Download NR 452 Capstone Evidence-Based Practice Paper and more Study Guides, Projects, Research Nursing in PDF only on Docsity! lOMoARcPSD|3013804 lOMoARcPSD|3013804 Capstone Evidence-Based Practice Paper Chamberlain College of Nursing NR 452 Capstone lOMoARcPSD|3013804 2 Introduction The purpose of this paper is to review previously taken ATI comprehensive assessments and identify a priority concept topic that is an area of weakness which requires more attention in preparation for the NCLEX. The priority concept topics include assurance of a safe and effective care environment which includes management of care and safety and infection control. Health promotion and maintenance, Preservation of the patient population’s psychosocial integrity and preservation of the patient population’s physiological integrity. The psychosocial integrity should include things such as religious and spiritual influences on a patient’s health and promoting coping and adapting to illnesses. The physiological integrity includes basic care and comfort, pharmacological and parenteral therapies, reduction of risk potential and physiologic adaptation (Liu, 2017). An area of weakness that was identified after reviewing the ATI comprehensive assessments is preservation of the patient population’s physiological integrity. In this case I should specifically concentrate on the basic care and comfort, which I scored a 38.5% on Form A. It includes the nursing care that encourages promotion of comfort as well as encouraging performance of activities of daily living. Physiological integrity, according to the Ncsbn test plan, refers to promotion of physical health and wellness by providing both care and comfort (NCLEX-RN examination, 2019). This should be done by reducing the patient’s risk potential as well as managing health alterations. The basic care of comfort consists of approximately 6- 12% of the items on the NCLEX according to the Ncsbn test plan (NCLEX-RN examination, 2019). Importance lOMoARcPSD|3013804 5 the best care to your patients. Be aware of your scope of practice by reviewing the American nurses association and your hospital handbook. If you are not sure about a certain situation speak to your nurse leaders, managers or charge nurse to seek guidance on appropriate nursing care. One challenge that we as nurses can encounter in successfully preventing or resolving the priority concept is family member’s of the patient. There will be times where the family member may not agree with your patient care or agree with the patient’s decision with their treatment plan. As a nurse it is important that you educate the family that it is your obligation to care for the patient based on the patient’s decision as it is their right to Autonomy (Milliken, 2018). Participants and interdisciplinary approach The parties that will be involved in implementing basic care and comfort will be based on the patient’s diagnosis and possible outcomes. Some of these interdisciplinary members can include physical therapy, occupation therapy and speech therapy. Occupational therapy can aid with the patient’s activities of daily living. They will begin this by first performing an assessment to determine their capabilities of performing their activities of daily living. This will then determine the treatment of plan for the hospitalization stay. Once the patient is preparing for discharge another assessment will be performed to determine the patients discharge plan. It is important to include this interdisciplinary member in the patient care to help promote a healthy outcome for the patient and promote independence throughout hospitalization and after hospitalization (Busari, 2017). Quality Improvement One benefit in implementing basic comfort and care is to provide a healthy recovery while also encouraging independence. One of the main goals for patients should be to educate lOMoARcPSD|3013804 6 the patients as early as possible to ensure that the patient is educated on their disease process and what the interventions are and why they are in place. The education is especially important because we want to prevent rehospitalization from occurring. However, if the patient is not comfortable, the education process is insignificant and unsuccessful. Therefore, it is important to ensure that the patient is comfortable. This refers to pain management or mental stability meaning that the patient is not anxious, depressed or stressed out. Once the patient is comfortable, then the education process should begin which will help facilitate a healthy recovery and better management of illnesses. One resource that can be used to help promote improved patient outcomes is the Agency for Healthcare Research and Quality (AHRQ), which will help educate health care providers on how to improve health care and how to provide safe, healthy, quality care to patients (Busari, 2017). Conclusion Basic care and comfort is essential for promoting comfort but also encouraging activities of daily life. It includes things such as pain management, nutritional status, and ability to rest/sleep. It is essential in promoting healthy healing through nutrition, rest and pain management. Basic care also includes psychological care which includes mental stability. It will also include implementing activities of daily living to encourage independence. Independence is important to ensure that the patient can care for themselves once they are at home (Liu, 2017). Interdisciplinary care can be implemented as well, such as occupational care to help patients with any disabilities that they may have that are preventing them from caring for themselves. Education is also important throughout the patient’s hospitalization as this aids in management of their illnesses. This should be done from the point of admission up until they are discharged. However, education should not be performed until the patient is comfortable (Busari, 2017). lOMoARcPSD|3013804 7
