NRS 465 Benchmark – Professional Capstone and Practicum Reflective Journal – Topic 7

Professional Capstone and Practicum Reflective Journal – Topic 7

The relationship and interaction between policy, regulatory requirements, and economics is a critical yet complex one that nurses should understand to effectively implement capstone project proposals in their practicum sites and organizations like improving medication adherence among elderly patients with chronic conditions. Government agencies and departments set policies and regulatory requirements to guide nursing practice and utilization of resources to ensure safe, quality, and efficient healthcare services. The policies and requirements exist in the form of laws, legislative acts like the Affordable Care Act to guide patient care, staff training, facility standards, and regulations like the Nursing Practice Act across all states in the country (Folland et al., 2024). For instance, medication adherence policies at the organizational level and within the health system focus on enhancing patient safety and providers’ satisfaction and protection to avoid any legal actions due to adverse events or care outcomes. These policies guarantee patients with quality care outcomes.

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Economics plays a critical role in healthcare since it determines the available and accessible financial resources for implementing and sustaining proposed capstone change projects. These include funding for staff, training of providers, acquisition of equipment, and other resources required for the project (Mason et al., 2020). For instance, training staff on the essence of medication adherence among the target population is essential to prevent adverse effects. The economic situation also affects the affordability and accessibility of healthcare resources, from providers to medications for elderly individuals battling chronic conditions like diabetes and hypertension. Economics affects care outcomes as it means that patients can only get medications and adhere to their prescriptions when they afford and access them (Melnyk et al., 2022). Insufficient funding means that nurses will not get the necessary training to help mitigate medication errors and poly-pharmacy.

Based on the reflection of my practicum site experience, these relationships are active through actions. For instance, the practicum site has a policy that requires nurses to know all medications their patients take. The facility mandates nurses to ensure effective handover during shift change and have all the details for every patient. The policy is so effective that medication errors are minimal. Within the two months that I have been at the facility, only two errors have occurred. Besides, the reporting policy is so friendly that nurses feel encouraged to self-report when an error occurs. The implication is that through this effective relationship, the facility reduces the economic effects of medication errors and improves overall staff satisfaction and patient safety levels.

References

Folland, S., Goodman, A. C., Stano, M., & Danagoulian, S. (2024). The economics of health and

Health care. Routledge.

Mason, D. J., Perez, A., McLemore, M. R., & Dickson, E. (2020). Policy & Politics in Nursing

and Health Care-E-Book: Policy & Politics in Nursing and Health Care-E-Book. Elsevier Health Sciences.

Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing &

Healthcare: A guide to best practice. Lippincott Williams & Wilkins.

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Assessment Traits

Benchmark

Assessment Description

Students are required to submit reflective journal entries at specific points throughout the course. These reflective narratives help students identify important learning events that happen throughout the course and the practicum.

Write a reflective journal (250-500 words) to outline how your experience at your practicum site related to the following reflective questions:

You have developed a list of resources needed for your project implementation in Topic 6. To complete this reflective journal, discuss with your preceptor the relationship between policy, regulatory requirements, and economics on care outcomes. Discuss how regulatory requirements and financial resources available will impact your project. How do you think this will impact the care that your practicum site will be able to provide?
Reflect on the relationship you discussed above as well as your practicum site experience. Provide an example from your practicum site of these relationships or discuss an example from your professional or personal experience.

While APA style is not required for the body of this assignment, solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN-BSN

7.2: Incorporate consideration of cost-effectiveness of care.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 7.2

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Benchmark – Professional Capstone and Practicum Reflective Journal – Topic 7 – Rubric

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Rubric Criteria

Total15 points

Criterion	1. Unsatisfactory	2. Insufficient	3. Approaching	4. Acceptable	5. Target
Regulatory Requirements and Financial Resources (B) Discuss how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide. (C7.2)	0 points A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is missing.	5.63 points A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is incomplete or inaccurate.	5.93 points A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is present but lacks detail.	6.68 points A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is mostly detailed.	7.5 points A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is thorough and accurate.
Examples Provide an example from your practicum site of these relationships or discuss an example from your professional or personal experience.	0 points An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is missing.	4.5 points An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is incomplete or inaccurate.	4.74 points An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is present but lacks detail.	5.34 points An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is mostly detailed.	6 points An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is thorough and accurate.
Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.	0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.	1.13 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.	1.19 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.	1.34 points Few mechanical errors are present. Suitable language choice and sentence structure are used.	1.5 points No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Regulatory Requirements and Financial Resources (B)

Discuss how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide. (C7.2)

0 points

A discussion of how regulatory requirements and financial resources available will impact your project, including how it will impact the care that your practicum sight will be able to provide, is missing.

5.63 points

5.93 points

6.68 points

7.5 points

Examples

Provide an example from your practicum site of these relationships or discuss an example from your professional or personal experience.

0 points

An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is missing.

4.5 points

An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is incomplete or inaccurate.

4.74 points

An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is present but lacks detail.

5.34 points

An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is mostly detailed.

6 points

An example from your practicum site of these relationships or a discussion of an example from your professional or personal experience is thorough and accurate.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

1.13 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

1.19 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

1.34 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

1.5 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.