The Issues of Hospital: Clinical Time Log and Journal Essay

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Time Log
Total: Weeks 1-3: 67.5 hours
Total Weeks 4-7
Total: Weeks 8-11
Total Practicum Hours Completed for Course
WKDateTime# of hourLearner Objective *Bloom’s TaxonomyCourse Objective
(Walden)
AACN Essential**Projected GoalActivities CompletedStatus of completion
130.11.9 am to 3:30 pm7.5Recall facts and basic conceptsExercise the learning objective of noticing and analyzing the patterns of the client’s behaviorsDomain 1: Knowledge for Nursing PracticeMake a connection between the facility’s issues in addressing clients’ needs by observing regular procedures and people’s conductObservations in the facility, analysis of the received informationMet
101.12.9 am to 3:30 pm7.5Recall facts and basic conceptsExercise the learning objective of noticing and analyzing the patterns of the client’s behaviorsDomain 1: Knowledge for Nursing PracticeRecall similar situations in the professional practice if any, Relying on personal experience for making conclusionsMet
102.12.9 am to 3:30 pm7.5Recall facts and basic conceptsExercise the learning objective of noticing and analyzing the patterns of the clients’ behaviorsDomain 1: Knowledge for Nursing PracticeConfirm the presence of a challenge that is to be addressed by the health care providerCommunicating with other nurses to gather more informationMet
207.129 am to 3:30 pm7.5Understand the issue and explain the significance of observationsDevelop leadership skills for initiating the required changeDomain 2: Person-centered careUnderstand the importance of the personal initiative in resolving the challengeIncrease the awareness of the personnel regarding their role in the processProgressing
208.129 am to 3:30 pm7.5Understand the issue and explain the significance of observationsDevelop leadership skills for initiating the required changeDomain 2: Person-centered careDemonstrate the need for examining problems on a case-by-case basisCommunicate with nurses to examine the cases of their patientsProgressing
209.129 am to 3:30 pm7.5Understand the issue and explain the significance of observationsDevelop leadership skills for initiating the required changeDomain 2: Person-centered careAnalyze the feasibility of interventionsAssess the gaps in servicesProgressing
314.129 am to 3:30 pm7.5Apply the gathered data to the facilities’ needsAdvocating for patients’ equityDomain 3: Population HealthIncrease the personnel’s awareness of the problemCommunicating with nurses to inform about the need for equityProgressing
315.129 am to 3:30 pm7.5Apply the gathered data to the facilities’ needsAdvocating for patients’ equityDomain 3: Population HealthEnsure the proper understanding of the suggested changePresenting the results of the analysis to other employeesProgressing
316.129 am to 3:30 pm7.5Apply the gathered data to the facilities’ needsAdvocating for patients’ equityDomain 3: Population HealthDevelop a draft of the suggested changesDiscussing the plan for improving the quality of careProgressing

Journal

During the first week of practice, one of the main issues of the facility, The East Orange General Hospital Clinic, was revealed and thoroughly discussed with other nurses. The initial assessment showed that the needs of the impoverished population are not fully addressed since they tend not to return for the following appointments with the provider after the first visit. This challenge is significant for the hospital since the failure to emphasize the necessity to adhere to the specialists’ recommendations might gradually deteriorate the health status of the affected category of citizens.

The outcomes of the first week contradict my previous professional experience as I have never seen this problem in any other health care facility. Hence, this case was analyzed with regard to the specific conditions of this provider. For this purpose, the search was formulated as the need to reveal why patients do not follow appointments in The East Orange General Hospital Clinic to design the methods for improvements (Dang et al., 2021). The evidence was evaluated while following the steps: collecting, analyzing, and critically reviewing the gathered data (Hickey, 2021; Walden University, n.d.). This initiative allowed conclusions on the inefficiency of person-centered care and the lack of trust (American Association of Colleges of Nursing, 2021). In addition, the assessment was performed with the help of the Donabedian Conceptual Model, according to which the quality of services depends on individual perceptions (Brosnan, 2021). These measures allowed drafting a plan for further work during the practice.

To summarize, the problem of the impoverished population not returning their appointments is one of the issues unaddressed by the hospital. It is also new to me since, in my professional experience, I have never faced this challenge and was unprepared to adequately resolve it. In the continuation of the work, the discussions with nurses and the initial version of the plan for improving the situation will be laid on the basis of a long-term strategy.

References

American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. Web.

Brosnan, C. A. (2021). Models for evaluation in advanced nursing practice. In J. V. Hickey & E. R. Guardino (Eds.), Evaluation of quality in health care for DNPs (3rd ed., pp. 65–92). Springer Publishing.

Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.

Hickey, J. V. (2021). The nature of evidence as a basis for evaluation. In J. V. Hickey & E. R. Guardino (Eds.), Evaluation of quality in health care for DNPs (3rd ed., pp. 37–64). Springer Publishing.

Walden University. (n. d.). DNP practicum manuals. Web.

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