Student Name
Capella University
NURS-FPX 6025 MSN Practicum
Prof. Name
Date
MSN Practicum Conference Call Template
Date: January 27, 2024
Attending: [Names not provided]
Meeting Objectives
The conference call aimed to integrate best practices in clinical documentation, launch a research initiative focused on a pressure injury prevention bundle and its impact on injury and disability rates, obtain approval for dedicated clinical hours, and perform a comprehensive review of current literature to guide evidence-based practice.
Documentation
The discussion emphasized the critical importance of meticulous medical documentation for elderly patients in critical care settings. Accurate record-keeping not only facilitates monitoring of patient progress but also ensures alignment with professional practice standards. During the meeting, participants agreed that documenting 20 practicum hours and 100 clinical practice hours—subject to preceptor approval—was necessary. Organizing clinical activities and evaluation sessions systematically was highlighted as key to optimizing workflow efficiency during the practicum.
An action plan was developed to solicit ongoing feedback from supervisors to enhance clinical activities and implement a structured data collection system. This system will specifically track metrics related to pressure injuries among geriatric patients. Additionally, standard procedures for data entry and secure storage were proposed to maintain consistency, accuracy, and confidentiality of patient information.
Table 1: Documentation Summary and Action Plan
| Focus Area | Details |
|---|---|
| Documentation Goal | Ensure accurate medical records for elderly patients in critical care |
| Practicum Hours | 20 practicum hours; 100 clinical hours with preceptor approval |
| Clinical Organization | Schedule and coordinate clinical sessions and evaluations |
| Action Item | Collect supervisor feedback, implement structured data collection, and standardize documentation |
PICOT
The formulated PICOT question guiding the research project is:
In elderly patients in critical care requiring full assistance (Population), does implementing a pressure injury prevention bundle (Intervention), compared to standard care practices (Comparison), result in a significant reduction in pressure injuries (Outcome) over three months (Time)?
This question focuses on assessing the effectiveness of a bundled care intervention in preventing pressure injuries in high-risk geriatric patients.
To operationalize this study, the team outlined steps including the creation of a formal intervention protocol and recruitment of participants. The intervention will be implemented following ethical guidelines and patient safety standards. Concurrently, a thorough literature review will be conducted to support the intervention design and identify any gaps in existing evidence. Data collection will also commence with strict attention to ethical handling and secure storage of patient information.
Table 2: PICOT and Implementation Plan
| PICOT Element | Description |
|---|---|
| Population | Elderly patients in critical care requiring complete assistance |
| Intervention | Pressure injury prevention bundle |
| Comparison | Standard care practices |
| Outcome | Reduction in pressure injuries |
| Time | Three-month period |
| Action Item | Develop protocol, recruit participants, implement intervention, analyze findings |
Clinical Hours and Review
Discussion regarding clinical hours highlighted the necessity of aligning practicum hours with learning objectives and clinical assessments. Participants emphasized engaging patients and care providers in evidence-based interventions, including surveys to evaluate current pressure injury prevention practices and outcomes. Patient education on self-care strategies was also identified as a vital component to enhance participation and promote injury prevention.
The literature review will encompass research published from 2019 to 2023, focusing on self-management strategies, coordinated care interventions, and pressure injury prevention protocols within elderly critical care populations. Key outcomes of interest include the incidence of pressure injuries, symptom management, quality of life, and hospital admission rates. These findings will inform the development of an effective capstone intervention. Documentation of clinical hours and project milestones will continue to ensure academic accountability and facilitate evaluation of practicum objectives.
Table 3: Clinical Hours and Literature Review Summary
| Component | Details |
|---|---|
| Clinical Hours | Allocate hours across assessments and clinical tasks |
| Patient Involvement | Evaluate self-care abilities, provide education on pressure injury prevention |
| Provider Feedback | Conduct surveys to gather insights on current practices and outcomes |
| Literature Review Scope | Analyze studies from 2019–2023 addressing pressure injury prevention in critical care elderly |
| Key Outcomes | Pressure injury incidence, quality of life, symptom control, hospitalization rates |
| Action Items | Document hours, complete literature review, identify evidence gaps, finalize intervention plan |
References
Agency for Healthcare Research and Quality. (2019). Preventing pressure ulcers in hospitals: A toolkit for improving quality of care. https://www.ahrq.gov
National Pressure Injury Advisory Panel (NPIAP). (2023). Prevention and treatment of pressure ulcers/injuries: Clinical practice guideline. https://npiap.com
NURS FPX 6025 Assessment 1 MSN Practicum Conference Call Template
Parsons, M., & Skinner, M. (2021). Pressure injury prevention in older adults: A clinical review. Journal of Gerontological Nursing, 47(6), 12-19. https://doi.org/10.3928/00989134-20210512-01
Smith, D., & Lichtenstein, A. (2020). Integrating pressure injury bundles in critical care: Outcomes and barriers. Critical Care Nursing Quarterly, 43(4), 356–365. https://doi.org/10.1097/CNQ.0000000000000331