The Importance Of Knowledge Assessment

The clinical practice guidelines that were selected for this paper are from the National Guideline Clearinghouse and from International journal of nursing studies. The Hendrich Fall Risk Model was primarily developed as a predictive nursing assessment tool based on epidemiological research (NGC, 2011). The Guidelines were developed by the Hartford Institute for Geriatric Nursing the committee was however not stated. Authors were asked to sign confidentiality documents and all the authors agreed this. The research was conducted by hand searches of public literature and searches of electronic database.

An article published in October of 2015 recognized the need for a standardized handoff template such as SBAR to assist in the patient information exchange. It was noted in multiple literature reviews conducted that barriers to effective handoff communication included too little information and the inconsistent quality of information (Clochesy, M, Hickman Jr, & Gittner, 2015; Beaumont & Russell, 2012)This lack of information can have a poor impact on patient outcomes, and inversely effective communication in the entire care team improves knowledge, patient goals, and the patient plan of care (Johnson, Carta, & Thondson, 2015). Clochesy, Hickman Jr., & Gittner (2015), concluded the information shared should be defined, standardized, and a template

The Nurse Practice Act is a specific set of rules and regulations. The purpose is to oversee the safe practice of nursing and safety of the public. NPA lists the standards and scope of nursing practice, along with requirements for licensure, the types of titles and licenses and educational standards. The Nurse Practice Act is a nurse’s guide to safe practice (Russell, K. 2012).

The policy and procedure to be examined presents guidelines for both preventing and documenting falls in an acute care setting. This policy is to be used daily and with every patient in a hospital setting.

Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions.

(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent

Three areas that an education professional needs to think about when selecting an EBP and considerations for each: 1. The type of practice or program to fit your need. There are a plethora of EBPs so it is pertinent that the correct program is selected based on the concern. For example, if an EBP is required to address a reading deficit concern, then you should not be looking at EBP programs that are concerned with issues pertaining to, for example, behavior issues. In addition, reading deficit is still too vague a term, so the scope should be narrowed and be more specific to identify the reading deficit of concern.

It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).

2:1 Compare the strengths and limitations of assessments of a range of assessment methods with reference to the needs of individual learners. Workplace Observations, question and answer/professional discussions, projects/assignments, portfolios, witness statements. A good assessor will always take into account their learners needs and what particular subject they are studying for prior to confirming with learner type of assessment method to be used. Workplace observations

Professional practice reflects autonomy when the nurse respects patient’s rights to make decisions about their health care” (Taylor, 1997). At the nursing home, I witnessed many of the nurses discuss with the residents what they wanted to do about certain situations. Autonomy honors the fact that it is the patient and the families right to make certain decisions about health care. Nurses also are constantly making sure that they can provide their patients with the best information to help them make a more successful choice about their health care (Taylor

This program, called the Nijmegen Falls Prevention Program, included one hundred thirteen elderly clients with a history of falls. Exercise sessions were held twice a week for five weeks with fall monitoring done before and after the experiment. Control assessments were also done continuously thru the study to determine client changes in standing balance, balance confidence, and obstacle avoidance skills. The results of the Nijmegen Falls Prevention Program showed that the number of falls within the exercise group dropped by a significant forty six percent! Not only less falls, but obstacle avoidance skills dramatically improved as did balance

For EBP to become mainstream in the organization, the culture must support EBP, and practitioners must have the authority to change practice (Rycroft-Malone et al.,

(Richards and Rodgers, 2001: 141). Competency based learning is an objective-based learning. It has a number of advantages. It focuses learners, especially on learners ' target needs (necessities) with the application of criterion reference assessment, therefore learning takes place in effective and efficient ways since objectives and materials are based on learners ' need, because of well-defined objectives in course descriptions.” (Drs.

I will also discuss on how this clinical situation could be done differently. Clinical scenario I was posted to a medical ward in National University Hospital for my clinical posting. There is a particular cubicle allocated for patients with very high risk of fall called the “Green eye cubicle “. Patients in that cubicle are usually confused or not compliant to fall precaution.

(2013) reported that competency-based educational framework draws heavily from key concepts mastered from Bloom’s Taxonomy and Essential Schools-standards based architecture. In other words, the CBE is an amalgamation of earlier classical version of educational standards, and it represents a neo-classical approach to a seemingly crippled educational system of the day. With the student acting as the fulcrum of a highly personalized learning experience, competency-based education’s origin could be tracked down through years of modernism introduced by academicians and school leaders. According to Freeland (2014), the term competency education or competency-based education follows the chart laid down by two landmark policies: New Hampshire’s policy and International Association for K–12 Online Learning (iNACOL).