This week we look at our role in the healthcare policy within our practicum site. I will be done a project with people with diabetes to see if implement a policy for diabetes education should be required or recommended. I will look at the healthcare policy that is currently in place at my practicum site to see if it need to be changed or modified to meet the health outcomes I hope to see for people with diabetes.
Critical inquiry is the process of gathering and evaluating information, ideas and assumptions from many perspectives to produce well-reasoned analysis and understanding. It helps to lead to the development of new ideas, application and question. Clinical judgment refers to the result (outcomes) of critical thinking or clinical reasoning. It is the conclusion, decision or opinion one makes based of the evidence that is present. Clinical judgment is a critical skill for all nurses (Lusk, et al., 2018). Safety, quality improvement and a system perspective are vital for nurses to provide quality evidence-based care. The classes so far have helped me to be able to function safely and effectively in the current health care system. The nursing professor have support the integration of evidence-based and systems perspective throughout the courses I have had (Simpson, et al., 2017).
There will be many opportunities for me to demonstrate critical inquiry and judgment thru the policy cycle. Clinical reasoning and judgment are used by clinical nurses to provide quality health care to patients that avoid adverse events and patient harm. The clinician nurse ability to provide safe, high-quality care will depend on their ability to reason, think, and judge which will be great due to their previous experiences as nurses. I will be able to make the best decision for the policy for people with diabetes based on what I know as a diabetes educator. I have the confidence and skills needed to identify complex problems and develop strategies to solve in problem that might arouse to ensure that a quality healthcare policy is implement for people with diabetes.
Lusk-Monagle, J., Lasater, K., Stoyles, S., Diekmann, N. (2018). New graduate nurse experiences in clinical judgment: What academic and practice educator need to know. Journal of Nursing Educator Perspection,39(4): 201-207. Doi: 10.1097/01.NEP.0000000000000336.
Simpson, V., McComb, S., A., Kirkpatrick, J., M. (2017). Enhancing critical thinking via a clinical scholar approach. Journal of Nurse Educator, 56(11); 679-682. Doi: 10.3928/01484834-20171020-08.
Sample Answer 2
This week’s lesson describes several policy models as well as the policy cycle. Currently, we are in the process of identifying the issue of concern and setting agenda. “An agenda is a collection of problems and solutions of concern that attract the attention of the public and/or policymakers” (Chamberlain College of Nursing, 2018). We are focusing on our present “Plan of Care: Assessments and Reassessments” policy. The interdisciplinary Team meeting lasted for a few hours and included the following personnel: nurses, physicians, home care coordinator, social worker, and occupational therapist. These disciplines are involved in conducting in-person initial assessments as well as reassessments at the start of the services, every 6 months and every 12 months, depending on the discipline. In general, reassessments conducted at the request of the patient or their representatives are decided within 72 hours. Currently our guidelines do not specify that a patient’s presence is required to evaluate services. Therefore, we need to revise our current assessment to include patients whose concerns and opinions about the quality of services will be taken into account as well. Based on patients’ opinions, the management will rectify and/or eliminate any existing deficiencies and improve the overall quality as well as specific aspects of service..
Other issues pertaining to team collaboration were discussed as well. For example, we need to develop the communication plan to facilitate interaction and enhance our productivity as a team. Team care planning “may require use of technologies to facilitate team collaboration, use of asynchronous written or electronic input and/or a care coordinator accountable for linking with all other team members, sharing and integrating all perspectives” (Molony et al., 2018). My mentor requested for me to collect evidence relevant to the current policy and review other similar policies as alternatives for policy change.
Based on the steps of the policy cycle, it seems that a nurse has many opportunities to demonstrate critical inquiry and judgment. While discussing the current policy with colleagues, taking notes and collecting new information on my own, I formulated questions and ideas, compared different policies in regards to patient and family participation, interpreted new information and arrived at well-reasoned potential solutions to present to team members.
Chamberlain College of Nursing. (2018). NR-650 Week 2: Involvement throughout the policy cycle [Online lesson]. Downers Grove, IL: DeVry Education Group.
Molony, S. L., Kolanowski, A., Van Haitsma, K., & Rooney, K. E. (2018). Person-centered assessment and care planning. The Gerontologist, 58(S1), S32–S47.