For this assessment, you will analyze your healthcare process or issue in the context of your practicum site. The problem (topic) is the lack of continuity of care between patients and their nursing s Original Papers

For this assessment, you will analyze your healthcare process or issue in the context of your practicum site.

The problem (topic) is the lack of continuity of care between patients and their nursing staff by rotating different nurses through a home every week. This leads to a decreased ability to recognize critical changes, resulting in missed opportunities, which can delay care and interventions, thereby increasing patients’ risk of rehospitalization. 

  • Describe your practicum site (Home Health).
    • What type of institution are your practicum hours taking place in? (Home Health Nursing)
    • Describe the patient population of your practicum site. (we treat post-surgical ortho patients, CHF patients, wound care patients, and chronic illnesses like cancer)
    • Estimate how many full-time healthcare staff are employed at your practicum site. (greater than 600 office/field staff employees)
  • What kind of clinical and operational decisions do you encounter in your practicum site? Are you in a position to make or have input in any of those decisions at your site?
    • What are the primary patient health outcomes for your practicum site? restore patients to their prior level of function or maximize their abilities for safety
  • Identify your process issue as it relates to a patient diagnosis and patient outcomes.
    • Summarize the healthcare process problem or issue you’ll explore.
    • Provide context, data, or information that substantiates the presence of the problem and its significance.
  • Analyze your chosen process for impact on the organization and the patient-client in terms of quality, safety, and cost.
    • What are the causes of the problem? What do you think is the root cause? the cause would be not reviewing the charts to ensure continuity. One outcome is increased hospital readmissions, which in turn causes the organization to lose money.
    • Provide evidence to support your claims.
  • Format: Format your paper using APA style. Be sure to include the following:
    • A title page and reference page. An abstract is not required.
    • Appropriate section headings.
  • Length: Your paper should be approximately 4–6 pages in length, not including the reference page.
  • Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
  • Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Grading Rubric:

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 2: Make clinical and operational decisions based upon the best available evidence.
    • Describe clinical and operational decisions encountered at the practicum site, including one’s input in those decisions.
  • Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
    • Identify a process issue at a clinical site that relates to a patient diagnosis and patient outcomes.
    • Analyze the impact of a current process on an organization and client in terms of quality, safety, and cost.
  • Competency 8: Apply professional, scholarly, evidence-based strategies to create effective written and oral communications.
    • Describe the practicum setting.
    • Organize content so ideas flow logically with smooth transitions.
    • Apply APA style and formatting to scholarly writing.


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