NR 447 Week 2 Assignment: Direct Care Project Part 1: Assessment and Diagnosis (Graded)

DIRECT CARE PROJECT PART 1

ASSESSMENT AND DIAGNOSIS

Directions: Prior to completing this template, carefully review Week 2: Direct Care Part 1 directions and all rubric requirements.

Assessment of Certification, Patient Outcomes, and Leadership

1. State the clinical certification and target population that were approved by your instructor in the Week 2: Direct Care Part 1 Assessment and Diagnosis Check-In.

1. Clinical certification

Ambulatory care nursing certification

1. Target population including setting

Newly graduated Nurses

2. Discuss why this clinical certification was selected in relationship to the selected setting.

This clinical certification is accessible after initial RN licensure; it does not require any special skill or knowledge. Asides this, the certificate is a valid for five years and the expenses to acquire the certification are quite affordable.

3. Describe the criteria for selected clinical certification
   1. Process to obtain clinical certification

To obtain this clinical certification the nurse would have to apply for a computer based test. The nurse will be awarded the certificate if the exam is passed

3. Cost of application and testing

Application for this particular certification for a non member of the American Nurses Association costs $395 but a member will pay just $295 (a discount of $100).

3. Requirements prior to certification

Requirements include a current, active RN License in the state or territory of the United States of America or its legal equivalent from another country.  The candidate must have practiced the equivalent of 2 years full-time as a registered nurse and must also have a minimum of 2,000 hours of clinical practice in ambulatory care nursing within 3 years prior to application. Finally, the candidate must have completed 30 hours of continuing education in ambulatory care nursing within the last 3 years prior to application.

3. Examination description

The examination is a computer based test and lasts for about 3.5 hours during which candidate will have to answer 150 scored questions and 25 pretest questions which will not be scored. The candidate will be awarded the certificate once he/she passes the exam.

3. Renewal time and process

The certificate has to be renewed every 5 years to do this; an application will be submitted by a candidate prior to the expiry date of the current certificate.

3. Required items for renewal

For a license renewal, the candidate must have a 75 CH in the certification specialty, five semester credits or 6 quarter credits of academic courses in the certification, One completed EBP/QI project, publications, An Institutional review board (IRB) research project related to the specialty or any of its equivalents, 120 hours as a preceptor or any of its equivalents, two or more years of volunteer service during period of certification with an international, national, state or local health care related organization, completed practicing hours within the five years preceding the date on renewal application letter and passing the assessment (exam or portfolio) if available.

4. Provide APA reference for one peer-reviewed scholarly professional nursing journal article connecting patient outcomes, clinical certification, and leadership skills. See reference criteria under directions and include Permalink.

Rondinelli, J., Omery, A., Crawford, C., & Johnson, J. (2014). Self-reported activities and outcomes of ambulatory care staff registered nurses: An exploration. Retrieved January 29, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3951040/

5. Summary of article (one to two paragraphs)

This article explain what the ambulatory setting is and it also explains that this is a setting where most of the US community receive care in. In this article a study was done to understand the ambulatory nursing practice and also to get an insight of the current health practices. In this manner they could learn new ways to incorporate the ambulatory nursing practice in the new health sector.

It was found that there is a correlation between the ambulatory care nursing certification and the patient outcome. The results showed that patient outcomes that were mostly affected by the type of nursing care a patient received were patient satisfaction, receiving the correct level of medical treatment and many more.

6. How could patient outcomes in the selected setting be improved by certified Nurses?

The certified nurses need to teach and guide new nurses who are still seeking certification. They need to be role models in the new nurses and show them that to satisfy a patient is more important. They need to lead them by doing good practices. The certified nurses need to understand that it is their role to make a good repetition for the nursing community, So their behavior need to be on point. Good communication is also a factor they need to make sure that it is maintained.

The certified Nurses would apply the knowledge they have obtained while working on the ward and studying for the certification exam to patient care. This will be more effective than the efforts of a general practitioner.

7. How can clinical certification impact leadership skills in the selected setting?

. Having good leadership skills can also be dependent on clinical certification and it also depends on the setting. The certified nurses in the ambulatory settings need to take charge and guide new nurses. The need to provide them with the information that is evidence based to show them they know what they are talking about. Being their role models can also help with leading them to the right direction. The clinical certification impact leadership skills in ambulatory setting because it can only be the certified nurses who can work with the management to explore new procedures and to gain new information easily and quickly.

Problem Diagnosis Statement

Write a diagnosis based on the problem of knowledge deficit of certifications. Fill in the blanks below.

Example: Knowledge deficit r/t CNOR certification among operating room nurses (target population and setting) as manifested by wrong site surgeries (patient outcomes)

Knowledge deficit r/t ACNC certification among  Newly graduated nurses target working in ambulatory care units as manifested by ambulatory sustained injuries.

Purpose

The purpose of this direct care project is for learners to apply the nursing process to assess if the nursing care provided by professionally certified nurses will result in improved patient outcomes. This is Part 1 of 4 in the Direct Care Project.

Direct Care Project Overview

1. There are four parts to the Direct Care Project.
2. There will be graded Project Check-ins that correlate to each part.
3. Review the table below for overview and due dates with each topic.
4. Carefully review the instructions, tutorials, templates, and rubrics for each of the four parts as you begin this Course Project.
5. Contact your instructor with questions.

Overview	Points	Due Date	Project
Part 1: Assessment: Check-In	10	Wednesday of Week 2	Required, graded check-in on progress of assessing your choice of nursing certification.
Part 1: Assessment and Diagnosis	200	Sunday end of Week 2	Assess the link between quality improvement of patient outcomes, clinical nursing certification, and leadership development.
Part 2: Planning: Check-In	10	Wednesday of Week 4	Required, graded check-in on progress of planning and creating the presentation.
Part 2: Planning the Presentation	160	Sunday end of Week 4	Create a presentation for your targeted population about the specific clinical certification including how it could impact patient outcomes and leadership.
Part 3: Implementing the Presentation	Required	Schedule presentation Saturday of Week 5 through Saturday Week 6	Presentation of PowerPoint to identified targeted population. Includes pre-survey, post-survey, and attendance form.
Part 3: Implementation: Check-In	10	Wednesday of Week 5	Required, graded check-in on progress of implementing your presentation.
Part 4: Evaluation: Check-In	10	Wednesday of Week 6	Required, graded check-in on progress of evaluation of your presentation and project.
Part 4: Evaluating the Project	200	Sunday end of Week 6	Evaluate learning and reflect on project.

Course Outcomes

This direct care project enables the student to meet the following course outcomes: 

• CO 1: Apply leadership concepts, skills, and decision making in the provision of quality nursing care. (PO 2)
• CO 2: Apply the nursing process to quality improvement of patient-centered care outcomes. (POs 4, 7)

Part 1 enables the student to meet the following course outcomes:

• CO 1: Apply leadership concepts, skills, and decision making in the provision of quality nursing care. (PO 2)
• CO 2: Apply the nursing process to quality improvement of patient-centered care outcomes. (POs 4, 7)

Due Date for Part 1

Sunday 11:59 p.m. MT end of Week 2

Points Possible for Part 1

200  Points 

Late Assignment Policy

If the assignment is not submitted by due date, a late deduction will be applied. See rubric below.

Directions for Part 1

1. Review the Direct Care Project Overview above.
2. View the Direct Care Project Part 1 Tutorial (Click here to view)Links to an external site..
3. Download the Direct Care Part 1: Assessment and Diagnosis template under Templates below.
4. Please address the following areas on the provided template:
   1. State the clinical certification and target population including setting that were approved by your instructor in the Week 2: Direct Care Part 1: Assessment and Diagnosis Check-In.
   2. Thorough discussion of why this certification was selected in relationship to the selected setting
   3. Describe the criteria for selected clinical certification
      1. Process to obtain clinical certification
      2. Cost of application and testing
      3. Requirements prior to certification
      4. Examination description
      5. Renewal time and process
      6. Required items for renewal
   4. Provide APA reference for one peer-reviewed scholarly professional nursing journal article connecting patient outcomes, certification, and leadership skills.
      1. From Chamberlain Library
         1. CINAHL or ProQuest
         2. Note: Do not use CINAHL Guides or Evidence-Based Care Sheets
      2. Full Text only
      3. No more than 5 years old
      4. In English
      5. Peer-reviewed
      6. Include the permalink
         1. For more information on finding Permalinks in the Chamberlain Library, see Learn the Library and Finding PermalinksLinks to an external site.
      7. Reference must be use APA format including author(s), year, article title, journal name, volume number, issue number, page numbers, italics, parentheses, punctuation, double line spacing, and hanging indent. Include DOI if available.
   5. Summarize findings of article
      1. Summarize the key points of the selected peer-reviewed scholarly professional nursing journal article in one or two paragraphs.
      2. Be clear and concise.
   6. Discuss how patient outcomes in the selected setting could be improved by certified nurses.
   7. Discuss how certification can impact leadership skills in the selected setting.
5. Identify a problem (diagnosis) based on your assessment
   1. Important: The problem you identify will be utilized in Parts 2, 3, and 4 of the Direct Care Project.
6. Write the problem diagnosis (See template)
7. Submit template through the Submit Assignment button on this page.

Templates

Direct Care Part 1: Assessment and Diagnosis Template (Download here)Links to an external site.

Best Practices

• Please use your browser’s File setting to save or print this page.
• Use the template provided. If the template is not used, a deduction will be applied. See rubric below.
• Spell check for spelling and grammar errors prior to final submission. 
• Use the rubric as a final check prior to submission to ensure all content is clearly addressed. 

Scholarly Sources and Citations

• One reference needed
• Cite reference in APA format

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Rubric

NR447 – Direct Care Project Part 1 Assessment and Diagnosis

Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeApproved Items from Part 1 Check-inStudent states approved: • Clinical certification • Target population • Setting	10 ptsExceptionalProvides all three approved items Student states approved: • Clinical certification • Target population • Setting9 ptsExceedsProvides all three items but one or more are not approved8 ptsMeetsMissing one criterion4 ptsNeeds ImprovementMissing two criteria0 ptsDevelopingProvides no criteria	10 pts
This criterion is linked to a Learning OutcomeDiscussion of Certification SelectionStudent thoroughly discusses why this clinical certification was selected in relationship to the selected setting	20 ptsExceptionalStudent thoroughly discusses why this clinical certification was selected in relationship to the selected setting18 ptsExceedsStudent discusses why this clinical certification was selected in relationship to the selected setting but lacks details16 ptsMeetsStudent discusses why this clinical certification was selected but does not address relationship to setting8 ptsNeeds ImprovementStudent minimally discusses why this clinical certification was selected in relationship to the selected setting0 ptsDevelopingStudent does not discuss why this clinical certification was selected in relationship to the selected setting	20 pts
This criterion is linked to a Learning OutcomeDescription of Certification CriteriaStudent describes: • Process to obtain clinical certification • Cost of application and testing • Requirements prior to certification • Examination description • Renewal time and process • Required items for renewal	40 ptsExceptionalDescribes all six certification information criteria: • Process to obtain clinical certification • Cost of application and testing • Requirements prior to certification • Examination description • Renewal time and process • Required items for renewal36 ptsExceedsMissing 1 criterion32 ptsMeetsMissing 2-3 criteria16 ptsNeeds ImprovementMissing 4-5 criteria0 ptsDevelopingProvides no criteria	40 pts
This criterion is linked to a Learning OutcomeArticle Selection• One scholarly peer-reviewed article • No more than 5 years old • About link between patient outcomes, certification, and leadership • English • Full text	20 ptsExceptionalDescribes all five criteria: • One scholarly peer-reviewed article • No more than 5 years old • About link between patient outcomes, certification, and leadership • English • Full text18 ptsExceedsMissing 1 criterion16 ptsMeetsMissing 2 criteria8 ptsNeeds ImprovementMissing 3-4 criteria0 ptsDevelopingProvides no criteria	20 pts
This criterion is linked to a Learning OutcomeAPA ReferenceStudent places reference in correct APA format including: author(s), year, article title, journal name, volume number, issue number, page numbers, italics, parentheses, punctuation, double line spacing, and hanging indent. Include DOI if available. Minimal or no errors (0–1 error). Permalink is provided.	20 ptsExceptionalReference is in correct APA format including: author(s), year, article title, journal name, volume number, issue number, page numbers, italics, parentheses, punctuation, double line spacing, and hanging indent. Include DOI if available. Minimal or no errors (0–1 error). Permalink is provided.18 ptsExceedsReference uses APA format including the items at left with 2–3 errors. Permalink is provided.16 ptsMeetsReference uses APA format including the items at left with 4-5 errors. Permalink is provided.8 ptsNeeds ImprovementReference uses APA format including the items at left with more than 5 errors OR Permalink is not provided.0 ptsDevelopingNo reference and permalink provided	20 pts
This criterion is linked to a Learning OutcomeArticle SummaryStudent summarizes the key points of the selected article in one or two paragraphs. Summary is clear and concise.	40 ptsExceptionalStudent summarizes the key points of the selected article in one or two paragraphs. Summary is clear and concise.36 ptsExceedsStudent summarizes the key points of the selected article in one or two paragraphs. Summary is lacking clarity OR is not concise.32 ptsMeetsStudent summarizes the key points of the selected article in one or two paragraphs. Summary is lacking clarity AND is not concise.16 ptsNeeds ImprovementStudent minimally summarizes the key points of the selected article.0 ptsDevelopingNo summary provided	40 pts
This criterion is linked to a Learning OutcomePatient OutcomesStudent thoroughly discusses how patient outcomes in the selected setting could be improved by certified nurses	20 ptsExceptionalStudent thoroughly discusses how patient outcomes in the selected setting could be improved by certified nurses18 ptsExceedsStudent discusses how patient outcomes in the selected setting could be improved by certified nurses but lacks details16 ptsMeetsStudent discusses how patient outcomes could be improved by certified nurses but does not address selected setting8 ptsNeeds ImprovementStudent minimally discusses how patient outcomes could be improved by certified nurses.0 ptsDevelopingPatient outcomes not discussed.	20 pts
This criterion is linked to a Learning OutcomeLeadership SkillsStudent thoroughly discusses how clinical certification could impact leadership skills in the selected setting	20 ptsExceptionalStudent thoroughly discusses how clinical certification could impact leadership skills in the selected setting18 ptsExceedsStudent discusses how clinical certification could impact leadership skills in the selected setting but lacks details16 ptsMeetsStudent discusses how clinical certification could impact leadership skills but does not address selected setting8 ptsNeeds ImprovementStudent minimally discusses how clinical certification could impact leadership skills0 ptsDevelopingLeadership skills not discussed	20 pts
This criterion is linked to a Learning OutcomeProblem Diagnosis StatementStudent completes the statement including certification, target population, setting, and patient outcomes	10 ptsExceptionalStudent completes the statement including certification, target population, setting, and patient outcomes9 ptsExceedsMissing one criterion8 ptsMeetsMissing two criteria4 ptsNeeds ImprovementMissing three criteria0 ptsDevelopingProvides no diagnosis statement	10 pts
This criterion is linked to a Learning OutcomeTemplate Use	0 ptsNo points deductedCorrect Template Used0 ptsPoints deducted – 20 Points Deducted (10% deduction)20 points deducted (10%) for incorrect or no template used.	0 pts
This criterion is linked to a Learning OutcomeLate Deduction	0 ptsNo points deductedSubmitted on time0 ptsNot Submitted on Time – Points Deducted (5% per day)1 day late = 10 Deduction;   2 day late = 20 Deduction;   3 day late = 30 Deduction;   4 day late = 40 Deduction;  5 day late = 50 Deduction;   6 day late = 60 Deduction;   7 day late = 70 Deduction;   Score of 0 if more than 7 days late	0 pts
Total Points: 200