NURS FPX 4065 Assessment 4 Sample FREE DOWNLOAD
NURS FPX 4065 Assessment 4
Care Coordination Presentation to Colleagues
Student name
Capella University
NURS-FPX4065
Professor Name
Submission date
Care Coordination Presentation to Colleagues
Hello, my name is ……. The significance of coordinating care as a central aspect of modern nursing practice and its role in patient health will be addressed in this presentation. Care coordination is meant to ensure that patients receive the right, timely, effective, and patient-centred care irrespective of the place (Tamli & Sain, 2023). In this presentation, I will summarize the primary strategies for approaching the patient and their family, evaluate the impact of change on patient care provision, and explain the ethical model for successful coordinated patient care plans. I will also discuss how healthcare policies impact patient care and experiences, highlighting key aspects of communication, cultural awareness, and ethical dilemmas to ensure effective, integrated, and continuous care.
Strategies for Collaborating with Patients and Their Families
Cultural care sensibility towards the patient and the family is important to enable them to be part of the care process, education, and decision making. One such strategy is to create and offer educational content focused on the particular drugs a patient is taking, addressing their literacy level, language, and cultural background. This will involve teaching patients how to use the medicines, including their uses, side effects, and instructions on whether to take them strictly or skip doses. The teach-back strategy is also successfully applied to education, where the patient attempts to repeat the information learnt in their own words, which helps to raise the degree of understanding and compliance by the patient (Acar, 2023). The traditional systematic education, which applied visual tools and reinforcement, had a favorable influence on medication adherence in chronic diseases.
Another important element is the culturally competent care models, which allow a healthcare professional to practice care that is acceptable to both the cultural norms of the patient and health beliefs. They honour the cultures of their patients’ families by listening to their issues and engaging them in decision-making. The Campinha-Bacote Model of Cultural Competence has also had the added advantage of the intrinsic elements of awareness, knowledge, skill, encounters, and attitude (Gradellini et al., 2021). Also, shared decision-making (SDM) involves patients and families in the decision-making process. It has been reported that SDM improves the autonomy, satisfaction, adherence, and outcome levels of chronic diseases (Vazquez et al., 2020). These powerful strategies promote the enhanced coordination of the patients.
Aspects of Change Management
The change management is depicted in the development of the patient experience, the provision of quality and patient-centered care. The patient experience revolves around communication, and the practice of change management to enhance communication among the healthcare professionals results in more efficient and transparent relations between them. A structured communication tool like Situation-Background-Assessment-Recommendation (SBAR) facilitates timely and accurate communication, minimizing the chances of misunderstanding and patient anxiety, and ensuring patients are confident that they have fully understood their situation and the course of treatment (Suraya et al., 2024). This boosts the trust in the health care team, which improves the patient experience.
Change management can also make a powerful impact on the patient experience when it comes to care transitions. The loss or errors in information are minimized by proper transition management, including ensuring a seamless handover procedure when patients are discharged to outpatient care or home care (Oksholm et al., 2023). The smooth transition has a direct impact on patient satisfaction and safety results, leading to a reduction in complications and confusion. With appropriate transition coordination, readmission is reduced, and therefore, the perception of the patient concerning the quality of care is enhanced.
Patient participation is a practice that is strongly affected by the change management practice that facilitates shared decision making. Engaging the patient actively in the decision-making process concerning his care not only enhances his satisfaction but also increases compliance with the treatment plan, which is the most critical aspect in the provision of the desired results in healthcare (Vazquez et al., 2020). Partnership-based patient empowerment and education align care with patient values, leading to a more patient-centered, personalized experience. Involvement of patients leads to improved health and patient satisfaction with care.
Rationale for Coordinated Care Plans
Patient-centered care that is ethically-based needs integrated care plans. Ethically, they enhance beneficence through the provision of holistic, adequate, and appropriate care that leads to improved health outcomes. Collaboration of the healthcare providers (i.e., doctors, nurses, and specialists), patients, to access the entirety of healthcare, to reduce the likelihood of broken care, medication errors, and improper treatment (Tamli & Sain, 2023). The principle of non-maleficence is maintained through the lessening of medical mistakes and service redundancy. Respecting the autonomy of a patient is also found in organized care because it engages patients in decision-making to make informed decisions based on their values and preferences (Vazquez et al., 2020). This enhances adherence and compliance to care plans. Moreover, the principle of justice ensures fairness by eliminating health inequity, providing fair access, and ensuring representation to protect vulnerable populations, including individuals with long-term illnesses or those with limited resources for medical treatment.
Implications and Consequences
The consequences of applying ethical frameworks in coordinated care plans are immense. By emphasizing these ethical values, healthcare professionals build trust, raise patient satisfaction, and guarantee the improvement of care quality levels. The long-term impact of moral decision-making is the absence of unnecessary complications that result in reduced readmission to the hospital and health fairness in general (Vazquez et al., 2020). The outcomes of ethical coordination include improved patient outcomes, increased patient adherence to treatment regimens, and healthier health care relationships.
Assumptions
There are, however, assumptions behind the coordinated care that inform decision making. The first point is that a collaborative and communicative orientation is reflected in all healthcare providers involved, although this cannot always be ensured. The other is that patients may be capable of understanding the intensive care options, followed by additional educational support and support for patients with low health literacy (Acar, 2023). Moreover, an ethical plan presupposes that the resources are sufficiently available to implement coordination plans successfully, and that cannot be true in underserved or rural areas.
Impact of Specific Health Care Policy Provisions
Healthcare policy provisions have a direct influence on the unfolding of events for patients, as they establish standards for care provision, access to services, and address patient concerns. Direct impacts of policy provisions are enhanced access to care, quality of the services, as well as patient-centered care. As an example, Medicaid expansion can be used to improve access to healthcare for poor individuals, particularly when implemented in the states. As shown by Tummalapalli and Keyhani (2020), Medicaid expansion lowered uninsured health rates, granted access to preventive care, and improved health outcomes, thus reducing mortality rates. The provision of such a policy enhances the experiences of patients in the healthcare setting by helping them access it more conveniently and removing financial constraints to accessing healthcare.
Value-based care models pay providers based on the outcome of a treatment, rather than the number of treatments, similar to hospital payment models. This provision makes it easier to involve patients, provide preventive care, and coordinate care, the elements that contribute to improving the overall patient experience. Value-based care has reduced hospital readmissions, improved chronic disease management, and enhanced patient satisfaction (Beauvais et al., 2022). The Affordable Care Act (ACA) has implemented measures to expand health insurance coverage and patient protection, making the system simpler, fairer, and more rewarding for patients. Such policy changes foster the accessibility of care provided at the highest standards, irrespective of any background, leading to a better patient outcome (Entress and Anderson, 2020). The implications of the provisions are very broad because their implementation will result in a narrowing of health disparities, increased equity in care accessibility, and an emphasis on quality over quantity, whereby the needs of patients are addressed better and more efficiently.
The Nurse’s Vital Role in the Coordination and Continuum of Care
The continuity and integration of care have established the role of the nurses in the provision of high-quality and patient-centered care. As the initial contact of every patient, nurses are involved in the system, assisting in communication between the patient and the healthcare team and even family members (Suraya et al., 2024). This is also an opportunity that allows nurses to provide comprehensive care that can be sustained even in other locations where hospitals, outpatient clinics, and home care are included. Nurses ensure that the medical, emotional, and social needs of a patient are not overlooked by understanding the needs of patients and collaborating with multidisciplinary teams on the coordination of care.
Nurses apply ethical principles like beneficence, justice, and autonomy to guarantee care that is aligned with the preferences and culture of patients. Nurses also identify and refer such patients to the community resources, social services, and psychosocial support services that will support holistic care (Karam et al., 2021). The number of resources available to the population of nurses and the population served depends on healthcare coverage, the Affordable Care Act, and the expansion of Medicaid. To provide equally effective care provision, nurses must be informed of changes in policies. In my case, the presentation is based on the necessity of collaboration, communication, and policy awareness in the organization of care to guarantee patients receive seamless, ethical, and high-quality care.
Conclusion
The nurse’s ability to provide effective care coordination hinges on their ability to integrate these skills into daily practice, encompassing ethical decision-making, cultural competence, patient commitment, and policy awareness. Nurses are a critical component to successful patient health outcomes and positive patient experiences, as well as patient continuity of care when encouraging collaboration with patients, families, and the interdisciplinary team. The role of the nurse in assisting patients through the process of change, advocating for equitable policy, and introducing patients to essential resources that support high-quality, patient-centred care along the continuum is necessary as healthcare evolves and matures.
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Instructions To Write NURS FPX 4065 Assessment 4
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Instruction file for 4065 Assessment 4
Assessment 4
Care Coordination Presentation
Develop a 10-minute video presentation for nursing colleagues at your practicum site highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation.
Introduction
This assessment provides an opportunity for you to educate your peers on the care coordination process. The assessment also requires you to address change management issues.
Professional Context
Nurses have a powerful role in the coordination and continuum of care. All nurses must be cognizant of the care coordination process and how safety, ethics, policy, physiological, and cultural needs affect care and patient outcomes. As a nurse, care coordination is something that should always be considered. Nurses must be aware of factors that impact care coordination and of a continuum of care that utilizes community resources effectively and is part of an ethical framework that represents the professionalism of nurses. Understanding policy elements helps nurses coordinate care effectively. This assessment provides an opportunity for you to educate your peers on the care coordination process.
Please watch the following brief video message for an overview of what to keep in mind as you complete your Care Coordination Presentation.
Care Coordination Presentation.
Scenario
Your preceptor has been observing your effectiveness as a care coordinator and recognizes the importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a presentation for your colleagues on care coordination basics. By providing them with basic information about the care coordination process, you will assist them in taking on an expanded role in helping to manage the care coordination process and improve patient outcomes in your community care center.
Preparation
Check that your recording equipment and software are working properly and that you know how to record and upload your presentation. You may use Kaltura (recommended) or similar software for your audio recording. A reference page is required. However, no PowerPoint presentation is required for this assessment.
If using Kaltura, refer to the Using Kaltura Campus resources for directions on recording and uploading your video in the courseroom.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@capella.edu to request accommodations.
Instructions
Create a presentation focusing on the fundamental principles of care coordination. The intended audience is nursing colleagues at your practicum site (though you do not actually need to present to them if you choose not to). In your presentation, include:
A narrative script.
A video of you presenting the script.
Your presentation should include the following:
Effective strategies for collaborating with patients and families: Outline strategies for collaborating with patients and their families to achieve desired health outcomes.
Consider drug-specific educational interventions and cultural competence strategies.
Provide evidence to support the selected strategies. This could include research studies, best practices, or relevant literature.
Aspects of change management and patient experience: Explain how aspects of change management directly impact elements of the patient experience.
Explain how these aspects contribute to high-quality, patient-centered care.
Consider factors such as communication, transitions of care, and patient engagement.
Rationale for coordinated care plans: Explain the rationale behind coordinated care plans.
Base your explanation on ethical decision making.
Discuss the reasonable implications and consequences of an ethical approach to care.
Consider any underlying assumptions that may influence decision making.
Impact of healthcare policy provisions: Explain how specific healthcare policy provisions may impact outcomes and patient experiences.
Discuss the logical implications and consequences of these provisions.
Provide evidence to support your conclusions. This could include policy documents, research, or case studies.
Nurse’s role in coordination and continuum of care: Raise awareness of the nurse’s vital role in care coordination and the continuum of care.
Highlight how nurses contribute to high-quality, patient-centered care.
Fine-tune your presentation to suit your audience (practicum colleagues).
Stay focused on key issues related to resources, ethics, and policy in care provision.
APA formatting and references.
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation.
Include your source citations on a references page appended to your narrative script.
Presentation Format and Length
Narrative script: Write and submit a detailed narrative script in APA formatting for your video presentation, 3–5 pages in length. Include a properly formatted APA reference list at the end of the script. This script will be submitted to Turnitin.
Video presentation: The video-based presentation of you presenting your script (as if you were presenting to an audience) should be no more than 10 minutes in length. You can record your presentation using Kaltura (recommended) or similar software.
You are not required to deliver the presentation live to an actual audience, but you may choose to do so.
No PowerPoint presentation required: You do not need to create a separate PowerPoint presentation for this assessment.
Remember to organize your content logically, engage your audience, and provide valuable insights into care coordination principles.
Support your points with evidence from scholarly sources. Properly cite these sources using APA formatting.
Good luck with your video presentation!
Practicum Hours Submission
Use Capella Academic Portal to submit your practicum hours.
You must complete another 10 practicum hours, for a total of 30 hours, approved by your preceptor. Submit practicum hour documentation to Capella Academic Portal.
Failure to complete the required practicum hours will result in a non-performance for this assessment.
Please review the BSN Practicum Campus page for more information and instructions on how to log your hours.
Nursing Reflection Journal: Four Spheres of Care
Reflective Journaling
Reflective journaling serves as a powerful tool for self-reflection during your academic journey. Reflective journaling enables you to assess your performance and to develop the regular practice of self-reflection. During your practicum, you’ll complete four reflective journal entries, each aligned with one of the four spheres of care.
For your first entry, you can choose any of the four spheres, but you will need to complete all four by the end of the course. Remember that you’ll need to submit your completed nursing reflection as part of the final assessment for the course.
Instructions
Complete your first entry in 100–400 words in the Nursing Reflection Journal: Four Spheres of Care activity. You do not need to include scholarly resources or a reference list. Your reflections should be your own original thoughts. Please do not include patient or clinic identifying information.
As you complete your practicum hours (total of 40 hours required), it is good practice to complete a reflection journal entry every 10 hours. Take a moment to review the four spheres of care and the assigned readings for each assessment. This can help you focus your practicum time on specifics of learning and experiencing the courseroom content.
AACN Definition of the Four Spheres of Care
Wellness and disease prevention: This sphere emphasizes health promotion, as well as the treatment of minor uncomplicated diseases or injuries for those not experiencing chronic illness or life-limiting conditions. Prenatal care, screenings, immunizations, and health promotion are some examples of care in this sphere (AACN, 2021). Nursing knowledge and competency in disease prevention and addressing social determinants of health are vital to promoting wellness across populations.
Chronic disease management: This sphere encompasses caring for those with one or more chronic diseases and preventing adverse outcomes associated with them. Specialized nursing care is often needed for this population due to the complex needs, along with integrated interprofessional team-based care. Four in 10 Americans have two or more chronic diseases, and those diagnosed with multiple comorbidities are projected to increase.
Regenerative and restorative care: This sphere includes critical and trauma care, complex acute care, acute exacerbations of chronic disease, and care of unstable patients who are typically in acute care hospital settings (AACN, 2021). This sphere includes the acute management of illness, such as a stroke or mental health crisis, and progression through the rehabilitative phase. Nursing skills and management of these populations are resource-intensive and specialized.
Hospice and palliative care: The final sphere relates to competencies surrounding palliative care in advanced illness and hospice care at the end of life. All registered nurses provide generalist palliative care in compassionate and patient-centered care while managing pain and other symptoms associated with advanced, progressive illness. The End-of-Life Nursing Education Consortium has mapped its Competencies and Recommendations for Educating Nursing Students competencies to the new AACN Essentials to assist educators in this endeavor.
Reflection Questions
By the end of your practicum, make sure that you have answered each of these questions.
Wellness and disease prevention: Reflect on the health promotion disease prevention interventions you witnessed in your practicum site, as it relates to the social determinants of health most prevalent in your community. What did you see? What does this time mean to you as a professional nurse in your role?
Chronic disease management: Reflect on the integration of interprofessional team-based care as it relates to chronic disease management in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role?
Regenerative and restorative care: Reflect on the acute management of illnesses such as stroke, mental illness, and falls in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role?
Hospice and palliative care: Reflect on end-of-life nursing and advanced illness and hospice care in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role?
Reference
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education.
https://www.aacmursing.org/Portals/0/PDFs/Essentials/Essentials-Executive-Summary.pdf
Completion Checklist
Before you submit your assessment, take a moment to complete the following checklist to ensure your work is ready for submission:
Nursing Reflection Journal: Four Spheres of Care
Completion Checklist.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Create a patient centered strategy to achieve desired health outcomes.
Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
Explain how aspects of change management directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
Competency 2: Apply the code of ethics for nursing to care coordination decisions.
Explain the rationale for coordinated care plans based on ethical decision making.
Competency 3: Explain how health care policies affect the coordination of patient centered care.
Explain the potential impact of specific health care policy provisions on outcomes and patient experiences. Provides evidence to support conclusions.
Competency 5: Apply professional, scholarly communication strategies to lead patient-centered care.
Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.
Complete another 10 practicum hours, for a total of 30 practicum hours, approved by your preceptor. Submit practicum hour documentation to Capella Academic Portal.
Scoring Guide for 4065 Assessment 4
Use the scoring guide to understand how your assessment will be evaluated.
Criterion 1
Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
Distinguished
Outlines effective and culturally sensitive strategies for collaborating with patients and their families to achieve desired health outcomes. Ensures the strategies are supported by credible evidence.
Proficient
Outlines effective strategies for collaborating with patients and their families to achieve desired health outcomes.
Basic
Outlines strategies for collaborating with patients and their families, though the outcomes or effectiveness of the strategies are unclear.
Non Performance
Does not outline strategies for collaborating with patients and their families to achieve desired health outcomes.
Criterion 2
Explain how aspects of change management directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
Distinguished
Explains how aspects of change management directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care, and considers multiple factors.
Proficient
Explains how aspects of change management directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
Basic
Identifies aspects of change management, though without explaining how those aspects affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
Non Performance
Does not explain how aspects of change management directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
Criterion 3
Explain the rationale for coordinated care plans based on ethical decision making.
Distinguished
Explains the rationale for coordinated care plans based on ethical decision making. Discusses the implications and consequences of an ethical approach to care, and the underlying assumptions that guide decision making.
Proficient
Explains the rationale for coordinated care plans based on ethical decision making.
Basic
Explains the rationale for coordinated care plans, but without basis in ethical decision making.
Non Performance
Does not explain the rationale for coordinated care plans based on ethical decision making.
Criterion 4
Explain the potential impact of specific health care policy provisions on outcomes and patient experiences. Provides evidence to support conclusions.
Distinguished
Explains the potential impact of specific health care policy provisions on outcomes and patient experiences. Draws evidence-based conclusions from interpretation of relevant and significant policy provisions.
Proficient
Explains the potential impact of specific health care policy provisions on outcomes and patient experiences. Provides evidence to support conclusions.
Basic
Identifies policy provisions affecting the provision of health care.
Non Performance
Does not explain the potential impact of specific health care policy provisions on outcomes and patient experiences or provide evidence to support conclusions.
Criterion 5
Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.
Distinguished
Raises awareness of the nurse’s vital role in the coordination and continuum of care in a well-supported, error-free video presentation designed for an audience of practicum colleagues that includes a written script and an APA-formatted reference list.
Proficient
Raises awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.
Basic
Raises awareness of the nurse’s role in the coordination and continuum of care. Does not include a video presentation.
Non Performance
Does not raise awareness the nurse’s role in the coordination and continuum of care. Does not include a video presentation.
Criterion 6
Complete another 10 practicum hours, for a total of 30 practicum hours, approved by your preceptor. Submit practicum hour documentation to Capella Academic Portal.
Distinguished
Completes a minimum of 10 practicum hours, for a total of 30 hours, approved by your preceptor. Submits practicum hours and detailed description of activities in Capella Academic Portal.
Proficient
Completes another 10 practicum hours, for a total of 30 practicum hours, approved by your preceptor. Submits practicum hour documentation to Capella Academic Portal.
Basic
Completes less than 10 practicum hours. Submits practicum hour documentation to Capella Academic Portal.
Non Performance
Does not complete any practicum hours, approved by your preceptor. Does not submit practicum hour documentation to Capella Academic Portal.
References For NURS FPX 4065 Assessment 4
Acar, E. (2023). Teach-back method in patient education. Conference Proceedings, 0(0), 76–86. https://journals.mu-varna.bg/index.php/conf/article/view/9411
Beauvais, B., Whitaker, Z., Kim, F., & Anderson, B. (2022). Is the hospital value-based purchasing program associated with reduced hospital readmissions? Journal of Multidisciplinary Healthcare, 2022(15), 1089–1099. https://doi.org/10.2147/jmdh.s358733
Entress, R. M., & Anderson, K. M. (2020). The politics of health care: Health disparities, the Affordable Care Act, and solutions for success. Social Work in Public Health, 35(4), 1–11. https://doi.org/10.1080/19371918.2020.1767750
Gradellini, C., Cantarino, S. G., Isabel, P. D., Gallego, B. M., Mecugni, D., & Gurrutxaga, M. I. U. (2021). Cultural competence and cultural sensitivity education in university nursing courses. A scoping review. Frontiers in Psychology, 12(12). https://doi.org/10.3389/fpsyg.2021.682920
Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care, 21(1), 1–21. https://doi.org/10.5334/ijic.5518
Oksholm, T., Gissum, K. R., Hunskår, I., Augestad, M. T., Kyte, K., Stensletten, K., Drageset, S., Aarstad, A. K. H., & Ellingsen, S. (2023). The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care—A systematic review. Journal of Advanced Nursing, 79(6). https://doi.org/10.1111/jan.15579
Suraya, C. S. C., Sansuwito, T. bin, Dioso, R. I., & Wisuda, A. C. (2024). Effective communication in nursing: A comprehensive systematic review of best practices. Journal of Nursing Science Research, 1(1), 34–48. https://doi.org/10.33862/jnsr.v1i1.450
Tamli, N., & Sain, M. (2023). Exploring innovative strategies for patient-centered care in the nursing profession. A Bi-Annual South Asian Journal of Research & Innovation, 10(1), 19–30. https://doi.org/10.3126/jori.v10i1.66025
Tummalapalli, S. L., & Keyhani, S. (2020). Changes in Preventive Health Care after Medicaid Expansion. Medical Care, 58(6), 1. https://doi.org/10.1097/mlr.0000000000001307
Vázquez, C. V., Fajas, C., Marroquín, D. M. T., Botaya, M. R., Martín, R. M., & Salgado, G. J. (2020). Interventions to facilitate shared decision-making using decision aids with patients in Primary Health Care. Medicine, 99(32). https://doi.org/10.1097/md.0000000000021389
Best Professors To Choose From For 4065 Class
- Brandi Ballantyne, DNP, MSN, BSN, AAS.
- Tiffani Armstrong, DNP, MSN, BSN.
- Nicole Aclin, DNP, MSN, BSN.
- Denise Barten, DNP, MSN, BSN.
- Kristine Broger, DNP, MSN, MHA, BSN.
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