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NR226 Concept Map RUA.docx Revised 6/14/2016 BME

PURPOSE

NR226 Fundamentals—Patient Care

Required Uniform Assignment: Clinical Concept Map

This assignment is designed to extend the learner’s use of concept mapping as a tool for clinical care planning. The nursing process continues to provide the foundation for organizing information and thought, whereas the mapping becomes the process for intentional critical thinking and clinical reasoning.

COURSE OUTCOMES This assignment enables the student to meet the following course outcomes. CO 1. Demonstrate the nursing process while providing basic care to individuals and families reflecting different stages of the life span in the extended care, acute care, and community‐ based settings (PO#1).

CO 3. Demonstrate communication skills necessary for interaction with other health team members and for providing basic nursing care to individuals and families (PO#3).

CO 4. Incorporate critical thinking skills into clinical nursing practice (PO#4).

DUE DATE Refer to the Course Calendar for details. The Late Assignment Policy applies to this assignment.

TOTAL POINTS POSSIBLE 100 points

REQUIREMENTS Choose an individual for whom you perform nursing care in the clinical setting. After performing a complete assessment of the person, create a concept map. You will use the nursing process to map your findings, create and prioritize nursing diagnoses, plan interventions, and evaluate outcomes of those interventions. Use at least two published nursing references (other than textbooks) to support your plan of care.

In addition to the concept map and in relationship to it, you will submit a one‐page reflective paper that addresses communication and safety and infection control. Based on your clinical experience with the person for whom you provided care, you will reflect on specific elements of communication used during your interaction. Finally, you will discuss issues of safety and infection control related to the care of the person.

Refer to the grading rubric for the detailed expectations regarding content.

PREPARING THE ASSIGNMENT To prepare the concept map, you may use any software of your choosing. Your textbooks and the Internet

may offer access to simple and free concept map creation tools. Although you may select any format for the

NR226 Concept Map RUA.docx Revised 6/14/2016 BME

NR226 Fundamentals—Patient Care assignment, all aspects of the assignment must be included, and the parts of the map must be clearly

labeled. There is also a concept map template located in the Unit 1 assignments page of this course. Be sure to check with your faculty on the preferred format/template.

DIRECTIONS AND ASSIGNMENT CRITERIA

Assignment Criteria

Points % Description

Individual’s Information

10 10% Include initials, age, medical diagnoses, and brief pathophysiology review.

Assessment Data 15 15% Include all assessment data, not simply information that supports the selected nursing diagnoses.

Nursing Diagnoses 15 15% Select three nursing diagnoses. At least one must be an actual problem, and one must address a psychosocial need.

Linkages Between and Among Diagnoses

5 5% Concept map demonstrates relationship within and between the nursing diagnoses.

Planning 15 15% Prioritize the diagnoses to reflect needs of the individual. Set realistic outcome goals.

Implementation 15 15% Interventions are appropriate and will help individual achieve stated outcome goals.

Evaluation of Outcomes

5 5% Evaluate the individual outcomes that were developed during planning. Were outcomes met or not? (It is OK to not meet outcomes, just explain why and what adjustments will be made.) Why were outcomes met? Do not simply say “Outcome met.”

Reflection: Communication

10 10% Therapeutic and nontherapeutic, verbal and nonverbal communication are analyzed; improvement measures are addressed.

Reflection: Safety 10 10% Safety and infection control are explored.

Total 100 100%

2

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GRADING RUBRIC NR226 Fundamentals – Patient Care

Outstanding or Highest Level of Performance

A (92–100%)

Very Good or High Level of Performance

B (84–91%)

Competent or Satisfactory Level of Performance

C (76–83%)

Poor, Failing or Unsatisfactory Level of

Performance F (0–75%)

Assignment Criteria

Individual’s Information (10 points)

Includes all bulleted points

 Individual’s initials

 Age

 Medical diagnoses

AND Information in bulleted points is correct.

Review of pathophysiology is thorough, accurate, and brief.

10 points

Includes two bulleted points

 Individual’s initials

 Age

 Medical diagnoses

AND Information in bulleted points is correct.

Review of pathophysiology is thorough and accurate, though not brief.

9 points

Includes one of the bulleted points

 Individual’s initials

 Age

 Medical diagnoses AND

Information in bulleted points is correct.

Review of pathophysiology is accurate, though not thorough or brief.

8 points

Includes none of the bulleted points

 Individual’s initials

 Age

 Medical diagnoses OR

Information in one or more bulleted points is incorrect.

Review of pathophysiology is accurate, though not thorough or brief.

0–7 points

Assessment Data (15 points)

92–100% of assessment data collected in the clinical setting are reported within concept map.

14–15 points

84–91% of assessment data collected in the clinical setting are reported within concept map.

13 points

76‐83% of assessment data collected in the clinical setting are reported within concept map.

12 points

75% or less of assessment data collected in the clinical setting are reported within concept map.

0–11 points

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Nursing Diagnoses

Three total diagnoses are accurately mapped.

 At least one diagnosis is an actual problem.

Two total diagnoses are accurately mapped.

 At least one diagnosis is an actual problem.

One diagnosis is accurately mapped.

No diagnoses are mapped. OR One to three total diagnoses are mapped incompletely and/or do

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NR226 Fundamentals – Patient Care

(15 points total; 3 required worth 5 points each)

 At least one diagnosis is a psychosocial issue.

14–15 points

 At least one diagnosis is a psychosocial issue.

13 points

 Mapped diagnosis is either an actual problem or a psychosocial issue.

12 points

not include an actual problem or psychosocial issue.

0–11 points

Linkages Between and Among Diagnoses (5 points)

 Concept map demonstrates relationship within and between the nursing diagnoses.

AND

 Legend is included. 5 points

This category is either complete and receives full credit or is incomplete and receives no credit.

 Concept map does not demonstrate relationship within and between the nursing diagnoses.

OR

 Legend is not included. 0–3 points

Planning (15 points)

 Diagnoses prioritized to reflect needs of the individual

AND  Outcomes clearly defined

14–15 points

 Diagnoses prioritized in a general manner not reflecting the needs of one individual

AND

 Outcomes clearly defined 13 points

 Diagnoses prioritized in a general manner not reflecting the needs of one individual

OR

 Outcomes clearly defined 12 points

 Diagnoses not prioritized

AND

 Outcomes not defined or unclear

0–11 points

Implementation (15 points)

 Interventions are appropriate with supported rationales.

 Interventions will help individual achieve stated outcome goals.

14‐15 points

 Interventions are mostly appropriate with supported rationales.

 Interventions may help individual achieve stated outcome goals.

13 points

 Interventions are appropriate with some rationales present.

 Interventions may help individual achieve stated outcome goals.

12 points

 Interventions are not appropriate and/or rationales are not provided.

 Interventions will not help individual achieve stated outcome goals.

0–11 points

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NR226 Fundamentals – Patient Care

Evaluation of Outcomes (5 points)

 Outcome attainment thoroughly evaluated

 Evidence provided strongly supports evaluation of outcome status

 Plan updated for those outcomes not met

5 points

 Outcome attainment partially evaluated

 Evidence provided moderately supports evaluation of outcome status

 Plan updated for those outcomes not met

4.5 points

 Outcome attainment minimally evaluated

 Evidence provided weakly supports evaluation of outcome status

 Plan updated for those outcomes not met

4 points

 Outcome attainment NOT evaluated OR

 Evidence provided does not support evaluation of outcome status OR

 Plan not updated for those outcomes not met

0–3 points

Reflection: Communication (10 points)

All points addressed in paper

 Therapeutic and nontherapeutic communication analyzed.

 Verbal and nonverbal communication analyzed.

 Areas for improvement in own communication patterns identified

 Improvement plan outlined 10 points

Three points addressed in paper

 Therapeutic and nontherapeutic communication analyzed

 Verbal and nonverbal communication analyzed

 Areas for improvement in own communication patterns identified

 Improvement plan outlined 9 points

Two points addressed in paper

 Therapeutic and nontherapeutic communication analyzed.

 Verbal and nonverbal communication analyzed.

 Areas for improvement in own communication patterns identified

 Improvement plan outlined 8 points

Zero or one point addressed in paper

 Therapeutic and nontherapeutic communication analyzed.

 Verbal and nonverbal communication analyzed.

 Areas for improvement in own communication patterns identified

 Improvement plan outlined 0–7 points

Reflection: Safety (10 points)

 Identifies safety hazards present based on individual’s condition and nursing diagnoses selected

AND

 Identifies infection control issues present based on

 Identifies safety hazards present based on individual’s condition and nursing diagnoses selected

OR

 Identifies infection control issues present based on

 Identifies safety hazards present based on individual’s condition and nursing diagnoses selected

OR

 Identifies infection control issues present based on

 Does NOT identify safety hazards and infection control issues based on individual’s condition and nursing diagnoses selected

AND

 Does NOT reflect on ways in which the nurse can decrease

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NR226 Fundamentals – Patient Care

individual’s condition and nursing diagnoses selected

AND

 Reflects on ways in which the nurse can decrease these risks to individuals in their care

10 points

individual’s condition and nursing diagnoses selected

AND

 Reflects on ways in which the nurse can decrease these risks to individuals in their care

9 points

individual’s condition and nursing diagnoses selected

OR

 Reflects on ways in which the nurse can decrease these risks to individuals in their care

8 points

these risks to individuals in their care

0–7 points

Total Points Possible = 100 points