*******PLEASE NOTE THAT THIS ASSIGNMENT INCLUDES A Nursing CONCEPT MAP, PLEASE NOTE THAT A NURSING CONCEPT MAP IS NOT THE SAME AS A REGULAR CONCEPT MAP! PLEASE ENSURE THAT YOU ARE VERY FAMILIAR WITH NURSING CONCEPT MAPS, WHICH INCLUDES NURSING DIAGNOSES BEFORE BIDDING, THIS ASSIGNMENT ALSO INCLUDES A NARRATIVE IN ADDITION TO CONCEPT MAP************ NURSING DIAGNOSIS COME FROM NANDA
I HAVE UPLOADED A EXAMPLE OF A NURSING CONCEPT MAP
• ASSESMENT 1 OVERVIEW Evidence-Based Patient-Centered Concept
Map
Create an evidence-based, patient-centered concept map that
illustrates an individualized approach to patient care, based on a
patient case file of your choice.
Evidence-based practice is a key skill in the toolkit of the
master’s-prepared nurse. Its goal is to ensure that health care
practitioners are using the best available evidence to ensure that
patients are receiving the best care possible (Godshall, M.,
2015.). In essence, evidence-based practice is all about ensuring
quality care.
In this assessment, you have an opportunity to apply
evidence-based practice and personalized care concepts to ensure
quality care and improve the health of a single patient.
By successfully completing this assessment, you will
demonstrate your proficiency in the following course competencies
and assessment criteria:
• Competency 1: Apply evidence-based practice to plan
patient-centered care.
o Analyze the needs of a patient, and those of their family,
with regard to how they will influence a patient-centered concept
map.
o Design an individualized, patient-centered concept map,
based upon the best available evidence for treating a patient’s
specific health, economic, and cultural needs.
• Competency 3: Evaluate outcomes of evidence-based
interventions.
o Propose relevant and measurable criteria for evaluating the
outcomes of a patient-centered concept map.
• Competency 4: Evaluate the value and relative weight of
available evidence upon which to make a clinical decision.
o Justify the value and relevance of evidence used as the
basis of a patient-centered concept map.
• Competency 5: Synthesize evidence-based practice and
academic research to communicate effective solutions.
o Develop a strategy for communicating with patients and
their families in an ethical, culturally sensitive, and inclusive
way.
o Integrate relevant and credible sources of evidence to
support assertions, correctly formatting citations and references
using APA style.
Reference
Godshall, M. (2015). Fast facts for evidence-based practice
in nursing: Implementing EBP in a nutshell (2nd ed.). New York, NY:
Springer Publishing Company.
ASSESSMENT INSTRUCTIONS
Preparation
You have been presented with a number of patient case files
in the Evidence-Based Patient-Centered Care media piece. You
reviewed each case, selected one case for further research, and
created draft evidence-based concept map to illustrate an approach
to individualized care for the patient. In this assessment, you
will build upon and refine your draft concept map and develop a
supporting narrative.
Create your concept map and narrative as separate documents.
Be sure to note the areas where you need to include your
evidence-based support and where you need to make clear your
strategies for communicating information to the patient and the
patient’s family.
Note: Many organizations use the spider style of concept maps
(see the Taylor & Littleton-Kearney article for an example).
Also, if a specific style of concept map is used in your current
care setting, you may use it in this assessment.
Create your concept map and narrative as separate documents.
Be sure to note the areas where you need to include your
evidence-based support and where you need to make clear your
strategies for communicating information to the patient and the
patient’s family.
Requirements
Note: The requirements outlined below correspond to the
grading criteria in the scoring guide, so be sure to address each
point. In addition, you may want to review the performance level
descriptions for each criterion to see how your work will be
assessed.
Supporting Evidence and APA Style
Integrate relevant evidence from 3–5 current scholarly or
professional sources to support your assertions.
• Apply correct APA formatting to all in-text citations and
references.
• Attach a reference list to your narrative.
Concept Map
• Develop a concept map for the individual patient, based
upon the best available evidence for treating your patient’s
health, economic, and cultural needs.
Narrative
Develop a narrative (2–4 pages) for your concept map.
• Analyze the needs of your patient and their family, and
determine how those needs will influence a patient-centered concept
map.
o Consider how your patient’s economic situation and relevant
environmental factors may have contributed to your patient’s
current condition or affect their future health.
o Consider how your patient’s culture or family should
influence your concept map.
• Justify the value and relevance of the evidence you used as
the basis of your concept map.
o Explain why your evidence is valuable and relevant to your
patient’s case.
o Explain why each piece of evidence is appropriate for both
the health issue you are trying to correct and for the unique
situation of your patient and their family.
• Propose relevant and measurable criteria for evaluating the
degree to which the desired outcomes of your concept map were
achieved.
o Explain why your proposed criteria are appropriate and
useful measures of success.
• Explain how you will communicate specific aspects of the
concept map to your patient and their family in an ethical,
culturally sensitive, and inclusive way. Ensure that your
strategies:
o Promote honest communications.
o Facilitate sharing only the information you are required
and permitted to share.
o Are mindful of your patient’s culture.
o Enable you to make complex medical terms and concepts
understandable to your patient and their family, regardless of
language, disabilities, or level of education.
Additional Requirements
• Be sure to include both documents when you submit your
assessment.
QUESTIONS TO CONSIDER
As you prepare to complete this assessment, you may want to
think about other related issues to deepen your understanding or
broaden your viewpoint. You are encouraged to consider the
questions below and discuss them with a fellow learner, a work
associate, an interested friend, or a member of your professional
community. Note that these questions are for your own development
and exploration and do not need to be completed or submitted as
part of your assessment.
Recall an experience you have had—or one that you might have
observed in your care setting—in which you individualized care for
a patient.
• In your approach to individualized care, did you:
o Address any health concerns other than those for which the
patient was seeking care?
o Consider the patient’s economic and daily environmental
circumstances?
o Consider any ethical issues inherent in working with the
patient?
• What might you have done differently, if you could revisit
that patient’s case?
• What evidence supported your original course of action?
• What evidence would you present to support an alternative
course of action, if you could revisit that patient’s case?
RESOURCES
Required Resources
The following resources are required to complete the
assessment.
Evidence-Based Practice
• Evidence-Based Patient-Centered Care | Transcript.
Introduction
Concept maps are an important tool in patient–centered care
planning. A concept map helps to synthesize facts about a patient’s
health needs and personal circumstances with available evidence and
analysis. Such a tool becomes more useful when a patient has
complex health, economic, and cultural needs.
In this simulation, you will be choosing a patient,
conducting a short interview, and then assembling a concept map for
use in that patient’s care plan.
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Overview
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You are a nurse at the Uptown Wellness Center. As you begin
your shift, you get an email from the charge nurse. Click on the
icon to read it.
Good morning,
We have two new patients coming in today.
First is Keith Rogers; he is a young man with a recent HIV
diagnosis. He has described his living situation as unstable, and
he has not begun treatment for HIV.
The other is Carole Lund. Carole is a new mother who had
gestational diabetes during her pregnancy. She has continued to
track her blood glucose postpartum, and is worried that it does not
appear to be stabilizing.
Please review the attached patient profiles and decide which
you’d like to take on today. When you’ve decided, talk to your
patient and start planning his or her care. Thanks!
— Janie Poole
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Keith Rogers
Patient with HIV
________________________________________
Overview
Reason for Referral: Keith is an 18–year–old African American
man, and a recent high school graduate. He has HIV but has not been
in treatment.
Situation: Although he has known his HIV status for some
time, Keith is here today seeking treatment for the first time. He
came alone on a city bus, and he doesn’t have a state–issued ID or
insurance information, although he says he does have health
insurance.
Interview:
How long have you known you were HIV–positive?
Since this summer. They had one of those trucks outside GG’s
where you can get tested for free. GG’s, that’s our club. So me and
Nick, we go get the test and it was positive.
They gave us these pamphlets after, but I can’t leave stuff
like that around the house. My folks didn’t know about me and Nick.
So I trashed those pamphlets on the way home. That was…like six
months back I guess.
Since you haven’t been in treatment, have you been doing
other things to protect your health?
Yeah. So here’s the thing about that. Nick says he read on
the Internet that meth is supposed to help. Like methamphetamines.
And you don’t have to do very much and it slows it down so you
don’t get sick as fast, but doctors can’t prescribe it because it’s
illegal. So we tried that. Nick thinks it’s working, but I don’t
know, man. It makes my heart beat real fast and that freaks me out.
He’d be mad if he knew I told you that, like maybe someone’s
gonna show up at the house and bust us. I guess I don’t care
anymore.
At intake you described your living situation as “unstable.”
Can you tell me more about that?
I’m at Nick’s right now. Mom threw me out of the house. I
was…like, trying to find a way where I could get a test that wasn’t
in front of a gay club, right, cuz…my folks just ain’t ready for
that much truth, you know? So we’re at the clinic, and I get the
test, and they call Moms in because technically I’m still a minor
at that time, and we’re talking with the nurse or whoever and it
just kinda comes out. How I got it. She hit the roof.
I don’t think that’s why she threw me out, though, even
though at church they say it’s a sin. She’s scared. Everyone is
scared. I got little sisters at home, Alexa and Marnie, and we only
got one bathroom. It’s like…maybe I’m allowed to go ruin my life
and they still love me and pray for me, but if I gave it to the
girls…that they could never forgive.
So I’m sleeping on the couch at Nick’s place. His folks don’t
want us sharing a bed, but they feed me and stuff. I don’t even
know if Nick told them what’s up, so I just keep my mouth shut. If
we break up over this, I’m in so much trouble.
What do you feel is the most important thing we can do to
help you right now?
Well. I have like five hundred dollars in the bank that I got
for my birthday, but HIV drugs have gotta cost more than that. I’m
under Dad’s insurance still, until I’m 25 I think. But I remember
when my sisters were born it was so expensive anyway, and I’m
scared that if the insurance company finds out, like…I have a
terminal illness…that’ll just bankrupt the whole family. I can’t do
that to them.
So I guess the first thing is, like, can you help me figure
out how to do this without hurting anybody?
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