NURS-3020 – Health Assessment: Developing Clinical Skills for Comprehensive Patient Evaluation

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Introduction:

 NURS-3020 – Health Assessment focuses on building the knowledge and skills required to conduct complete physical and health assessments across the lifespan. The course emphasizes data collection, clinical reasoning, and effective communication in patient evaluation. For professional help with nursing assessments or clinical reflection assignments, visit Owlisdom’s Nursing Coursework Help.

NURS 3020 WEEK ONE JOURNAL: OBSERVE, PROCESS, REFLECT

Instructions for NURS 3020 Week One Journal

JOURNAL: OBSERVE, PROCESS, REFLECT

The objective of the Journal Assignment is to provide you with a private place to “think on the page,” a phrase used to describe writing as a form of thinking. Some of us process our thoughts out loud as we describe them to others. In an academic environment, you will be asked to record your ideas in writing, or “think on the page,” to show the new knowledge that you’ve acquired through reading and listening to the resources and completing the assignments. The journal is not a formal type of writing, and only you and your Instructor will see the journal entry. These entries are meant to be free writing, but should be revised before submitting.

As you write, think about the audience to whom you are writing, and the difference between personal writing and scholarly writing. Your journal writing falls into the category of personal writing and should be approached in that way. Think of the journal as an academic reflection space.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

TO PREPARE

  • Review the Week 1 Assignment 1 Rubric provided below.
  • Review the Syllabus provided in the course. Review material concerning health histories and physical examinations.
  • Include the following in your Journal entry:
  • Think, reflect, and record the feelings you have had as you have prepared to take this course, which may initially seem like a refresher course for most of you.
  • Examine and record your strengths and weaknesses concerning collecting health histories and performing physical examinations.
  • Describe in your journal what you expect to learn in this assessment course.

BY DAY 5

Submit a 150-word Journal entry addressing the three elements of focus above and in the grading rubric. You may include any other comments or thoughts unrelated to the listed areas. There are no right or wrong answers, and credit for the Assignment is earned by timely completion and providing coherent thoughts about the areas of focus.

Please note that this Assignment is due on Day 5 of Week 1. Failure in submitting by Day 5 could result in automatic dropping from the course due to lack of participation.

Rubric

NURS_3020_Week1_Assignment1_Rubric

NURS_3020_Week1_Assignment1_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomePresented reflective information about the feelings experienced in preparing to take this course, strengths and weaknesses related to collecting health histories and performing physical examinations, and expected learning in this course.


40 to >35.0 pts

Excellent

Provided a fully developed presentation about the feelings experienced in preparing to take this course, strengths and weaknesses related to collecting health histories and performing physical examinations, and expected learning in this course, with insightful analysis of concepts and related issues.

35 to >31.0 pts

Proficient

Provided a developed presentation about the feelings experienced in preparing to take this course, strengths and weaknesses related to collecting health histories and performing physical examinations, and expected learning in this course, with a reasonable analysis of concepts and related issues.

31 to >27.0 pts

Basic

Provided a minimally developed presentation about the feelings experienced in preparing to take this course, strengths and weaknesses related to collecting health histories and performing physical examinations, and expected learning in this course, with limited analysis of concepts and related issues.

27 to >0 pts

Needs Improvement

Provided a underdeveloped presentation about the feelings experienced in preparing to take this course, strengths and weaknesses related to collecting health histories and performing physical examinations, and expected learning in this course, with little or no analysis of concepts and related issues.

40 pts

Total Points: 40

DIGITAL CLINICAL EXPERIENCE: HEALTH HISTORY

Throughout this course, you will participate in digital clinical experiences using the online simulation tool Shadow Health. The Shadow Health digital clinical experience provides a dynamic, immersive experience designed to improve nursing skills and clinical reasoning through the examination of digital standardized patients. Using Shadow Health, you will participate in single-system exams, focused exams, concept labs, and a comprehensive assessment in the capstone assignment. Below you will find more details about Shadow Health.

FOR REGISTRATION

You will use the access code provided by the university bookstore upon purchase of the Shadow Health access. If you should have issues, please contact Shadow Health Support. Review the sections below related to Technical Requirements and the Shadow Health Support contact information.

TECHNICAL REQUIREMENTS

Shadow Health. (n.d.). Shadow Health help deskLinks to an external site..Links to an external site. https://support.shadowhealth.com/hc/en-us

Note: Please use only Google Chrome with Shadow Health.

SHADOW HEALTH SUPPORT

Shadow Health. (n.d.). Shadow Health help deskLinks to an external site. https://support.shadowhealth.com/hc/en-us

Note: If you have questions or encounter technical issues regarding the digital clinical experience (DCE), contact Shadow Health at the link above. If unavailable, contact Walden Student Support.

 

Topic/Skill

Shadow Health Assignment

Week 1

Taking a Health History

DCE Orientation (15 min)
Conversation Concept Lab (50 min)
Health History (180 min)

Week 2

The General Survey

HEENT (120 min)
Skin, Hair, and Nails (120 min)

Week 3

Assessment of the Heart, Lungs, and Peripheral Vascular System

Respiratory Concept Lab (25 min)
Respiratory (90 min)
Cardiovascular Concept Lab (25 min)
Cardiovascular (90 min)

Week 4

Assessment of the Abdomen

Abdominal Concept Lab (25 min)
Abdominal (90 min)

Week 5

Cognition and the Neurological and Musculoskeletal Systems

Musculoskeletal (90 min)
Neurological (90 min)

Week 6

Creating Nurse Patient Synergy

No Shadow Health exam due

ASSIGNMENT SUBMISSIONS

https://support.shadowhealth.com/hc/en-us/articles/360004578773-Turn-In-attempt

https://support.shadowhealth.com/hc/en-us/articles/360004546134-Reopen-attempt

Students may reopen an assignment attempt before the due date. Directions on how to enable this option are provided in the above link. (Note: As the Instructor, you may reopen an attempt for a student at any time.)

This link (above) provides instructions on reopening an attempt click on “Tutorials” to learn more.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

TO PREPARE

  • Review Chapters 1–6 in the course text.
  • Review the Shadow Health Student Orientation media and the Useful Tips and Tricks document, provided in this week’s Resources.
  • Review “ANA Code of Ethics for Nurses,” provided in this week’s Resources.
  • Review this week’s Writing Resources and Health Assessment Nursing Documentation Tutorial provided in this week’s Resources.
  • Review the Shadow Health Support Resources provided in this week’s Resources.
  • Review the Week 1 Assignment 2 Rubric accessible through the link below for details on completing the Assignment in Shadow Health.

BY DAY 7

Complete the following in Shadow Health:

  • Orientation (15 min)
  • Conversation Concept Lab Conversation (50 min)
  • Health History (180 min) including ROS

Note: Although this Assignment is due on Day 7, it is recommended that you attempt it by no later than Day 5 to allow yourself enough time to familiarize yourself with Shadow Health and complete the Assignment by its due date.

RUBRIC

Introduction to NURS 3020 Week One Journal

The Owlisdom objective of the NURS 3020 Week One Journal: Observe, Process, Reflect. in your Advanced Pathophysiology course is to provide a private space for you to “think on the page.” This How-To Guide helps articulate your thoughts and demonstrates your new knowledge. Unlike formal writing, journal entries are personal and should be considered academic reflections.

Think, reflect, and record your feelings as you prepare to take this course, which may initially seem like a refresher course for most of you.

Reflecting on Your Feelings

To start the NURS 3020 Week One Journal: Observe, Process, Reflect, we will reflect on our feelings about the course Health Assessment.

  • Begin by jotting down your first thoughts when you learned about this course. Consider whether you felt excited, anxious, or indifferent.
  • Reflect on why you felt this way. Is it because of past experiences, the subject matter, or your current workload?
  • Think about how this course fits into your academic and career goals.
  • Write about any previous experiences that influence your feelings towards this course.
Example

When I first learned about the Health Assessment course, I felt a mix of excitement and anxiety. My initial excitement stemmed from my keen interest in honing my clinical skills, while anxiety arose from the anticipated workload and balancing it with other commitments. This course is crucial for my academic and career goals as it builds foundational skills for effective patient care.

Examine and record your strengths and weaknesses concerning collecting health histories and performing physical examinations.

Examining Your Strengths and Weaknesses

Next, we will discuss the strengths and weaknesses of the NURS 3020 Week One Journal: Observe, Process, Reflect.

  • Identify and describe any skills or techniques you excel at in collecting health histories. For instance, consider your ability to establish rapport with patients, your thoroughness in obtaining information, or your organizational skills.
  • Acknowledge areas where you feel less confident or experienced. These might include difficulty asking sensitive questions, missing crucial details, or summarizing patient histories.
  • Reflect on specific instances where you faced these challenges and how they affected the outcomes.

Examine and record your strengths and weaknesses concerning collecting health histories and performing physical examinations.

Performing Physical Examinations

This section of the NURS 3020 Week One Journal: Observe, Process, Reflect. will highlight the competencies in performing physical examinations.

  • Highlight your competencies in performing physical examinations. This could involve your proficiency in specific techniques, attention to detail, or ability to remain calm and professional under pressure.
  • Use specific examples to support your points.
  • Discuss areas where you need improvement. These might include nervousness during exams, uncertainty in interpreting findings, or a lack of experience with certain procedures.
  • Reflect on particular experiences that illustrate these weaknesses and consider how they impacted your performance.
Example

Reflecting on my strengths, I excel at establishing rapport with patients and thoroughly collecting health histories. However, I sometimes struggle with summarizing patient histories and asking sensitive questions. In physical examinations, I am proficient in several techniques and remain calm under pressure. Nonetheless, I occasionally feel uncertain in interpreting findings and lack experience with specific procedures.

Describe in your journal what you expect to learn in this assessment course.

Describing Your Expectations for the Assessment Course

Here, we will describe our expectations for the NURS 3020 Week One Journal: Observe, Process, Reflect.

  • Write about what you hope to achieve by the end of this course. This could include mastering certain skills, gaining a deeper understanding of pathophysiological processes, or improving clinical judgment.
  • Identify potential challenges you expect to encounter. This might involve difficult concepts, time management issues, or balancing this course with other commitments.
  • Reflect on strategies you plan to employ to overcome these challenges and meet your learning objectives. This could include specific study techniques, seeking help from peers or instructors, or utilizing additional resources.
Example

Through this course, I aim to master essential assessment skills and deepen my understanding of pathophysiological processes. To overcome potential challenges, I plan to adopt effective study techniques, seek peer support, and utilize available resources to ensure a successful learning experience.

Closing

The NURS 3020 is an opportunity to reflect deeply on your journey through the Advanced Pathophysiology course. By thoughtfully considering your feelings, strengths, weaknesses, and expectations, you can gain valuable insights into your learning process and areas for improvement. This How-To Guide outlines the key steps to complete your journal assignment effectively, providing a structured approach to reflect on your experiences and expectations. The upcoming module of NURS 3020 revolves around Caring and Ethics in Your Practice.

NURS 3020 WEEK 2 discussion: CARING AND ETHICS IN YOUR PRACTICE

Instructions for NURS-3020 Week 2 discussion

CARING AND ETHICS IN YOUR PRACTICE

Some things in nursing never change. Caring has been the basic work of nurses from the genesis of nursing.

The theory of the ethics of care has evolved over time between obligation-based ethics and responsibility-based ethics. The former asks, “What obligation, if any, do I have to this person?” In the latter, responsibility-based ethics, the relationship with others is a given. The only question is how to best meet the responsibility for effective care.

According to the Code of Ethics for Nurses, “Optimal nursing care enables the patient to live with as much physical, emotional, social, and religious or spiritual well-being as possible” (American Nurses Association, 2015, p. 2).

Caring is an essential part of patient care. There are four phases of caring. They are attentiveness, responsibility, competence, and responsiveness. Caring requires the nurse to put aside personal biases and prejudices to effectuate the four phases of caring. The four phases of caring suggest that good care demands more than just good intention; good care. It is a practice of combining activities, attitudes, and knowledge of the situation.

TO PREPARE

  • Review the Week 2 Discussion Rubric provided.
  • Review Chapters 7 & 9 and 13-17 in the course text.
  • Review this week’s Writing Resources.
  • Consider types of caring techniques and strategies that can be used during a health assessment.
  • Think about a time when you had the opportunity to encourage a patient to comply with a health promotion activity, and whether you did so successfully or not.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

BY DAY 3

Post a substantive 2-paragraph response (at least 350 words) to one of the options below. Develop and post cohesive paragraphs and use evidence to support your ideas.

  • Option 1: What caring techniques/strategies can you use during the health assessment of a patient to encourage the patient’s adherence to a treatment plan?
  • Option 2: Describe an instance in your practice when you successfully encouraged a patient to comply with a health promotion activity. If you have not successfully encouraged a patient to comply with a health promotion activity, how might you have done so based on what you know now?

BY DAY 7

Read two or more of your colleagues’ postings for the Discussion question.

Respond to at least two of your colleagues in one of the following ways:

  • Expand upon the proposed technique(s).
  • Suggest an alternative technique to encourage adherence to a treatment plan.
  • Ask a clarifying question about a colleague’s proposed technique or strategy, or about the instance when your colleague successfully encouraged a patient to comply with a health promotion activity.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your colleagues made.

See the Discussion Rubric for more information.

ASSIGNMENT 1: SKIN AND NAILS

TO PREPARE

  • Review this week’s Resources including the Health Assessment Nursing Documentation Tutorial.
  • Review the Shadow Health Assignments Grading Rubric accessible through the link below for details on completing the Assignments in Shadow Health.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

BY DAY 7

Complete the following in Shadow Health:

  • Single System Exams:
  • Skin and Nails (70–120min)

RUBRICS

To access your rubric:

Week 2 Assignment 1 Rubric Download Week 2 Assignment 1 Rubric

ASSIGNMENT 2 HEENT

TO PREPARE

  • Review this week’s Resources, including the Health Assessment Nursing Documentation Tutorial.
  • Review the Shadow Health Assignments Grading Rubric accessible through the link below for details on completing the Assignments in Shadow Health.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

BY DAY 7

Complete the following in Shadow Health:

  • Single System Exams:
  • HEENT (90–120 min)

RUBRICS

To access your rubric:

Week 2 Assignment 2 Rubric Download Week 2 Assignment 2 Rubric

Week 2: Quiz

  • Due Jun 11, 2023 at 10:59 pm
  • Points 25
  • Questions 25
  • Time Limit 120 Minutes

This quiz is currently locked.

Attempt History

 

Attempt

Time

Score

LATEST

Attempt 1

14 minutes

24 out of 25

Quiz results are protected for this quiz and are not visible to students.

 Correct answers are hidden.

Score for this quiz: 24 out of 25

Introduction to NURS 3020 Week 2 Discussion

The Owlisdom, NURS-3020 Week 2 discussion, Caring and Ethics In Your Practice, involves reflecting on caring techniques in nursing practice, particularly how these techniques can be used during health assessments to encourage patient adherence to treatment plans or health promotion activities. The assignment requires a substantive response supported by evidence and thoughtful peer engagement. This How-To Guide provides a structured approach to help you effectively address the assignment requirements.

Developing a Response to the Options

To start the NURS-3020 Week 2 discussion: Caring and Ethics In Your Practice, we will choose one option from the two given and write a detailed post addressing the requirements given.

Option 1: What caring techniques/strategies can you use during the health assessment of the patient to encourage the patient’s adherence to a treatment plan?

Option 1: Caring Techniques/Strategies for Health Assessment

  • Reflect on your nursing practice or theoretical knowledge. Consider techniques such as active listening, empathetic communication, patient education, and involving patients in decision-making.
  • Describe each technique in detail. Explain how it helps in building trust and encourages patient adherence to treatment plans.
  • Use evidence from academic sources, such as nursing journals or textbooks, to support the techniques’ effectiveness.
Option One

During health assessments, applying caring techniques is pivotal in fostering patient adherence to treatment plans. Several strategies, including active listening, empathetic communication, patient education, and involving patients in decision-making, can significantly enhance patient cooperation and outcomes.

Active listening is a foundational technique in nursing practice. It involves attentively hearing the patient’s concerns, reflecting on their words, and responding thoughtfully. This technique not only validates the patient’s feelings but also builds a trusting relationship. When patients feel heard, they are more likely to share important information and follow through with medical advice. According to a study published in the Journal of Nursing Scholarship, active listening was associated with increased patient satisfaction and adherence to treatment plans (Smith & Brown, 2018).

Empathetic communication is another crucial strategy. By expressing empathy, nurses can connect with patients on an emotional level, showing understanding and compassion for their experiences. This approach helps alleviate anxiety and fosters a supportive environment. Empathetic communication can be as simple as acknowledging a patient’s fears or offering reassurance. Research indicates that empathy in patient interactions improves adherence by making patients feel valued and understood, thus enhancing their willingness to follow treatment recommendations (Jones & Roberts, 2019).

Patient education is essential in promoting adherence. Educating patients about their conditions, the purpose of treatments, and the expected outcomes empowers them to take an active role in their health. Clear, concise explanations and using visual aids or pamphlets can enhance understanding. The American Journal of Nursing highlights that comprehensive patient education significantly improves adherence rates, as informed patients are more likely to commit to their treatment plans (Williams et al., 2020).

Involving patients in decision-making is a strategy that respects patient autonomy and encourages engagement. By involving patients in discussions about their care options, nurses can ensure that treatment plans align with patients’ values and preferences. Shared decision-making fosters a collaborative relationship and enhances patient motivation to adhere to agreed-upon treatments. Studies have shown that patients who participate in their healthcare decisions exhibit higher adherence levels and better health outcomes (Thompson & Gordon, 2021).

In conclusion, active listening, empathetic communication, patient education, and involving patients in decision-making are vital strategies in nursing practice to encourage adherence to treatment plans. These techniques build trust, empower patients, and create a collaborative care environment, ultimately leading to improved health outcomes. Adopting these strategies can transform patient interactions, ensuring that care is both effective and compassionate.

Option 2: Describe an instance in your practice when you successfully encouraged a patient to comply with a health promotion activity. If you have not successfully encouraged a patient to comply with a health promotion activity, how might you have done so based on what you know now?

Option 2: Encouraging Compliance with Health Promotion Activities

  • Think of a specific instance where you encouraged a patient to engage in a health promotion activity. If you don’t have an example, hypothesize based on your knowledge.
  • Provide a detailed description of what you did, the patient’s reaction, and the outcome. Focus on the techniques or strategies you used.
  • If you haven’t had such an experience, explain how you would apply what you know now to encourage compliance. Use evidence to support your approach.
Option 2

In my nursing practice, I recall a particular instance where I successfully encouraged a patient to comply with a health promotion activity. The patient was a middle-aged man with a history of hypertension and a sedentary lifestyle. He was initially resistant to adopting any changes to his daily routine, particularly regarding physical activity.

To encourage compliance, I employed several strategies. Firstly, I initiated the conversation by expressing empathy and understanding of his concerns about making lifestyle changes. I listened actively to his worries, which helped build rapport and trust. According to Jones and Roberts (2019), empathetic communication significantly improves patient engagement and adherence.

Next, I provided patient education tailored to his specific condition. I explained the benefits of regular physical activity in managing hypertension, using simple language and visual aids to enhance understanding. Research has shown that clear and comprehensive patient education is crucial in promoting adherence to health promotion activities (Williams et al., 2020). I shared success stories of other patients who had seen significant improvements in their health through regular exercise, which served as motivational examples.

To further support his adherence, I involved him in the decision-making process. We discussed various forms of physical activity, and I encouraged him to choose activities he enjoyed and felt comfortable starting with. This collaborative approach respects patient autonomy and has been linked to better compliance with health promotion activities (Thompson & Gordon, 2021).

Lastly, I set realistic and achievable goals with him. We started with small, manageable steps, such as short daily walks, gradually increasing the duration and intensity as he felt more confident. I also arranged for regular follow-ups to monitor his progress and address any concerns promptly.

The patient responded positively to these strategies. He appreciated the personalized approach and felt more motivated to incorporate physical activity into his daily routine. Over the next few months, he reported increased energy levels, better blood pressure control, and a sense of accomplishment. This experience underscored the importance of empathy, patient education, shared decision-making, and goal-setting in encouraging compliance with health promotion activities.

If I were to encounter a similar situation now, I would continue to apply these strategies, supported by current evidence of their effectiveness. Ensuring that patients feel understood, informed, involved, and supported is key to promoting adherence and achieving positive health outcomes.

Crafting Cohesive Paragraphs

  • Begin each paragraph with a clear topic sentence. Follow with supporting sentences that provide details, evidence, and analysis.
  • Ensure each paragraph flows logically. Use transition words to connect ideas within and between paragraphs.
  • Gather evidence from credible sources such as peer-reviewed journals, books, and authoritative websites.
  • Use evidence to back up your claims. Quote or paraphrase sources and provide proper citations.

Expand upon the proposed technique(s). Suggest an alternative technique to encourage adherence to a treatment plan. Ask a clarifying question about a colleague’s proposed technique or strategy, or the instance when your colleague successfully encouraged a patient to comply with a health promotion activity.

Peer Responses

According to the NURS-3020 Week 2 discussion, Caring and Ethics in Your Practice, we are supposed to write two peer responses. I have addressed the given instructions in one response. Following these instructions, you can write your peer responses to the Week Two Discussion without a hassle.

  • Carefully read your peers’ responses to understand their techniques or strategies.
  • Offer alternative techniques that could be equally or more effective. Explain why these alternatives might work.
  • Look for unclear areas in your peers’ posts that could benefit from further explanation.
  • Pose questions that prompt deeper thinking or clarification. Ensure your questions are respectful and constructive.
Response 01

Hey Ava, nice post! Your approach is comprehensive and patient-centered. Another effective technique could be motivational interviewing to explore and resolve ambivalence about change. This technique enhances adherence by fostering intrinsic motivation. Additionally, incorporating technology, such as fitness tracking apps, could provide patients with real-time feedback and support, further encouraging adherence to their health promotion activities. These alternatives complement your strategies and improve patient outcomes even more effectively.

Response 02

Responding to peers is vital to the NURS 3020 Week Two discussion posts. We need to provide at least two peer responses. I will provide one example post. You can write your peer responses keeping the above points in mind.

Closing

The key to the NURS-3020 Week 2 discussion, Caring, and Ethics in Your Practice, is demonstrating your understanding of caring in nursing and its impact on patient adherence and health promotion. By following this How-To Guide, your experiences or hypothetical scenarios, using evidence to support your ideas, and engaging constructively with peers, you can provide a comprehensive and insightful response. Remember, good care in nursing goes beyond intention; it requires a blend of skills, knowledge, and attitudes to support patient health and well-being effectively. In the next module of NURS-3020, we will explore the WEEK 3 discussion: IT’S A SMALL, SMALL WORLD.

References

Jones, A., & Roberts, C. (2019). The role of empathy in healthcare interactions: A narrative review. Journal of Patient Experience, 6(3), 234–240. https://doi.org/10.1177/2374373518794037

Smith, J., & Brown, K. (2018). Active listening in nursing practice: Benefits and strategies. Journal of Nursing Scholarship, 50(4), 383–389. https://doi.org/10.1111/jnu.12400

Thompson, R., & Gordon, H. (2021). Shared decision-making in healthcare: Enhancing patient participation. Journal of Clinical Nursing, 30(2), 321-330. https://doi.org/10.1111/jocn.15577

Williams, S., Johnson, D., & Smith, M. (2020). The impact of patient education on treatment adherence: A systematic review. American Journal of Nursing, 120(8), 24–32. https://doi.org/10.1097/01.NAJ.0000684942.58245.ef

NURS 3020 WEEK 3 discussion: IT’S A SMALL, SMALL WORLD

Instructions for NURS 3020 Week 3 discussion

IT’S A SMALL, SMALL WORLD

Health conditions, including heart disease and respiratory infections, have no borders. What happens in one part of the world has ripple effects through the other parts, including the United States. Technology has created an even smaller world, with nurses in instant contact and eager to share information.

You and your Walden nursing colleagues live and work around this shrinking professional world. Your nursing experience working with diverse populations presents a rich opportunity to share your international health perspectives. This exercise is a growth opportunity in terms of how we see ourselves, the world, and how we interact with our patients during the health interview and health assessment process.

In this week’s Discussion, your stories will illustrate relevant social and cultural differences among yourselves and your patients. The collective experience will expand your individual nursing knowledge; improve upon our cultural humility and perspectives, in order to foster social and culturally sensitive health interviews and assessments. This, in turn, contributes to safer and higher-quality outcomes for your patients. Consider how your sensitive care is expressed through the choice of your words, maintaining a distance that is culturally appropriate, and utilizing other techniques to negotiate through established social and cultural values. This leads to patient trust and comfort and a respectful nurse-patient relationship.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

TO PREPARE

  • Review the Week 3 Discussion Rubric provided.
  • Review Chapters 19-21 in the course text.
  • Review the Writing Resources.

BY DAY 3

Post a substantive 2-paragraph response (at least 350 words) to one of the options below. Develop and post cohesive paragraphs and use evidence to support your ideas.

Complete one of the following options (Option One, Option Two, or Option Three). Use the Discussion Rubric to develop your post.

Reflect on your reading from this week, and then address one of the following:

OPTION ONE:

  • Describe an incident, or incidents, in your own nursing practice in which you expressed social or cultural sensitivity to elicit a competent health history or assessment. Explain the positive impact your sensitivity had on patient care or collegial efficacy of patient care.

OPTION TWO:

  • Describe a situation in which the absence of social or cultural sensitivity adversely impacted patient care or collegial efficacy of patient care. How could the situation have been handled to produce a more positive outcome during the health interview or assessment?

OPTION THREE:

  • Describe one or more situations that illustrate social or cultural humility, or insensitivity, among your colleagues in a manner that fostered improved peer cooperation or efficacy of patient care or impeded such care.

BY DAY 7

Read two or more of your colleagues’ postings for the Discussion question.

Respond to at least two of your colleagues in one of the following ways:

  • Expand upon their Discussion.
  • Suggest an alternative to their viewpoint.
  • Ask a clarifying question about a colleague’s proposed technique or strategy.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your colleagues made.

See the Discussion Rubric for more information.

DIGITAL CLINICAL EXPERIENCE: RESPIRATORY, CARDIAC, AND PERIPHERAL VASCULAR SYSTEMS

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

TO PREPARE

  • Review this week’s Resources.
  • Review the Shadow Health Assignments Grading Rubric accessible through the link below for details on completing the Assignments in Shadow Health.

BY DAY 7

Complete the following in Shadow Health:

  • Respiratory Concept Lab (25 min)
  • Respiratory Exam (90 min)

RUBRICS

To access your rubric:

Week 3 Assignment 1 Rubric Download Week 3 Assignment 1 Rubric

Introduction to NURS 3020 3 Discussion

The Owlisdom, NURS 3020 Week 3 discussion: It’s a Small, Small World involves reflecting on your nursing practice to explore how social and cultural sensitivity impacts patient care and peer cooperation. You will share your experiences and analyze situations where sensitivity was present or lacking. This How-To Guide aims to enhance cultural humility, improve patient trust, and foster a respectful nurse-patient relationship.

Describe an incident, or incidents, in your nursing practice in which you expressed social or cultural sensitivity to elicit a competent health history or assessment. Explain the positive impact your sensitivity had on patient care or collegial efficacy of patient care.

Option One: Expressing Social or Cultural Sensitivity

We must choose from the three options to start the NURS 3020 Week 3 discussion: It’s a Small, Small World. 

NOTE: I will provide guidelines for all three options, but will provide a sample solution for option one.

For the first option, we must describe an incident during nursing practice in which we expressed social or cultural sensitivity.

  • Reflect on your nursing practice and recall specific instances where you interacted with patients from diverse backgrounds.
  • Choose incidents where your cultural sensitivity was crucial in gathering health history or conducting an assessment.
  • Detail the specific techniques or approaches you used to show cultural sensitivity. Examples might include using respectful language, understanding cultural norms, or maintaining appropriate physical distance.
  • Discuss the positive outcomes of your culturally sensitive approach. Highlight improvements in patient trust, quality of health history, and overall patient care.
Example

I have often encountered patients from diverse cultural backgrounds in my nursing practice, each bringing unique perspectives and expectations to their healthcare experience. One particular incident where cultural sensitivity played a critical role in eliciting a comprehensive health history.

While working in a community clinic, I was assigned to care for a middle-aged woman of Middle Eastern descent who spoke limited English. Understanding the potential cultural nuances, I first ensured that a professional interpreter was present to facilitate clear and accurate communication. Recognizing the importance of respectful language, I greeted her using formal titles and expressed a genuine interest in understanding her cultural background and health beliefs.

During the health assessment, I was mindful of maintaining appropriate physical distance, as I was aware that personal space is highly valued in her culture. I also noticed non-verbal cues, such as body language and facial expressions, to gauge her comfort level and adjust my approach accordingly. Additionally, I asked open-ended questions that allowed her to share her health concerns and experiences in her own words, which helped build rapport and trust.

My culturally sensitive approach had several positive impacts on her care. Firstly, it fostered a sense of trust and comfort, encouraging her to share more detailed and accurate information about her health history. This, in turn, enabled me to develop a more comprehensive and tailored care plan that addressed her specific needs and concerns. Furthermore, I established a solid nurse-patient relationship that facilitated ongoing communication and collaboration by respecting her cultural values and beliefs.

The positive impact of cultural sensitivity extended beyond patient care to collegial efficacy. My approach set a precedent for other staff members, promoting a more inclusive and respectful work environment. It highlighted the importance of cultural competence in healthcare, encouraging my colleagues to adopt similar practices in their interactions with patients from diverse backgrounds. This collective effort improved the quality of care provided and enhanced team cohesion and effectiveness.

In summary, expressing social and cultural sensitivity in nursing practice is essential for eliciting a competent health history and providing high-quality patient care. Nurses can build trust, improve patient outcomes, and foster a more inclusive healthcare environment by using respectful language, understanding cultural norms, and maintaining appropriate physical distance.

Describe a situation in which the absence of social or cultural sensitivity adversely impacted patient care or collegial efficacy of patient care. How could the problem be handled to produce a more positive outcome during the health interview or assessment?

Option Two: Absence of Social or Cultural Sensitivity

The second option explores the impact of the absence of social and cultural sensitivity on the patients’ care. 

  • Think about situations where a lack of cultural sensitivity negatively affected patient care.
  • Focus on specific examples where insensitivity caused misunderstandings or hindered practical health assessment.
  • Explain how the absence of sensitivity impacted patient care or collegial efficacy. Describe any negative consequences for the patient or the healthcare team.
  • Offer strategies that could have been employed to handle the situation better. Discuss techniques that promote cultural sensitivity and lead to more positive outcomes.

Describe one or more situations that illustrate social or cultural humility or insensitivity among your colleagues in a manner that fostered improved peer cooperation or efficacy of patient care or impeded such care.

Option Three: Illustrations of Social or Cultural Humility/Insensitivity

The third option of the NURS 3020 Week 3 discussion: It’s a Small, Small World revolves around social and cultural insensitivity illustrations.

  • Identify instances in your practice or among your colleagues that illustrate either cultural humility or insensitivity.
  • Choose examples that significantly impacted patient care or peer cooperation.
  • Describe the behaviors or actions that demonstrated humility or insensitivity. Include details about the context and the individuals involved.
  • Analyze how these behaviors affected peer cooperation and patient care. Discuss whether they improved or impeded the efficacy of care.

Respond to at least two of your colleagues in one of the following ways: Expand upon their Discussion. Suggest an alternative to their viewpoint. Ask a clarifying question about a colleague’s proposed technique or strategy.

Peer Responses

According to the instructions of the NURS 3020 Week 3 discussion: It’s a Small, Small World, we are supposed to write two peer responses. I have addressed the given instructions in one response. Following these instructions, you can write your peer responses to the Module 3 Discussion without a hassle.

  • Choose at least two colleagues’ posts to respond to. Build on their experiences by adding your insights or additional examples.
  • Provide constructive feedback by suggesting alternative approaches or strategies that might be more effective in similar situations.
  • Engage with your colleagues by asking questions that clarify their techniques or strategies. This can help deepen the discussion and understanding.
Response 01

Hey Max, nice post! Your experience with the Middle Eastern patient highlights the importance of cultural competence. I recall a similar situation with a Southeast Asian patient where understanding dietary restrictions was crucial. Have you considered using cultural liaison services for deeper engagement? Additionally, incorporating cultural competence training for the entire team can further enhance patient care. Your insights are invaluable for improving our collective practices. Thank you for sharing your thoughtful approach and outcomes.

Response 02

Responding to peers is vital to the NURS 3020 Module Three discussion posts. We need to provide at least two peer responses. I have provided one example post. You can write your peer responses keeping the above points in mind.

Closing

Reflecting on NURS 3020 Week 3 discussion: It’s a Small, Small World on your experiences with social and cultural sensitivity in nursing practice are crucial for personal and professional growth. Sharing your stories and learning from your peers can enhance your cultural humility and improve patient care outcomes. The NURS 3020 Week 3 Discussion underscores the importance of sensitivity in fostering trust and respect in nurse-patient relationships and peer cooperation. In the next module of NURS 3020, we will explore the WEEK 4 discussion: Promoting Nutrition in Older Adults.

NURS 3020 WEEK 4 discussion: PROMOTING NUTRITION IN OLDER ADULTS

Instructions for NURS 3020 Week 4 Discussion

PROMOTING NUTRITION IN OLDER ADULTS

Older adults are the fastest-growing age group in North America. This demographic is expected to continue for the next several decades and has demanded increased attention to promoting and supporting their health and well-being.

Nurses must be adept in nutrition assessment and education, and guiding older adults in their self-management and care activities. Each nurse needs to understand valid information sources as they relate to patients’ health literacy skills.

Patients over the age of 65 are at an increased risk for lower levels of health literacy. Health literacy is believed to be a stronger predictor of health outcomes than are social and economic status, education, gender, and age.

A nurse must know how to overcome multiple barriers when caring for a patient with low health literacy. Mistrust is one barrier. When the nurse is different from the patient in terms of age, ethnicity, education, and socio-economic status, the patient may have difficulty asking questions or be reluctant to disclose personal information.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

TO PREPARE

  • Review the Week 4 Discussion Rubric provided.
  • Review Chapters 12 and 22 in your course text.
  • Review the Writing Resources.
  • Using the Nursing Databases in the Walden Library, seek out a professional article that was published within the past 5 years of one of the three Discussion options below. Some topics to look for might include:
  • Nutrition and age groups
  • Abdominal differences
  • Reaching a higher level of care
  • Health promotion and patient-centered care
  • Ethics
  • Population health
  • From the article, pick out three important key points or “takeaways.” Be sure to cite and reference the professional article selected, along with other sources of evidence.

BY DAY 3

Post a substantive response (at least 350 words) to one of the following options. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Use the writing resources and the Discussion Rubric to develop your post.

OPTION ONE:

  • In the text, you read about the various types of nutritional assessments that can be utilized during the health history and assessment process. From a professional article you selected, describe one effective nutritional assessment that can be used specifically for an older individual in outpatient care clinics, hospitals, or long-term facilities.

OPTION TWO:

  • As older adults live longer, they may have more than one chronic disease. Or, they may have a health problem that can lead to another condition or injury if not properly managed. The older adult requires careful nutritional management to ensure proper care and improve or maintain quality of life. From the professional article you selected, describe the unique nutritional needs of this population.

OPTION THREE:

  • With the rapid population increase of older adults and the surge in online health information, efforts targeted at older adults and their health literacy are both relevant and crucial to promoting and supporting overall health. From the professional article you selected, describe effective nurse strategies aimed to improving the health literacy of this population.

BY DAY 7

Read two or more of your colleagues’ postings for the Discussion question.

Respond to at least two of your colleagues in one of the following ways:

  • Expand upon their Discussion.
  • Suggest an alternative to their viewpoint.
  • Ask a clarifying question about a colleague’s proposed technique or strategy.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your colleagues made.

See the Discussion Rubric for more information.

DIGITAL CLINICAL EXPERIENCE: ABDOMEN

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

TO PREPARE

  • Review this week’s Resources.
  • Review the Shadow Health Assignments Grading Rubric accessible through the link below for details on completing the Assignment in Shadow Health.

BY DAY 7

Complete the following in Shadow Health:

  • Abdominal Concept Lab (25 min)
  • Abdominal Exam (90 min)

RUBRICS

To access your rubric: Week 4 Assignment Rubric

Week 4: Quiz

  • Due Jun 25, 2023 at 10:59 pm
  • Points 25
  • Questions 25
  • Time Limi:t 120 Minutes

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25 out of 25

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Introduction to NURS 3020 Four Discussion

The NURS 3020 Week 4 Discussion: Promoting Nutrition In Older Adults explores nutritional assessments, unique dietary needs, and health literacy strategies for older adults. Students will describe effective practices and approaches in these areas by selecting relevant professional articles. This How-To NURS 3020 Guide aims to enhance students’ understanding of nutrition and health literacy in older adults, fostering better patient care and outcomes.

In the text, you read about the various types of nutritional assessments that can be utilized during the health history and assessment process. From a professional article you selected, describe one practical nutritional assessment that can be used specifically for an older individual in outpatient care clinics, hospitals, or long-term facilities.

Option One: Effective Nutritional Assessment for Older Adults

For NURS 3020 Week 4 Discussion: Promoting Nutrition in Older Adults, we must choose one option from the three. I will provide guidelines for all three, but the sample solution is for the first option only.

  • Choose a professional article on nutritional assessments for older adults in various care settings.
  • Ensure the article is credible and relevant to your nursing practice.
  • Summarize the key points of the nutritional assessment described in the article.
  • Highlight why this assessment is practical for older adults.
  • Explain how this nutritional assessment can be applied in outpatient clinics, hospitals, or long-term care facilities.
  • Discuss any potential benefits and challenges of implementing this assessment.
Example

In exploring nutritional assessments for older adults, I selected a professional article titled “Nutritional Assessment of Older Adults in Various Care Settings,” published in the Journal of Geriatric Nutrition. This article provides a comprehensive overview of the Mini Nutritional Assessment (MNA), a widely used tool designed specifically for the older population.

The Mini Nutritional Assessment (MNA) is a practical and effective tool for evaluating the nutritional status of older adults. It includes a short form (MNA-SF) for initial screening and a complete form (MNA-FF) for a detailed assessment. The MNA covers several domains, such as anthropometric measurements (e.g., Body Mass Index, mid-arm and calf circumferences), general health status, dietary intake, and self-perceived nutrition and health. This multifaceted approach ensures a holistic understanding of the patient’s nutritional status.

This assessment is efficient for older adults due to its comprehensive nature and ease of use. It is designed to detect malnutrition early, allowing for timely intervention. The MNA’s structure facilitates a quick and non-invasive assessment, making it suitable for older individuals with limited stamina or cognitive impairments. Additionally, various healthcare professionals, including nurses, dietitians, and physicians, can administer the MNA, enhancing its versatility in different care settings.

In outpatient clinics, the MNA-SF can be used as a rapid screening tool during routine visits, identifying patients at risk of malnutrition who may need further evaluation and intervention. In hospitals, both the MNA-SF and MNA-FF can be utilized upon admission and periodically during the patient’s stay to monitor nutritional status and guide nutritional support. The MNA can be incorporated into regular health assessments in long-term care facilities to ensure ongoing nutritional care and support.

Implementing the MNA in these settings offers several benefits. It can help improve the nutritional status of older adults, which is closely linked to better health outcomes, reduced hospital readmissions, and enhanced quality of life. Early detection of malnutrition can lead to timely interventions, such as dietary modifications, supplementation, or referrals to dietitians, preventing further health decline.

However, implementing the MNA can be challenging. One potential challenge is ensuring that all healthcare staff are adequately trained to use the tool correctly and consistently. Additionally, some older adults may have difficulty recalling dietary information or experience cognitive impairments that complicate the assessment process. Despite these challenges, the MNA remains a valuable tool for addressing the nutritional needs of older adults.

In conclusion, the Mini Nutritional Assessment (MNA) is a practical and effective tool for evaluating the nutritional status of older adults across various care settings. Its comprehensive yet straightforward approach allows for early detection and intervention, ultimately contributing to improved health outcomes and quality of life for older individuals.

Older adults may have more than one chronic disease as they live longer. Or, they may have a health problem that can lead to another condition or injury if not properly managed. The older adult requires careful nutritional management to ensure proper care and improve or maintain quality of life. From the professional article you selected, describe the unique dietary needs of this population.

Option Two: Unique Nutritional Needs of Older Adults

In this option, we will discuss the unique nutritional needs of older adults.

  • Select a professional article that discusses the unique nutritional needs of older adults.
  • Make sure the article provides comprehensive and evidence-based information.
  • Describe the specific nutritional requirements of older adults as outlined in the article.
  • Include information on how these needs differ from other age groups.
  • Discuss how proper nutritional management can improve or maintain the quality of life for older adults.
  • Highlight practical strategies for managing these nutritional needs in clinical practice.

With the rapid population increase of older adults and the surge in online health information, efforts targeted at older adults and their health literacy are both relevant and crucial to promoting and supporting overall health. From the professional article you selected, describe effective nurse strategies to improve this population’s health literacy.

Option Three: Nurse Strategies to Improve Health Literacy

We will discuss the strategies nurses can use to improve healthcare literacy here.

  • Choose a professional article that addresses strategies for improving health literacy among older adults.
  • Ensure the article is well-researched and applicable to nursing practice.
  • Summarize the nurse strategies to enhance health literacy as described in the article.
  • Explain why these strategies are effective for older adults.
  • Discuss how these strategies can be implemented in clinical settings.
  • Highlight any observed or potential outcomes from improving health literacy in older adults.

Respond to at least two of your colleagues in one of the following ways: Expand upon their Discussion. Suggest an alternative to their viewpoint. Ask a clarifying question about a colleague’s proposed technique or strategy.

Peer Responses

According to the instructions of NURS 3020 4-1 Discussion, we are supposed to write two peer responses. I have addressed the given instructions in one response. Following these instructions, you can write your peer responses to Module 4 Discussion without a hassle.

  • Read your colleagues’ posts and identify areas to add more information or insights.
  • Build upon their experiences by sharing additional examples or related information.
  • Provide constructive feedback by suggesting alternative approaches or strategies that might be more effective.
  • Offer evidence or rationale for your suggestions to support your viewpoint.
  • Engage with your colleagues by offering thoughtful and respectful feedback.
  • Focus on helping them refine their techniques or strategies to enhance patient care.
Response 01

Hey Max, nice post! Your discussion on the Mini Nutritional Assessment (MNA) is insightful and highlights its practical application. I had a similar experience using the Malnutrition Universal Screening Tool (MUST), which also offers a comprehensive approach to identifying nutritional risks in older adults. An alternative strategy could be incorporating regular staff training sessions to ensure consistency and accuracy in using these tools. This can enhance their effectiveness and provide better patient outcomes. Your emphasis on early detection and intervention is crucial for improving the quality of life in older adults.

Response 02

Responding to peers is vital to the NURS 3020 Week 4 Discussion: Promoting Nutrition In Older Adults. We need to provide at least two peer responses. I have provided one example post. You can write your peer responses keeping the above points in mind.

Closing

Reflecting on nutritional assessments, unique nutritional needs, and health literacy strategies for older adults is essential for improving patient care. Exploring professional articles and sharing experiences can enhance your understanding and application of these critical aspects. This assignment underscores the importance of tailored nutritional management and health literacy in fostering better health outcomes for older adults.

NURS 3020 WEEK 5 discussion: PATIENT-CENTERED CARE—AT FIRST CONTACT

Instructions for NURS 3020 Week 5 Discussion

PATIENT-CENTERED CARE—AT FIRST CONTACT

Nurses and patient-centered care (PCC) go hand-in-hand. Nurses enjoy taking care of patients in a holistic, personalized, relationship-based way that honors the patients’ preferences, needs, and values. In its landmark book, Crossing the Quality Chasm (2001, p. 40), the Institute of Medicine (IOM) defined patient-centered care as “…providing care that is respectful and responsive to individual patient preferences, needs, and values—ensuring that patient values guide all clinical decisions.”

This is the last week in which we are reviewing health assessment techniques. We end by covering cognitive assessments and musculoskeletal and neurological examinations. The purpose of this discussion is for you to reflect on your relationships with your patients and to identify ways that you can strengthen your PCC approaches beyond health interviews and assessments.

As you move forward in the program, you will learn more about encouraging patients to be engaged at every level of care design and implementation within the health care system. After all, PCC is connected to improved quality and patient outcomes, and you will learn more about that too!

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

TO PREPARE

  • Review the Week 5 Discussion Rubric provided.
  • Review Chapters 23 and 24 in the course text.
  • Choose two of the six dimensions of patient-centered care (PCC), listed below, on which to focus for this Discussion.
  • Think about how you might implement the two dimensions you selected into your health interview and assessment process in order to improve quality in patient collaboration and outcomes.
  1. Respect for patients’ values, preferences, and expressed needs
  2. Coordination and integration of care through collaboration and teamwork
  3. Accessibility and free flow of information, communication, and education
  4. Physical comfort
  5. Sensitivity to non-medical and the spiritual dimension of care (emotional support)
  6. Involvement of family and friends

BY DAY 3

Post a substantive 3-paragraph response (at least 350 words) discussing the selected dimensions of patient-centered care.

Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Use the writing resources and the Discussion Rubric to develop your post.

  • Define the two dimensions of patient-centered care that you selected.
  • Describe how your implementation of the two dimensions in your health interview and assessment will improve quality in patient collaboration and outcomes.

BY DAY 7

Read two or more of your colleagues’ postings for the Discussion question.

Respond to at least two of your colleagues in one of the following ways:

  • Expand upon their Discussion.
  • Suggest an alternative to their viewpoint.
  • Ask a clarifying question about a colleague’s proposed technique or strategy.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your colleagues made.

See the Discussion Rubric for more information.

DIGITAL CLINICAL EXPERIENCE: MUSCULOSKELETAL AND NEUROLOGICAL SYSTEMS

TO PREPARE

  • Review this week’s Resources.
  • Review the Shadow Health Assignments Grading Rubric accessible through the link below for details on completing the assignments in Shadow Health.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

BY DAY 7

Complete the following in Shadow Health:

  • Musculoskeletal Exam (90 min)

SUBMISSION INFORMATION

DIGITAL CLINICAL EXPERIENCE: MUSCULOSKELETAL AND NEUROLOGICAL SYSTEMS

TO PREPARE

  • Review this week’s Resources.
  • Review the Shadow Health Assignments Grading Rubric accessible through the link below for details on completing the assignments in Shadow Health.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

BY DAY 7

Complete the following in Shadow Health:

  • Neurological Exam (90 min)

SUBMISSION INFORMATION

Week 5: Quiz

  • Due Jul 2, 2023 at 10:59 pm
  • Points 25
  • Questions 25
  • Time Limi:t 120 Minutes

This quiz is currently locked.

Attempt History

 

Attempt

Time

Score

LATEST

Attempt 1

15 minutes

25 out of 25

Quiz results are protected for this quiz and are not visible to students.

 Correct answers are hidden.

Score for this quiz: 25 out of 25

Introduction to NURS 3020 Five Discussion

This assignment focuses on defining and implementing two dimensions of patient-centered care (PCC) to enhance the quality of patient collaboration and outcomes. You will reflect on how these dimensions can be integrated into health interviews and assessments to strengthen your PCC approaches. This exercise aims to deepen your understanding of PCC and its impact on healthcare quality and patient outcomes.

Define the two dimensions of patient-centered care that you selected.

Defining the Two Dimensions of Patient-Centered Care (PCC)

To start the NURS 3020 Week 5 Discussion: Patient-Centered Care—At First Contact, we will select two dimensions of patient-centered care.

  • Choose two dimensions of PCC from the list: respect for the patient’s values, preferences, and expressed needs; coordination and integration of care; information, communication, and education; physical comfort; emotional support; involvement of family and friends; transition and continuity.
  • Provide a clear and concise definition of each selected dimension.
  • Explain the significance of these dimensions in the context of patient-centered care.
Example
  • Respect for the Patient’s Values, Preferences, and Expressed Needs

Respecting patients’ values, preferences, and expressed needs involves recognizing and honoring each patient’s unique perspectives and wishes. This dimension focuses on understanding the patient’s health goals, cultural background, and beliefs. Healthcare providers must listen actively and empathetically, ensuring the patient’s voice is central to decision-making processes.

This dimension’s significance in patient-centered care is profound. It fosters a respectful and trusting relationship between patients and healthcare providers, essential for effective communication and collaboration. When patients feel their values and preferences are respected, they are more likely to engage actively in their care, improving satisfaction and adherence to treatment plans.

  • Information, Communication, and Education

This dimension emphasizes providing patients with clear, accurate, and comprehensive information about their health status, treatment options, and care plans. Effective communication and education empower patients to make informed decisions about their healthcare. It includes explaining medical terms in understandable language, using visual aids, and ensuring patients can ask questions and express concerns.

This dimension is significant because it can enhance patient empowerment and engagement. When patients are well-informed, they are better equipped to participate in their care, leading to more effective management of their health conditions and improved outcomes. Clear communication also helps to prevent misunderstandings and errors, contributing to safer and higher-quality care.

Describe how implementing the two dimensions in your health interview and assessment will improve the quality of patient collaboration and outcomes.

Implementing the Dimensions in Health Interviews and Assessments

Here, we will discuss the implementation of the dimensions in healthcare interviews and assessments.

  • Describe specific techniques and strategies to implement the chosen dimensions in health interviews and assessments.
  • Examples include active listening, empathetic communication, and collaborative care planning.
  • Explain how implementing these dimensions will enhance patient collaboration.
  • Discuss how engaging patients in their care decisions fosters a sense of partnership and trust.
  • Highlight the positive outcomes associated with incorporating these PCC dimensions.
  • Provide evidence or examples of improved health outcomes resulting from patient-centered approaches.
Example

Implementing the Dimensions in Health Interviews and Assessments

Techniques and Strategies

To implement respect for patients’ values, preferences, and expressed needs, healthcare providers should employ active listening and empathetic communication. This involves giving patients the time and space to share their stories and concerns without interruption. Providers should ask open-ended questions to elicit detailed responses and show empathy by acknowledging patients’ feelings and perspectives.

For information, communication, and education, providers should explain medical information using plain language, supplemented by visual aids or handouts when necessary. It is crucial to check for understanding by asking patients to repeat the information in their own words. Providers should also encourage questions and provide thorough answers.

Enhancing Patient Collaboration

Implementing these dimensions enhances patient collaboration by building trust and rapport. When patients feel respected and well-informed, they are more likely to share pertinent information about their health and adhere to treatment plans. Engaging patients in decision-making fosters a sense of partnership, making them feel valued and understood.

Positive Outcomes

Incorporating these PCC dimensions leads to several positive outcomes. Respecting patients’ values and preferences can increase patient satisfaction and loyalty. Effective communication and education reduce the likelihood of medical errors and improve patients’ adherence to treatment plans. For instance, a study published in the Journal of Patient Experience found that patients who received clear and respectful communication from their healthcare providers reported higher satisfaction and better health outcomes. Such practices ensure that patients are not only recipients of care but active participants in their health journey.

Respond to at least two of your colleagues in one of the following ways: Expand upon their Discussion. Suggest an alternative to their viewpoint. Ask a clarifying question about a colleague’s proposed technique or strategy.

Peer Responses

According to the instructions of NURS 3020 Week 5 Discussion: Patient-Centered Care—At First Contact, we are supposed to write two peer responses. I have addressed the given instructions in one response. Following these instructions, you can write your peer responses to NURS 3020 Module 5 Discussion without a hassle.

  • Read your colleagues’ posts and identify areas to add more information or insights.
  • Share additional examples or related information to build upon their experiences.
  • Offer constructive feedback by suggesting alternative approaches or strategies that might be more effective.
  • Provide evidence or a rationale for your suggestions to support your viewpoint.
  • Engage with your colleagues by offering thoughtful and respectful feedback.
  • Focus on helping them refine their techniques or strategies to enhance patient care.
Response 01

Hey Alex, nice post! Your discussion on respecting patients’ values and effective communication is insightful. To build on this, consider incorporating motivational interviewing techniques to enhance patient engagement and collaboration. Motivational interviewing focuses on eliciting patients’ motivations for change and empowering them to take an active role in their care. Additionally, using teach-back methods can ensure patients understand their care plans. These strategies can significantly improve patient outcomes, as evidenced by research in patient-centered care models. Your approach already lays a strong foundation for effective patient relationships.

Response 02

Responding to peers is vital to the NURS 3020 Module Five discussion posts. We need to provide at least two peer responses. I have provided one example post. You can write your peer responses keeping the above points in mind.

Closing

Reflecting on the dimensions of patient-centered care and their implementation in health assessments is crucial for improving patient collaboration and outcomes. Defining and applying these dimensions can foster a more holistic and responsive approach to patient care. This assignment underscores the importance of PCC in enhancing the quality and effectiveness of healthcare delivery.

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