Development Portfolio 1 Development Portfolio N266 Healthcare System/Organization Dr. Fry-Bowers Spring 2013 Completed by: Jennifer Williams
Development Portfolio 2 What is a Clinical Nurse Leader? As the healthcare system continues to evolve with improving ones quality of life, a clinical nurse leader (CNL) entails an umbrella of factors. These factors direct one focus on the quality of care on an individual and community based perspective. Throughout the eyes of the CNL he/she will be equipped to assess a population at the microsystem level with a theoretical and evidence based practice approach. The focus of care is within a holistic realm that enables the clinician and the patient to collaborate with effective behavior changed models to improve health outcomes and alleviate pain. A CNL practices as an advocate to improve an individual s healthcare concerns and issues related to the nurse s profession with the importance of autonomy with a focus on the use of health policy attributes. Information gathered amongst the microsystem level will enable the CNL to improve team management with technology use, which will enhance the healthcare system within a cost-effective approach. A CNL is tailored to coordinate a design program which will lead to a request of grants to help increase health promotion programs within a systematic analysis with a prospective for the benefit of the environment. Lastly, a CNL is capable to create an environment of safety for fellow peers, as they continue to explore their roles and which allows them to network among new relationships and improve ways of working together to implement health promotion strategies. What is my personal Philosophy? My focal point of nursing is caring with a distance and delivering therapeutic remedies that will enhance a patient and the family s quality of life. With the goal to alleviate pain, restore physiological systems, and provide education. As a clinical nurse leader my involvement of the professional role is shared governance with evidence based research practice of standards of care and outcomes. I will continue to contribute to being a lifelong learner accountable for practice and participation in interdisciplinary activities. Alter patient behaviors with theory based models that are beneficial to lessen the health risk and further complications. I will direct patient centered care from a cultural sensitive approach with knowledge based on target population beliefs. I will grant the ability to always approach patients and fellow peers with an interpersonal skill and an outlook on leadership. Furthermore, I will be the guiding light and the force to provide unconditional care.
Development Portfolio 3 Competency Assessment Competency Activities Critical Thinking a. Engage in self-reflection and collegial dialogue about professional practice. b. Engage in creative problem solving Upon completion of Clinical Internship N 465A/B the use of applying measurable outcomes during admission and upon discharge for geriatrics population for post hospitalization in relation to evidence based fall prevention and appropriate resources for assistance with ADL s and IDL s. Reflection journal of weekly events during clinical rotation enabled retrospective factors that could have streamlined assessment in relation to nursing diagnosis. Communication a. Demonstrate communication skills during assessment, intervention, evaluation, and teaching b. Express oneself effectively using a variety of media in a variety of contexts c. Establish and maintain effective working relationships within an interdisciplinary team d. Communicate confidently and effectively with other health care workers both in collegial and subordinate positions e. Produce clear, accurate, and relevant writing. N254A/B Theoretical Foundations helped with experience to teach fellow peers the importance of basic skills during fundamental lab session Completion of classes centered around collaborative and team building ideas with the use of power point presentations, APA style reports, and video presentations Utilized effective situation, background, assessment and recommendation (SBAR) to translate patient s reports to clinical preceptor and peers during clinical internship. N252 Health Promotion 2012 consisted of a 25 minute power point amongst a collaborative group setting regarding implications on Type 2 Diabetes within compromised communities N260 Secondary Health Promotion enabled the use of creating an American Psychology Association (APA) clinical case with essential data on evidence based practice related to the following screening preventions: Hyperlipidemia, Type II DM, Hypertension, and Osteoporosis
Development Portfolio 4 f. Appropriately, accurately, and effectively communicate with diverse groups and disciplines using a variety of strategies. g. Access and use data and information from a wide range of resources h. Manage group processes to meet (team) objectives and complete team responsibilities Nursing Technology and Resource Management a. Provide effective health teaching using appropriate materials, technologies, resources, and formats b. Evaluate effectiveness of health teaching by self and others Health promotion and risk reduction and Disease Illness and Disease Management 2013 Thai health fair demonstrated effective communication regarding education on hypertension prevention amongst individuals within the community. 2013 Care Harbor Tools and resources produced from PubMed, Sin-hal and U.S Prevention Task Force (USPTF) Experience with care-connect during clinical internship to access and evaluate patient s medical records. N252 Health Promotion, N250 Ethics consist of completed group assignments which resulted to work in a timely manner while facilitating and delegating task collaborate (USPTF) screening tools for prevalent diagnosis related to diabetes, hypertension, osteoporosis and hyperlipidemia with the use of an I-pod during clinical rounds Health Belief Model (HBM) to measure risk and adherence of 50+ African American women regarding breast cancer screenings. N260 Secondary Prevention to promote wellness amongst the elderly with evidence based practice Informed and educated patients on the benefits of medications and adverse effects in the hospital settings. Monitor lab work for abnormal findings during clinical rotation in relation to pathophysiological mechanism Information and Health Care Technologies Care connect has been used within the clinical setting to assess patients record, labs and pre-admission data.
Development Portfolio 5 I-pod is another tool that is helpful in the clinical setting with the use of USPTF screening with patients admitted for cost effective expected outcomes Ethics Human Diversity Global Healthcare Health Care System and Policy a. Use systems theory in the design, delivery, and evaluation of health care b. Understand how health care delivery systems are organized and financed, and the effect on client care c. Articulate the significance of the CNL and other nursing roles to policy makers, health care d. Incorporate knowledge of cost factors in delivering care N204 Research Design and Critique, Biomedical library search engines for clinical research pertaining to reduced caloric intake and effects on aging N250 Portrays professional and valuable behaviors amongst colleagues, clinical staff and patients Focus on cultural diversity and approach with sensitivity and a holistic nursing care Approach individuals needs based on cultural and spiritual perspective in the clinical setting and community during clinical internship and volunteerism opportunities. Flying Samaritan s school based organization affiliation, utilized to allow students the opportunity to assess, educate and treat in South America among compromised communities with individual challenged with metabolic syndromes. In progress Upon completion of N267 Health Policy during Spring 2014 N266 Health Care System and Organization understand the difference between Medicare/Medicaid and the impact of health reform throughout the U.S Upon completion of N267 Health Policy during Spring 2014 Upon completion of preceptor ship project. Measuring they yearly cost of falls on the unit.
Development Portfolio 6 e. Understand the effect of legal and regulatory processes on nursing practice and health care delivery Provider and Manager of Care a. Integrate theory and research-based knowledge from the arts, humanities, and sciences to develop a foundation for practice b. Demonstrate knowledge of the importance and meaning of health and illness for the patient in providing nursing care Designer/Manager of Care/ Coordinator of Care Members of Profession a. Evaluate effectiveness of health teaching by self and others Upon completion of N267 Health Policy during Spring 2013 Manages a patients care from admission to discharge with close attention on vital signs, lab results, and pain to evaluate progression N 260 Secondary Prevention, clinical case study reports with evidence based information that will improve quality of life Clinical internship, care plan focused on geriatric diagnosis and syndromes used to plan for effective outcomes during admission and post-admission Upon completion of N171 Public Health Spring 2014 and with further training in the clinical settings will guide the use of implementing a wellness program tailored to an evidence based model N465 A/B provides educational teachings in an inpatient setting related to carb and sodium control to help improve DM and HTN conditions b. Understand the history, philosophy and responsibilities of the nursing profession. c. Assume responsibility for the professional presentation of oneself N254A understands the development of nursing starting with Florence Nightingale and understanding the importance of one s environmental risk factors in order to continue to thrive N171 public health nursing will be completed Spring 2014
Development Portfolio 7 d. Advocate for professional standards of practice using organizational and political processes e. Negotiate and advocate for the role of the professional nurse as an essential member of the interdisciplinary health care team N171 public health nursing will be completed Spring 2014 N171 public health nursing will be completed Spring 2014 f. Support and mentor individuals entering into the nursing profession. In progress effective with mentoring incoming nursing students Affiliated with Pan African Nursing Student Association (PANSAA). Networking and mentorship/mentee opportunities, and guidance from alumni form the UCLA School of nursing Lifelong Learner Completion of MSN Spring 2014 Diabetes Clinical Educator Affiliated with Juvenile Diabetes Research Foundation (JDRF) - networking with fellow colleagues. Further audio studies for Spanish fluency Pediatric Endocrinologist Society (PENS) Overall, continued further clinical experiences to broaden knowledge on clinical and sub clinical practices
Development Portfolio 8 References American Association of Colleges of Nursing (AACN) (2007, July) American association of colleges of nursing. White Paper on Education and Role of Clinical Nurse Leaders, 16-25. Retrieved May15, 2013