Student Instructions for i-Human Virtual Simulation

NR325/NR330 Maggie Naganashe Scenario 2

PURPOSE:

The following information is to be used in guiding your preparation and participation in the virtual simulation scenario for this course. This document will provide applicable course outcomes in preparation for your simulation.

SCENARIO OVERVIEW:

Maggie Naganashe is a 62-year-old American Indian female with chronic renal failure. She also has a 15-year history of type II diabetes mellitus and a history of hypertension, and hyperlipidemia. She lives on an American Indian reservation and is a proud member of the Odawa tribe. Mrs. Naganashe reports that she was unable to go to her dialysis treatment this week because her husband had to use their only car for a job interview. She was admitted for shortness of breath, swelling, weight gain and fatigue.

LEARNER OBJECTIVES:

1. Utilize clinical reasoning skills to perform a health history and physical assessment on an adult patient. (CO 1, 2, 3, 4)

2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO 4, 5, 6, 7)

3. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing care (CO 4, 8)

4. Communicate and collaborate with the patient, family, and interdisciplinary healthcare team members (CO 3, 6)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing your assessment, you are expected to document your findings as a nurse’s note in SBAR format.

KEY FEATURES OF i-HUMAN:

· As the nurse, you are expected to complete the case scenario using the following tabs: EHR, History, Physical, Analyze, Actions, Nursing Notes, Summary

· There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.

· Nursing Notes: At the end of the simulation, you will document your assessment findings using ISBAR.

CONFIDENTIALITY:

To preserve the educational value, integrity, and safety of the learning environment, you agree to maintain strict confidentiality about the proceedings of the simulation session, details of the training scenarios and the performance of all participants. You acknowledge that this expectation aligns with the guidelines related to the Health Insurance Portability and Accountability Act (HIPAA) as well as laws governing Protected Health Information (PHI) in client care environments.  You will not view, discuss, share, record or disclose any confidential information pertaining to the session. You understand that lapses in confidentiality are considered academic misconduct and could result in dismissal from the academic program. 

FICTION AGREEMENT:

You will suspend judgment of realism for any given simulation in exchange for the promise of learning new knowledge and skills, treating the simulated patients with the same care due an actual patient, act with a genuine desire to learn even when it may be difficult to do so.  

DUE DATE:

The virtual simulation is assigned to be completed during

Week 4
prior to your scheduled debriefing with faculty/peers.

SIMULATION TIMING:

· Pre-simulation preparation: 30-60 minutes

· Pre-brief: 15 minutes

· Run Time: 2.75 hours

· Debriefing: 60 minutes

ASSESSMENT & EVALUATION

Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to your overall completion of clinical requirements for the course as documented on the Clinical Learning Evaluation tool.

i-Human Evaluation – What does my total score mean?

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

In order to prepare for the simulation, you are
required to complete the pre-simulation questions below and submit this prework to the faculty via uploading your responses in Canvas prior to the start of the virtual simulation. If you do not complete the pre-simulation questions and upload them, you will

not
be able to access or participate in the simulation.

1. Describe the fluid and electrolyte imbalance that occur with chronic renal failure.

2. What are key patient education concepts related to chronic kidney disease?

3. Explore the CDC Tribal Data, Information, and Resources at
www.cdc.gov/tribal/data-resources and read the following article.

Mitchell, F. (2012). Reframing diabetes in American Indian communities: A social determinants of health perspective.
Health & Social Work, 37(2):71–79.

[Note: This article can be located through the Chamberlain University Library.]

4. Describe risk factors and conditions that lead to health disparities for American Indians.

Immediately following the completion of the virtual simulation, you will complete the evaluation of the simulation using the link provided.

©2023 Chamberlain University LLC. All rights reserved.

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you've defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5–7 page analysis of your intervention.

Please submit both your solution/intervention and the 5–7 page analysis to complete Assessment 4.

Collapse All

Introduction

In your first three assessments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem.

Preparation

In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:

· Creating an educational brochure.

· Producing an educational voice-over PowerPoint presentation or video focusing on your topic.

· Creating a teaching plan for your patient, family, or group.

· Recommending work process or workflow changes addressing your topic.

Plan to spend at least 3 direct practicum hours working with the same patient, family, or group.

In addition, you may wish to complete the following:

· Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.

· Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence.

Note: As you revise your writing, check out the resources listed on the Writing Center’s 

Writing Support
 page.

Instructions

Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.

Part 1

Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.

Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:

· Leadership.

· Collaboration.

· Communication.

· Change management.

· Policy.

· Quality of care.

· Patient safety.

· Costs to the system and individual.

· Technology.

· Care coordination.

· Community resources.

Part 2

Submit your proposed intervention to your faculty for review and approval.

In a separate written deliverable, write a 5–7 page analysis of your intervention.

· Summarize the patient, family, or population problem.

· Explain why you selected this problem as the focus of your project.

· Explain why the problem is relevant to your professional practice and to the patient, family, or group.

In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

· Define the role of leadership and change management in addressing the problem.

· Explain how leadership and change management strategies influenced the development of your proposed intervention.

· Explain how nursing ethics informed the development of your proposed intervention.

· Include a copy of the intervention/solution/professional product.

· Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.

· Identify the patient, family, or group.

· Discuss the benefits of gathering their input to improve care associated with the problem.

· Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.

· Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.

· Cite the standards and/or policies that guided your work.

· Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.

· Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.

· Cite evidence from the literature that supports your conclusions.

· Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.

· Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.

· Cite evidence from the literature that supports your conclusions.

· Write concisely and directly, using active voice.

· Apply APA formatting to in-text citations and references.

Additional Requirements

·
Format: Format the written analysis of your intervention using APA style. 

APA Style Paper Tutorial [DOCX]
 is provided to help you in writing and formatting your paper. Be sure to include:

· A title page and reference page. An abstract is not required.

· Appropriate section headings.

·
Length: Your paper should be approximately 5–7 pages in length, not including the reference page.

·
Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.

·
Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Portfolio Prompt: Save your intervention to your 
ePortfolio. After you complete your program, you may want to consider leveraging your portfolio as part of a job search or other demonstration of your academic and professional competencies.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 1: Lead people and processes to improve patient, systems, and population outcomes.

· Define the role of leadership and change management in addressing a patient, family, or population health problem and includes a copy of intervention/solution/professional product.

· Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.

· Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.

· Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.

· Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.

· Competency 5: Analyze the impact of health policy on quality and cost of care.

· Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.

· Competency 6: Collaborate interprofessionally to improve patient and population outcomes.

· Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.

· Competency 8: Integrate professional standards and values into practice.

· Write concisely and directly, using active voice.

· Apply APA formatting to in-text citations and references

Choose one of the following to respond to in Week 1 Discussion Board;

·
Chapter 1, Exercise 1.5 or

·
Chapter 2, Exercise 2.1 or

·
Chapter 2, Exercise 2.4

Respond with a minimum of two (2) paragraphs of 4-5 sentences each.

1.
You should address each bullet point in the exercise you select.

2.
Your work should have in-text citations integrating at a minimum one scholarly article from this week's readings and course textbook.

3.
APA format should be utilized to include a reference list.

4.
Correct grammar, spelling, and APA should be adhered to when writing, work should be scholarly without personalization or first person use.

 

Analyze the potential effectiveness resulting from professional or nurse-provided social support versus enhancement of social support provided by personal relationship and social networks for parents of children with chronic mental illness.

Please include at lest 400 words and 2 referent