Professional Capstone and Practicum Reflective Journal

Professional Capstone and Practicum Reflective Journal

Hello,

Below is the requirement for this assignment

Professional Capstone and Practicum Reflective Journal requirement.

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. Each weekly entry should be a MINIMUM of 300 words to total a minimum of 3,000 words by the end of week 10. The journal is to be DOUBLE SPACED and should include both a cover page (title page) and reference page(S).

In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

New practice approaches
Intraprofessional collaboration
Health care delivery and clinical systems
Ethical considerations in health care
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Detail about my Practice hours

I have completed my practice hours from Good Samaritan Society; it is well-known and largest non-profit organization in North America. My topic as Nurses’ Turnover. Also, you can add in assignment below tasks that I used to do during my practice hours. Professional Capstone and Practicum Reflective Journal.

Read morning reports and if find any changes we follow up with manage.
Gather information about admission and discharge.
Coordinate with Physical therapy manager and nurse practitioner about patient outcome and follow-up.
Care conference with patient and their families
Addition and discharge Audit.
Meet with staff coordinator about staffing issue
Validate daily progress note.
Asking nurses to fill out questioner that include question about any real life changes, and job satisfaction.
Perform Nurses interview related to patient care.
Perform patient interview to ask about nurse quality care.
Investigate retaliated to patient incident

Find attached rubric and my weekly individual success plan for weekly activities we perform.

Please let me know if you need any additional info. Professional Capstone and Practicum Reflective Journal.

Individual Success Plan

REQUIRED PRACTICE HOURS: 100

ISP Instructions

Use this form to develop your Individual Success Plan (ISP) for NRS-490, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your mentor at the beginning and end of this course so that he or she will know what you need to accomplish.

Application-based learning assignments are listed in the course syllabus with a Practice Portfolio Statement requirement element noted within the assignment itself. In order for you to successfully complete and graduate from the RN-to-BSN Program you must meet the following programmatic requirements: (1) completion of 100 practice immersion hours, and (2) completion of work associated with all program competencies.

In this ISP, you will identify all of the objectives, tasks, and/or assignments relating to the 100 practice immersion hours you need to complete by the end of this course. Specify the dates by which you will complete each tasks and/or assignments. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A).

ALL course assignments listing a “Practice Hours Portfolio” statement must be included in the ISP and are worth and recorded here as approximately 10 hours each. Actual clock hours must be recorded on this time log.

General Requirements

Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:

Use the Individual Success Plan to develop a personal plan for completing your practice immersion hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course.

Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (Appendix A).

Completing your ISP does not earn practice hours, nor does telephone conference time, or time spent with your mentor.

Within the Individual Success Plan, ensure you identify all course assignments which may include the following: Memorandums of Understanding (MOU)(if Affiliation Agreement is not required); comprehensive log of practice immersion hours applied to baccalaureate level learning outcomes; evaluations from faculty and mentors; your evaluations of your mentor; scholarly activity report; competency self-assessment (part of your ISP); reflective journal (Submitted in Week 10 but covering all weeks in the course); course goals and plan for how competencies and practice immersion hours will be met; and both faculty and mentor approvals of course goals and documented practice immersion hours.

Application-based Learning Course Assignments	List of Current Course Objectives	Number of Clock Hours Associated with Each Assignment	Assignment Date Due	Self-Assessment: GCU RN-to-BSN University Mission Critical Competencies and Programmatic Domains & Competencies (see Appendix A)	Date Assignment Completed
Week One: Assignments: DQ 1 DQ 2 Professional Capstone and Practicum Documentation Individual success plan Professional Capstone Practicum reflective Journal and scholarly activities	Week One: Objectives: 1. Identify problems, issues, and opportunities to improve patient care, patient outcomes, and organizational procedures within a clinical practice setting. 2. Examine a health care clinical problem or an organization issue and its implications to nursing practice. 3. Determine evidence‐based solutions that address patient‐care or clinical practice quality problems or issues. 4. Analyze health care clinical problems and organizational issues utilizing the PICO(T) process 5. Demonstrate values consistent with the role of a nursing professional through fundamental knowledge and advanced skills.	No hours Professional Capstone and Practicum Reflective Journal	08/28/2019 08/30/2019 09/01/2019 09/01/2019 09/01/2019	MC1: MC2:MC4 1.1:1.2:2.1	08/28/2019 08/30/2019 09/01/2019 09/01/2019 09/01/2019
Week Two: Assignments: DQ 1 DQ 2 Capstone Project Topic Selection and Approval Practice Hours Completion Statement Reflective Journal Entry (Personal documentation goal, not for final submission until week 10)	Week Two: Objectives: 1. Identify problems, issues, and opportunities to improve patient care, patient outcomes, and organizational procedures within a clinical practice setting. 2. Examine a health care clinical problem or an organization issue and its implications to nursing practice. 3. Determine evidence‐based solutions that address patient‐care or clinical practice quality problems or issues. 4. Analyze health care clinical problems and organizational issues utilizing the PICO(T) process 5. Demonstrate values consistent with the role of a nursing professional through fundamental knowledge and advanced skills.	10 hours	09/04/2019 09/06/2019 09/08/2019 09/08/2019	MC1: MC2: MC5: 1.1: 1.2: 1.3: 2.1: 2.3: 3.2: 4.1: 4.3: 5.1: 5.2: 5.3:
Week Three: Assignments: DQ 1 DQ 2 PICOT Statement Paper Practice Hours Completion Statement Reflective Journal Entry (Personal documentation goal, not for final submission until week 10)	Week Three: Objectives: 1. Evaluate evidence‐based research and other appropriate resources to inform the development of a change plan. 2. Identify strategies for logistical implementation of proposed solutions. 3. Demonstrate the ability to evaluate levels of evidence into a concise format. 4. Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.	10 hours	09/11/2019 09/13/2019 09/15/2019 09/15/2019	MC1: MC2: MC3: MC4: MC5: 1.1: 1.2: 1.3: 1.4: 2.1: 2.2: 2.3: 3.1: 3.2: 3.4: 4.1: 4.3: 5.1: 5.2: 5.3: 5.4:
Week Four: Assignments: DQ 1 DQ 2 Literature Evaluation Table Practice Hours Completion Statement Reflective Journal Entry (Personal documentation goal, not for final submission until week 10)	Week Four: Objectives: 1. Evaluate evidence‐based research and other appropriate resources to inform the development of a change plan. 2. Identify strategies for logistical implementation of proposed solutions. 3. Demonstrate the ability to evaluate levels of evidence into a concise format. 4. Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.	15 hours	09/18/2019 09/20/2019 09/22/2019 09/22/2019	MC1: MC2: MC3: MC4: MC5: 1.1: 1.2: 1.3: 1.4: 2.1: 2.2: 2.3: 3.1: 3.2: 3.4: 4.1: 4.3: 5.1: 5.2: 5.3: 5.4:
Week Five: Assignments: DQ 1 DQ 2 Practice Hours Completion Statement Reflective Journal Entry (Personal documentation goal, not for final submission until week 10)	Week Five: Objectives: 1. Identify objectives, strategy, and measurable outcomes of the evidence‐based practice proposal. 2. List steps needed to implement each strategy in a change proposal. 3. Outline the resources needed to develop and implement a change proposal. 4. Describe methods for obtaining necessary support from key stakeholders. 5. Develop a plan to evaluate the effectiveness of the change proposal project. 6. Evaluate the role of information sources and technologies impacting the delivery of care within an adequate environment of care. 7. Develop appropriate change plans that promote health and prevent disease.	No hours	09/25/2019 09/27/2019 09/29/2019	MC1: MC2: MC5: 1.1: 1.3: 1.4: 1.5: 2.1: 2.2: 2.3: 3.1: 3.2: 3.3: 4.1: 4.3: 5.1: 5.2: 5.3: 5.4:
Week Six: Assignments: DQ 1 DQ 2 Literature Review Practice Hours Completion Statement Reflective Journal Entry (Personal documentation goal, not for final submission until week 10)	Week Six: Objectives: 1. Identify objectives, strategy, and measurable outcomes of the evidence‐based practice proposal. 2. List steps needed to implement each strategy in a change proposal. 3. Outline the resources needed to develop and implement a change proposal. 4. Describe methods for obtaining necessary support from key stakeholders. 5. Develop a plan to evaluate the effectiveness of the change proposal project. 6. Evaluate the role of information sources and technologies impacting the delivery of care within an adequate environment of care. 7. Develop appropriate change plans that promote health and prevent disease.	15 hours	10/02/2019 10/04/2019 10/06/2019 10/06/2019	MC1: MC2: MC4: MC5: 1.1: 1.2: 1.3: 1.4: 1.5: 2.1: 2.2: 2.3: 3.1: 3.2: 3.3: 3.4: 4.1: 4.2: 4.3: 5.1: 5.2: 5.3: 5.4:
Week Seven: Assignments: DQ 1 DQ 2 Practice Hours Completion Statement Reflective Journal Entry (Personal documentation goal, not for final submission until week 10)	Week Seven: Objectives: 1. Identify methods to evaluate a proposed solution. 2. Describe variables and outcomes to be assessed pre‐ and post‐project implementation. 3. Utilize appropriate tools such as basic statistics to evaluate project outcomes. 4. Summarize plans for disseminating evidence. 5. Use communication and collaboration skills to deliver high‐quality, evidence‐based, patient‐centered care.	No hours	10/09/2019 10/11/2019 10/13/2019	MC1: MC2: MC:5 1.1: 1.2: 1.3: 1.4: 2.1: 2.3: 3.1: 3.2: 4.1: 4.3: 5.1: 5.2: 5.3: 5.4:
Week Eight: Assignments: DQ 1 DQ 2 Practice Hours Completion Statement Reflective Journal Entry (Personal documentation goal, not for final submission until week 10)	Week Eight: Objectives: 1. dentify methods to evaluate a proposed solution. 2. Describe variables and outcomes to be assessed pre‐ and post‐project implementation. 3. Utilize appropriate tools such as basic statistics to evaluate project outcomes. 4. Summarize plans for disseminating evidence. 5. Use communication and collaboration skills to deliver high‐quality, evidence‐based, patient‐centered care.	10 hours	10/16/2019 10/18/2019 10/20/2019	MC1: MC2: MC:5 1.1: 1.2: 1.3: 1.4: 2.1: 2.3: 3.1: 3.2: 4.1: 4.2: 4.3: 5.1: 5.2: 5.3: 5.4:
Week Nine: Assignments: DQ 1 DQ 2 Benchmark – Capstone Project Change Proposal Practice Hours Completion Statement Reflective Journal Entry (Personal documentation goal, not for final submission until week 10)	Week Nine: Objectives: 1. Produce a comprehensive and professional change initiative presentation. 2. Integrate acquired knowledge and skills into professional practice. Professional Capstone and Practicum Reflective Journal 3. Examine the implementation of evidence‐based research in nursing practice. 4. Analyze research findings for the enhancement of evidence‐based practice in the clinical setting. 5. Apply leadership concepts, skills, and decision making in the provision of high‐quality nursing care in a collaborative interprofessional setting. 6. Analyze the impact of organizational and environmental factors on health care delivery and practice. 7. Demonstrate leadership and communication skills to effectively implement change initiatives for nursing practice.	10 hours	10/23/2019 10/25/2019 10/27/2019 10/27/2019	MC1: MC2: MC3: MC4: MC:5 1.1: 1.2: 1.3: 1.4: 2.1: 2.2: 2.3: 3.1: 3.2: 3.3: 3.4: 4.1: 4.2: 4.3: 5.1: 5.2: 5.3: 5.4:
Week Ten: Assignments: DQ 1 DQ 2 Benchmark – Professional Capstone and Practicum Reflection Journal Scholarly Activities (Submit scholarly activity using the “Scholarly Activity Summary” resource provided.) Practice Hours Documentation (Summit the following): 1. Individual Success Plan (ISP) Signed off by course mentor 2. Comprehensive clinical log of hours applied to program learning outcomes 3. Student evaluation (Final) 4. Course mentor evaluation (Final) 5. Faculty approval of the Individual Success Plan (ISP) and documented practice immersion hours (Student responsible for obtaining approvals). Practice Immersion Clinical Evaluation Tools Submission Practice Hours Completion Statement	Week Ten: Objectives: Produce a comprehensive and professional change initiative presentation. 2. Integrate acquired knowledge and skills into professional practice. 3. Examine the implementation of evidence‐based research in nursing practice. Professional Capstone and Practicum Reflective Journal 4. Analyze research findings for the enhancement of evidence‐based practice in the clinical setting. 5. Apply leadership concepts, skills, and decision making in the provision of high‐quality nursing care in a collaborative interprofessional setting. 6. Analyze the impact of organizational and environmental factors on health care delivery and practice. 7. Demonstrate leadership and communication skills to effectively implement change initiatives for nursing practice.	30 Hours	10/30/2019 11/01/2019 11/03/2019 11/03/2019 11/03/2019 11/03/2019 11/03/2019	MC1: MC2: MC3: MC4: MC:5 1.1: 1.2: 1.3: 1.4: 2.1: 2.2: 2.3: 3.1: 3.2: 3.3: 3.4: 4.1: 4.2: 4.3: 5.1: 5.2: 5.3: 5.4:

APPENDIX A:

GCU RN-to-BSN Domains & Competencies

University’s Mission Critical Competencies

How does this Individual Success Plan support the GCU Mission?

MC1: Effective Communication: Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful. Professional Capstone and Practicum Reflective Journal

MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.

MC3: Christian Worldview: Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.

MC4: Global Awareness, Perspectives, and Ethics: The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice.

MC5: Leadership: Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.

Domains and Competencies

How does this Individual Success Plan support the Program Domains and Competencies?

Domain 1: Professional Role

Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.

Competencies:

1.1: Exemplify professionalism in diverse health care settings.

1.2: Manage patient care within the changing environment of the health care system.

1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

1.4: Participate in health care policy development to influence nursing practice and health care.

1.5: Advocate for autonomy and social justice for individuals and diverse populations.

Domain 2: Theoretical Foundations of Nursing Practice

Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice. Professional Capstone and Practicum Reflective Journal

Competencies:

2.1: Incorporate liberal arts and science studies into nursing knowledge.

2.2: Comprehend nursing concepts and health theories.

2.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.

Domain 3: Nursing Practice

Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.

Competencies:

3.1: Utilize the nursing process to provide safe and effective care for patients across the health-illness continuum: promoting, maintaining, and restoring health; preventing disease; and facilitating a peaceful death.

3.2: Implement patient care decisions based on evidence-based practice.

3.3: Provide individualized education to diverse patient populations in a variety of health care settings.

3.4: Demonstrate professional standards of practice.

Domain 4: Communication/Informatics

Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members. Professional Capstone and Practicum Reflective Journal

Competencies:

4.1: Utilize patient care technology and information management systems.

4.2: Communicate therapeutically with patients.

4.3: Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care.

Domain 5: Holistic Patient Care

Graduates of Grand Canyon University’s RN-BSN program will be able to provide holistic individualized care that is sensitive to cultural and spiritual aspects of the human experience.

Competencies:

5.1: Understand the human experience across the health-illness continuum.

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

5.3: Provide culturally sensitive care.

5.4: Preserve the integrity and human dignity in the care of all patients.

Course Code	Class Code	Assignment Title	Total Points
NRS-490	NRS-490-OL191MN	Benchmark – Professional Capstone and Practicum Reflective Journal	100.0

Criteria	Percentage	Unsatisfactory 0-71% (0.00%)	Less Than Satisfactory 72-75% (75.00%)	Satisfactory 76-79% (79.00%)	Good 80-89% (89.00%)	Excellent 90-100% (100.00%)
Content	100.0%
New Practice Approaches	10.0%	New practice approaches are not present.	New practice approaches are present, but incomplete or otherwise lacking in required detail.	New practice approaches are present. Some minor details or elements are missing but the omission(s) do not impede understanding.	New practice approaches are present and complete. The submission provides the basic information required.	New practice approaches are present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Intraprofessional Collaboration (4.3)	10.0%	Intraprofessional collaboration information is not present.	Intraprofessional collaboration information is present, but incomplete or otherwise lacking in required detail.	Intraprofessional collaboration information is present. Some minor details or elements are missing but the omission(s) do not impede understanding.	Intraprofessional collaboration information is present and complete. The submission provides the basic information required.	Intraprofessional collaboration information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
		Professional Capstone and Practicum Reflective Journal
Health Care Delivery And Clinical Systems (4.1)	10.0%	Health care delivery and clinical systems information is not present.	Health care delivery and clinical systems information is present, but incomplete or otherwise lacking in required detail.	Health care delivery and clinical systems information is present. Some minor details or elements are missing but the omission(s) do not impede understanding.	Health care delivery and clinical systems information is present and complete. The submission provides the basic information required.	Health care delivery and clinical systems information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Ethical Considerations In Health Care (5.4)	10.0%	Ethical considerations in health care information is not present.	Ethical considerations in health care information is present, but incomplete or otherwise lacking in required detail.	Ethical considerations in health care information is present. Some minor details or elements are missing but the omission(s) do not impede understanding.	Ethical considerations in health care information is present and complete. The submission provides the basic information required.	Ethical considerations in health care information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Population Health Concerns (5.3)	10.0%	Population health concerns information is not present.	Population health concerns information is present, but incomplete or otherwise lacking in required detail.	Population health concerns information is present. Some minor details or elements are missing but the omission(s) do not impede understanding.	Population health concerns information is present and complete. The submission provides the basic information required.	Population health concerns information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

The Role Of Technology In Improving Health Care Outcomes (4.3)	10.0%	Information on the role of technology in improving health care outcomes is not present.	Information on the role of technology in improving health care outcomes is present, but incomplete or otherwise lacking in required detail.	Information on the role of technology in improving health care outcomes is present. Some minor details or elements are missing but the omission(s) do not impede understanding.	Information on the role of technology in improving health care outcomes is present and complete. The submission provides the basic information required.	Information on the role of technology in improving health care outcomes is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Health Policy	10.0%	Health policy information is not present.	Health policy information content is present, but incomplete or otherwise lacking in required detail. Professional Capstone and Practicum Reflective Journal	Health policy information content is present. Some minor details or elements are missing but the omission(s) do not impede understanding.	Health policy information content is present and complete. The submission provides the basic information required.	Health policy information content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Leadership And Economic Models	10.0%	Information on leadership and economic models is not present.	Information on leadership and economic models is present, but incomplete or otherwise lacking in required detail.	Information on leadership and economic models is present. Some minor details or elements are missing but the omission(s) do not impede understanding.	Information on leadership and economic models is present and complete. The submission provides the basic information required.	Information on leadership and economic models is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Health Disparities (1.5)	10.0%	Information on health disparities is not present.	Information on health disparities is present, but incomplete or otherwise lacking in required detail.	Information on health disparities is present with minor elements missing that do not impede understanding.	Information on health disparities is present and complete. The submission provides the basic information required.	Information on health disparities is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Presentation	5.0%	The piece is not neat or organized, and it does not include all required elements.	The work is not neat and includes minor flaws or omissions of required elements.	The overall appearance is general, and major elements are missing.	The overall appearance is generally neat, with a few minor flaws or missing elements.	The work is well presented and includes all required elements. The overall appearance is neat and professional.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)	5.0%	Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.	Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.	Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.	Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.	Writer is clearly in command of standard, written, academic English.

Total Weightage	100%	Professional Capstone and Practicum Reflective Journal