Competency 1: Evaluate problems in health care organizations, and apply tools to improve quality and outcomes.
Provide rationale for the selected problem analysis model or tool.
Competency 3: Construct evidence-based health care management recommendations in compliance with personal and professional values and legal, regulatory, and ethical considerations.
Construct evidence based recommendations which may include ethical, legal, regulatory, and organizational standards.
Competency 4: Analyze records and reports based on established benchmarks and organizational goals and performance.
Analyze date relative to internal and external benchmarks.
Preparation
As you prepare to complete this third course assessment, consider the organizational context. How does analysis of the problem align with the organization’s vision, mission, strategy and financial viability? Using numbers and organizational considerations, you will explain why the organization should or should not proceed with the recommendation.
Category: Health Care
Community Health Problem & Improvement
Community Health Problem & Improvement Briefly describe one community health problem from your community’s health improvement plan. What structure, process, and outcome standards would you use to evaluate a program addressing this problem?
Determinants of Health : Urban Family Support and Home Assessment
Nursing learners will use the nursing process applied to the family as the client. For this learning assignment, learners will collect, analyze, and synthesize data from various sources to understand family strengths, values, and needs related to physical and social determinants of health to promote the health and well-being of the family unit.
Product Information
• Sentinel City®
• Sentinel City® Family Support and Home Assessment®
Population
• Adult
• Pediatric
Learner Level
• Undergraduate
• Graduate with assignment enhancements
Estimated Time to Complete
• 5 to 8 hours
Learning Objectives
Objectives NCLEX QSEN AACN NLN QCCC
Use nursing judgment to develop a plan of care for a single-parent household or other family types SECE PCC Domain 1, 2, 3 HF, NJ Domain 1, 3, 4
Evaluate evidence-based strategies to address nursing care to families and health promotion HPM EBP Domain 3, 4 NJ Domain 1, 4
Develop an appropriate nursing diagnosis or concept (individual focus) and a community health nursing diagnosis or concept (population focus) HPM EBP Domain 1, 2, 3 NJ, SI Domain 1, 3, 4, 5, 6
Consider relevant determinants of health at an individual and community level in planning nursing interventions with the family. SECE/HPM Safety Domain 3, 5 HF, NJ Domain 1, 3, 4, 5, 6
Evaluate the plan of care for a family unit to promote health and well-being HPM PCC/EBP Domain 1, 2, 3, 4 HF, NJ, SI Domain 1, 3, 4, 5, 6
Investigate and prioritize health, safety, and environmental hazards in the home setting SECE EBP, Safety Domain 1, 2, 5 HF, NJ. SI Domain 1
Explore relevant recommendations to address each identified hazard SECE EBP Domain 1, 2, 5 HF, NJ, SI Domain 1, 2, 5, 6
Portions of these materials are taken from The Essentials: Core Competencies for Nursing Education (“The Essentials”), which is owned by the American Association of Colleges of Nursing (“AACN”). A full copy of The Essentials and the terms and conditions for downloading can be found at https://www.aacnnursing.org/Essentials/Download-Order. Except as otherwise provided in the AACN downloading terms and conditions, The Essentials may not be distributed in whole or in part to any third parties without express written permission from AACN. Any licensing of The Essentials by AACN does not constitute or imply any endorsement of any company and/or any of its products, services or written work product. AACN is not responsible for any errors or omissions in the translation or reproduction of The Essentials by any third party.
Pre-Brief
- Review course textbook and/or assigned readings
- Review the U. S. Department of Health and Human Services’ Assessing Parent Strengths and Family Connections (https://www.childwelfare.gov/topics/systemwide/assessment/family-assess/parentalneeds/strengthsandconnections )
- Review the Center for Disease Control’s (CDC) Social Determinants of Health (https://www.cdc.gov/socialdeterminants/)
- Nursing Judgement Questions: Short answers 1 or 2 sentences.
a. What are relevant social determinants of health as related to the family and home environment?
b. How do social determinants of health affect health promotion and wellness?
Assignment Instructions - Enter Sentinel City® and click the map to locate the apartment in Nightingale Square. Enter the apartment. Once you enter the room, the Family Support Assessment Form will be available.
- Complete the Family Support Assessment Form by asking the client predetermined questions. When the form is completed, click Submit.
- Develop a Family Support Care Plan or Concept Map to address the needs of this family using your institutions’ care plan or concept map template or use the care plan or concept map in the appendix.
- Include a properly formatted community health nursing diagnosis or concepts that address either preschool-age children, single mothers, or pregnant women.
- Once you submit the Family Support Assessment, you will complete the Home Support Assessment by noting any health, safety, and environmental hazards in the apartment.
- There are multiple hazards in the home. Select and prioritize the top two health, safety, and environmental hazards (total of six hazards) the healthcare professional should address first:
a. #1 = most serious hazard-life threatening
b. #2 = second most important potential to affect the most people or cause long term injury - There are obvious overlaps; a health hazard might also be an environmental hazard. Avoid prioritizing the same hazard in multiple categories.
- Provide an evidence-based rationale and a recommendation for the top two hazards in each category.
- For questions, contact your instructor.
Clinical Field Experience B: Manipulatives, Technology, and Centers Interview
• Which manipulatives, technology, and centers have you used most successfully to teach math to early learners?
• Do you use manipulatives, technology, and centers with all students, or as part of a differentiation strategy? How do they meet the learning needs of typical and atypical learners?
• How do you model the use of manipulatives, technology, and centers during instruction?
• How do you manage behavior while manipulatives, technology, and centers are in use? Does classroom management change? If so, how?After your interview, observe and assist your mentor teacher with instruction in your field experience classroom. Take note of any strategies used to engage, motivate, and differentiate for students.
Discuss, with your mentor teacher, creating your own learning centers for the class based on the state’s mathematics standards the class is currently working on. Arrange to implement your learning centers in your next clinical field experience.
Spend any remaining field experience hours observing or assisting the teacher in providing instruction and support to the class.
In 250-500 words, summarize and reflect upon your observations and interview:
• Explain how manipulatives, technology, and centers reinforce math concepts and allow for differentiation, including specific examples.
• Describe strategies the teacher used to engage, motivate, and differentiate for students.
• Reflect on how you can apply what you learned to your future teaching practice.
Investigating other health professionals.
As promised, this week we will investigate other health professionals. Here is a partial list of medical care practitioners; this is not exhaustive!
physicians, dentists, pharmacists, physician assistants, nurses, advanced practice registered nurses, surgeons, surgeon’s assistant, athletic trainers, surgical technologist, midwives, dietitians, therapists, psychologists, chiropractors, clinical officers, social workers, phlebotomists, occupational therapist, physical therapists, radiographer, respiratory therapists, audiologists, speech pathologists, optometrists, emergency medical technicians, paramedics, medical laboratory scientists, and medical prosthetic technicians
But being a practitioner does not make you a professional. Nurses have had a rough time delineating their work as a profession.
For our purposes, a profession has three characteristics:
Autonomy to set educational and licensing standards
Technical, specialized knowledge
Public confidence in practitioners ethics (Parsons,1951) [and yes, this is the same Parsons of ‘sick role’ fame]
Investigate any means that medical care is practiced (see the list above). How does this method of medical care ‘stack up’ to the three characteristics of a profession. When is it not just a job? Just an occupation? Convince your group that this medical practice IS or IS NOT a profession.
Did your other students find what you found? Do you agree or disagree? If someone investigates nursing, then by all means, discuss why this has been SUCH a difficult issue for them (critical sociology will remind you to look at who has power, who wants the power, who doesn’t want to lose power, etc.).
Insurance in the US
If you cannot afford insurance in the US., how does this negatively affect you?
The social institutions of labor, economy, education, and health care
You have now learned a lot about the social institutions of labor, economy, education, and health care, and the social problems related to these institutions. Considering what you have learned, in what ways might capitalism be a better economic system than socialism? On the other hand, in what ways might socialism be a better economic system than capitalism?
Affordable Care Act (ACA
What role does the Affordable Care Act (ACA) play in addressing workforce shortages in rural communities?
Affordable Care Act (ACA
What role does the Affordable Care Act (ACA) play in addressing workforce shortages in rural communities?
Difference between advocating for health policy directly affecting patients and communities
Consider the difference between advocating for health policy directly affecting patients and communities versus health policy advocating for the profession of nursing. What would be the implications for each?