To prepare: Reflect on your Practicum Experiences in Weeks 4-7.Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.Analyze a problem,

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To prepare:

  • Reflect on your Practicum Experiences in Weeks 4-7.
  • Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.
  • Analyze a problem, issue, or situation that you have observed during your Practicum Experience.
  • Using a minimum of three peer-reviewed sources of evidence, consider what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from the scholarly literature.
  • Determine how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.
  • Given the various evidence-based approaches that can be used in handling the observed problem, situation, or issue, think about a plan for approaching the matter differently.

To complete the Practicum and Journal Entry 2:

In your saved version of the NURS 6600 Practicum Journal document, do the following:

  • Write a 250- to 300-word journal entry (identified as Journal Entry 2) in which you do the following:

    • Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page).
    • Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature.
    • Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.
    • Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently.
    • Include references immediately following the content.
    • Use APA style for your journal entry and references.

Your Practicum and Journal Entry 2 are due on or before Day 7 of this week.  PLEASE USE TEMPLATE IN ATTACHED FILES

To prepare: Reflect on your Practicum Experiences in Weeks 4-7.Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.Analyze a problem,
Walden University Master of Science in Nursing NURS 6600: Capstone Synthesis Practicum Journal Student Name: E-mail Address: Practicum Placement Agency’s Name: Preceptor’s Name: Preceptor’s Telephone: Preceptor’s E-mail Address: Practicum Professional Development Objectives 1. 2. 3. 4. Project Objectives 1. 2. 3. 4. 5. (Continued on next page) NURS 6600 Practicum Experience Journal You must submit a journal entry in each assigned week, even if you are not on-site that week. If you are not on-site for a week in which a journal entry is due, reflect on experiences from any of the previous weeks of this course. Journal entries are due in Weeks 3, 7, and 11. Place the references for each week’s entry immediately after that week’s content. Remember to use APA style when writing your journal entries and listing references. Begin each journal entry on a new page. The template has a “new page” command inserted before each weekly label. Be sure to delete any blank pages that appear between the weekly entries. Note: This document will serve as a cumulative journal. For each submission, you will add to the document so it contains all of your journal entries. Journal Entries Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page) (10 points) Using no fewer than three peer-reviewed sources, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories, giving special attention to observed events that vary from scholarly literature. (30 points) Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence. (30 points) Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently. (30 points) Include references immediately following the content. Use APA style for your journal entry and references. Note that Faculty may deduct up to 20 points for writing style issues/errors and/or citation- or reference-related APA errors. Practicum Experience Journal Entries NURS 6600 Week 3 Journal (references should immediately follow the content) Practicum Experience Journal Entries NURS 6600 Week 7 Journal (references should immediately follow the content) Practicum Experience Journal Entries NURS 6600 Week 11 Journal (references should immediately follow the content) © 2013 Laureate Education Inc. 5
To prepare: Reflect on your Practicum Experiences in Weeks 4-7.Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.Analyze a problem,
Running head: PRACTICUM PROJECT PLAN (PPP) OVERVIEW 0 Practicum Project Plan (PPP) Overview Dawna Meier Walden University Introduction The readmission at the hospital is a strong indicator for measuring the quality of care provided at the hospitals. The hospitals were charging a massive amount from the patients for re-admitting them at the healthcare to provide the required level of care to them. However, the introduction of the Hospital Readmissions Reduction Program as a part of the Patient Protection & Affordable Care Act 2012 compelled the hospitals to reduce their cutbacks while giving re-admission to the patients at the hospitals (Learner, 2017). The 2020 budget introduced by the Trump government also compelled the hospitals for bringing a massive reduction in their readmission costs providing a great opportunity to the patients for visiting the healthcare to receive appropriate healthcare (Pramuk, 2019). Now, it is essential to mention that various home and community care programs are operating in the USA working to deliver healthcare services to the patients at their homes. There are various government programs like HACC i.e. Home and Care Community working with the same objective (Reeves, Schairer, & Jevsevar, 2018). It is significant to evaluate the effectiveness of the same programs after the hospitals’ readmission fees cost reduction. Goal Statement The goal of the project is to measure the impact of cost reduction in patient readmissions at the hospitals over the home care community. Project Objectives The objectives of the study to achieve the goal are as follow: To measure the rise in the readmissions of the patients at the hospitals To analyze the benefits experienced by the patients after readmission fee cost reduction at the hospitals To identify the decline in the usage of home care community services by the patients To highlight the impact being created over the home care community after patient readmission cost reduction at the hospitals Literature Review The readmission fees at the hospitals in the USA were extensively high creating certain troubles for the patients. The hospitals were reaching to the amount of about $ 41.3 billion in a year from the patients readmitted at the hospital discharged in the last 30 days (Reeves, Schairer, & Jevsevar, 2018). This kind of high charging from the patients was creating certain implications for the patients as they were had to bear high financial hurdles for gaining due care from the hospitals. Due to the same reason, the government introduced various home and community care programs for the benefit of the patients in the community (Learner, 2017). These programs were designed for providing appropriate healthcare to the patients within their home environment. The patients receiving such treatment at the homes were less likely to get readmission at the hospitals with an annual figure around 23.7% as compared to the 33% of the in-patient cohort (Reeves, Schairer, & Jevsevar, 2018). Moreover, the patients were also saving a marginal amount by avoiding their readmission visits to the hospitals (Kirkland, Barfield, Demos, Pellegrini, & Drew, 2019). With the introduction of the Hospital Readmissions Reduction Program as a part of the Patient Protection & Affordable Care Act 2012, things started to change for both the patients and the hospitals. The government policies compelled the hospitals for reducing their readmission fees up to maximum extent creating financial implications for them (Thabethe, 2010). The patients also started preferring the hospitals as compared to the health and community care providers considering the similar pricing of both the stakeholders; therefore, the readmission rate at the hospitals jumped massively by 37% creating implications for the home and community care programs (Learner, 2017). The budget is allocated for such programs are serving a limited purpose at the current time as the interest of the patients is shifting towards readmission at the hospitals (Konetzka, Karon & Potter, 2012). The government can shut down such programs witnessing the changing social behavior of the patients towards the hospitals depriving the other ones too from the same facility. Methodology The research will be making use of quantitative research design for meeting the objectives of the study. The rationale behind the selection of quantitative research design for the study is that it will deliver objective and accurate results that could be summarized for supporting the generalizations regarding the aspect of the study (Kennedy-Clark, 2015). Moreover, the research design will eliminate the factor of biases up to a maximum extent. The research will be making use of the survey method for collecting the desired data from the subject. The researcher will be able to conduct the same method of online gaining cost and time benefit (Griga, 2017). The researcher will be making use of systematic sampling for the research to gather data from the population. There will be two populations in the study amongst which random sampling will be carried out including patients and home care health community (Kennedy-Clark, 2015). The data gathered from the patients will benefit the researcher in meeting its first and second objectives, where the data gathered from the home care health community will benefit the research in achieving its third and fourth objectives. Resources The researcher will be requiring various tools for completing the research work including a computer, ICT tools, SPSS, university library account, internet, and Survey Monkey. The researcher will be making use of the university library account for accessing authentic resources to carry out a sufficient literature review for grabbing the basics of the subject (Kennedy-Clark, 2015). The survey monkey and SPSS will benefit from collecting and analyzing the data gathered from the population. The computer and ICT tools will support in completing the above tasks along with the preparation of the final report (Griga, 2017). Formative Evaluation The researcher will be carrying out a formative evaluation of the paper at regular intervals during the pace of the study. The researcher will be sharing the progress of the paper after completion of every milestone with the research supervisor and peers. The researcher will request both entities to provide feedback over the work completed up till yet (Sridharan, Tai, & Boud, 2018). The peers will benefit the researcher in identifying any weak area existing in the research work completed up till yet which could be improved. The research supervisor will be evaluating the concept of grip over the research work being completed. The research supervisor will also identify the areas that could be improved within the research work to deliver a masterpiece (Dolin, Black, Harlen & Tiberghien, 2017). The researcher will be making use of feedback achieved from both the research supervisor and peers to bring necessary changes in the context of research work and direction as per the nature and severity of the feedback. Summative Evaluation After completion of the research work in a complete manner, the researcher will be submitting the complete draft of the research work to the research supervisor for final evaluation. The research supervisor will be supporting the researcher in identifying the flaws existing in the report and areas for improvement (Sridharan, Tai, & Boud, 2018). The researcher will make use of those feedbacks for bringing necessary modifications in the research work to deliver a final copy beneficial for the targeted stakeholders relevant to the nature of the research work. Timeline Activities Dec 20 Jan 1 Jan 8 Jan 12 Jan 18 Jan 25 Preparation and approval of proposal Completion of literature review Development of research methodology Establishment of research questioning Formative evaluation of the study Sampling of the population Survey of 1st sample group Gathering of data from 1st sample group Survey of 2nd sample group Gathering of data from2nd sample group Formative evaluation of the study Compilation and ethical storage of data Analysis of the data over SPSS Formative evaluation of the study Devising of Results Preparation of research first draft Summative assessment from the supervisor Submission of final copy References Dolin, J., Black, P., Harlen, W., & Tiberghien, A. (2017). Exploring Relations Between Formative and Summative Assessment. Contributions from Science Education Research Transforming Assessment, 53–80. doi: 10.1007/978-3-319-63248-3_3 Griga, W. (2017). Quantitative Research Design and Methodology. Managing Inpatriation, 73–91. doi: 10.1007/978-3-658-18829-0_5 Kennedy-Clark, S. (2015). Reflection: Research by design: Design-based research and the higher degree research student. Journal of Learning Design, 8(3). doi: 10.5204/jld.v8i3.257 Kirkland, P. A., Barfield, W. R., Demos, H. A., Pellegrini, V. D., & Drew, J. M. (2019). Optimal Length of Stay Following Total Joint Arthroplasty to Reduce Readmission Rates. The Journal of Arthroplasty. doi: 10.1016/j.arth.2019.08.059 Konetzka, R. T., Karon, S. L., & Potter, D. (2012). Users Of Medicaid Home And Community-Based Services Are Especially Vulnerable To Costly Avoidable Hospital Admissions. Health Affairs, 31(6), 1167–1175. doi: 10.1377/hlthaff.2011.0902 Learner, S. (2017). Cost-cutting to remove home care as an option in some CCGs. Nursing and Residential Care, 19(3), 126–126. doi: 10.12968/nrec.2017.19.3.126 Pramuk, J. (2019, March 12). Trump pledged to protect Medicare and Medicaid, but his 2020 budget calls for major spending cuts. Retrieved from https://www.cnbc.com/2019/03/12/trump-2020-budget-proposes-reduced-medicare-and-medicaid-spending.html. Reeves, R. A., Schairer, W. W., & Jevsevar, D. S. (2018). Costs and Risk Factors for Hospital Readmission After Periprosthetic Knee Fractures in the United States. The Journal of Arthroplasty, 33(2). doi: 10.1016/j.arth.2017.09.024 Sridharan, B., Tai, J., & Boud, D. (2018). Does the use of summative peer assessment in collaborative group work inhibit good judgement? Higher Education, 77(5), 853–870. doi: 10.1007/s10734-018-0305-7 Thabethe, N. (2010). Community home-based care – a cost-effective model of care: who benefits? AIDS Care, 23(7), 787–791. doi: 10.1080/09540121.2010.487086
To prepare: Reflect on your Practicum Experiences in Weeks 4-7.Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.Analyze a problem,
Running head: PRACTICUM PROJECT PLAN (PPP) OVERVIEW 0 Title of the Project Practicum Project Plan (PPP) Overview Dawna Meier Walden University Introduction NOTE: The first paragraph is filled with grammar issues and writing errors. It is imperative that you use appropriate verb tense and parallel single and plural terms…For example, throughout this paragraph you have “the hospitals” when you are talking about many hospitals. Use ‘hospitals’ for plural or ‘the hospital’ for one hospital… The readmission rates at the of hospitals is are a strong indicator for measuring the quality of care provided at the hospitals. The Hospitals were charging a massive amount of dollars from the patients for re-admitting them at to the healthcare facility in order to provide the required level of care to them. However, the introduction of the Hospital Readmissions Reduction Program as a part of the Patient Protection & Affordable Care Act 2012 compelled the hospitals to reduce their cutbacks while giving re-admission to the patients at the hospitals (Learner, 2017). The 2020 budget introduced by the Trump government also compelled the to hospitals for bringing a massive reduction in their readmission costs providing a great opportunity to the patients for visiting the healthcare to receive appropriate healthcare (Pramuk, 2019). Awkward sentence structure Now, it is essential to mention that various home and community care programs are operating in the USA working to deliver healthcare services to the patients at their homes. There are various government programs like HACC i.e. Home and Care Community APA format needed working with the same objective (Reeves, Schairer, & Jevsevar, 2018). It is significant to evaluate the effectiveness of the same programs after the hospitals’ readmission fees cost reduction. The purpose of this paper is to describe…… Background and historical data and trend to support your project While this topic was a part of the discussion board early on, it is not included in the paper probably because it was omitted from the master outline; however, it should be a part of your slide show as it lays the foundation for your project. Goal Statement The goal of the project is to measure the impact of cost reduction in patient readmissions at the hospitals over the home care community. Project Objectives The objectives of the study to achieve the goal are as follow: To measure the rise in the readmissions of the patients at the hospitals How and what will the metric be? To analyze the benefits experienced by the patients after readmission fee cost reduction at the hospitals Time frame? What do you anticipate the fee cost reduction to be? To identify the decline in the usage of home care community services by the patients Criteria for measurement? To highlight the impact being created over the home care community after patient readmission cost reduction at the hospitals Same comment here…. Use the resources section in the beginning of the course to review how to write a specific, measurable, objective with a timeframe. All objectives here need to be re-written using the SMART concept for writing objectives. Literature Review The readmission fees at the hospitals in the USA were extensively high creating certain troubles for the patients. The hospitals were reaching to the amount of about $ 41.3 billion in a year from hte patients who were readmitted at the hospital and discharged in the last 30 days (Reeves, Schairer, & Jevsevar, 2018). This kind of high charging from the patients was creating certain implications for the patients as they were had to bear high financial hurdles for gaining due care from the hospitals. ? Due to the same reason, the government introduced various home and community care programs for the benefit of the patients in the community (Learner, 2017). These programs were designed for providing appropriate healthcare to the patients within their home environment. The patients receiving such treatment at the homes were less likely to get readmission at the hospitals with an annual figure around 23.7% as compared to the 33% of the in-patient cohort (Reeves, Schairer, & Jevsevar, 2018). Moreover, the patients were also saving a marginal amount by avoiding their readmission visits to the hospitals (Kirkland, Barfield, Demos, Pellegrini, & Drew, 2019). With the introduction of the Hospital Readmissions Reduction Program as a part of the Patient Protection & Affordable Care Act 2012, things started to change for both the patients and the hospitals. The government policies compelled the hospitals for reducing their readmission fees up to maximum extent creating financial implications for them (Thabethe, 2010). The pPatients also started preferring the hospitals as compared to the health and community care providers considering the similar pricing of both the stakeholders; therefore, the readmission rate at the hospitals jumped massively by 37% creating implications for the home and community care programs (Learner, 2017). The budget is allocated for such programs are serving a limited purpose at the current time as the interest of the patients is shifting towards readmission at the hospitals (Konetzka, Karon & Potter, 2012). The government can shut down such programs witnessing the changing social behavior of the patients towards the hospitals depriving the other ones too from the same facility. Methodology The research this is not a research project will be making use of quantitative research methods design for meeting the objectives of the study. The rationale behind the selection of quantitative research design for the study is that it will deliver objective and accurate results that could be summarized for supporting the generalizations regarding the aspect of the study (Kennedy-Clark, 2015). Moreover, the research design project plan will eliminate the factor of biases up to a maximum extent. The research project will be making use of the survey method for collecting the desired data from the subject. The researcher student will be able to conduct the same method of online gaining cost and time benefit (Griga, 2017). The researcher student will be making use of systematic sampling for the research to gather data from the population. There will be two populations in the study amongst which random sampling will be carried out including patients and home care health community (Kennedy-Clark, 2015). The data gathered from the patients will benefit the researcher in meeting its first and second objectives, where the data gathered from the home care health community will benefit the research in achieving its third and fourth objectives. You cannot conduct a project where you have to ask for patient consent. This is a performance improvement project NOT research. Resources The researcher student will be requiring various tools for completing the research work project including a computer, ICT tools, SPSS, university library account, internet, and Survey Monkey. The researcher will be making use of the university library account for accessing authentic resources to carry out a sufficient literature review for grabbing the basics of the subject (Kennedy-Clark, 2015). ??? The survey monkey and SPSS will benefit from collecting and analyzing the data gathered from the population. The computer and ICT tools will support in completing the above tasks along with the preparation of the final report (Griga, 2017). These resources are misleading about the nature of your project for the course. The project resources are incomplete: physical, financial, materials, human, etc. Formative Evaluation The researcher will be carrying out a formative evaluation of the paper at regular intervals during the pace of the study. The researcher will be sharing the progress of the paper after completion of every milestone with the research supervisor and peers. You are suppose to be working with your preceptor. The researcher will request both entities to provide feedback over the work completed up till yet (Sridharan, Tai, & Boud, 2018). The peers will benefit the researcher in identifying any weak area existing in the research work project. completed up till yet which could be improved. The research supervisor will be evaluating the concept of grip over the research work being completed. Confusing language The research supervisor preceptor will also identify the areas that could be improved within the research work to deliver a masterpiece (Dolin, Black, Harlen & Tiberghien, 2017). The researcher will be making use of feedback achieved from both the research supervisor and peers to bring necessary changes in the context of research work and direction as per the nature and severity of the feedback. Numerous errors in writing and description of the project you are suppose to be completing. Summative Evaluation After completion of the research work project in a complete manner, the researcher student will be submitting the complete draft of the research work to the research supervisor for final evaluation. The research supervisor will be supporting the researcher in identifying the flaws existing in the report and areas for improvement (Sridharan, Tai, & Boud, 2018). The researcher will make use of those feedbacks for bringing necessary modifications in the research work to deliver a final copy beneficial for the targeted stakeholders relevant to the nature of the research work. Not for this project. Misleading and incomplete terminology. Timeline Activities Dec 20 Jan 1 Jan 8 Jan 12 Jan 18 Jan 25 Preparation and approval of proposal Completion of literature review Development of research methodology Establishment of research questioning Formative evaluation of the study Sampling of the population Survey of 1st sample group Gathering of data from 1st sample group Survey of 2nd sample group Gathering of data from2nd sample group Formative evaluation of the study Compilation and ethical storage of data Analysis of the data over SPSS Formative evaluation of the study Devising of Results Preparation of research first draft Summative assessment from the supervisor Submission of final copy Conclusion (Walden Requirement) References Dolin, J., Black, P., Harlen, W., & Tiberghien, A. (2017). Exploring Relations Between Formative and Summative Assessment. Contributions from Science Education Research Transforming Assessment, 53–80. doi: 10.1007/978-3-319-63248-3_3 Griga, W. (2017). Quantitative Research Design and Methodology. Managing Inpatriation, 73–91. doi: 10.1007/978-3-658-18829-0_5 Kennedy-Clark, S. (2015). Reflection: Research by design: Design-based research and the higher degree research student. Journal of Learning Design, 8(3). doi: 10.5204/jld.v8i3.257 Kirkland, P. A., Barfield, W. R., Demos, H. A., Pellegrini, V. D., & Drew, J. M. (2019). Optimal Length of Stay Following Total Joint Arthroplasty to Reduce Readmission Rates. The Journal of Arthroplasty. doi: 10.1016/j.arth.2019.08.059 Konetzka, R. T., Karon, S. L., & Potter, D. (2012). Users Of Medicaid Home And Community-Based Services Are Especially Vulnerable To Costly Avoidable Hospital Admissions. Health Affairs, 31(6), 1167–1175. doi: 10.1377/hlthaff.2011.0902 Learner, S. (2017). Cost-cutting to remove home care as an option in some CCGs. Nursing and Residential Care, 19(3), 126–126. doi: 10.12968/nrec.2017.19.3.126 Pramuk, J. (2019, March 12). Trump pledged to protect Medicare and Medicaid, but his 2020 budget calls for major spending cuts. Retrieved from https://www.cnbc.com/2019/03/12/trump-2020-budget-proposes-reduced-medicare-and-medicaid-spending.html. Reeves, R. A., Schairer, W. W., & Jevsevar, D. S. (2018). Costs and Risk Factors for Hospital Readmission After Periprosthetic Knee Fractures in the United States. The Journal of Arthroplasty, 33(2). doi: 10.1016/j.arth.2017.09.024 Sridharan, B., Tai, J., & Boud, D. (2018). Does the use of summative peer assessment in collaborative group work inhibit good judgement? Higher Education, 77(5), 853–870. doi: 10.1007/s10734-018-0305-7 Thabethe, N. (2010). Community home-based care – a cost-effective model of care: who benefits? AIDS Care, 23(7), 787–791. doi: 10.1080/09540121.2010.487086

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