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 was organized to align clinical and academic priorities within the practicum experience. Key objectives included strengthening best practices in clinical documentation, initiating a research-focused analysis on the effectiveness of a pressure injury prevention bundle, obtaining approval for required practicum and clinical hours, and conducting a structured review of contemporary scholarly literature.
Documentation
Overview
Why is accurate documentation critical in elderly critical care settings?
Accurate and comprehensive documentation is essential because it ensures continuity of care, supports clinical decision-making, and complies with regulatory and professional standards. During the meeting, participants emphasized that maintaining detailed medical records is particularly important for elderly patients in critical care due to their complex health needs and vulnerability to complications such as pressure injuries.
How many practicum and clinical hours are required?
Participants confirmed that students are expected to complete 20 practicum hours and 100 clinical practice hours, pending approval from their assigned preceptor. These hours must be clearly documented and aligned with practicum objectives.
How can documentation processes be improved?
To enhance efficiency and consistency, the group proposed organizing clinical schedules and evaluation processes systematically. Additionally, implementing a structured data collection system will facilitate accurate tracking of patient outcomes, particularly those related to pressure injuries. Establishing standardized protocols for data entry and secure storage was also identified as necessary to maintain data integrity and confidentiality.
Table 1: Documentation Summary and Action Plan
| Focus Area | Details |
|---|---|
| Documentation Goal | Maintain precise and comprehensive records for elderly critical care patients |
| Practicum Hours | 20 practicum hours; 100 clinical hours with preceptor approval |
| Clinical Organization | Develop structured schedules for clinical activities and evaluations |
| Action Items | Obtain supervisory feedback, implement data systems, standardize documentation |
PICOT
Clinical Question Development
What is the PICOT question guiding this research?
The research question formulated for this project is: In elderly patients in critical care who require full assistance (P), does implementing a pressure injury prevention bundle (I), compared to standard care practices (C), lead to a greater reduction in pressure injuries (O) over a three-month period (T)?
Why is this PICOT question important?
This question is significant because it targets a high-risk population and evaluates whether a structured, evidence-based intervention can improve patient outcomes compared to routine care practices. It also provides a measurable framework for assessing clinical effectiveness over a defined timeframe.
Implementation Strategy
How will the research be implemented?
To operationalize the study, a formal intervention protocol will be developed, followed by the recruitment of eligible participants. The intervention will be conducted in accordance with ethical guidelines and patient safety standards. Simultaneously, a comprehensive literature review will be undertaken to support the intervention and identify existing research gaps. Data collection procedures will ensure confidentiality and adherence to ethical research practices.
NURS FPX 6025 Assessment 1 MSN Practicum Conference Call Template
Table 2: PICOT and Implementation Plan
| PICOT Element | Description |
|---|---|
| Population | Elderly critical care patients requiring complete assistance |
| Intervention | Pressure injury prevention bundle |
| Comparison | Standard care practices |
| Outcome | Decrease in pressure injury incidence |
| Time | Three-month duration |
| Action Items | Develop protocol, recruit participants, implement intervention, analyze results |
Clinical Hours and Review
Clinical Practice Integration
How should clinical hours be structured and utilized?
Clinical hours should be strategically distributed across patient assessments, interventions, and evaluations to ensure alignment with academic competencies. The discussion highlighted the importance of integrating evidence-based practices into clinical interactions while engaging both patients and healthcare providers.
NURS FPX 6025 Assessment 1 MSN Practicum Conference Call Template
How will patient and provider involvement be incorporated?
The team plans to administer surveys to healthcare professionals to assess current pressure injury prevention practices and their effectiveness. Additionally, patients’ self-care abilities will be evaluated, and targeted education will be provided to promote prevention strategies. This dual approach enhances both provider insight and patient engagement.
Literature Review
What is the scope of the literature review?
An extensive review of studies published between 2019 and 2023 will be conducted. The focus will include personalized care strategies, interdisciplinary coordination, and evidence-based interventions for pressure injury prevention in elderly critical care populations.
What outcomes will be evaluated?
Key outcomes include the incidence of pressure injuries, effectiveness of symptom management, patient quality of life, and rates of hospital admission. These indicators will inform the development and refinement of the capstone project intervention.
Table 3: Clinical Hours and Literature Review Summary
| Component | Details |
|---|---|
| Clinical Hours | Allocate and document hours across clinical activities |
| Patient Involvement | Evaluate self-care abilities and provide prevention education |
| Provider Feedback | Conduct surveys on clinical practices and patient outcomes |
| Literature Review Scope | Research from 2019–2023 on pressure injury prevention |
| Key Outcomes | Injury incidence, quality of life, symptom control, hospitalization rates |
| Action Items | Track hours, synthesize literature, identify gaps, finalize intervention |
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