Practicum Evaluation Summary Essay

The practicum culture agreement created between the masters of Science in breast feeding (MSN) student and the instructor was approved for the goal to make in the reference of a nurse educator at the domiciliary Rehabilitation Program at the Orlando Veterans Affairs Medical Center (VAMC). The population of the Domiciliary Residential Rehabilitation Program is veteran(prenominal)s with multiple and severe medical conditions, mental illness, addiction, or psychosocial deficits. Military-related posttraumatic stress disorder (PTSD) derriere negatively affect the veterans well-being (Health function Administration, 2010). The tutelage require of the treat staff were assessed to identify the need for the educational computer architectural plan in the rehabilitation program. Further development, implementation and military rank of a program to improve the veterans quality-of-life were the object lenss to provide the best outcomes of a teaching/learning program.The learning agr eement included the strategies to accomplish the objective with an established time-line and self-reflective journal to meet the best outcomes. Professional relationships were established with a mentor and net sketching with the organization improved professional advancement capabilities at the Orlando VAMC. Evaluation of the authorization of the project produced positive outcomes to improve the veterans quality of life. The role of a draw used evidence- sales boothd decision-making and applied ethical standards. The importance of care for theory provided the principles to generate treat knowledge and create practices to help the veterans who are affected by PTSD. The practicum set out enhanced the role as a nurse educator to improve cost-efficient nursing practices for the veterans at the VA Medical Center.Effectiveness of ProjectThe project began with an idea victimisation a practicum project brainstorm worksheet (Appendix A). The learning objectives were established, and a timeline was used to hold a deadline for completion (Appendix B). Each learning objective used Blooms taxonomy for three learning domains cognitive/knowledge (mental learning), affective/attitudes (growing feeling learning) and psychomotor skills (manual/physical learning) (DeYoung, 2009). The first learning objective analyzed peer-reviewed writings and evidence-based research to identify the disease process and formulation ofbest practices (Burns & Groves, 2009). An extensive reference base was conducted and used to draft a needs sagaciousness that was discussed with the mentor, mental health team, nurse manager, and educator (T. Russell, H. Ortiz, D. Hopson, personal communication, Summer, 2013). Their pictured feedback was practical in completing an stiff outcome to the objective.The next learning objective was to design the educational program using a PowerPoint unveiling, hand-outs, knowledge test, and utmost evaluation. A teaching plan rule of thumb with learning obj ectives followed Veteran Affairs Health Administration procedures for quality and performance (Orlando VAMC, 2013). A summary of the program was presented and approved by administration. Implementation of the learning program was coordinated with approval of management. A flyer was created to announce the class dates and times. All three shifts on the rehabilitation department were provided a verbal pre-test and lectured on the topic. umteen opportunities for open-discussion helped the staff explore their own beliefs and experiences to improve their knowledge and skills.The post-tests were seduced and found a positive correlation to learning and accomplishing the program objectives. The VAMC evaluation tool was used to score the course and instructor. Self-reflective journaling helped to identify strengths and weaknesses of the program and teaching techniques used. The results were shared with the mentor who provided encouragement to learn from the experience and build knowledge o f performing as an educator. The outcomes of implementing the teaching program was entire and found to be successful in improving nursing knowledge by providing evidence-based practice to enhance the veterans well-being.A final evaluation of the practicum learning used the Orlando VAMC evaluation form. The teaching program method was appropriate for learners. A detailed reflective analysis in the portfolio included results from a final meeting with the mentor, administration, mental health team, and educator. All favored the educational program to improve nursing standards of premeditation for veterans with PTSD in the rehabilitation program. encouragement to expand the teaching to nursing staff on all mental health departments and in the orientation program for newly hired nursing power was made by the mentalhealth chief nurse. The outcome had few strength and weaknesses in which to learn from. The weaknesses are personal areas of improvement that asshole be enhanced with cont inued experience as an educator, optional training aids available at the VAMC and continued evaluations for improvement. Another weakness of the project was the small learning experience as compared to the nursing population at the VAMC.MSN Program Student Learning OutcomesA quality assessment process from up-to-date journal reviews screw provide the decision-making for new interventions in affected role care. Evidence-based decision-making requires the integration of the best available research evidence addressing specific clinical questions (Kranke, 2010). A systematic review of literature was pooled to obtain data about PTSD issues. Prepared health professionals use evidence to inform safe practice and account for positive patient care outcomes are the aim for delivery of health care. Competence, education and skills play a critical role in achieving safe patient care in a complex health care system. Nursing professionals have the role to ensure the translation of evidence into practice while evaluating outcomes. The demand for improved patient care and a safe health care delivery system is taught at the University of Phoenix and the Veterans Health Administration. Nurses have a direct effect on patient care outcomes and quality (McLaughlin & Kaluzny, 2006). Influencing change is essential in any organization and a good change agent is required as a leader (Tomey, 2009).Analyzing and identifying the need to implement an educational course to teach nursing staff how to better care for veterans with PTSD requires the collection of data, using the right tools, preparing objectives, and evaluating the process of change. kick upstairs nursing education has helped to gain the skills to diagnose and plan positive change to improve patient care outcomes. The principles of successful leadership are important in affecting change. Leadership skills are necessary to drive and maintain change. Views on diversity can bring change to programs. Veterans bring their own set of beliefs and value to a diverse and multicultural environment. Providing relevant care is important for nurses to understand their own beliefs, culture and values as well as understanding the veterans views. Their rights to confidentiality and privacy are trusted by patients to be maintained by medical personnel. A code of ethics, moral philosophies andeffective communication is in condition(p) in advance nursing education to help guide the decisions in meeting patient care needs (Burkhards & Nathaniel, 2008).Theory provides the framework to structure and builds knowledge (Walker & Avant, 2005). Models can help to link research, education and practice. The change process is complex. Nursing practice theories provide the framework for interventions and prediction of outcomes. Theories can guide practices in nursing that focus on the difference and similarities in respect to human care. Nursing theory provides the foundation to assess, evaluate and plan interventions. A theoret ical perspective can help to meet the challenges of health care delivery and provide guidelines for nursing practices (Fitzpatrick & Whall, 2005). Nursing theory is essential in nursing research, education, practice, and development. Nursing theory helps to take root what is known and what needs to be known. The benefits include better patient care, enhanced professional status, improved communication, and guidance for research and education. Because care cannot be measured, theory can analyze it. Nursing models and theory are beneficial to the nursing practice.Development of Professional Nursing CareerThe project provided the opportunity to perform as a nurse educator and gain experience for advancement in this specialty. Involvement with nurse administrators, the mental health team, the nurse educators, and adjunct staff provided valuable opportunities to network. My work on the practicum project has ripe to expanding the program I created and the formal invite to join the menta l health and rehabilitation team. The educational program has also advanced best practices of nursing personnel to perform with higher knowledge and skills. Years of nursing experience, expertise knowledge in mental health and gerontological nursing and the learning experience gained from the practicum project exposed me to knowledge and skills to take responsibility in leadership and advance my nursing career to a management direct in the near future.ConclusionThe practicum project was a success in improving patient care for veterans who have PTSD at the rehabilitation program. The experience from achieving personal learning objectives was a rewarding experience. Performing as anurse educator using evidence-based decision-making in creating and implementing a program at the Orlando VAMC was evaluated as effective and safe in teaching best practices. Leading and advocating for ethical principles, addressing diversity and applying theory contributed to full development of my profess ional nursing career. The practicum experience has provided the knowledge, skills and experience to further advance my career in professional nursing.ReferencesBurkhards, M.A., Nathaniel, A.K. (2008). Ethics & Issues in contemporary nursing (3rd ed.). Clifton Park, NY Thomson Delmar.Burns, N., & Groves, S. K. (2009). The Practice of Nursing Research Appraisal, Synthesis, and Generation of Evidence (6th ed.). St. Louis, MO Elsevier. DeYoung, S. (2009). Teaching Strategies for Nurse Educators. Upper Saddle River, NJ Prentice Hall. Fitzpatrick, J. J., & Whall, A. (2005). Conceptual Models of Nursing Analyisis and application (4th ed.). Upper Saddle River, NJ Pearson Prentice Hall. Health Services Administration. (2010, November). Veterans have unique needs VA program to be specific to vets. Mental Health Management Advisor, 15(11), 126-128. Retrieved from CINAHL database Kranke, P. (2010, September). Evidence-based practice how to perform and use systematic reviews for clinical decisio n-making, 27(9), 763-772. inside 10.1097/EJA.0b013e32833a560a McLaughlin, C. P., & Kaluzny, A. D. (2006). Quality improvement in healthcare (3rd ed.). Sudbury, MA Jones and Bartlett Publishers, Inc.. . doi Retrieved from Orlando VAMC. (2011, January 22). Quality management system (Medical Center Policy 00Q-12). Orlando, FL VA Medical Center. Tomey, M. (2009). Guide to nursing management and leadership (8th ed.). St. Louis, MO Mosby. Walker, L., & Avant, K. (2005,). Strategies for Theory Constructions in Nursing, (5th ed). Upper Saddle River, NJ Prentice Hall.AppendixPracticum Project Brainstorm WorksheetThis worksheet must be completed prior to the first class meeting for NUR/590A. Identify a goal for the practicum project and more than one potential project idea.Practicum Goals To perform in the role of nursing educator at the Orlando Veterans Administration (VA) Domiciliary (Rehabilitation) Program by assessing and identifying learning needs of nursing staff related to assessment of, and caring for, veterans with military-related post-traumatic stress disorder (PTSD). To develop, implement and evaluate a nursing educational program for nursing staff that will address these learning needs and hopefully improve quality of life for these veterans and their families.Description of ProjectPotential Mentor and AgencyDraft Objectives (completed in Week One class)Project Idea 1PowerPoint presentation and lectureCreate a program to educate nursing staff to learn and understand how to care for veterans with PTSD at the rehabilitation center using classroom lecture with PowerPoint presentation for all shifts.Michele Reed, JD,MSN,RN Orlando VAMC-Conduct a review of literature to use evidence-based nursing practices -Design a teaching/learning plan using a PowerPoint presentation, handout and test -Implement the program to the nursing staff at the Rehabilitation Center -Evaluate the teaching/learning program and practicum experienceProject Idea 2Self-learning guide and testCreate a program to educate nursing staff to learn and understand how to care for veterans with PTSD by developing a self-learning guide to PTSD care for veterans at the rehabilitation program.Michele Reed, JD,MSN,RN Orlando VAMC(Same as listed above)