Patient Management and Delegation (7 Clinical/Simulation Hours)

Instructions:

1. Please review the before starting this assignment
2. Afterwards, go to the and complete the following virtual simulation for a grade:
   • Must complete all of the following Patient Management and Delegation (PMD) “Days” to earn credit for this simulation including sections: Set Acuity, Schedule & Delegate, and Prioritize
     • Day 1, Day 2, and Day 3 plus Challenge
   • Must submit your Sentinel U – Metrix Report for your Patient Management Delegation (PMD) simulation in Canvas for grading.
     • The report must read “100% ” under “Completion” and the “Total Score” must be” 77%” or higher.
     • The report must read a minimum of “5h 00m” under “Total Time Spent”
3. This assignment will be graded using the “Criteria & Ratings” posted here in Canvas under Rubrics.

Step 1: Review the scenario below.

You are a preceptor training a nurse who is new to your floor. One client in your shift assignment has sickle cell anemia and requires a complex regimen of oxygen, intravenous (IV) fluids, and pain medication to manage their illness. During interprofessional team rounds, the new nurse states, I think this client is just seeking pain medication and they arent really in that much pain. We should stop giving them so much medication and consider discharge to make room for clients with real illnesses.

The conversation stops and interprofessional team members are unsure what to say to address the new nurses statement. Everyone is upset by her statement, and they begin to argue. The attending physician tells everyone from the team to pause rounds and meet in the conference room in five minutes to resolve this conflict.

You are assigned to consider the different components of this scenario through the perspective of implicit and/or explicit bias.

Step 2: Answer the discussion prompts below with explanation and detail.

• Paragraph one: A supportive work environment is crucial to resolving conflict in any healthcare setting. What is the impact of your assigned perspective on conflict resolution within the interprofessional team? Paragraph two: Different work environments bring their own unique challenges and opportunities. How would the impact on conflict resolution be different, from your assigned perspective, if the healthcare setting had a highly diverse staff? Paragraph three: Engagement from all levels of staff is vital to understanding and addressing conflict. From your assigned perspective, how can engagement from staff contribute to understanding and addressing conflict resolution?References: Provide complete references for all citations.

Step 3: Reply to a peer with a different assigned perspective.

1. Integrate Evidence: Cite at least two sources of evidence in weekly posts.
   1. Integrate evidence from assigned reading(s) OR lesson.
   2. Integrate evidence from at least one outside scholarly source as directed in the discussion directions.
   3. Integrate evidence that supports the discussion.
   4. Cite all scholarly sources, reading(s), OR lessons in an in-text citation within the post and include a complete reference at the bottom of the post.
   5. Use sources no more than five years old unless they are historical references.

Professional Standards and Values Activity

Review your entries from NURS-FPX4065 before you respond to the questions in this activity. Use at least 200 words and no more than 400 words for each of the four required journal entries. In this course, remember to respond from a perspective of leadership and professional standards. You do not need to include scholarly resources or a reference list. Your reflections should be your own original thoughts. Please do not include patient or clinic identifying information.

When you are finished with all four, select Save Entries and then Output Activity. Submit the resulting PDF to your assessment.

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?

Respond with at least 200 words.

0/200 min words

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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?

Respond with at least 200 words.

0/200 min words

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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?

Respond with at least 200 words.

0/200 min words

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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?

Respond with at least 200 words.

Instructions

Identify a patient care situation that requires research to resolve an issue or create an improved plan of care. In order to resolve the issue or provide recommendations for the steps that would need to be taken to research the problem, you must first identify which steps would be the same in the nursing process or the problem-solving process.

Write an initial post of 200250 words summarizing the patient care situation and using the discussion prompts. Then, respond to at least two of your peers posts in a substantive manner.

Discussion Prompts

• Identify the steps you would take to research the problem.
• Compare and contrast the steps of the nursing process to the steps of researching a problem.

My response:A patient care situation which needs research-based resolution is the care of an elderly postoperative patient with uncontrolled pain. A 78 year old patient who had a total hip replacement comes in complaining of pain that is 8/10, but the care team is hesitant to increase the dose of opioids due to renal impairment in the patient’s history and a history of falls. A systematic approach, similar to that of the nursing process, is needed to address this dilemma. The research phase of the nursing process begins by stating the clinical question in the PICO format, which is similar to the assessment phase in which the nurse collects and analyzes patient data. Kawar et al. (2023) described research, evidence-based practice and quality improvement as problem solving processes which are essentially the same as the nursing process, in which the steps are to identify a problem, gather information, then solve the problem, implement the solution and evaluate the problem. This will include looking for current evidence in peer-reviewed databases like CINAHL and PubMed, critically appraising the evidence retrieved and synthesizing the information to create a better care plan for multimodal analgesia in elderly surgical patients. A scoping review conducted by Connor et al. (2023) yielded the same findings: the regular implementation of EBP results in better patient outcomes and improved efficiency within the healthcare system. Implementation and evaluation for both processes have the same steps, and involve the application of selected interventions and reassessment of the patient to see if the new care plan has effectively solved the identified problem.

References

Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., Hole, A., Moore, L., Brown, R., Melnyk, B. M., & Gallagher-Ford, L. (2023). Evidence-based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews on Evidence-Based Nursing, 20(1), 615.

Kawar, L. N., Aquino-Maneja, E. M., Failla, K. R., Flores, S. L., & Squier, V. R. (2023). Research, evidence-based practice, and quality improvement simplified. Journal of Continuing Education in Nursing, 54(1), 4048.

Peer1:As a nurse it is expected of us to critically think and solve problems. According to Hopp & Rittenmeyer (2020), problem solving is a generic process that describes part of the thinking and doing of nursing practice. It is a step-by-step sequence of defining the problem, identifying the possible causes, generating possible solutions, selecting the best solution, implementing it, and evaluating the effect on the problem. With currently being on the mental health clinical rotation, a patient care situation that comes to mind is a patient experiencing severe anxiety. In order to help resolve this issue or create an improved plan of care, I would need to research evidence-based strategies that would be beneficial and effective for reducing my patients anxiety and encouraging emotional stability. Steps I would take in researching the problem is identifying my patients symptoms, the cause or triggers, and identifying then comparing therapeutic nonpharmacological treatment options available. After researching I would apply my knowledge to the patients care and reevaluate and assess. The nursing process and research process are similar as they both start with identifying a problem which we do during our assessment. Then we gather the best available evidence by reviewing guidelines, scholarly resources, or other resources. The next step is planning and evaluating, this is where I would analyze data and implement it into my patient’s care and then evaluate and interpret my findings and reassess the patient to see if the interventions were effective.

Resources:

Andrew. (2025, November 18). Nursing Diagnosis Anxiety Care Plan A Complete Guide for Effective Support and Holistic Care. Brain Health USA.

Hopp, L., & Rittenmeyer, L. (2020). Introduction to Evidence Based Practice (2nd ed.). F. A. Davis Company.

Peer 2:A patient care situation which needs research-based resolution is the care of an elderly postoperative patient with uncontrolled pain. A 78 year old patient who had a total hip replacement comes in complaining of pain that is 8/10, but the care team is hesitant to increase the dose of opioids due to renal impairment in the patient’s history and a history of falls. A systematic approach, similar to that of the nursing process, is needed to address this dilemma. The research phase of the nursing process begins by stating the clinical question in the PICO format, which is similar to the assessment phase in which the nurse collects and analyzes patient data. Kawar et al. (2023) described research, evidence-based practice and quality improvement as problem solving processes which are essentially the same as the nursing process, in which the steps are to identify a problem, gather information, then solve the problem, implement the solution and evaluate the problem. This will include looking for current evidence in peer-reviewed databases like CINAHL and PubMed, critically appraising the evidence retrieved and synthesizing the information to create a better care plan for multimodal analgesia in elderly surgical patients. A scoping review conducted by Connor et al. (2023) yielded the same findings: the regular implementation of EBP results in better patient outcomes and improved efficiency within the healthcare system. Implementation and evaluation for both processes have the same steps, and involve the application of selected interventions and reassessment of the patient to see if the new care plan has effectively solved the identified problem.

References

Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., Hole, A., Moore, L., Brown, R., Melnyk, B. M., & Gallagher-Ford, L. (2023). Evidence-based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews on Evidence-Based Nursing, 20(1), 615.

Kawar, L. N., Aquino-Maneja, E. M., Failla, K. R., Flores, S. L., & Squier, V. R. (2023). Research, evidence-based practice, and quality improvement simplified. Journal of Continuing Education in Nursing, 54(1), 4048.

Overview

Since the evidence-based practice has taken on movement status, everyone wants to be evidence based. Not surprisingly, there are fake, pseudo, and genuine claims of being evidence-based. Its important to differentiate a source that simply uses the label for marketing (fake) purposes from one that has some elements required of an authentic source of evidence but is missing an appropriate degree of transparency (pseudo), or from one that is transparent and uses an exhaustive and critical approach to including information (authentic).

At the very least, heres what to look for as you review an article or source:

• Statement of the purpose, objective, or a specific question(s)
• Method of the search, appraisal, inclusion criteria
• Summary of recommendations (You may need to look for an overall methodology if the source is a compilation of various pieces of evidence. Look in the opening pages or description or another page in a Web source.)
• A rating system with an explanation of the meaning of the ratings
• References

Instructions

Locate an article on a nursing-related topic you are interested in. Then, write a 12 page paper reporting your findings about the articles authenticity.

Include in your report the following information and answers to the following questions:

• Reference
• Decision
  • Fake
  • Pseudo
  • Authentic
• Justification
• Have you ever questioned whether published information sources are authentic? Why or why not?
• What criteria have you used to judge the quality of an information source?
• What are the most important qualities that an information source must have for you to consider using it?
• What are key challenges you have faced in finding authentic sources of information?
• In the future, what qualities of information sources do you envision as being key to your clinical decision-making?

Name: Mr. Victor Chavez	Gender: Male
Age: 69	Ethnicity: Hispanic
Education: High School Diploma	Income: Social security, retirement, and Medicare
Religious/Spirituality: Practicing Catholic	Family: Widowed but is close to his remaining family
Diagnosis: Major Depressive Disorder (MDD) single episode

Chief Complaint

I am tired and dont want to go on anymore.

History of Present Illness

According to pt. daughters, pt. stopped caring for self approximately one week ago. Pt. wife died 6 months ago and he has not been the same since. Pt. is actively suicidal but has no plan. Depressed and withdrawn mood has affected pt. ability to care for self and feed self. Pt. states has no energy to do anything. Pt. states that nothing makes him feel better and that this feeling is constant.

Past Psychiatric History

No previous psychiatric treatment or hospitalizations. No previous psychiatric medications. No known past suicide attempts or self-harm.

Substance Abuse History

The patient denies a history of tobacco, alcohol or recreational drug use. Pt. daughters confirm.

Family History

Pt. parents deceased over 15 years ago. Both died from natural causes. Has 2 living brothers (ages 65 and 72) and 2 living sisters (ages 63 and 78). His 63-year-old sister has previous suicidal attempts and hospitalizations in psychiatric hospitals for major depressive disorder. No other mental health or substance abuse history in the family.

Social History

Pt. born and raised in Mexico. He immigrated to the U.S. after he graduated high school. Uneventful and stable childhood. Married his wife at the age of 21 and she died when pt. was 68 years of age. Pt. has 2 daughters, 2 sons, and 8 grand-children. He worked in the casino industry his entire life. Retired at the age of 65 and is now collecting social security and retirement. No financial concerns. Pt. is practicing Catholic with a strong faith in a higher power.

Mental Status Exam on Admission

The patient presented to the hospital accompanied by his two daughters. Daughters report the patient has not showered in the last week and is not eating or sleeping regularly. The patient is a 69-year-old English speaking Hispanic male; he is alert and oriented to time, place, person, and situation. Wearing unkempt clothing, hair is not clean or combed, and he exhibits overall poor hygiene. Pt. calm, cooperative and exhibits no unusual behavior. His speech is soft and slow. Depressed affect noted. Upon questioning his mood, the patient stated he felt sad and as though he did not want to continue living. Active suicidal ideations but no plan. The patients daughters state he has access to weapons in the home. No prior suicide attempts. Denies homicidal ideations. Denies being violent. Thought processes are linear. Pt. denies hallucinations or delusions. Short term and long-term memory intact. Pt can recall recent and remote events. Good insight/judgment; the patient states he knows that he needs help/ would mail a letter if he found one on the ground.

Past Medical History

Hypertension onset in mid-50s

Appendectomy as a child in Mexico

Medications

Lasix 40 mg PO BID

Lisinopril 20 mg PO Daily

Allergies

NKA

For this case study, answer the following questions. This assignment does not require APA formatting but does require scholarly writing. Please see the rubric for additional details.

1. What information is pertinent to you as the nurse?
2. What do you think the problem is?
3. Prepare a list of goals for the client interview
4. How will you introduce yourself to the client?
5. What questions, based on your goals, will you ask the client?

Rubric

Case Study – Nurse Patient Relationship

Case Study – Nurse Patient Relationship

Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeContent	15 ptsLevel 4The content reveals pertinent and thoughtful information. It expertly covers all areas and major points.14 ptsLevel 3The content discusses pertinent information and includes thoughtful information. Most of the areas are included in the content but may be missing some information or detail. 13 ptsLevel 2The content discusses some information and includes basic content. Some major points may be missing in the content or not included wholly.12 ptsLevel 1The content is lacking significant detail or information. Many (3+) key points are absent or not discussed.0 ptsLevel 0The content is significantly incomplete or lacks any critical thinking and depth.	15 pts
This criterion is linked to a Learning OutcomeCritical Thinking	10 ptsLevel 4Strong evidence of critical thinking is demonstrated. Thoughtful and complete responses are added that directly address all aspects of the topic.9 ptsLevel 3Evidence of critical thinking is demonstrated with thoughtful responses. Some considerations or connections might be missing specific details or information. 8 ptsLevel 2Critical thinking is loosely identified or not properly connected. Details and relation between thoughts are lacking.7 ptsLevel 1Critical thinking is difficult to identify or is severly lacking. Basic thoughts and consideration are demonstrated but do not show means of connections.0 ptsLevel 0No critical thinking is identified. Significant detail and considerations to connect point and come to conclusions is not seen.	10 pts
This criterion is linked to a Learning OutcomeAcademic Language	5 ptsLevel 4Excellent use and control of language. Superior use of style and variety provided in a professional tone.4.5 ptsLevel 3Good use and control of language. Minor (<2) errors with use of style with some variety provided. Professional tone maintained throughout. 4 ptsLevel 2Average use and control of language. Some (3-5) errors or misuse of style with minimal variety. Professional tone maintained throughout.3.5 ptsLevel 1Below average use and control of language. Significant (>5) errors or misuses of style with no variety. Professional tone not maintained throughout assignment.0 ptsLevel 0Significant issues with use and control of language. Style and variety unable to be determined with no professional tone.	5 pts
This criterion is linked to a Learning OutcomeFormatting	5 ptsLevel 4Formatting follows assignment directions (APA if required) used with no errors. Citations provided (if necessary) with no errors.4.5 ptsLevel 3Formatting follows assignment directions (APA if required) with minimal (<2) errors. Citations provided (if necessary) with minimal (<2) errors. 4 ptsLevel 2Formatting mostly follows assignment directions (APA if required) with some (3-5) errors. Citations (if necessary) provided with some (3-5) errors.3.5 ptsLevel 1Formatting (APA if required) errors (>5) make following the assignment difficult. Citations (if necessary) mostly provided with significant (>5) errors.0 ptsLevel 0Formatting does not follow assignment directions. Significant errors make formatting illegible. Citations (if necessary) do not follow APA format.	5 pts
This criterion is linked to a Learning OutcomeScholarly/Professional Composition	5 ptsLevel 4Expert level of writing with little to no errors.4.5 ptsLevel 3Good level of writing with minimal (<2) errors. 4 ptsLevel 2Average level of writing with some (3-5) errors.3.5 ptsLevel 1Below average level of writing with significant (>5) errors.0 ptsLevel 0Level of writing is far below what is expected for scholarly/professional composition.	5 pts

Total Points: 40

Purpose

The purpose of this assignment is to consider the value of highly reliable healthcare organizations, and cultural characteristics reflective of highly reliable organizations.Students will identify an existing organizational mission, vision, and values in order to appraise congruence with a culture of excellence.The extent to which the organizational mission, vision, and values reflect a culture of excellence and high reliability will be examined.

Course Learning Outcome

Through this assignment, the student will address the following course learning outcome:

• CO 2: Explain the priority challenges for complex healthcare settings regarding organizational management, leadership, and education for staff and patients (PO #5)

Suggested Due Date

This assignment has a suggested due date of Sunday 11:59 pm MT at the end of Module 2.

Final due date is Sunday 11:59 pm MT at the end of Module 7.

Total Points Possible: 175 Points

Assignment Overview

Identify a healthcare organization where you have worked in the past or currently work. Examine the mission, vision, and values of that organization.Use a minimum of 4 current scholarly sources to support your work and create a 2 page paper to address the following elements:

• Provide an introduction to the paper.
• Explain the importance of high reliability within healthcare systems.Discuss the organizational characteristics that support a culture of excellence and high reliability.Explain the climate and culture within organizations which cultivate a culture of excellence and high reliability.
• Present the mission, vision, and values of a selected organization, and explain the interrelationships between these elements.Discuss how the mission, vision, and values support high reliability and a culture of excellence within the organization.
• Discuss the culture, climate, and leadership within the organization.Consider the degree to which they do or do not support a culture of high reliability.Propose one recommendation to either improve or sustain the culture, climate, and leadership within the organization.
• Provide a conclusion to the paper.

Assignment Instructions

• Abide by the Chamberlain College of Nursing Academic Integrity Policy.
• Sources older than five years may not be used without the permission of the class professor.
• Title page, pagination, subheadings, body of paper, citation of sources, and reference page must follow APA guidelines as found in the current edition of the manual.
• Rules of grammar, spelling, word usage, punctuation, sentence and paragraph structure are followed and consistent with formal, scholarly writing as noted in the APA Manual (current edition).
• No more than one short direct quote (15 words or less) may be used in this assignment.
• First person should not be used within this assignment.
• Please note:If you do not receive a proficient rating in any major content category, you can re-submit your assignment with revisions in those content categories to receive a better grade.You have one additional opportunity to revise after the initial submission in order to make improvements. The initial submission must be a complete paper, rough drafts will not be graded. All revisions must be submitted no later than Sunday of Week 7 at 11:59pm. (You cannot revise your graduate level writing style for a higher grade in that category)

Assignment Criteria

Assessment Criteria	Points	%	Description
Introduction	14	8%	This section includes: General statements regarding the importance of organizational culture in shaping healthcare delivery Identification of the sections of the paper Sufficient integration of scholarly sources to support information presented
High Reliability in Healthcare Organizations	42	24%	This section includes: Explanation of the importance of high reliability within healthcare systems Discussion of the organizational characteristics that support a culture of excellence and high reliability Explanation of the climate and culture within organizations which cultivate high reliability Sufficient integration of scholarly sources to support information presented
Mission, Vision, and Values	35	20%	This section includes: Discussion of the mission, vision, and values of a selected organization Explanation of the interrelationships between these elements Description of how the mission, vision, and values support high reliability and a culture of excellence within the organization Sufficient integration of scholarly sources to support information presented
Influence of Leadership on Organizational Climate and Culture	42	24%	This section includes: Description of leadership approaches used within the organization Discussion regarding how these leadership strategies influenced the climate and culture of the organization Propose one recommendation to either improve or sustain a culture of excellence and high reliability within the organization. Sufficient integration of scholarly sources to support information presented
Conclusion	21	12%	This section includes: Concluding statements regarding characteristics of highly reliable healthcare organizations Implications for advanced nursing practice
Graduate-level Writing Style	21	12%	Correct use of spelling, grammar, punctuation, sentence and paragraph structure Clarity, organization, and logical flow of ideas within writing Scholarly, professional writing tone with no use of first person Synthesis of information is present with no more than one short direct quote (15 words or less) Correct APA format for the following: Page numbering Font style and size Margins and spacing Headings; subheadings Citation and referencing sources Mechanics of style (abbreviations, capitalization, italics, numbers)
Quality of Literature Support	It is an expectation that a minimum of 4 scholarly sources, current within five years, are integrated within the assignment. If the above expectation is not met, 4 points shall be deducted.
Assignment Length Criteria	It is an expectation that the paper is a minimum of 3 pages in length, and a maximum of 5 pages (not including the title or reference pages). If the above expectation is not met, 4 points shall be deducted.
Total	175	100%	A quality assignment will meet or exceed the above requirements.

Purpose

In todays complex healthcare environment, system-wide processes are needed to assure person-centered care and to optimize the patient experience.The purpose of this assignment is to examine organizational practices that are congruent with these standards.Students will analyze one National Patient Safety Goal and determine how it supports patient-centered care and impacts the patient experience.One strategy to address the selected goal will be proposed, and the impact on workflow and outcomes will be forecasted.

Course Learning Outcomes

Through this assignment, the student will address the following course learning outcome:

CO 4: Develops problem-solution strategies for a selected issue within the healthcare environment. (PO 5)

Suggested Due Date

This assignment has a suggested due date of Sunday 11:59 pm MT at the end of Module 4.

Final due date is Sunday 11:59 pm MT at the end of Module 7.

Total Points Possible: 175 Points

Assignment Overview

Select one National Patient Safety Goal or other external benchmark to address within this assignment.Use a minimum of 4 current scholarly sources to support your work.Create a 2-page written paper to address the following elements:

• Provide an introduction to the paper.
• Identify and describe the selected National Patient Safety Goal or other external benchmark, and why the issue addressed in the benchmark is a concern for healthcare systems.
• Discuss how the benchmark is supportive of patient-centered care, and explain the impact of the selected benchmark on patient experience outcomes.
• Propose a strategy to support achievement of the benchmark within the healthcare system.Explain the impact of the solution on workflow within and between systems in the organization.Discuss how the proposed strategy will enhance the patient experience.
• Provide a conclusion to the paper.
• Discussion regarding how the benchmark is supportive of patient-centered care
• Explanation of the impact of the selected benchmark on patient experience outcomes
• Description of one strategy to support achievement of the benchmark within the healthcare system
• Explanation of impact of the solution on workflow within and between systems within the organization
• Discussion regarding how the proposed strategy will enhance the patient experience
• Sufficient integration of scholarly sources to support information presented

Assignment Instructions

• Abide by the Chamberlain College of Nursing Academic Integrity Policy.
• Sources older than five years may not be used without the permission of the class professor.
• Title page, pagination, subheadings, body of paper, citation of sources, and reference page must follow APA guidelines as found in the current edition of the manual.
• Rules of grammar, spelling, word usage, punctuation, sentence and paragraph structure are followed and consistent with formal, scholarly writing as noted in the APA Manual (current edition).
• No more than one short direct quote (15 words or less) may be used in this assignment.
• First person should not be used within this assignment.
• Please note:If you do not receive a proficient rating in any major content category, you can re-submit your assignment with revisions in those content categories to receive a better grade.You have one additional opportunity to revise after the initial submission in order to make improvements. The initial submission must be a complete paper, rough drafts will not be graded. All revisions must be submitted no later than Sunday of Week 7 at 11:59pm. (You cannot revise your graduate level writing style for a higher grade in that category)

Assignment Criteria

Assessment Criteria	Points	%	Description
Introduction	14	8%	This section includes: General statements regarding the impact of person-centered care across healthcare delivery systems Identification of the sections of the paper Sufficient integration of scholarly sources to support information presented
External Benchmark	35	20%	This section includes: Identification and description of the selected National Patient Safety Goal or other external benchmark Discussion regarding why the issue addressed in the benchmark is a concern for healthcare systems Sufficient integration of scholarly sources to support information presented
Implications for Person-centered Care	42	24%	This section includes: Sufficient integration of scholarly sources to support information presented
Proposed Strategy	42	24%	This section includes:
Conclusion	21	12%	This section includes: Summary of the relationship between person-centered care and patient experience outcomes in healthcare systems Concluding statements regarding the role of the selected benchmark in shaping person-centered care within the system
Graduate-level Writing Style	21	12%	Correct use of spelling, grammar, punctuation, sentence and paragraph structure Clarity, organization, and logical flow of ideas within writing Scholarly, professional writing tone with no use of first person Synthesis of information is present with no more than one short direct quote (15 words or less) Correct APA format for the following: Page numbering Font style and size Margins and spacing Headings; subheadings Citation and referencing sources Mechanics of style (abbreviations, capitalization, italics, numbers)
Quality of Literature Support	It is an expectation that a minimum of 4 scholarly sources, current within five years, are integrated within the assignment. If the above expectation is not met, 4 points shall be deducted.
Assignment Length Criteria	It is an expectation that the paper is a minimum of 3 pages in length, and a maximum of 5 pages (not including the title or reference pages). If the above expectation is not met, 4 points shall be deducted.
Total	175	100%	A quality assignment will meet or exceed the above requirements.

1. Information

Minor Assignment Two	Report
Individual / group	Individual
Word count / duration	2500
Learning Outcomes	1, 2, 3, 4, 5

Purpose Statement:

This assessment aims to apply your assessment skills to creating a tool for use in clinical practice to assess wounds

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Learning Outcomes

This task is assessing the following LO (taken from the handbook):

LO1 – Apply a holistic approach to the systematic assessment of patients with wounds, incorporating physical, psychosocial, cultural and environmental factors.
LO2 – Identify and apply existing assessment strategies to inform a wound diagnosis and communicate this to the patient, their carers and the relevant multidisciplinary team(s).
LO3 – Formulate person-centred goals of care, in consultation with patients and their carers based on a holistic assessment of a patient with a wound.
LO4 – Distinguish how cross-cultural values and ethical requirements impact on the assessment of patient with wounds.
LO5 – Recognise and apply professional communication strategies when advocating for patients who require multidisciplinary team management.

2. Details of the task

For this assessment task, let’s assume you have started in a new role as a health professional in a wound care setting. It has been identified that in this workplace, that there is a need for a contemporary wound assessment chart.

Choose one (1) of the two options below to complete this assessment task.

Option 1:

You have been tasked to create a wound assessment chart suitable for your new work environment as a comprehensive chart does not exist. You need to ensure that the wound assessment chart considers all aspects of wound aetiology, evaluation of wounds and allows for appropriate goal-setting reflective of individual cultural background and ethical values.

Option 2:

Alternatively, you notice that there is an existing wound assessment tool that has significant issues. You will need to justify why you have particularly chosen to do this by providing an evidence-based rationale for why it is appropriate for your clinical practice area. You need to ensure that the wound assessment chart considers all aspects of wound aetiology, evaluation of wounds and allows for appropriate goal-setting reflective of individual cultural background and ethical values.

3. Details of the task

Your newly created/updated chart, should demonstrate the following:

• A holistic approach to the systematic assessment of people with wounds including using MEASURE, as well as incorporating physical, psychosocial and environmental factors.
• Make reference to evidence-based assessment classification systems where relevant (i.e. ISTAP).
• Reflect an awareness of cross-cultural differences and ethical values in assessing people with wounds (i.e. consider different skin tones, language supports, multi-cultural services).
• Progression towards short- and long-term culturally relevant person and wound centred goals is supported by this wound assessment chart.

In addition to creating/updating the wound assessment chart, you need to address the following in your accompanying report:

• Provide a summary of your workplace, including physical environment, staff characteristics, client characteristics and typical wound caseload.
• Provide a rationale on why you believe this chart needs to be either created/updated.
• Determine what are the fundamental concepts that are required to include and/or exclude in your (new/updated) wound assessment chart and for each individual concept, justify why you consider them to be relevant to this new chart and work environment. For each fundamental concept, explain why it is important in wound assessment, why you have included it/not included it and the clinical realities of your practice setting.
• Provide a rationale for goal setting methods utilised within the wound assessment chart.
• Consider the relevant information that you would provide for those who may use this chart in their clinical practice to support its implementation (e.g. user education, training to ensure inter-rater reliability) and provide a rationale for this, based on the work environment and people you provide care for.
• What extra considerations are needed (e.g. glossary of terms, images, references to evidence summaries) and provide a rationale for this, based on the work environment and people you provide care for.
• Additional reading and research are required to complete this assessment, in addition to the course materials. It is expected for this assessment that approximately 25 peer reviewed and contemporary references (with a preference for Level 1/2 evidence and/or clinical guidelines where possible) are required to demonstrate wider critical research and synthesis of the wound care literature.

4. Instructions – stylistic

• You may wish to use AI & Generative AI tools to support with the formatting of this assessment task. Where used, AI must be used responsibly, clearly documented and appropriately acknowledged in a statement prior to the reference list.
• Submit a well organised Wound Assessment Chart as a Word document in the appendix. If you include this as a PDF it will be returned to you for resubmission in Word document format.
• If you are choosing to update an existing wound chart, please include a copy of this chart in the appendix and highlight the significant differences.
• Consider the flow and functionality of the final product. If creating an electronic version, you are able to use drop down boxes, branching logic and hyperlinks as you would in an electronic version, ensuring all the information within these tools is visible to the marker.
• The discussion component of the submission must follow normal assignment conventions structure and organisation of the end product. This is inclusive of appropriate referencing using APA 7^th edition and the use of an appendix.
• Your written assignment needs to follow the normal assignment conventions as outlined in the Course Guide, including spacing, introduction, conclusion and references.
• Word Limit: 2500 for written assignment not including chart or references.

6. Marking Criteria

The marking criteria will assess your ability to:

• Critically appraise and apply clinical judgement wound assessment practices.
• Demonstrate a holistic approach to the assessment of people with wounds.
• Correctly apply the MEASURE tool.
• Document assessment findings clearly and professionally using a clinically appropriate wound chart format.

Hi using this rubric please help me with this reflection paper APA format (version 7). I included the Learning Outcome below the rubric.

NURS_122 – Nursing Evolution Rubric

Criteria	Ratings	Pts
This criterion is linked to a Learning Outcome Reflects on current theory and clinical class with concepts and theories using the Program Learning Outcomes and BSN Essentials listed in the syllabus	1.75 ptsMeets Expectations1. Reflects on current theory class and clinical and how courses support each other (transfer of knowledge to apply to clinical)- Focused to Current Term. 2. Synthesizes theories and concepts from liberal education to build an understanding of the human experience. 3. Uses skills of inquiry and analysis to address practice issues 4. Applies knowledge of social and cultural factors in the care of populations encountered in this course.1.33 ptsApproaches Expectations1. Limited reflection on current theory class and clinical and how courses support each other (transfer of knowledge to apply to clinical)- Focused to Current Term. 2. Limited synthesis of theories and concepts from liberal education to build an understanding of the human experience 3. Use limited skills of inquiry and analysis to address practice issues 4. Applies limited knowledge of social and cultural factors in the care of populations encountered in this course. 0.88 ptsDoes Not Meet Expectations1.No reflection on current theory class and clinical and how courses support each other 2. Does not synthesize theories and concepts from liberal education to build an understanding of the human experience 3. Does not use skills of inquiry and analysis to address practice issues 4. Does not apply knowledge of social and cultural factors in the care of populations encountered in this course.	1.75 pts
This criterion is linked to a Learning Outcome Develops an effective communication style for interacting with current patients, families, and the interdisciplinary health team when providing holistic, patient centered nursing care to populations encountered in this course.	1.75 ptsMeets Expectations1. Reflects on providing holistic patient care to populations encountered in this course. 2. Describes inter-collaborative involvement (i.e. Interprofessional rounds; consultations and interaction with PT/OT; Respiratory Therapy, Pharmacist consultation—describe their role/ contribution.)1.33 ptsApproaches Expectations1. A limited reflection on providing holistic patient care to populations encountered in this course. 2. Describes limited inter-collaborative involvement 0.88 ptsDoes Not Meet Expectations1. No reflection on providing holistic patient care to populations encountered in this course. 2. Does not describes inter-collaborative involvement	1.75 pts
This criterion is linked to a Learning Outcome Models leadership when providing safe, quality nursing care; coordinating the healthcare team; and when tasked with oversight and accountability for care delivery.	1.5 ptsMeets Expectations1. Describe an event that demonstrates: application of leadership concepts, skills and decision making in the provision of high quality nursing care, healthcare team coordination the oversight and accountability for care delivery 2. Describe an event that demonstrates leadership, appropriate teambuilding and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team1.14 ptsApproaches Expectations1. Describes limited leadership concepts, skills and decision making in the provision of high quality nursing care, healthcare team coordination and the oversight and accountability for care delivery 2. Limited description of an event that demonstrates leadership, appropriate teambuilding and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team 0.75 ptsDoes Not Meet Expectations1. Gives no examples of leadership concepts, skills and decision making in the provision of high quality nursing care, healthcare team coordination and the oversight and accountability for care delivery in a variety of settings 2. Does not describe an event that demonstrates leadership, appropriate teambuilding and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team	1.5 pts

Total Points: 5

Program Philosophy

Human caring is the central focus of the practice of nursing. Nursing is an art and a science that includes scientific knowledge and inquiry, and an awareness of the diversity of self and others. Professional values and ethics provide a framework to hold the nurse responsible and accountable for providing expert care based on nursing standards. The nurse, together with the patient, creates an environment of health promotion, health maintenance, and/or healing. As patient advocates, nurses communicate and work collaboratively with an interprofessional team and multiple support systems to plan and manage care in a safe and cost-effective environment. Nurses apply critical thinking and clinical reasoning skills within the nursing process to make nursing decisions, based on evidence that provides safe, quality care. The proper utilization of technology will enhance patient safety.

Conceptual Framework

Nursing is the art and science of caring. It is a science, an interpersonal process, and a human service based on knowledge derived from nursing theory and from biological, behavioral, physical, and social sciences. Students, in collaboration with interprofessional team members, assist patients through self-care deficits and health deviations during the life span using critical thinking and clinical reasoning guided by the nursing process. The interpersonal process of assessing biopsychosocial, cultural and spiritual preferences, values, and needs of the patient makes the focus of care patient-centered. Quality and Safety in Nursing Education (QSEN) competencies with a focus on safe, quality, evidence-based, patient-centered holistic care are embedded in the curriculum.

Program Learning Outcomes

The following Program Learning Outcomes were selected to provide the essential body of knowledge and experience necessary to educate students to move directly into their new role.

1. Provide safe, evidence-based patient-centered nursing care by utilizing standards of practice and incorporating concepts and theories from nursing, biological, physical, and social sciences.
2. Utilize critical thinking, clinical reasoning, and the nursing process in the delivery of holistic care for a diverse patient population in common and emerging healthcare setting.
3. Communicate effectively with the interprofessional team, the patient and members of their support systems using a patient-centered approach.
4. Respect the patient preferences, values, and needs in the delivery and management of care.
5. Advocate and collaborate effectively within nursing and the interprofessional team to ensure safe, quality, and cost-effective, and age-appropriate patient-centered care.
6. Incorporate strategies of health promotion, health maintenance, disease prevention, and healing to diverse patients throughout the lifespan.
7. Enhance self-care engagement by considering patients preferences, culture, spiritual beliefs, educational, and developmental stages in patient instruction or education.
8. Use informatics to communicate, monitor and evaluate patients data to provide safe care.
9. Demonstrates novice level competencies of best practices of leadership and management skills to coordinate, manage, delegate, supervise, and evaluate care.
10. Assume responsibility and accountability for lifelong professional growth and develop