This document discusses a student's weekly reflective journal entries for their capstone practicum course. The journal covers several topics, including identifying health disparities in the community, creating objectives for a proposed negative pressure wound therapy project, discussing new approaches like telehealth nursing, and understanding how health policy and clinical systems work. The student demonstrates several competencies, including identifying health disparities, setting measurable objectives, considering the role of technology, and understanding how new practices are implemented in healthcare organizations.

1. NRS 493 GCU Wk 6 Negative Pressure Wound Therapy Ethical
Considerations Journal Discussion
NRS 493 GCU Wk 6 Negative Pressure Wound Therapy Ethical Considerations Journal
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Considerations Journal
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6Unformatted Attachment PreviewProfessional Capstone and Practicum Reflective Journal
Students are required to submit weekly reflective narratives throughout the course that will
culminate in a final, course-long reflective journal due in Topic 10. The narratives help
students integrate leadership and inquiry into current practice. This reflection journal also
allows students to outline what they have discovered about their professional practice,
personal strengths and weaknesses, and additional resources that could be introduced in a
given situation to influence optimal outcomes. Each week students should also explain how
they met a course competency or course objective(s). In each week’s entry, students should
reflect on the personal knowledge and skills gained throughout the course. Journal entries
should address one or more of the areas stated below. In the Topic 10 graded submission,
each of the areas below should be addressed as part of the summary submission. 1. New
practice approaches 2. Interprofessional collaboration 3. Health care delivery and clinical
systems 4. Ethical considerations in health care 5. Practices of culturally sensitive care 6.
Ensuring the integrity of human dignity in the care of all patients 7. Population health
concerns 8. The role of technology in improving health care outcomes 9. Health policy 10.
Leadership and economic models 11. Health disparities While APA style is not required for
the body of this assignment, solid academic writing is expected, and in-text citations and
references should be presented using APA documentation guidelines, which can be found in
the APA Style Guide, located in the Student Success Center. This assignment uses a rubric.
Please review the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion. Running head: REFLECTIVE JOURNAL Reflective
Journal Aynur Kabota Grand Canyon University 1 REFLECTIVE JOURNAL 2 NRS 493 GCU
Wk 6 Negative Pressure Wound Therapy Ethical Considerations Journal DiscussionWeek 1
This week’s main task was to assess my healthcare setting’s needs, and the community
served. I completed the task collaboratively with my preceptor, who offered guidance on the
healthcare organization’s current state and the most urgent needs in the community. One of
the core competencies demonstrated during this week’s practice was knowledge and skills

2. in identifying and responding to health disparities. A health disparity may be defined as the
burden of illness, mortality, or injury that one group of people experiences relative to others
(Ubri & Artiga, 2016). This week, my practice typically looked at existing health disparities
among community groups and people in the hospital to determine the current health and
health care gaps. For instance, I identified that older patients were experiencing high rates
of falls compared to other patients. I identified some factors associated with the disparity,
including frailty and comorbidity. Therefore, my practicum, especially when identifying
potential topics, included knowledge and understanding of health disparities and how they
affect health outcomes. Additionally, I demonstrated inter-professional collaboration by
working with my preceptor in the needs assessment and topic choices. This week was
productive, and I achieved the goals of needs assessment and listing the potential capstone
practicum project topics. REFLECTIVE JOURNAL 3 Reference Ubri, P., & Artiga, S. (2016).
Disparities in health and health care: Five key questions and answers. The Henry J. Kaiser
Family Foundation. https://www.kff.org/racial-equity-andhealth-policy/issue-
brief/disparities-in-health-and-health-care-five-key-questions-andanswers/ Running head:
WEEK 3 REFLECTIVE JOURNAL Week 3 Reflective Journal Aynur Kabota Grand Canyon
University NRS-493 10/11/2020 1 WEEK 3 REFLECTIVE JOURNAL 2 This week’s work and
deliverables were the capstone project topic objectives I created for the negative pressure
wound therapy (NPWT) technology proposal. The objectives highlighted the project’s main
aim to improve patient outcomes and safety through the use of new approaches to care.
Therefore, I demonstrated the achievement of competence in the role of technology in
improving health care outcomes. Through my objectives, I showed that NPWT technology
could improve patient experience in healthcare and safety by reducing hospital time and the
risk of healthcare-acquired infections. By providing a rationale for the three objectives, I
achieved competence in highlighting the connection between technology and improved care
outcomes. Moreover, as a practitioner, I should set objectives that are specific, achievable,
and measurable. Therefore, the objective-setting process enlightened me on the necessary
process of identifying the aims of a project and defining how the project will achieve them.
A challenge I encountered this week was identifying how my project may encourage social
justice for diverse populations. Nevertheless, I highlighted equal access to care as the
primary approach to enhancing social justice. Running head: WEEK 4 1 Week 4 Reflective
Journal: Telehealth Aynur Kabota Grand Canyon University NRS-493 10/18/2020 WEEK 4
2 Week 4 Reflective Journal: Telehealth Continuous learning is a very important aspect of
modern-day nursing. Nurses have to keep researching and discovering new aspects of
nursing to ensure that they remain updated in the new laws, technologies, and
competencies that develop. This week, one of the new nursing approaches that I discussed
with my preceptor is telehealth nursing. Telehealth nursing has become a very important
aspect of nursing currently, especially because of COVID-19 it has led to patients’ need to
seek healthcare from home. NRS 493 GCU Wk 6 Negative Pressure Wound Therapy Ethical
Considerations Journal DiscussionTelehealth technologies allow people to access nursing
and other healthcare services without having to attend physical sessions. For telehealth to
be effective, it needs good collaboration between nurses and physicians. In telehealth,
patients may need prescriptions from physicians and care from nurses who are both not

3. physically present. Therefore, various professionals must work together to ensure that
patients are not confused. While, in some cases, nurses maybe with the patients but doctors
be away, the communication between the two professionals is very important. Failure to
communicate effectively may be a barrier to the process of delivering care (van
Houwelingen et al., 2016). The collaboration should also include aspects that affect the
relationships between patients and professionals like privacy and confidentiality. Nurses
must always ensure that the technology used in communication does not allow information
to reach people. Therefore should be adequate security of the data shared between nurses
and the patients to ensure that ethical bounds are maintained and that the patients’ rights
are not violated. The use of telehealth nursing is meant to ensure that even though people
may have problems physically attending to their healthcare needs by visiting professionals
in their offices, they still get dignified treatment via ICT. Recently, the CMS has changed its
policy to allow medical professionals’ reimbursement for services offered via telehealth
services. It WEEK 4 3 is important to consider the laws to avoid suits (Park et al., 2016). The
new policy has allowed patients across the country to benefit from services they would
have missed due to the ongoing coronavirus pandemic. The pandemic that spreads easily
led to social distancing and therefore made it impossible for the traditional means of
healthcare delivery to be effective. Therefore, telehealth has filled the gap that resulted and
ensured that people still get services without going to hospitals where their risk of getting
Coronavirus may be high. Also, telehealth only works for services that do not need a
physical presence. For instance, telehealth can be effective for checkups where the nurse or
doctor may ask the patient questions via video calls or phone calls to know their progress
and prescribe medication for their conditions. In conclusion, nurses have to continuously
consider new developments and apply them to benefit their patients. From recent
literature, telehealth is among the most recent developments that have been effective in
combating Coronavirus. Nurses must consider using the new model of care, especially for
patients who are not high-risk cases, to reduce the congestion in practices and ensure that
their services are accessible to all the people in need because the CMS now considers
telehealth as seriously as in-person services. WEEK 4 4 References Park, H. J., Cho, D. Y.,
Park, Y. S., Kim, S. W., Park, J. H., & Park, N. C. (2016). Controlling legal risk for effective
hospital management. The world journal of men’s health, 34(1), 56-63. van Houwelingen, C.
T., Moerman, A. H., Ettema, R. G., Kort, H. S., & ten Cate, O. (2016). Competencies required for
nursing telehealth activities: A Delphi-study. Nurse education today, 39, 50-62. Running
head: REFLECTIVE JOURNAL 1 Week 5 Reflective Journal Aynur Kabota Grand Canyon
University NRS-493 10/25/2020 REFLECTIVE JOURNAL 2 Week 5 Reflective Journal This
week’s practicum helped me understand more about health policy and health care delivery,
and clinical systems. My project on negative pressure wound therapy (NPWT) is based on a
trial basis to determine whether it can be widely utilized in the healthcare setting. I
discussed the relevant changes with my preceptor that would be required to implement the
change project widely in the organization. In this discussion, I learned how health policy in a
health care organization is implemented. The preceptor updated me on instituting standard
protocols by creating a proposal that is reviewed by the nurse leader and, depending on the
scope, may be forwarded to the chief nursing officer. NRS 493 GCU Wk 6 Negative Pressure

4. Wound Therapy Ethical Considerations Journal DiscussionThe project would then be
approved and passed as a policy and standard procedure in the healthcare organization.
This discussion made me realize the need for thoroughness in research and institute
organization-wide changes to healthcare practices. Additionally, in my practice, I
researched and reflected on the use of NPWT with the existing clinical systems. One of the
crucial approaches that nurses can use is information systems used to monitor patient
progress. When NPWT is used in out-patient treatment, the nurse can follow-up with the
patient on video calls. This information system is crucial because the nurse can judge by
looking at the wound’s appearance whether it is healing. Therefore, NPWT can be coupled
with telemedicine to monitor patient progress and enhance outcomes. This week was a
success in understanding how policies are implemented in clinical work and how it can be
coupled with existing clinical systems. Running head: WEEK 2 JOURNAL 1 Week 2 Journal
Aynur Kabota Grand Canyon University NRS-493I WEEK 2 JOURNAL 2 An interesting aspect
of practicing in healthcare is discovering new approaches and practices. This week, I
worked with my preceptor on the project topic and need in the healthcare organization. I
ended up picking wound care and suggesting the use of negative pressure wound therapy
(NPWT) as the preferred solution for wound care. By observing patient experiences and
proposing this project, I demonstrated the competence of new practice approaches. One of
the methods used to discover new practice approaches is reviewing existing literature
suggesting solutions to existing standard care. To discover NPWT, I searched the literature
on wound care and came up with several suggestions. I realized that NPWT applies to many
types of wounds and some of the literature suggests that it is more effective than standard
wound dressing (Liu et al., 2018). Therefore, I proposed this approach as a new practice in
the organization. The experience equipped me with the skills to identify problems in a
healthcare setting and searching for solutions through changes to the status quo. New
practice approaches allow nurses to understand the diversity of nursing practice
approaches and integrate different approaches to optimize care delivered to their patients.
The week’s practice equipped me with knowledge of new approaches, reflecting growth in
my nursing practice knowledge. WEEK 2 JOURNAL 3 References Liu, Z., Dumville, J. C.,
Hinchliffe, R. J., Cullum, N., Game, F., Stubbs, N., … & Peinemann, F. (2018). Negative pressure
wound therapy for treating foot wounds in people with diabetes mellitus. Cochrane
Database of Systematic Reviews, (10). https://doi.org/10.1002/14651858.CD010318.pub3
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