NR 451 iCARE Self-Assessment

NR 451 Week 1 Graded Discussion Topic: Our Care Culture

NR 451 iCARE Self-Assessment

This week’s graded topic relates to the following Course Outcome (CO).

CO1: Applies principles of nursing, theories, and the care philosophies to self, colleagues, individuals, families, aggregates and communities throughout the healthcare system. (PO#I )

Care expressed and practiced in professional nursing models provides a way of looking at the nursing role from the aspect of care. It may seem excessive to consider aspects of caring and compassion in nursing. However, precisely because it IS nursing makes it crucial to our continual progress of defining and upholding one of our central professional principles.

Address each of these items:

  • Reflect on a caring and compassionate experience with a patient or family encountered in your practice. How was your compassion demonstrated? What other ways do you wish you would have expressed caring?
  • How does your thinking about compassion expand to include self and colleagues?

Please complete the iCARE Self-Assessment (Links to an external site.)Links to an external site. and download for your own use and information. The self-assessment is not a graded item.

NR 451 Week 2: The Clinical Question

Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.

  • Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
  • Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
  • Relate how you developed the question.
  • Describe the importance of this question to your clinical practice previously, currently, or in the future.
  • Describe what a research-practice gap is.

The systematic review I chose from our provided list was about 30 day hospital readmission. I chose this topic because I work in the emergency department and I see time and time again the same patients coming into the department with the same complaints and being admitted once again. I my opinion the common denominator I have found when treating these patients is lack of education. Whether the patients are lacking education on the disease process, medications or preventative measures there is some form of not understanding. My clinical question would address this situation. For example: Do discharge planning and interventions cover enough education material to prevent or lower 30 day readmissions?

Research-practice gap is the gap between the person doing the research and the practitioners in the field working with what is being researched. My research gap would be my lack of working on the medical surgical floor or any other floor besides the emergency department. Discharge planning and interventions are not something commonly dealt with in the emergency department.

 

Leppin, A. L., Gionfriddo, M. R., Kessler, M., Brito, J. P., Mair, F. S., Gallacher, K., & … Montori, V. M. (2014). Preventing 30-day hospital readmissions: a systematic review and meta-analysis of randomized trials. JAMA Internal Medicine, 174(7), 1095-1107. doi:10.1001/jamainternmed.2014.1608

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