NRS 493 Topic 8 Professional Capstone and Practicum Reflective Journal GCU
NRS 493 Topic 8 Professional Capstone and Practicum Reflective Journal GCU
NRS 493 Topic 8 Professional Capstone and Practicum Reflective Journal GCU
Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).
In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.
New practice approaches
Interprofessional collaboration
Health care delivery and clinical systems
Ethical considerations in health care
Practices of culturally sensitive care
Ensuring the integrity of human dignity in the care of all patients
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Struggling to Meet Your Deadline?
Get your assignment on NRS 493 Topic 8 Professional Capstone and Practicum Reflective Journal GCU done on time by medical experts. Don’t wait – ORDER NOW!
Meet my deadline
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NRS 493 Topic 8 Professional Capstone and Practicum Reflective Journal GCU
Thanks for sharing your post. You mentioned that many nurses will leave the nursing profession
by the end of 2030. The reasons behind this is multifold. Several reasons include, a lack of
potential educators, high turnover, and inequitable workforce distribution. The national average
for turnover rates is 8.8 % to 37.0%, depending on geographic location and nursing specialty.
Without adequate staffing ratios, nurses are responsible for caring for more patients, leading to
additional interruptions which is shown to put increase patient safety errors which puts patients
at risk for harm. At the facility I currently work, we experienced a significant shortage of nurses
about September 2021 – December 2021. In this timeframe, several patient incidents occurred
due to errors made by overworked nurses. This resulted in Corporate stepping in activating float
pool nurses and offering bonus for additional shifts worked. This is the exact same compensation
and support we had been asking for but to no avail. Until the nurse shortage began to hit
Administration in the pockets, unfortunately, they were not in support of showing our nursing
staff any support or appreciation.
References
Haddad LM, Annamaraju P, Toney-Butler TJ. Nursing Shortage. (2022). In: StatPearls
[Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK493175
Yaxhica Strong
replied toSharia Jones
May 8, 2022, 10:52 PM
Replies to Sharia Jones
Sharia,
I can hear the frustration in your voice,
I have seen so many problems regarding nursing shortage. It really causes me to
sympathize with the staff as well as the patients. For example, you have dedicated staff
nurses reporting to their place of employment faithfully and performing their job. Then
you see an Agency nurse come inand provide the bare minimal service. In return patients
are receiving inadequate care and the Agency / contractual nurse is making double the
compensation. If a facility can provide large sums to contracted agency why not provide
this compensation to their staff.
www.sideeffectspublicmedia.org/policy-politics/2022-02-17/as-nurses-demand-higher-
pay-nursing-homes-and-staffing-agencies-clash-on-the-price
Karyn Temple
replied toYaxhica Strong
May 8, 2022, 5:27 AM
Replies to Yaxhica Strong
Yaxhica, thank you for tackling this project. I cannot wait to about it. Thinking about the
shortage, I will add this.
Correcting the shortage will require a paradigm shift. Changes that require expenditure
are a hard sell to organizations. We need to reduce hospital-acquired line infections,
urinary infections, pneumonia, and pressure injuries, among other issues. There is plenty
of research on the outcomes of high nurse-to-patient ratios, including the above and
increased patient mortality and nurse turnover (Adolfo et al., 2021). It seems a simple
solution to those on the front lines, yet it is not happening. The barrier is when
administrators realize it affects profits and their paycheck: in the long run, it would
increase profits. However, I dare to say greed and fear motivate the resistance. The
change in the payer model, and financial risk from insurers to the provider, has changed
profits and consequently the health care culture.
Cultural emphasis shifts from quality care to the conservation of resources and rapid
mergers of health plans and institutional providers. With all the turmoil, as rules change,
eliminating or minimizing primary and support services is the strategy to save money.
This shift is dominant since Covid as it took away decisions from patients and families
because of the rationing of resources, yet, new mergers are still happening (Adolfo et al.,
2021).
This shift undermines the old school health care ethics of advocacy for staff and patients.
There is unhealthy competition in market-based health care that claims profit and market
shares as successful performance (Adolfo et al.,2021). The challenge to health care
providers is to educate our organizations on the human capital of their actions. It will
require reeducation of our administrators back to old school ethics. Nurses have that
influence if they choose.
Adolfo, C., Albougami, A., Roque, M., & Almazan, J. (2021). Nurses’ attitudes toward
quality improvement in hospitals: Implications for nursing management systems. Nursing
Practice Today, 8(3), 206–215. https://doi-
org.lopes.idm.oclc.org/10.18502/npt.v8i3.593
Don’t wait until the last minute
Fill in your requirements and let our experts deliver your work asap.
Start My Order
