Comprehensive evaluation

Scenario A BSN student took a course on Capstone for 12 weeks. At the end of the course, evaluations are required. The student is required to write the evaluation 1. As a student; and 2. As a mentor. EVALUATING THE SITE, EVALUATING THE STUDENT AND EVALUATING THE MENTOR. This practice change took place in a hospital or nursing home. Section 1 In this question – question 1, the student will be THE ONE providing/writing the evaluation based on the 12 weeks course/clinical experience at the site. Evaluating the site; use appropriate words and comment suitable to evaluate a site either a nursing home or hospital – use your initiative. This site met/reached the highest criteria. i. Name 8 strengths the student would use to describe the site where he or she spent time for the practice change experience gathering information/conducting his or her research. 8 bullet points/comments. ii. Name 8 points/comments concerning the site/facility where the site/facility need improvement. 8 bullet points/comments (Area of improvement). iii. State 8 suggestions to incorporate more responsiveness to student learning needs with relation to the site/facility or generally for a BSN student. 8 bullet points. Section 2; bullet points/comment -precise and concise. In this section, the student will be writing the evaluation as a student that took this course. The student will be writing 4 comments (bullet points) based on the statements below. This student is evaluating his or her mentor that did a great job throughout the 12 weeks capstone course. This is the student’s feedback of the experience he or she had with the mentor. i. Exemplify professionalism in diverse health care setting (4 bullet points comment). 1st comment:…… 2nd comment:….. 3rd comment…. 4th comment…… ii. Utilize the expertise and nursing process to provide safe and effective care for patients across the health -illness continuum: promoting, maintaining and restoring health; preventing disease and facilitating peaceful encounter as opportunity is present. 1st comment 2nd comment 3rd 4th iii. Implement patient care decisions based on evidence-based practice. 1st comment 2nd comment 3rd 4th iv. Utilize patient care technology and information management systems. 1st comment 2nd comment 3rd 4th v. Communicate therapeutically with patients. 1st comment 2nd comment 3rd 4th vi. Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care. 1st comment 2nd comment 3rd 4th vii. Understand the human experience across the health illness continuum. 1st comment 2nd comment 3rd 4th viii. Provide culturally sensitive care. 1st comment 2nd comment 3rd 4th ix. Preserve the integrity and human dignity in the care of all patients. 1st comment 2nd comment 3rd 4th Section 3 bullet points/comment -precise and concise. In this section, the Mentor will be writing the evaluation and providing the comments based on the student’s performance while taking the course. The Mentor that guided the student will be providing/writing this comment; 4 comments each (bullet points) for each statement below/based on the statements below. This Mentor is evaluating the student that performed a great job throughout the 12 weeks capstone course. This is the Mentor’s feedback of the experience he or she had with the student. i. Exemplify professionalism in diverse health care setting (4 bullet points comment). 1st comment:…… (PROVIDE COMMENT) 2nd comment:….. (PROVIDE COMMENT) 3rd 4th ii. Utilize the expertise and nursing process to provide safe and effective care for patients across the health -illness continuum: promoting, maintaining and restoring health; preventing disease and facilitating peaceful encounter as opportunity is present. 1st comment 2nd comment 3rd 4th iii. Implement patient care decisions based on evidence-based practice. 1st comment 2nd comment iv. Utilize patient care technology and information management systems. 1st comment 2nd comment 3rd 4th v. Communicate therapeutically with patients. 1st comment 2nd comment 3rd 4th vi. Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care. 1st comment 2nd comment 3rd 4th vii. Understand the human experience across the health illness continuum. 1st comment 2nd comment 3rd 4th viii. Provide culturally sensitive care. 1st comment 2nd comment 3rd 4th ix. Preserve the integrity and human dignity in the care of all patients. 1st comment 2nd comment 3rd 4th Background information/reading about the Capstone course PICOT Statement paper PICOT STATEMENT: In the adult and geriatric population being discharged, what are the impacts of a multifactorial approach to fall prevention when compared to nurse education on fall rate, fall injury, and staff and patient adherence to care models within the first two months of admission into the Westbury Nursing Home? The major accidents occurring among patients are falls due to muscle weakness, mental retardation, and the physical environment. Fall injuries lead to fractures, dislocation often taking longer to heal, further, resulting to loss of function and dependence. Falls are categorized into accidental, anticipated physiologic and unanticipated physiologic falls explained as not predicted, likely due to weight gain, mental status and physical condition. There is an association existing between the falls that hospitals experience concerning these adults and placement in nursing home when they get hospitalized due to acute illness (Houry et al., 2016). Methods for dealing with incidences of falls Falls are preventable, but they are rampant in nursing home causing significant visits to the emergency rooms (Basic et al., 2015). To enable the deal with the impact of falls several methods have been employed to limit the extent of falls. These methods include a multifactorial way which emphasizes a broader variety of aspects operating two or more components to prevent fall based on risk assessment. The ingredients include; staff and patient education, advice on foot wears and post-fall review. The primary intervention on fall is an accurate risk assessment, observation of patients at risk of fall and establishment of devices to watch the patients at risk (De Moura al., 2017). Nurses provide care and safety for the patient who fall, their number and level of training has a positive impact on the rate of falling and injury among the older and mentally challenged (Petersen et al., 2018). Quality care is ensured, good working environments enhances service delivery. An increase in the ratio of nurses decreases the rate of falls, injuries and the number of visits to facilities thus assessment is done before risk occurrence (Cheng et al., 2018); knowing that the medical conditions of patients make them vulnerable to falls (Sharifi et al. 2015). Effects solutions for cases of incidence Falls The population for the study is geriatrics admitted in Westbury while hospitalized individuals were due to incurring injuries, getting sick or suffering from long-term conditions (Johnell et al., 2017). Majority of the elderly are more prone to falling if precaution is not in place. This includes a lower number of nurses to watch over them, lack of knowledge to assess the risk factors and poor innovation to deal with upcoming challenges. It is a clinical problem because the demand for care from the patients does not go with supply of the same attention (Laflamme et al., 2015). However, conducting assessment helps prevent the occurrence of an unexpected fall (Cheng et al., 2018). The multifactorial systems enhance monitoring of patients’ health concerning the physical environment. It oversees training and creating awareness on danger-prone areas that might cause problem. This includes slippery floor and unsuitable restrooms. The nurses offer direct support and provide aid to the affected, they group the individuals according to risk factors and special care needed, like: low beds close to recreational facility to minimize fall, establishing aid for ambulation and increases in service delivery (Cheng et al., 2018). An increase in the number of well-trained nurses often reduces accidents creating a positive impact on patients. An increase in the number of elderly population has led to the development of agencies to oversee their daily medical and personal care. The medical and nursing professionals monitor discharged individual's health such as blood pressure, temperature and mental status; also, caregivers assist the affected such as cooking, making their beds and bathing them. Such practices reduce the risk associated with falls since individuals prone to risk are strictly monitored. Nursing practices and service delivery Nursing practices are performed by trained, certified personnel, they make informed decisions on individual health and provide services equally without discrimination. Service delivery is based on open communication and relation between the patient and the nurse to disclose the risk factors (Hill et al., 2015). It advocates for patients' rights and their family and as a science, it employs holistic intervention, physical and psychological support. The nurses are trained to assess any risk factors such as fall and prevent its occurrence by providing supervision (Demoura et al., 2017). The vast training equips them with the knowledge to deal with the challenges to prevent risks. Increase in number has a positive impact in improving outcome as the workload on an individual is reduced (Cheng et al., 2018).              

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