Student Name
Capella University
NURS-FPX 6025 MSN Practicum
Prof. Name
Date
EMSN Practicum Conference Call Summary
Date: January 27, 2024
Attendees: Not specified
Meeting Objectives
The purpose of this conference call was to align practicum activities with evidence-based clinical standards while advancing a research initiative centered on pressure injury prevention. Key objectives included improving the quality of clinical documentation, initiating a research project using a pressure injury prevention bundle, securing approval for required clinical hours, and conducting a structured literature review to support best practices. These goals reflect a commitment to enhancing patient safety, clinical efficiency, and scholarly rigor within the practicum experience.
Documentation Practices
Importance of Accurate Documentation
A central focus of the discussion was the necessity of precise and comprehensive documentation, particularly for elderly patients in critical care environments. Proper documentation supports continuity of care, enables accurate patient monitoring, and ensures compliance with professional and legal standards.
Participants clarified expectations for completing practicum requirements, including:
- 20 practicum hours
- 100 supervised clinical hours (pending preceptor approval)
Organizing clinical schedules and evaluation checkpoints was identified as essential for maintaining efficiency and ensuring timely completion of practicum milestones.
Action Plan for Documentation Improvement
To strengthen documentation processes, the team proposed several structured actions:
- Establishing continuous feedback loops with clinical supervisors
- Designing a standardized data collection system focused on pressure injury metrics
- Implementing consistent protocols for data entry and secure storage
These measures aim to enhance data accuracy, protect patient confidentiality, and support evidence-based evaluation of clinical outcomes.
Table 1: Documentation Summary and Action Plan
| Focus Area | Description |
|---|---|
| Documentation Goal | Maintain accurate and comprehensive records for elderly critical care patients |
| Practicum Hours | 20 practicum hours; 100 clinical hours with preceptor approval |
| Clinical Organization | Coordinate schedules for clinical tasks and evaluations |
| Action Items | Gather supervisor feedback; implement structured data systems; standardize documentation |
PICOT Framework and Research Plan
PICOT Question
The research initiative is guided by the following PICOT question:
In elderly patients in critical care who require full assistance (Population), how does the use of a pressure injury prevention bundle (Intervention), compared to standard care (Comparison), influence the reduction of pressure injuries (Outcome) over a three-month period (Time)?
This question is designed to evaluate whether a structured, bundled approach to care improves patient outcomes compared to routine practices.
Implementation Strategy
To operationalize this research, the following steps were outlined:
- Develop a detailed intervention protocol
- Recruit eligible participants בהתאם ethical guidelines
- Implement the intervention with strict adherence to patient safety standards
- Conduct a comprehensive literature review to support the intervention design
- Initiate systematic data collection with secure handling procedures
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 full assistance |
| Intervention | Pressure injury prevention bundle |
| Comparison | Standard care practices |
| Outcome | Decrease in pressure injury incidence |
| Time | Three months |
| Action Items | Develop protocol; recruit participants; implement and evaluate intervention |
Clinical Hours and Literature Review
Clinical Engagement and Learning Alignment
The discussion emphasized aligning clinical hours with defined learning outcomes and competency assessments. Active engagement with both patients and healthcare providers was encouraged to ensure meaningful clinical experiences.
Key activities include:
- Assessing patient self-care capabilities
- Delivering education on pressure injury prevention strategies
- Conducting surveys with healthcare providers to evaluate current practices
Patient education was highlighted as a critical factor in promoting adherence to preventive strategies and improving overall outcomes.
Literature Review Scope and Focus
The literature review will examine studies published between 2019 and 2023, with emphasis on:
- Pressure injury prevention interventions
- Self-management strategies in elderly populations
- Coordinated care models in critical care settings
Primary outcomes of interest include:
- Incidence of pressure injuries
- Quality of life indicators
- Symptom management effectiveness
- Hospitalization rates
Findings from this review will guide the development of the capstone intervention and identify gaps in current evidence.
NURS FPX 6025 Assessment 1 MSN Practicum Conference Call Template
Table 3: Clinical Hours and Literature Review Summary
| Component | Description |
|---|---|
| Clinical Hours | Distributed across assessments and clinical responsibilities |
| Patient Involvement | Evaluate self-care; provide education on prevention strategies |
| Provider Feedback | Use surveys to assess current practices and outcomes |
| Literature Scope | Studies from 2019–2023 on elderly critical care and pressure injury prevention |
| Key Outcomes | Injury rates, quality of life, symptom control, hospital admissions |
| Action Items | Track hours; complete literature review; 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
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
NURS FPX 6025 Assessment 1 MSN Practicum Conference Call Template
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
NURS FPX 6025 Assessment 1 MSN Practicum Conference Call Template