Demonstration of Proficiency

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

• Competency 1: Apply evidence-based practice to plan patient-centered care.
  • Analyze the needs of a patient, and those of their family, to make sure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle.
  • Design an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs.
• Competency 3: Evaluate outcomes of evidence-based interventions.
  • Propose relevant and measurable criteria for evaluating the outcomes the patient needs to achieve.
• Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
  • Determine the value and relevance of evidence used as the basis of a patient-centered concept map.
• Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
  • Develop a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way.
  • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Reference

Godshall, M. (2015). Fast facts for evidence-based practice in nursing: Implementing EBP in a nutshell (2nd ed.). New York, NY: Springer Publishing Company.

Scenario

The charge nurse at the wellness center has sent you an email to request that you review a patient file before the patient arrives at the clinic. She has asked you to put together a concept map for your patient’s care plan. The concept map is intended to help you think through the best strategy for your patient’s care and for subsequent use for patient education. In addition, the nurse needs a narrative report that describes your patient with up to five diagnoses, in order of urgency.

Your Role

You are a nurse at a community wellness center who has received a request for patient case review and preparation for an upcoming appointment.

Instructions

Review the Assessment Case Study: Evidence-Based Patient-Centered Concept Map media activity.Create your concept map and narrative as separate parts of your document. Be sure to note where you must include your evidence-based support and clarify your strategies for communicating information to the patient and the patient’s family.Integrate relevant evidence from 3–5 current scholarly or professional sources to support your assertions.

Part 1: Concept Map

• Develop a graphical concept map for the patient based on the best available evidence for treating your patient’s health, economic, and cultural needs.
  • Many organizations use the spider style of concept maps (see the Taylor and Littleton-Kearney article for an example).
  • The Assessment Case Study: Evidence-Based Patient-Centered Concept Map, which includes an example of a concept map, may help you prepare your assessment.
  • If a particular style of concept map is used in your current care setting, you may use it in this assessment.

Part 2: Narrative Report

• Develop a narrative (2–4 pages) for your concept map.
• Analyze the needs of a patient and his or her family to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle.
  • Consider how your patient’s economic situation and relevant environmental factors may have contributed to your patient’s current condition or could affect future health.
  • Consider how your patient’s culture or family should inform your concept map.
• Determine the value and relevance of the evidence you used as the basis of your concept map.
  • Explain why your evidence is valuable and relevant to your patient’s case.
  • Explain why each piece of evidence is appropriate for the health issue you are addressing and for the unique situation of your patient and the family.
• Propose relevant and measurable criteria for evaluating the outcomes the patient needs to achieve.
  • Explain why your proposed criteria are appropriate and useful measures of success.
• Explain how you will communicate specific aspects of the concept map to your patient and the family in an ethical, culturally sensitive, and inclusive way. Ensure that your strategies:
  • Promote honest communications.
  • Facilitate sharing only the information you are required and permitted to share.
  • Are mindful of your patient’s culture.
  • Enable you to make complex medical terms and concepts understandable to your patient and his or her family, regardless of language, abilities, or educational level.

Additional Requirements

• Organization: Use the following headings for your Diabetes Patient Concept Map assessment:
  • Concept Map.
  • Patient Needs Analysis.
  • Value and Relevance of the Evidence.
  • Proposed Criteria for Patient Outcome Evaluation.
  • Patient and Family Communication Plan.
• Length: Your concept map should fit on one page (possibly a horizontal layout) and your narrative report will be 2–4 double-spaced pages, not including title and reference pages.
• Font: Times New Roman, 12 points.
• APA Format: Your title and reference pages must follow current APA format and style guidelines. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines.
• Scoring Guide: Please review this assessment’s scoring guide. The requirements outlined above correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance-level descriptions for each criterion to see how your work will be assessed.