Quality Outcomes In A Culture Of Value-Based Nursing Care Assignment
Quality Outcomes In A Culture Of Value-Based Nursing Care Assignment
Clinical Practice Experience (CPE) Record
CPE activities are important preparation for successfully complete the course.
By submitting this CPE Record to Evaluation with your name and completion date,
you attest that you completed all required Phase 1 and Phase 2 activities.
Course: Quality Outcomes in a Culture of Value-Based Nursing Care
Welcome to the clinical practice experience (CPE) for this course. The CPE for the Master of Science in Nursing program core courses consists of a variety of semi-structured activities. By completing all the activities and evidence listed within this document, and earning a grade of “Competent,” you will earn 25 indirect CPE hours for this course Quality Outcomes In A Culture Of Value-Based Nursing Care Assignment.
ORDER A PLAGIARISM FREE PAPER NOW
CPE Objective:
In the CPE for this course, you will gather and analyze perspectives regarding value-based nursing care by experiencing the role of a nurse quality manager responsible for monitoring, reporting, and ensuring safe and quality patient care.
In this CPE, you will experience the role of a graduate degree–prepared nurse in two phases:
- Phase 1: Create a nurse quality manager position.
- Phase 2: Complete a value-based care readiness assessment.
Student Instructions:
- Type in your name and date at the top of this form.
- Type in the name of your faculty of record for this course (your assigned course instructor).
- Complete and date the required CPE activities.
- Submit the completed CPE Record as a separate Word document or PDF when you submit your
e-portfolio link containing the required deliverables for evaluation.
- If you cannot open resources with the web links in this document, open a new browser tab and copy and paste the URL into your browser’s address bar.
| PHASE 1: CREATING THE NURSE QUALITY MANAGER POSITION | ||||||||||
| Check box when complete | CPE Activity | Date Activity Completed | ||||||||
| 1a. | ● Review the CPE requirements in both Phase 1 and Phase 2.
● Pace your work by creating a CPE schedule table that includes the following components: o ten deliverables required for the e-portfolio o anticipated completion date for each deliverable o estimated time (in hours and minutes) to complete each deliverable ● Review the sample CPE Schedule Table posted in the Course Tips. Ten deliverables: 1. Statement of work 2. Work breakdown structure 3. Project scope statement 4. Project governance plan 5. Training and education of staff 6. Data collection from EHR 7. Data analysis 8. Data presentation 9. Dissemination 10. Project evaluation |
|||||||||
| Gather and Reflect
|
· Search online sources (such as LinkedIn Jobs or other career search engines) for information on the qualifications and responsibilities of healthcare quality managers and nurse quality managers.
· Search LinkedIn Jobs (or other career search engines) for related titles, salaries, and forecasts for these positions. o Identify ten responsibilities needed for a quality management position. 1. Knowledge about performance measures and how they can be evaluated. 2. Experience in using any of the quality management strategies such as six sigma or total quality management (TQM) and applying them 3. Educating and training staff about quality management 4. Applying transformational leadership principles to communicate with staff Quality Outcomes In A Culture Of Value-Based Nursing Care Assignment 5. Using effective two-way communication to get tasks done as per the quality requirements 6. Performing performance evaluation for employees such as every quarter 7. Identifying the strengths and weaknesses of employees and deploying accordingly 8. Empowering and motivating employees t deliver quality services 9. Creating a work environment that is safer and full of psychological safety 10. Doing surveys on clients to find out their levels of satisfaction with the services and their quality |
|||||||||
| 1b. | · Create a two-column mapping table in your e-portfolio.
o In the left column, list the ten responsibilities you identified in your quality management search. o Review the domains and competencies from The Essentials: Core Competencies for Professional Nursing Education https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf (AACN, 2021), beginning on page 28. o In the right column, identify the domain and competency that best align to the responsibility. o The objective of the mapping table is to map the responsibility to the domain with which it aligns. All domains may not be used and some domains may be used more than once. |
|||||||||
| RESPOSNIBILITY | DOMAIN | |||||||||
| 1. Using evidence-based strategies only to deliver care | Quality and safety | |||||||||
| 2. Using the EHR and CDS systems to provide quality care that is not fragmented | Informatics and healthcare technologies | |||||||||
| 3. Collaborating with other disciplines to deliver holistic care | Interprofessional partnerships | |||||||||
| 4. Achieving the highest levels of nursing education for best practice | Knowledge for nursing practice | |||||||||
| 5. Offering care that is safe, effective, efficient, patient-centered, timely, and equitable. | Quality and safety | |||||||||
| 6. Giving individualized care through personal care planning. | Person-centered care | |||||||||
| 7. Offering care that is culturally sensitive | Person-centered care | |||||||||
| 8. Giving health education to communities for prevention Quality Outcomes In A Culture Of Value-Based Nursing Care Assignment | Population health | |||||||||
| 9. Applying clinical inquiry and research principles to quality care | Scholarship for nursing practice | |||||||||
| 10. Maintaining honesty, fidelity, empathy, and ethics. | Professionalism | |||||||||
| 1c. | · Create a position description for a nurse quality manager or coordinator, using the information gathered on the role and responsibilities of a nurse quality manager.
The nurse quality coordinator will be a professional with vast experience in nursing who has the knowledge and experience desired about the quality of nursing care that needs to be offered. He or she should have at least master’s degree in nursing in any specialty but preferable FNP since this is care across the lifespan. They must be culturally competent and possess transformational leadership traits of empowering and motivating employees to deliver their best. o Use the “Nurse Quality Position Description” template to create this position description. |
|||||||||
|
|
· Schedule a meeting with a healthcare quality professional to review the position description you created.
· Ask for the professional’s opinions and suggestions regarding the information in the position description you created.
|
|||||||||
| 1d. | · Record and post a 3–5 minute GoReact https://lrps.wgu.edu/provision/173986725
video reflection discussing what you accomplished and learned from your Phase 1 CPE activities, including: o insights gained during the process of researching, mapping, and creating a position description for a nurse quality manager o your perceptions regarding the feedback you received from the healthcare quality professional you interviewed ● Watch two peers’ videos and provide written constructive feedback. ● Take a screenshot of your video and screenshots of your two peers’ videos with your written feedback included. |
|||||||||
| 1e. | ● Write a brief reflection summary of your Phase 1 GoReact https://lrps.wgu.edu/provision/173986725
video reflection, including: o insights gained during the process of researching, mapping, and creating a position description for a nurse quality manager o your perceptions regarding the feedback you received from the healthcare quality professional you interviewed |
|||||||||
|
Upload the following deliverables into your E-portfolio:
1a. CPE Schedule Table · Include all ten deliverables required for the e-portfolio. · List an anticipated completion date for each deliverable. · Detail the estimated time (in hours and minutes) to complete each deliverable.
1b. Mapping table with ten (10) responsibilities · Responsibilities are mapped to related AACN domain and competency.
1c. Nurse quality position description
1d. Three (3) screenshots from your GoReact activities · Provide one screenshot of your video. · Provide two screenshots of your peers’ videos with your written feedback included.
1e. Written reflection summary of your Phase 1 experience · Include insights gained during the process of researching, mapping, and creating a position description for a nurse quality manager. · Include your perceptions regarding the feedback you received from the healthcare quality professional you interviewed. |
||||||||||
| PHASE 2: VALUE-BASED CARE READINESS ASSESSMENT | ||
| Check box when complete | CPE Activity |
Date Activity Completed
|
| 2a. | · Search the WGU Library and/or scholarly online sources for credible information on strategies to implement value-based care from a nursing perspective.
· Meet with the nurse quality manager (or the individual responsible for quality) and nursing professionals to gather their perspectives on the role of nurses in supporting a culture of value-based care. o This meeting can be with the healthcare quality professional you met with during Phase 1 of your CPE Quality Outcomes In A Culture Of Value-Based Nursing Care Assignment. o If the organization has already implemented value-based care, gather information on the processes used and what the organization learned during the process. · List five strategies nurses can use to support a culture of value-based care (VBC). 1. Using only evidence-based practice recommendations 2. Applying cultural competence and sensitivity 3. Continuous learning 4. Interprofessional collaboration 5. Offering only patient-centered care
|
|
| 2b. | · Meet with the nurse quality manager (or equivalent quality role such as a nurse leader or organizational interprofessional) to complete the “Value-Based Nursing Care Readiness Assessment.”
o It is recommended to meet with the same person initially interviewed and any additional professionals if needed. · Write an interpretation of the organization’s level of readiness based on the “Value-Based Nursing Care Readiness Assessment” results. · Collaborate with the nurse quality manager and nurse leaders to review the findings from the “Value-Based Nursing Care Readiness Assessment” and strategically plan for actions that must be completed to ensure readiness. · Write five recommended action items that must be completed prior to implementing VBC. o If the organization has implemented value-based care, complete the five action items from a retrospective viewpoint. 1. Staff education about VBC 2. Staff training about VBC 3. Resource allocation 4. Recruitment of talent that is missing 5. Feasibility study
|
|
| 2c. | ● Record and post a 3–5 minute GoReact https://lrps.wgu.edu/provision/173986725
video reflection discussing what you accomplished and learned from your Phase 2 CPE activities, including the following: o insights gained during the process of developing your “Value-Based Nursing Care Readiness Assessment.” ● Watch two peers’ videos and provide written constructive feedback. ● Take a screenshot of your video and screenshots of your two peers’ videos with your written feedback included. |
|
| 2d.
|
· Write a brief reflection summary of your Phase 2 GoReact https://lrps.wgu.edu/provision/173986725
video reflection including: o insights gained during the process of developing your “Value-Based Nursing Care Readiness Assessment” |
|
| 2e. | · In the course material, complete “Unit 6: NAHQ Certification” Modules 1–8.
· Attach your NAHQ certification in the e-portfolio.
|
|
|
ORDER HERE A PLAGIARISM FREE PAPER HEREUpload the following deliverables into your E-portfolio:
2a. Five (5) strategies nurses can use to support a culture of VBC
2b. Completed “Value-Based Nursing Care Readiness Assessment” with · an interpretation of the organization’s level of readiness for VBC, and · five recommended action items that must be completed prior to implementing VBC
2c. Three (3) screenshots from your GoReact activities · Include one screenshot of your video. · Include two screenshots of your peers’ videos with your comments.
2d. Written Reflection Summary of your Phase 2 experience · Include insights gained during the process of developing your “Value-Based Nursing Care Readiness Assessment.” Quality Outcomes In A Culture Of Value-Based Nursing Care Assignment
2e. NAHQ certification
|
References
American Association of Colleges of Nursing. (2016, October). Clinical practice experiences FAQs.
https://www.aacnnursing.org/CCNE-Accreditation/Resources/FAQs/Clinical-Practice
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf
Accountable Care Learning Collaborative. (n.d.) Value-Based Nursing Care Readiness Assessment. https://www.accountablecarelc.org/vb-nursing-care-readiness-assessment
Revised 032122
| DEFINED NEED | Yes | No |
| Has your organization established a need to implement value-based nursing care strategies? | ☐ | ☐ |
| READINESS FOR CHANGE | ||
| Is now the right time for implementing value-based nursing care (e.g., it will not compete with other major changes currently being made within the organization)? | ☐ | ☐ |
| Have employees been informed of the recommendations and been provided an opportunity to comment on the feasibility of the change? | ☐ | ☐ |
| Have implementation plans been developed that include an action plan, training plan, and communication and change management plans? | ☐ | ☐ |
| Does the organization have a Health Information System that has the capacity to collect, analyze and report value metrics and key performance indicators that link nursing care services to patient outcomes? | ☐ | ☐ |
| LEADERSHIP & MANAGEMENT SUPPORT | ||
| Will the organization’s executive leaders actively support and champion implementation of value-based nursing care. | ☐ | ☐ |
| Does the organization’s leadership reward teamwork behaviors and showcase successes throughout the organization? | ☐ | ☐ |
| Have the strategic recommendations the interprofessional team developed been approved by organizational leaders and managers? | ☐ | ☐ |
| TIME, RESOURCES, PERSONNEL | ||
| Has an Impact Analysis been completed to determine the influence this change will have on human and financial resources? | ☐ | ☐ |
| Does your organization have sufficient staff with the necessary time and resources to support active project participation? | ☐ | ☐ |
| Will your organization allow time to prepare and continue work on project deliverables? Quality Outcomes In A Culture Of Value-Based Nursing Care Assignment | ☐ | ☐ |
| SUSTAINMENT OF THE CHANGE | ||
| Has the organization identified value metrics that can be used to measure the effectiveness of value-based nursing care over time? | ☐ | ☐ |
| Will the organization be willing to use continuous improvement processes to measure and assess progress and continuously improve processes? | ☐ | ☐ |
| Will strategies for minimizing potential project failure modes be developed prior to implementation? | ☐ | ☐ |
| Does the organization have a culture that supports and rewards teamwork and innovation in nursing care? | ☐ | ☐ |
Count the number of “Yes” responses and refer to the next page to determine the organization’s level of readiness for value-based nursing care.
READINESS ASSESSMENT SCORE
Number of Yes responses you have selected is 11-15 out of 15:
This is likely a good time within your organization to participate in the Value-Based Nursing Care Project. Prior to implementation, continue to monitor whether the answers to these questions change and keep a close eye on any items to which you answered “No.”
Number of Yes responses you have selected is 6-10 out of 15:
Your organization may not be ready on several of the factors. This reduces the likelihood of the success of implementing Value-based Nursing Care at this time.
Number of Yes responses you have selected is 1-5 out of 15:
Based on your responses, significant work is likely needed to raise the readiness level of your organization. Moving forward with implementing Value-Based Nursing Care could create significant risk that it will not succeed or produce the desired results.
INTRODUCTION
To fulfill the clinical practice experience (CPE) requirements for this course, you will complete the attached “Clinical Practice Experience (CPE) Record.†You will need to electronically sign and date the record. Finally, you must upload the “CPE Record†as a separate attachment and the required deliverables from that record to your e-portfolio. You should complete this task and the “CPE Record†before submitting AXM1 Task 1
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the report provided when submitting your task as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Upload your completed and signed “CPE Record†for evaluation as a separate attachment. The form should include the following: (I will upload)
• the date each activity was completed
• your electronic signature verifying that all activities have been completed (I will sign it).
Note: The “CPE Record†should be uploaded as a separate attachment and should not be included in your e-portfolio.
B. Upload all of the following required deliverables to your e-portfolio and provide a link to your e-portfolio:
• CPE schedule table of tasks and timelines
• mapping table with 10 competencies or skills mapped to related AACN Essentials (AACN, 2021)
Note: It is possible that not all competencies or skills will map to the Essentials, so note this in your mapping table if necessary.
• Nurse quality position description
• NO screenshots to document the Phase 1 GoReact video reflection, NO image for each of your peer responses
• written reflection summary of your Phase 1 video reflection below No screenshot
• Phase 2 schedule table of tasks and timelines
• list of five strategies that nurses can use to support a culture of value-based care (VBC)
• completed “Value-Based Nursing Care Organizational Readiness Assessment†with an interpretation and recommendations for five action items that must occur prior to implementing VBC
• NO screenshots to document the Phase 2 GoReact video reflection, which includes NO images of the reflection video and NO IMAGE for each of your peer responses
• written reflection summary of your Phase 2 video reflection NO screenshot
References
Accountable Care Learning Collaborative. (n.d.) Value-Based Nursing Care Readiness Assessment. https://www.accountablecarelc.org/vb-nursing-care-readiness-assessment
GoReact is a video collaboration tool that allows you to record a response to various course activities and receive and provide feedback to your course peers. In this course, you will use GoReact to reflect on your clinical practice experience (CPE) activities. After recording your video reflection and posting it for review, you will watch two of your peers’ videos and provide them feedback on their reflection. Finally, you will provide evidence of your CPE reflection in your MSN Core e-portfolio Quality Outcomes In A Culture Of Value-Based Nursing Care Assignment.
You do not need to create a login and password for GoReact. Simply select the GoReact reflection link provided in the CPE Record for this course. See the assessment for this course to access the CPE Record. You will be prompted in the course to complete your CPE evidence.
If you have issues accessing GoReact through the CPE Record links, please contact WGU Helpdesk at 1-877-HELP-WGU (877-435-7948).
If you are logged into GoReact and have technical issues or questions, please use the links below to contact GoReact support.
• General support
• GoReact Help Desk
• Updating your browser
• Updating your camera and microphone
Video Recording Tips
Please be sure you are recording your video in a quiet location with minimal background noise. Be sure to project while speaking. Take the time to write out what you want to say in your recording and practice reading your written reflection aloud before recording your video to minimize the number of times you need to re-record. Your videos do not need to be perfect, but they do need to be professional.
• Recording a video in GoReact
• Video recording checklist
• How to record a video transcript
After recording your video and posting your feedback on your peers’ videos, you will need to capture screenshots of your video and peer responses as evidence of completing the required activities. See the following section for screen capture directions.
GoReact Video Submission and Peer Response Screenshots
To document completion of the GoReact video reflections required for your MSN Core CPE, you must include screenshots taken from the GoReact platform in your MSN Core e-Portfolio.
To capture screenshots:
• Mac: Press Shift+Command+4. Drag the crosshairs to select the area of the screen you want to capture. After you release your mouse or trackpad button, find the screenshot on your desktop.
• PC: Follow the “Use Snipping Tool to capture screenshots directions” to use the Microsoft Snipping Tool to capture, save, and share an image of all or part of your PC screen. The Snipping Tool is included in Windows Vista and later.
After completing your GoReact reflection or reflections, capture the following screenshots:
1. Your video submission:
a. Capture this screenshot from the opening page for each GoReact assignment.
2. Peer feedback provided to two of your peers.
a. Select the peer video you provided feedback on. Capture a screenshot showing the feedback you provided. (Complete this step for two peer videos.)
Next, include your screenshots in your MSN Core e-Portfolio Quality Outcomes In A Culture Of Value-Based Nursing Care Assignment.