Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent BSNEssential and sub-competencies (AACN, 2008) as a result of active learning throughout this course. Be sure to use examples from selected readings, threaded discussions, and/or applications to support your assertions to address four of the following sub-competencies:
(a) “Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.
(b) Recognize the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness, using a constructed pedigree from collected family history information as well as standardized symbolsand terminology.
(c) Implement holistic, patientcentered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the healthillness continuum, across the lifespan, and in allhealthcare settings.
(d) Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network.
(e) Deliver compassionate, patientcentered, evidence-based care that respects patient and familypreferences.
(f) Implement patient and family care around resolution of endoflife and palliative care issues, such as symptom management, support of rituals, and respect for patient and family preferences.
(g) Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patientpreferences, and health literacy considerations to foster patient engagement in their care.
(h) Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan.
(i) Monitor client outcomes to evaluate the effectiveness of psychobiological interventions.
(j) Facilitate patientcentered transitions of care, including discharge planning and ensuring the caregiver’s knowledge of care requirements to promote safe care.
(k) Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes withinhealthcare microsystems.
(l) Create a safe care environment that results in high quality patient outcomes.
(m) Revise the plan of care based on an ongoing evaluation of patient outcomes.
(n) Demonstrate clinical judgment and accountability for patient outcomeswhen delegating to and supervising other members of the healthcare team.
(o) Develop a beginning understanding of complementary and alternative modalities and their role in healthcare.
(p) Develop an awareness of patients as well as healthcare professionals’ spiritual beliefs and valuesand how those beliefs and values impact health care.
(q) Manage the interaction of multiple functional problems affecting patients across the lifespan,including common geriatric syndromes.
(r) Understand one’s role and participation in emergency preparedness and disaster response with anawareness of environmental factors and the risks they pose to self and patients
(s) Engage in caring and healing techniques that promote a therapeutic nurse patient relationship.
(t) Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system as related to nursing practice.” (pp. 31-32).
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