nursing outcome

Step 3: EBP Project - Evaluation

(Outcome Assignment – must achieve minimum of 80%)

Evaluation of the Presentation: (Spirit of Inquiry & Professional Identity)

Upon completion of the presentation, the learner will collect, and review completed evaluation forms (these evaluation forms do NOT need to be submitted).

DON’T FORGET THIS PART! – YOU’RE NOT DONE YET! – following the presentation :

Self-evaluation: (Answer the following questions USING THIS TEMPLATE and submit it in the appropriate D2L assignment folder.)

1. Discuss what you would change if you had the opportunity to do this assignment again.

2. Review data from the peer evaluations submitted by those in attendance and submit a summary of your presentation strengths and weaknesses based on the evaluations.

· Strengths:

· Weaknesses:

3. Conduct a self-evaluation of your skills as a presenter by reflecting on each evaluation criteria (refer to peer evaluation forms when reflecting on what the evaluation criteria are) and discussing strengths and opportunities for improvement.

· Strengths:

· Opportunities for improvement:

Instructor Evaluation:

Your clinical instructor will submit an evaluation of your presentation according to the presentation evaluation guidelines.  You will be evaluated on your skill as a presenter, your ability to meet the expectations of the presentation guidelines above, and the thoroughness and accuracy of your own self-evaluation.

Step 1: Evidence Based Practice Prep Assignment

· This will be due shortly after your first clinical week/weekend. See due date document for specifics.

· You will need to answer and discuss each question below ON THIS TEMPLATE and submit it to the appropriate assignment folder in D2L. Your clinical faculty will then indicate paper topic approval or disapproval. This is a REQUIRED pass/fail assignment.

· Purpose: To gain skills in research. To determine EBP paper topic and receive instructor feedback as to whether or not topic is reasonable and acceptable for formal EBP paper.

Assignment Overview:

1. Choose a nursing intervention commonly used in nursing practice.  Use your clinical time to identify an intervention that you have seen that may not be supported by current evidence or that is not consistently followed. A suggestion might be to explore interventions listed in Nurse’s Pocket Guide in Nursing Central. There is also a resource in D2L of some possible EBP topics.

· Example: The issue of testing pH of gastric contents for confirmation of NG placement is well researched and the problems of auscultation for insufflation of air are well documented, yet the practice continues, why?  Is the practice based on research, if not, why does it continue? 

· You will be doing research to determine what literature says SHOULD be done and if it’s not being done, analyze why it is not being done.

· List your topic here:___________________________________________________________

2. Find and analyze one scholarly, research-based article that supports or challenges the use of this intervention and find and analyze one scholarly, research-based article that identifies a new evidence-based intervention to address the issue. (Minimum of 2 articles total)

Article #1:

Article #2:

3. What key words did you use in the search bar?

4. How many results came up during your initial search?

5. How did you change/refine your initial search to get the information you needed?

6. Is your topic too narrow or too broad? How will you expand or limit your scope in order to complete the requirements of the paper?

7. Obtain approval of topic by instructor via D2L PRIOR to beginning project.

8. If the topic is not approved, work with instructor to refine and approve topic to begin paper.

Reflective Journal

Objectives:

1. Reflect on thoughts, ideas, experiences, and insights related to the course.

2. Examine personal skills, frames of reference, and assumptions about the provision of care.

3. Gain insight on how students views themselves in relationship to others when engaged in therapeutic and professional communication.

4. Identify areas for students to further develop their abilities and understanding related to bedside practice.

Directions: (Professional Identity and Spirit of Inquiry)

Respond to all 5 of the questions below using the same number points. You will be submitting this assignment as a word document. Grading is based on word count & thoroughness of reflection, consider utilizing about 300 words for each prompt to reach 1500 word goal.

Emotional Competence Reflective Prompts:

1. Journal prompt 1 (self-awareness domain)

What are your feelings as you begin this clinical experience? Make sure you identify feelings, not thoughts. Complete the following statement: "l feel..." What past experiences, perceptions, and thoughts might be contributing to the above feelings? What personal qualities, strengths, and talents do you bring to this clinical experience? Identify one goal for the semester related to your personal self-awareness and growth.

2. Journal prompt 2 (self-awareness domain)

Describe a situation you experienced in clinical this week: Describe your thoughts in this situation. Describe your feelings in this situation. Describe the way your body felt physically in this situation. What was more difficult to identify—your thoughts or feelings? Explain why you think this may be. How do your feelings relate to your thoughts in this situation? Were you aware of this at the time? Reread and reflect on your entry. Identify one specific strategy you will use to focus your attention on your internal states during your next clinical day.

3. Journal prompt 3 (self-awareness and social awareness domains)

Judgment is making opinions as to the value of someone or something, considered to be lacking in tolerance and objectivity.

a) Describe in detail a situation in which you felt you were being judged. Describe how you felt about this.

b) Describe in detail a situation in which you had judged someone else. Describe how you feel about this.

c) How did judging another impact your sense of self in a positive way? In a negative way? How might judging another have impacted that person's sense of self in a positive way? In a negative way? Describe how being judged affected your subsequent behavior?

4. Journal prompt 4 (self-awareness, self and relationship management domains)

a) Situation: Think about a situation in which you experienced frustration or anger.

b) Identify the behaviors of others in this situation that you reacted to with frustration or anger.

c) Response: How did you respond? How would you have liked to respond?

d) Analysis: Explore and discuss reasons for the differences and similarities in your actual and desired responses in this situation.

e) Future Implications: Discuss one strategy for coping with the emotion you experienced in a future situation.

5. Journal prompt 5 (self-awareness and self-management domains)

a) Locate on NTC library site and read: Henson, J.S. (2017). When Compassion is Lost. MedSurg Nursing, 26(2).

b) Describe one new insight you have into the relationship between your self-care and your effectiveness as a nurse. Identify one specific, measurable, and realistic strategy related to your self-care that you could implement during the clinical day.

Harrison, P.A. & Fopma-Loy, J.L (2010). Reflective Journal Prompts: A Vehicle for Stimulating Emotional Competence in Nursing. Journal of Nursing Education, 49(11). doi:10.3928/01484834-20100730-07

Reflective Journal Grading Rubric (15 points)

	Level 5	Level 4	Level 3	Level 2	Level 1
Complete (7.5 points)	· Thoroughly addresses all 5 questions. · Entry is at least 1500 total words and not more than 2000.	· Addresses all 3 questions with fair amount of depth. · Entry is at least 1250 total words.	· Somewhat addresses at least 2 of the 3 questions. · Entry is at least 1000 total words.	· Somewhat addresses 1 question. · Answers are not complete. · Entry is at least 750 total words.	· Entry does not clearly address any of the questions provided. · Entry is a recitation of significant experiences in clinical, OR · Entry is less than 750 total words.
Reflection (7.5 points)	· Reflection demonstrates insight and the ability to connect personal experience with theory on all questions. · Discussion on all questions draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth.	· Reflection usually (2 of 3) demonstrates insight and ability to connect personal experience with theory. · Discussion usually (2 of 3) draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth.	· Reflection at times (1 question) demonstrates ability to connect personal experience with theory but 2 of 3 questions are superficially answered. · Discussion at least once draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth.	· Entry does not reflect application of theory or genuine insight on behavior. · Objectively shares experience, but reflection is vague, lacks depth or insight. · Does not draw upon self- knowledge, self-awareness, or experience to enhance professional growth.	· There is minimal evidence of reflection · No evidence of ability to draw upon self-knowledge, self-awareness and past experience to gain insight. · Entry merely recites what was done/ learned during clinical.

Level 2: Clinical Performance Evaluation- ADNG 2100 Clinical II

· Student will complete a self-evaluation of each student learning outcome below using the criteria on the left found under each outcome. Briefly summarize, either in bullet point or paragraph form, your own evaluation of performance in each. Be specific, give examples. In areas you identify as needing growth, provide specific strategies for improvement in your next clinical course.

· Submit to the Clinical Performance Evaluation assignment folder in your clinical course by the assigned due date.

HUMAN FLOURISHING Apply knowledge and skills learned in the program to uphold patients’ right of self-determination and promote holistic well-being of client and family. QSEN#1- Provide patient-centered care
Expected Satisfactory Behaviors	Student Self-Evaluation
· Apply therapeutic communication skills in interactions with client and family · Identify behaviors that threaten or protect client autonomy, dignity, and rights ●Respect client autonomy and recognize opportunities for client advocacy · Illustrate how individual differences and values affect client outcomes
Objective Data: Holistic Assessment & Application of Nursing Process, Reflective Journal
NURSING JUDGMENT Make judgments in practice, supported by evidence, that integrate nursing science in the provision of safe, quality care. QSEN#2- Safety, Patient and Healthcare Provider QSEN#3-Informatics
Expected Satisfactory Behaviors	Student Self-Evaluation
●Utilize the nursing process to develop an individualized plan of care ●Provide valid rationales for nursing interventions ●Communicate assessment findings to instructor and healthcare team members ●Submit daily care plan to instructor for review in post-clinical ●Utilize effective judgment and available resources to provide interventions (mediation administration, dressing changes, catheterization, etc.) in a safe, efficient manner to assigned client · Provide accurate client education when need arises ●Utilize the EMR to accurately document care provided
Objective Data: EBP Project & Presentation, Holistic Assessment & Application of Nursing Process, Reflective Journal
PROFESSIONAL IDENTITY Implement one’s role as a nurse in a manner that reflects the ideals of the profession while developing an identity committed to evidence-based practice, in the provision of compassionate, culturally sensitive, holistic care to a diverse population. QSEN#4- Teamwork and Multi-disciplinary Collaboration
Expected Satisfactory Behaviors	Student Self-Evaluation
· Actively participate in post-clinical discussion and learning activities · Exhibit professional appearance and behavior (punctuality, uniform standards, equipment, etc.) · Demonstrate behaviors that reflect the values and ethics of the nursing profession · Exhibit professionalism in interactions with multidisciplinary team-members, peers, clients, and faculty · Manages conflict effectively as it arises with mentoring from faculty and/or staff
Objective Data: EBP Project & Presentation, Reflective Journal
SPIRIT OF INQUIRY Examine the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions, and offer new insights to improve the quality of care for patients, families, and communities (NLN, 2010). QSEN #5- Quality Improvement QSEN #6- Evidence based practice
Expected Satisfactory Behaviors	Student Self-Evaluation
· Identify opportunities to improve quality client care · Accept responsibility for the learning process, utilizing feedback to improve practice · Remain effective when confronted with change · Utilize understanding of pathophysiology of disease to predict priority evidence-based interventions · Apply knowledge of and appropriate use of asepsis to create a safe care environment that results in high quality patient outcomes (medication administration, handwashing, invasive procedures, etc.)
Objective Data: EBP Project & Presentation, Holistic Assessment & Application of Nursing Process, Reflective Journal