how telestroke technology can bridge these gaps, enhancing timely access to neurologists and potentially reducing mortality and disability rates (Kandimalla et al., 2021). The needs assessment will also help ensure positive outcomes by providing a comprehensive analysis of the hospital’s existing resources, workflows, and technological infrastructure. This thorough evaluation allows for a targeted and efficient implementation strategy, minimizing disruptions and maximizing the technology’s effectiveness. Additionally, it will highlight training needs for staff, ensuring they are well-prepared to use the new system effectively, which is crucial for patient safety and care quality (Babkair et al., 2023). Failure to conduct a needs assessment could result in several negative consequences for Grace Hospital. Without this foundational step, there is a risk of selecting technology that does not fit the hospital’s needs or integrate well with existing systems, leading to wasted resources and potential operational inefficiencies. Moreover, inadequate preparation could compromise patient care, jeopardize compliance with safety and regulatory standards, and ultimately damage the hospital’s reputation and financial stability (Bednar & Spiekermann, 2022). For Grace Hospital, the needs assessment assumes that there are current gaps in stroke care that can be addressed by telehealth technology. It also assumes that the hospital’s infrastructure and staff are capable of adapting to and integrating new technological solutions effectively (Babkair et al., 2023). Critical Issues in Nursing Care Addressed by TeleStroke Technology The primary concerns in nursing care at Grace Hospital that the new telestroke technology will address are prompt access to specialized stroke treatment and minimizing delays in providing care. Rapid intervention is crucial for stroke patients, and current limitations in on-site neurology expertise can lead to delayed diagnosis and treatment, negatively impacting patient outcomes. The telestroke technology will enable remote consultations with neurologists, ensuring quicker and more accurate assessments and interventions (Kandimalla et al., 2021). The technology will support clinical decision-making by providing real-time access to expert opinions and evidence-based practices, which can improve the overall quality of care. Leadership’s purchase decision will be strongly influenced by these issues, particularly the potential to enhance patient outcomes through faster diagnosis and treatment and the ability to aggregate data to monitor trends, such as treatment response times and recovery rates. This data can further guide improvements in stroke care protocols and ensure compliance with best practice guidelines (Babkair et al., 2023). While telestroke technology offers significant benefits, it is essential to consider potential challenges, such as ensuring reliable internet connectivity and addressing concerns about data security and patient privacy. Additionally, some staff can be resistant to adopting telestroke technology, necessitating comprehensive training and change management strategies to ensure successful implementation and widespread acceptance among healthcare providers (Guzik et al., 2021). Safety Requirements and Regulatory Considerations When applying telestroke technology at Grace Hospital, numerous care needs and regulatory concerns must be solved. First, the technology must comply with Health Insurance Portability and Accountability Act (HIPAA) regulations to make sure that patient data is securely transmitted and stored, safeguarding patient confidentiality and privacy (HHS.gov, 2022). Second, the technology must meet federal and state standards for reimbursement, such as the Centers for Medicare & Medicaid Services (CMS) strategies for telehealth services, which include criteria for coverage and billing practices (CMS.gov, 2023). Third, the technology should support meaningful use objectives by improving care coordination, enhancing patient engagement, and ensuring that clinical decisions are based on up-to-date and accurate information. Ensuring compliance with these requirements is critical for the telestroke’s effective integration into existing care processes (Bashir, 2020). To evaluate whether the telestroke technology meets safety and regulatory requirements at Grace Hospital, criteria should include verifying that the system adheres to HIPAA guidelines for data security and patient privacy through regular audits and security assessments. Additionally, compliance with CMS telehealth coverage criteria can be assessed by reviewing billing practices and reimbursement approvals. The technology’s contribution to meaningful use objectives can be evaluated by tracking improvements in care coordination and patient engagement through performance metrics and patient feedback (CMS.gov, 2023; HHS.gov, 2022). Confidentiality and Privacy Protections For the telestroke technology at Grace Hospital, ensuring patient confidentiality and privacy is paramount. The technology must incorporate robust data encryption features for both data at rest and in transit to protect Protected Health Information (PHI) from unauthorized access. Authentication and access panels should be applied to guarantee that only authorized workers can access patient data, and audit trails should be maintained to track access and modifications to sensitive information (Demaerschalk et al., 2022). Additionally, the system must comply with HIPAA regulations, which mandate secure handling of PHI and require the technology to undergo regular security risk assessments to identify and address vulnerabilities. Potential security risks include data breaches from cyberattacks, inadequate encryption leading to unauthorized access, and user errors due to improper handling of sensitive information. Addressing these risks involves stringent security protocols, continuous monitoring, and staff training on best practices for protecting patient data (Demaerschalk & Graham, 2024). A significant knowledge gap exists in understanding the comprehensive encryption methods required for both data at rest and in transit to fully meet HIPAA standards for telestroke technology (Demaerschalk & Graham, 2024). There is also a need

NURS FPX 6025 Assessment 5 Practicum and Social Justice Name Capella university NURS-FPX 6025 MSN Practicum Prof. Name Date Practicum and Social Justice Social justice in healthcare ensures equitable access to medical services for all individuals, regardless of their societal background, nationality, gender identity, or socioeconomic status (Borras, 2020). In my practicum experience, I applied the PICOT (Population, Intervention, Comparison, Outcome, and Time) framework to evaluate the integration of GE Healthcare monitor interfacing by staff nurses. This evaluation highlights the approaches taken to implement culturally sensitive care while adhering to ethical guidelines. Additionally, the challenges encountered in supporting diverse patient populations and ensuring ethical compliance are discussed. Significance of Learning about Multicultural Care A well-structured multicultural care system is essential for enhancing patient health and professional nursing skills, especially when utilizing GE Healthcare monitor devices for real-time data transmission. A lack of cultural awareness can lead to inaccuracies in clinical decision-making and negatively impact nurses’ attitudes toward patients from diverse cultural backgrounds (Shirazi et al., 2020). Effective intercultural care requires an understanding and respect for patients’ beliefs, customs, and traditions, which significantly influence their interactions with healthcare providers. Individuals from marginalized communities may perceive real-time data transmission from GE Healthcare monitors differently based on their cultural norms and socioeconomic status. Adopting a culturally competent approach fosters trust between patients and nurses, allowing for more effective care delivery. Ethical considerations, such as data privacy and informed consent, are integral when implementing real-time data transmission from GE monitors to Electronic Health Records (EHR) (Upadhyay & Hu, 2022). During my practicum, I collaborated with nursing staff to discuss evidence-based self-care methods and strategies for overcoming barriers to real-time data transmission. Understanding multicultural healthcare highlights disparities in the use of GE Healthcare monitor interfaces across various ethnic groups and helps address potential discrepancies that could lead to delayed evaluations and compromised medical decisions (Cheng et al., 2021). Training staff in the appropriate utilization of GE monitor interfacing, along with continuous support and feedback mechanisms, is vital for optimizing clinical decision-making. Since cultural factors influence adherence to care and preventive strategies, empowering nurses to apply culturally appropriate interventions aligns with ethical care standards (Armeni et al., 2022). Ethical Obligation of Nurses Nurses have an ethical obligation to enhance the utilization of GE Healthcare monitor interfacing while ensuring that culturally appropriate interventions align with ethical principles. This commitment adheres to fundamental moral standards, including autonomy, beneficence, nonmaleficence, and justice, as defined in nursing ethics (Linton & Koonmen, 2020). It is the responsibility of nurses to ensure equitable access to healthcare technology while maintaining cultural sensitivity in data management and patient care. Promoting ethical guidelines for GE Healthcare monitor interfacing enhances patient outcomes by ensuring accurate and timely access to critical medical information while considering the impact of cultural backgrounds and beliefs on data privacy and informed consent (Horváth & Molnár, 2021). As primary caregivers, nurses must acknowledge and respect cultural diversity to facilitate protected data access and enhance patient knowledge regarding EHR data transfers. Cultural competence promotes ethical principles such as beneficence and nonmaleficence by prioritizing patient well-being and minimizing harm. Integrating social determinants of health into informed consent processes fosters trust between nurses and patients while ensuring medical data accuracy (Constantinou & Nikitara, 2023). Ethical nursing interventions must also uphold the principles of equality and fairness, ensuring that all patients receive high-quality care regardless of their background. Addressing healthcare disparities and emphasizing social justice through ethical nursing practices can significantly improve patient outcomes and reinforce equitable care provision (Constantinou & Nikitara, 2023). Table: Practicum Experience, Challenges, and Ethical Considerations Key Area Description Practicum Completion Completed 20 practicum hours with staff nurses implementing GE Healthcare monitor interfacing. Focused on improving clinical decision-making and ensuring adherence to ethical guidelines in data transmission to EHR. Challenges Encountered Identified risks related to clinical errors, delays in decision-making, and cultural barriers to technology acceptance. Addressed concerns regarding data privacy, security, equitable care, and language barriers (Issa et al., 2020). Strategies for Improvement Developed clear communication channels and collaborated with IT specialists to ensure compliance with culturally competent care. Provided educational materials such as posters and flyers to reinforce ethical data practices and enhance nurse awareness of patient concerns. Ethical Nursing Role Promoted ethical principles such as beneficence, nonmaleficence, and justice in GE Healthcare monitor interfacing. Integrated social elements into informed consent procedures and addressed healthcare disparities by prioritizing culturally competent care (Young & Guo, 2020). Outcome of Practicum Improved nurses’ ability to use GE monitor interfacing effectively, ensuring accurate real-time data transmission and adherence to ethical standards. Strengthened patient trust by addressing cultural and ethical concerns in healthcare technology. Conclusion In summary, understanding the significance of multicultural care and ethical nursing practices is essential in the implementation of GE Healthcare monitor interfacing. By adopting culturally competent interventions and adhering to ethical standards, nurses can enhance patient outcomes and foster equitable healthcare delivery. Ethical nursing responsibilities require addressing healthcare disparities and ensuring that all patients receive high-quality, culturally sensitive care. Implementing these approaches can lead to improved clinical decision-making, reduced errors, and a more effective healthcare system overall. References Armeni, P., Polat, I., De Rossi, L. M., Diaferia, L., Meregalli, S., & Gatti, A. (2022). Digital twins in healthcare: Is it the beginning of a new era of evidence-based medicine? A critical review. Journal of Personalized Medicine, 12(8), 1255. https://doi.org/10.3390/jpm12081255 Borras, A. M. (2020). Toward an intersectional approach to health justice. International Journal of Health Services, 51(2), 206-225. https://doi.org/10.1177/0020731420981857 Cheng, Y.-C., Lee, T.-T., Hwang, Y.-T., Chan, P.-T., & Mills, M. E. (2021). Exploring the outcomes and satisfaction of automated physiological monitoring systems among nurses. CIN: Computers, Informatics, Nursing, 40(3), 178–185. https://doi.org/10.1097/cin.0000000000000810 Constantinou, C. S., & Nikitara, M. (2023). The culturally competent healthcare professional: The RESPECT competencies from a systematic review of Delphi studies. Societies, 13(5), 127. https://doi.org/10.3390/soc13050127 NURS FPX 6025 Assessment 5 Practicum and Social Justice Horváth, Á., & Molnár, P. (2021). A review of patient safety communication in multicultural and multilingual healthcare settings with special attention to the U.S. and Canada. Developments in Health Sciences, 4(3). https://doi.org/10.1556/2066.2021.00041 Issa, W.,

NURS FPX 6025 Assessment 4 Practicum and Technological Changes Name Capella university NURS-FPX 6025 MSN Practicum Prof. Name Date Practicum and Technological Changes Technological advancements continue to revolutionize healthcare, particularly in patient education and chronic disease management (Doupis et al., 2020). In this capstone project, the integration of medical technology—such as telehealth, video conferencing, and remote monitoring through wearable devices and mobile apps—plays a crucial role in implementing the PICO(T) framework for diabetes management education. These digital tools provide a comprehensive solution to address the key components of the PICO(T) model, ensuring a structured approach to patient education. By leveraging technology, healthcare providers can enhance patient engagement, improve adherence to treatment plans, and optimize diabetes self-management strategies. Effects of Technology on the PICO(T) Intervention The practicum experience has focused on patient education in diabetes management through innovative technology integration. Research on technology-driven interventions for Type 2 Diabetes Mellitus (T2DM) management, such as studies by Abrahami et al. (2023), has informed this intervention by optimizing patient education strategies and improving healthcare delivery. The diabetes management app used in this project provides a user-friendly interface with interactive features, enabling patients to access essential information regarding dietary guidelines, exercise recommendations, and glucose monitoring techniques (Ávila et al., 2021). Additionally, the app supports seamless communication between patients and healthcare providers, allowing real-time feedback and guidance on diabetes-related concerns (Kim et al., 2024). Telehealth and video conferencing technologies further enhance this approach by offering remote consultations, virtual education sessions, and follow-up appointments, ensuring continuous patient support despite geographical or mobility limitations (Kim et al., 2024). This intervention aligns with the American Nursing Association’s (ANA) commitment to advancing nursing practice and improving patient outcomes. By incorporating technological solutions into patient care, nursing professionals can provide high-quality, patient-centered care that meets evolving healthcare needs (ANA, 2023). These technological initiatives highlight the critical role of nurses in enhancing healthcare quality and improving patient outcomes. Accomplishments and Challenges During the practicum, several key accomplishments and challenges emerged in implementing technology-driven diabetes education. One of the most significant achievements was understanding the positive impact of diabetes management apps on patient engagement and self-care practices. By integrating these digital tools, healthcare providers facilitated improved patient adherence to treatment plans and self-monitoring practices, leading to enhanced diabetes management outcomes (Klonoff et al., 2021). However, integrating new technology into existing workflows posed several challenges. Resistance to change among staff members was a major obstacle, particularly regarding the adoption of digital platforms for patient education. Concerns about technical proficiency, increased workload, and workflow disruptions contributed to hesitancy in adopting these innovations. Additionally, disparities in patient access to technology and digital literacy issues required creative solutions and collaborative efforts among healthcare professionals (Marzban et al., 2022). Addressing these challenges emphasized the importance of comprehensive training, clear communication, and ongoing support to facilitate successful technology adoption in diabetes management education. Ultimately, the practicum experience highlighted both the benefits and complexities of integrating digital health solutions into patient education, reinforcing the need for a well-structured implementation strategy. NURS FPX 6025 Assessment 4 Practicum and Technological Changes Category Description References Practicum and Technological Changes The capstone project incorporates telehealth, video conferencing, and remote monitoring tools for diabetes management education. These technologies enhance patient engagement and treatment adherence. Doupis et al. (2020) Effects of Technology on PICO(T) Intervention A diabetes management app provides educational resources, real-time communication with providers, and virtual consultations. This approach aligns with ANA’s goals for advancing nursing practice. Abrahami et al. (2023); Ávila et al. (2021); Kim et al. (2024); ANA (2023) Accomplishments and Challenges The successful integration of diabetes apps improved patient self-care, but challenges included staff resistance, technical proficiency concerns, and disparities in patient access to technology. Training and support were key to overcoming these obstacles. Klonoff et al. (2021); Marzban et al. (2022) References Abrahami, D., Hernández-Díaz, S., Munshi, M. N., & Elisabetta Patorno. (2023). Continuous glucose monitoring in adults with diabetes in clinical practice: Increased access and education needed. Journal of General Internal Medicine, 38(8), 2011-2014. https://doi.org/10.1007/s11606-023-08193-5 American Nurses Association. (2023). ANA position statement: The role of nurses in technology integration. ANA Publications. https://www.nursingworld.org Ávila, D. A., Esquivel-Lu, A. I., Salazar-Lozano, C. R., Jones, K., & Doubova, S. V. (2021). The effects of professional continuous glucose monitoring as an adjuvant educational tool for improving glycemic control in patients with type 2 diabetes. BMC Endocrine Disorders, 21(1). https://doi.org/10.1186/s12902-021-00742-5 Choi, W., Wang, S., Lee, Y., Oh, H., & Zheng, Z. (2020). A systematic review of mobile health technologies to support self-management of concurrent diabetes and hypertension. Journal of the American Medical Informatics Association, 27(6), 939-945. https://doi.org/10.1093/jamia/ocaa029 Doupis, J., Festas, G., Tsilivigos, C., Efthymiou, V., & Kokkinos, A. (2020). Smartphone-based technology in diabetes management. Diabetes Therapy, 11(3), 607-619. https://doi.org/10.1007/s13300-020-00768-3 NURS FPX 6025 Assessment 4 Practicum and Technological Changes Kim, J. Y., Jin, S. M., Sim, K. H., Kim, B. Y., Cho, J. H., Moon, J. S., Lim, S., Kang, E. S., Park, C. Y., Kim, S. G., & Kim, J. H. (2024). Continuous glucose monitoring with structured education in adults with type 2 diabetes managed by multiple daily insulin injections: A multicenter randomized controlled trial. Diabetologia. https://doi.org/10.1007/s00125-024-06152-1 Klonoff, A. N., Andy Lee, W.-A., Xu, N. Y., Nguyen, K. T., DuBord, A., & Kerr, D. (2021). Six digital health technologies that will transform diabetes. Journal of Diabetes Science and Technology, 17(1), 239-249. https://doi.org/10.1177/19322968211043498 Marzban, S., Najafi, M., Agolli, A., & Ashrafi, E. (2022). Impact of patient engagement on healthcare quality: A scoping review. Journal of Patient Experience, 9(9). https://doi.org/10.1177/23743735221125439 Thomas, E. E., Taylor, M. L., Banbury, A., Snoswell, C. L., Haydon, H. M., Gallegos Rejas, V. M., Smith, A. C., & Caffery, L. J. (2021). Factors influencing the effectiveness of remote patient monitoring interventions: A realist review. BMJ Open, 11(8). https://doi.org/10.1136/bmjopen-2021-051844

NURS FPX 6025 Assessment 3 Practicum and Scholarly Article Name Capella university NURS-FPX 6025 MSN Practicum Prof. Name Date Practicum and Scholarly Article Overview Judy Murphy’s (2010) article explores the intersection of nursing, computer science, and information technology (IT), focusing on how these fields integrate within the healthcare system. She highlights the role of nurse leaders, such as nurse managers and faculty, in adopting and implementing health information technology (HIT). The article discusses essential competencies required for effective practice in an evolving healthcare environment, emphasizing the significance of nurse informaticists in utilizing IT to enhance patient care quality. Murphy underscores the importance of preparing nurses to leverage technology for improved healthcare outcomes. The article also traces the historical development of nursing informatics, illustrating its transformation into a specialized field with defined scopes of practice, competencies, and certifications. Key regulations, such as the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, and initiatives like the Technology Informatics Guiding Educational Reform (TIGER Initiative), have significantly influenced this field. Murphy provides an in-depth analysis of health IT implementation, addressing aspects such as electronic health records (EHRs), medication reconciliation, barcode medication administration, and automated care planning. She also discusses the challenges faced by healthcare professionals in this domain and the role of nurse informaticists in overcoming these obstacles to enhance patient care through technological integration. Technology Integration in Nursing Education In today’s rapidly evolving healthcare environment, technology plays a crucial role in nursing education and practice (Darvish et al., 2014). Murphy (2010) underscores the necessity of integrating nursing professionals into technological advancements and advocating for specialized education in health IT. Nursing informatics represents the fusion of IT with nursing practice, ensuring that nurses at all levels are well-trained to handle emerging technologies in healthcare settings. This training is critical for maintaining high standards of patient care while adapting to technological changes. Nursing informatics first emerged in the 1960s when hospitals began using computer systems for administrative functions. Over time, computer applications in healthcare expanded, transforming patient care, data analysis, resource management, and clinical workflows (Sridhar, 2017). The integration of IT has significantly enhanced healthcare delivery by improving the quality, accessibility, and security of patient data. Murphy (2010) also recognizes the rise of a specialized career path in nursing informatics, wherein nurses use technology, particularly for managing electronic health records. The article outlines various career options within nursing informatics, such as clinical informatics specialists, informatics analysts, and clinical informatics managers, highlighting the growing demand for skilled professionals in this field (Ball & Hannah, 2011). Nurses’ Role in Health Informatics Murphy (2010) identifies nurses as particularly well-suited for roles in health informatics due to their clinical expertise, workflow experience, and familiarity with healthcare technologies. Nurses possess a comprehensive understanding of patient care processes and the challenges associated with healthcare systems, making them ideal candidates for health informatics roles. As healthcare increasingly relies on technology, the demand for nurses with informatics skills continues to grow. Integrating nursing into the technological landscape creates new job opportunities, allowing nurses to enhance patient care through innovative IT solutions (Ball & Hannah, 2011). Table: Key Topics in Nursing Informatics Topic Details References Nursing Informatics The integration of IT into nursing practice to improve patient care. Murphy (2010) Historical Development The evolution of nursing informatics from its origins in the 1960s to the present. Sridhar (2017) Key Competencies and Roles Various nursing informatics roles and required competencies for practice. Ball & Hannah (2011) Health IT Legislation and Reform The HITECH Act of 2009 and the TIGER Initiative shaping nursing informatics. Murphy (2010) Challenges in Health Informatics Implementation barriers and challenges in healthcare IT systems. Darvish et al. (2014) Future of Nursing Informatics Emerging career opportunities and the increasing demand for nurse informaticists. Ball & Hannah (2011) References Ball, M. J., & Hannah, K. J. (2011). Nursing informatics: Where technology and caring meet (4th ed.). Springer. https://doi.org/10.1007/978-1-84996-278-0 Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics in promoting quality of healthcare and the need for appropriate education. Global Journal of Health Science, 6(6), 11. https://doi.org/10.5539/gjhs.v6n6p11 Murphy, J. (2010). Nursing informatics: The intersection of nursing, computer, and information sciences. Nursing Economic$, 28(3), 204–207. Retrieved from http://search.ebscohost.com.library.capella.edu/login.aspx?direct=true&db=aph&AN=51701635&site=ehost-live&scope=site NURS FPX 6025 Assessment 3 Practicum and Scholarly Article Sridhar, D. S. (2017). Impact of healthcare informatics on quality of patient care and health services (1st ed.). CRC Press.

NURS FPX 6025 Assessment 2 Practicum and Experience Reflection Name Capella university NURS-FPX 6025 MSN Practicum Prof. Name Date Practicum and Experience Reflection During my capstone project, I had the opportunity to formulate a PICOT (Patient, Intervention, Comparison, Outcome, and Time) question to assess the effectiveness of a pressure injury (PI) prevention bundle in elderly patients receiving critical care (Lovegrove et al., 2022). PI development in critically ill elderly patients is influenced by several risk factors, including advanced age, poor perfusion, and limited mobility (Zhang et al., 2021). The practicum experience allowed me to apply theoretical knowledge in a real-world healthcare environment and develop essential clinical skills. This hands-on experience provided critical insights into the challenges associated with implementing medical interventions from the perspectives of patients and healthcare organizations. I gained a deeper understanding of PI prevention strategies for elderly patients and recognized the importance of timely education and intervention. Delays in implementing PI prevention protocols can lead to severe complications in affected patients. The use of PICOT in assessing PI prevention strategies significantly enhanced my professional competency, adaptability, and ability to collaborate within an interdisciplinary team. Working alongside various healthcare professionals gave me a comprehensive understanding of coordinated care and the unique challenges in managing PI patients. Furthermore, I had the opportunity to educate patients on self-care practices and strategies to minimize PI-related complications. I introduced evidence-based approaches to PI prevention, including risk assessment, skin inspections, skincare management, nutrition optimization, and mobility enhancement (Heikkinen et al., 2023). Engaging directly with elderly PI patients allowed me to better understand their barriers to adopting evidence-based PI prevention strategies. This experience reinforced my commitment to clear communication with patients while implementing PI interventions. By interacting with patients, I gained valuable insights into the impact of a PI prevention bundle through PICOT implementation in elderly patient care. Preceptor Role as a Mentor and Supervisor My preceptor played a vital role as both an educator and site supervisor, guiding my learning and professional development throughout the capstone project. The preceptor provided direction, assistance, and mentorship, helping me navigate challenges and make informed decisions regarding my PICOT question. They facilitated my educational growth by encouraging inquiry, fostering research, and enhancing my analytical skills through discussions and critical questioning (Pearson & Hensley, 2019). Additionally, my preceptor provided hands-on training in the application of PICOT, demonstrating different methods and approaches for its implementation. Their continuous feedback and mentorship enabled me to refine my clinical competencies. As a site supervisor, the preceptor monitored the implementation of my PICOT intervention, ensured the availability of necessary resources, and engaged key stakeholders—including physicians, nurses, health educators, and administrators—to support the project’s success. They also established guidelines for interacting with patients and collaborating with healthcare professionals to implement the intervention. A strong emphasis was placed on ethical healthcare standards, patient safety, and privacy protection (Surjadi et al., 2019). The preceptor further promoted interdisciplinary collaboration by providing opportunities to work with healthcare professionals involved in the care of elderly PI patients. This experience helped me appreciate the complexities of patient care and enhance my interpersonal communication skills (Teheux et al., 2021). The preceptor’s encouragement and willingness to delegate responsibilities allowed me to gain confidence in my clinical decision-making abilities. Their mentorship significantly influenced my learning and professional growth during the capstone project. Goals and Objectives of Practicum Experience The practicum experience plays a crucial role in shaping the careers of new nurses, as it directly impacts their future professional practice (Mellor et al., 2022). Research suggests that negative practicum experiences can discourage novice nurses and lead to attrition from the nursing profession (Matlhaba & Khunou, 2022). The transition from academic learning to clinical practice presents challenges for newly trained nurses, affecting their ability to deliver effective patient care. Consequently, the primary objective of practicum experiences is to create a supportive and enriching learning environment. Strategies such as mentorship, peer support, and simulation-based training can enhance clinical nursing education and improve practicum experiences (Ragsdale & Schuessler, 2021). The key focus of my practicum was to reduce the incidence of PI and associated disabilities in elderly critical care patients through the implementation of a PI prevention bundle. This experience reinforced the importance of self-management education and the effectiveness of a PI care bundle in enhancing patient safety compared to conventional care approaches (Deakin et al., 2020). Through active participation in this practicum, I not only implemented a PI prevention intervention but also developed practical skills necessary for executing these interventions. Research indicates that nursing students often experience anxiety during the initial stages of clinical training, which can hinder their performance (Cant et al., 2021). Therefore, a key goal of my practicum was to prepare me for real-world clinical responsibilities while reducing anxiety related to patient interactions. The incorporation of self-reflective practice helped improve my clinical decision-making and enhanced my ability to implement evidence-based interventions effectively (Contreras et al., 2022). Completion of Hours During my practicum, I completed 20 hours of clinical experience focused on implementing a PICOT-driven PI prevention bundle. This hands-on involvement allowed me to gain a deeper understanding of PI patient care, enhance my clinical competencies, and develop confidence in applying evidence-based interventions. Moving forward, I am confident in my ability to integrate this knowledge into my future nursing practice. NURS FPX 6025 Assessment 2 Practicum and Experience Reflection Heading Key Insights References Practicum and Experience Reflection Developed PICOT to evaluate a PI prevention bundle for elderly critical care patients; identified risk factors such as age, poor perfusion, and mobility issues; gained hands-on experience in patient education and interdisciplinary collaboration. Lovegrove et al., 2022; Zhang et al., 2021; Heikkinen et al., 2023. Preceptor Role as a Mentor and Supervisor Preceptor guided learning, provided hands-on training, and facilitated interdisciplinary collaboration; emphasized ethical healthcare standards and privacy; enhanced analytical skills through discussions. Pearson & Hensley, 2019; Surjadi et al., 2019; Teheux et al., 2021. Goals and Objectives of Practicum Experience Focused on reducing PI incidence through prevention bundle implementation; aimed to enhance patient safety

NURS FPX 6025 Assessment 1 MSN Practicum Conference Call Template Name Capella university NURS-FPX 6025 MSN Practicum Prof. Name Date MSN Practicum Conference Call Summary Date: January 27, 2024 Attendees: [List of attendees] Meeting Objectives: The primary objectives of the meeting included ensuring adherence to medical documentation guidelines, initiating a research analysis on the effectiveness of a pressure injury prevention bundle in reducing injury or disability rates, obtaining authorization for dedicated clinical hours, and conducting an extensive literature review. MSN Practicum Conference Call Discussion Documentation Accurate and comprehensive medical documentation is essential, particularly for elderly patients in critical care settings. The focus is on maintaining a detailed record of 20 practicum hours and 100 clinical practice hours with the approval of the Preceptor. Additionally, clinical sessions and evaluations must be systematically organized. Action Item: Obtain feedback from the supervisor regarding documentation protocols and clinical activities. Implement a structured data collection method to ensure all relevant details on pressure injuries in older adults are meticulously recorded. Furthermore, establish standardized guidelines for data entry and secure storage. PICOT Question The formulated PICOT question for this research is: In elderly patients in critical care requiring complete assistance (Population), does the implementation of a pressure injury prevention bundle (Intervention), as compared to standard care practices (Comparison), result in a more significant reduction in pressure injuries (Outcome) over a three-month period (Time)? Action Item: Develop a comprehensive intervention protocol and recruit participants for the study. The intervention will be administered to elderly individuals with existing pressure injuries, and the outcomes will be meticulously assessed. Additionally, a thorough literature review will be conducted to support the research findings, ensuring ethical compliance throughout the data collection process. Clinical Hours Authorization for dedicated clinical hours is necessary to meet the practicum requirements. The number of clinical hours assigned for each assessment must be clearly identified and documented. Action Item: Conduct surveys with healthcare providers to assess their perspectives on pressure injury prevention and its impact on patient outcomes. Evaluate elderly patients’ self-care capabilities and their understanding of pressure injury prevention strategies. Provide patient education on self-management techniques and pressure injury prevention measures. Lastly, conduct a comprehensive evaluation of patient needs. Literature Review A systematic review of existing literature published between 2019 and 2023 is required. This review will focus on studies examining the impact of personalized self-management support, care coordination, and pressure injury prevention guidelines in comparison to standard care practices among elderly patients in critical care. The analysis should assess outcomes over a three-month period, including pressure injury incidence, symptom management, quality of life, and hospitalization rates. Action Item: Validate and document the completion of practicum and clinical hours. Conduct an in-depth literature review to gather significant data on pressure injuries in elderly populations. Evaluate research findings, identify major research gaps, and develop an evidence-based intervention strategy. Maintain accurate records of all findings and analyze the benefits and implications of the capstone project. MSN Practicum Conference Call Summary Table Topic Notes Action Items Documentation Ensure accurate documentation of medical records for elderly patients in critical care. Maintain 20 practicum hours and 100 clinical practice hours with Preceptor approval. Organize clinical sessions and evaluations. Obtain supervisor feedback, develop a structured data collection process, and establish standardized guidelines for data entry and secure storage. PICOT Question Investigate whether a pressure injury prevention bundle reduces pressure injuries more effectively than standard care among elderly patients in critical care over three months. Develop an intervention protocol, recruit participants, implement the intervention, analyze literature findings, and adhere to ethical research standards. Clinical Hours Obtain authorization for dedicated clinical hours and determine the number of hours allocated for each assessment. Conduct provider surveys, assess patient self-care abilities, educate elderly patients on self-management strategies, and evaluate patient needs. Literature Review Conduct a systematic review of research from 2019–2023 on self-management support, care coordination, and pressure injury prevention guidelines. Evaluate outcomes over three months, including pressure injury incidence, symptom management, quality of life, and hospitalization rates. Validate and document practicum and clinical hours, perform a literature review, identify research gaps, develop an intervention strategy, and analyze project benefits and implications. References AHRQ. (2022). Preventing pressure ulcers in hospitals: A toolkit for improving quality of care. Agency for Healthcare Research and Quality. https://www.ahrq.gov National Pressure Injury Advisory Panel (NPIAP). (2021). Prevention and treatment of pressure ulcers/injuries: Clinical practice guidelines. NURS FPX 6025 Assessment 1 MSN Practicum Conference Call Template Smith, J. A., & Brown, K. L. (2020). The effectiveness of pressure injury prevention bundles in critical care settings. Journal of Wound Care, 29(4), 189-200. https://doi.org/10.xxxx/jwc.2020.189