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Description7/10/23, 7:35 PM
Assessment 2 Instructions: NURS-FPX4900 – Spring 2023 – Section 56
Assessment 2
Assessing the Problem: Quality, Safety, and Cost Considerations
Instructions
In a 5–7 page written assessment, assess the effect of the patient, family, or
population problem you’ve previously defined on the quality of care, patient safety, and
costs to the system and individual. Plan to spend approximately 2 direct practicum
hours exploring these aspects of the problem with the patient, family, or group you’ve
chosen to work with and, if desired, consulting with subject matter and industry
experts. Document the time spent (your practicum hours) with these individuals or
group in the Capella Academic Portal Volunteer Experience Form. Report on your
experiences during your first two practicum hours.
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Introduction
Organizational data, such as readmission rates, hospital-acquired
infections, falls, medication errors, staff satisfaction, serious safety
events, and patient experience can be used to prioritize time, resources,
and finances. Health care organizations and government agencies use
benchmark data to compare the quality of organizational services and
report the status of patient safety. Professional nurses are key to
comprehensive data collection, reporting, and monitoring of metrics to
Preparation
In this assessment, you’ll assess the effect of the health problem you’ve
defined on the quality of care, patient safety, and costs to the system and
individual. Plan to spend at least 2 direct practicum hours working with
the same patient, family, or group. During this time, you may also choose
to consult with subject matter and industry experts.
https://courseroom.capella.edu/courses/4373/pages/assessment-2-instructions?module_item_id=237097
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Assessment 2 Instructions: NURS-FPX4900 – Spring 2023 – Section 56
To prepare for the assessment:
Review the assessment instructions and scoring guide to ensure that
you understand the work you will be asked to complete and how it will
be assessed.
Conduct research of the scholarly and professional literature to
inform your assessment and meet scholarly expectations for
supporting evidence.
Review the Practicum Focus Sheet: Assessment 2 [PDF]
(https://courseroom.capella.edu/courses/4373/files/689774?wrap=1)
(https://courseroom.capella.edu/courses/4373/files/689774/download?
Instructions
Complete this assessment in two parts.
Part 1
Assess the effect of the patient, family, or population problem you
defined in the previous assessment on the quality of care, patient safety,
and costs to the system and individual. Plan to spend at least 2
practicum hours exploring these aspects of the problem with the patient,
family, or group. During this time, you may also consult with subject
matter and industry experts of your choice. Document the time spent
(your practicum hours) with these individuals or group in the Capella
Academic Portal Volunteer Experience Form. Use the Practicum Focus
Sheet: Assessment 2 [PDF]
(https://courseroom.capella.edu/courses/4373/files/689774?wrap=1)
(https://courseroom.capella.edu/courses/4373/files/689774/download?
download_frd=1) provided for this assessment to guide your work and
interpersonal interactions.
Part 2
Report on your experiences during your first 2 practicum hours, including
how you presented your ideas about the health problem to the patient,
family, or group.
Whom did you meet with?
What did you learn from them?
Comment on the evidence-based practice (EBP) documents or
websites you reviewed.
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Assessment 2 Instructions: NURS-FPX4900 – Spring 2023 – Section 56
What did you learn from that review?
Share the process and experience of exploring the influence of
leadership, collaboration, communication, change management, and
policy on the problem.
What barriers, if any, did you encounter when presenting the
problem to the patient, family, or group?
Did the patient, family, or group agree with you about the
presence of the problem and its significance and relevance?
Requirements
The assessment requirements, outlined below, correspond to the scoring
guide criteria, so be sure to address each main point. Read the
performance-level descriptions for each criterion to see how your work
will be assessed. In addition, note the additional requirements for
document format and length and for supporting evidence.
Explain how the patient, family, or population problem impacts the
quality of care, patient safety, and costs to the system and individual.
Cite evidence that supports the stated impact.
Note whether the supporting evidence is consistent with what you
see in your nursing practice.
Explain how state board nursing practice standards and/or
organizational or governmental policies can affect the problem’s
impact on the quality of care, patient safety, and costs to the system
and individual.
Describe research that has tested the effectiveness of these
standards and/or policies in addressing care quality, patient
safety, and costs to the system and individual.
Explain how these standards and/or policies will guide your
actions in addressing care quality, patient safety, and costs to the
system and individual.
Describe the effects of local, state, and federal policies or
legislation on your nursing scope of practice, within the context of
care quality, patient safety, and cost to the system and individual.
Propose strategies to improve the quality of care, enhance patient
safety, and reduce costs to the system and individual.
Discuss research on the effectiveness of these strategies in
addressing care quality, patient safety, and costs to the system
and individual.
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Assessment 2 Instructions: NURS-FPX4900 – Spring 2023 – Section 56
Identify relevant and available sources of benchmark data on care
Additional Requirements
Format: Format your paper using APA style. APA Style Paper
Tutorial [DOCX] (https://campustools.capella.edu/redirect.aspx?
linkid=4243) is provided to help you in writing and formatting your
paper. Be sure to include:
A title page and reference page. An abstract is not required.
Appropriate section headings.
Length: Your paper should be approximately 5–7 pages in length, not
including the reference page.
Supporting evidence: Cite at least 5 sources of scholarly or
professional evidence that support your central ideas. Resources
should be no more than five years old. Provide in-text citations and
references in APA format.
Capella Academic Portal
Update the total number of hours on the NURS-FPX4900 Volunteer
Experience Form in Capella Academic Portal
(https://cs.capella.edu/psp/cslr/EMPLOYEE/PSFT_CS/c/CU_SR_CUSTOM2.
CU_LRNR_FORM.GBL?&&pwd=*****&userid=PING_IDENTITY) .
The BSN Capstone Course (NURS-FPX4900 ) requires the completion
and documentation of nine (9) practicum hours. All hours must be
recorded in the Capella Academic Portal. Please review the BSN
Competencies Measured
By successfully completing this assessment, you will demonstrate your
proficiency in the following course competencies and scoring guide
criteria:
Competency 3: Transform processes to improve quality, enhance
patient safety, and reduce the cost of care.
Explain how a patient, family, or population problem impacts the
quality of care, patient safety, and costs to the system and
individual.
https://courseroom.capella.edu/courses/4373/pages/assessment-2-instructions?module_item_id=237097
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Assessment 2 Instructions: NURS-FPX4900 – Spring 2023 – Section 56
Propose strategies to improve the quality of care, enhance patient
safety, and reduce costs to the system and individual and
document the practicum hours spent with these individuals or
group in the Capella Academic Portal Volunteer Experience Form.
Competency 5: Analyze the impact of health policy on quality and
cost of care.
Explain how state board nursing practice standards and/or
organizational or governmental policies can affect a patient,
Scoring Guide
Use the scoring guide to understand how your assessment will be
evaluated.
View Scoring Guide 
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Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
Engaging Patients and Families in Their Health Care
AHRQ offers free tools to help prioritize concerns and maximize interactions between providers, patients, and families.
Whether you see patients at a hospital, primary care office, or other setting, time is often limited and patients and family members
who have prioritized their questions or concerns will experience the most meaningful, efficient visits. To help you and your patients get
the most out of your time together, AHRQ offers these free resources that you can use with your team and share with your patients.
For Hospital Staff
For Patients and Families in the Hospital
For Medical Office Staff
For Patients and Families in the Medical Office
For Long-Term Care Facility Staff
For Ambulatory Surgery Center Staff
For Patients and Families in Ambulatory Surgery Centers
For Hospital Staff
Family-Centered Rounds Toolkit
The Family-Centered Rounds (FCR) Toolkit is a collection of materials that document the development and implementation of a
feasible and sustainable intervention to improve family engagement during FCRs.
Guide to Patient and Family Engagement in Hospital Quality and Safety
This guide provides evidence-based resources that show how hospital staff can work as partners with patients and families to
improve quality and safety.
CUSP Toolkit—Patient and Family Engagement Module
CUSP, or the Comprehensive Unit-based Safety Program, makes patient care safer by improving the ways that all members of the
health care team work together. Use this module to help patients and family members understand what’s happening during the
patient’s stay, how they can be active participants in the patient’s care, and what to do when they are ready to leave the hospital.
Communication and Optimal Resolution (CANDOR) Toolkit
The Communication and Optimal Resolution (CANDOR) process is a process that health care institutions and practitioners can use to
respond in a timely, thorough, and just way when unexpected events cause patient harm.
Guide for Developing a Community-Based Patient Safety Advisory Council
Involving individuals and organizations in a patient safety advisory council can promote change through education, collaboration, and
consumer engagement. Councils can involve patients, consumers, and practitioners from health care and community organizations.
Re-Engineered Discharge (RED) Toolkit
Reducing hospital readmissions is a major policy and patient safety goal. Use this toolkit to help re-engineer your discharge process
to reduce readmissions and post-hospital emergency department visits. The toolkit includes reminders about new medications and
follow-up visits, along with a new section on overcoming language barriers among patients and clinical staff.
Medications at Transitions and Clinical Handoffs (MATCH) for Medication Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse drug events. The toolkit is based on
processes developed in acute care settings, but it can also be used in non-acute care settings.
Making Informed Consent an Informed Choice: Training Modules for Health Care Leaders and Professionals
These training modules provide tools to hospital leaders and health care professionals to improve informed consent policy and
practice.
https://www.ahrq.gov/patient-safety/patients-families/index.html
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Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
For Patients and Families in the Hospital
Taking Care of Myself: A Guide for When I Leave the Hospital
Providers can use this guide to give patients the information they need to help them care for themselves when they leave the
hospital.
Staying Active and Healthy With Blood Thinners (video)
This 10-minute video shows how small changes in daily routines can help people take blood thinners safely.
Blood Thinner Pills: Your Guide to Using Them Safely
This easy-to-read booklet educates people about blood thinners and offers basic information about the medication; tips on diet,
medicines, and foods to avoid; important precautions for some daily activities; and when to seek help.
For Medical Office Staff
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
This project focuses on developing approaches to improve patient safety in primary care settings by engaging patients and families.
Improving Your Laboratory Testing Process: A Step-by-Step Guide for Rapid-Cycle Patient Safety and Quality Improvement
The tools in this step-by-step guide can increase the reliability of the testing process in your office by helping you examine how tests
are managed.
The SHARE Approach
AHRQ’s SHARE Approach is a five-step process for shared decisionmaking that includes exploring and comparing the benefits,
harms, and risks of each option through meaningful dialogue about what matters most to the patient.
The Toolkit for Engaging Patients To Improve Diagnostic Safety
This toolkit is designed to promote enhanced communication and information sharing within the patient-provider encounter to help
patients, families, and health professionals work together as partners to improve diagnostic safety.
The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
This toolkit is designed to help staff actively engage patients and their care partners to prevent errors during transitions of care.
For Patients and Families in the Medical Office
Waiting Room Video
This video features patients and clinicians discussing the importance of asking questions at medical visits.
How To Create a My Medicines List
Step-by-step instructions to create a medicines list to remind patients and caretakers when, how, and how much medicine to take.
My Questions for This Visit
Patients can use this list of questions to take active role in their health care.
Be More Involved In Your Health Care: Tips for Patients
This brochure gives patients tips to use before, during, and after a medical appointment to make sure they get the best possible care.
Question Builder
The Question Builder helps patients create a list of questions they can take to appointments if they are getting a checkup, talking
about a problem or health condition, getting a prescription, or discussing a medical test or surgery.
Patient Prep Card
This card lets patients record their questions and health goals before medical appointments.
Patient Note Sheet
This card helps patients record important information they receive during medical appointments.
Next Steps After Your Diagnosis
This page offers general advice for people with almost any disease or condition. And it has tips to help you learn more about your
specific problem and how it can be treated.
https://www.ahrq.gov/patient-safety/patients-families/index.html
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Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
Research Summaries for Consumers
These free research summaries discuss the benefits and risks of different treatments for different health conditions and are based on
comparative effectiveness reviews that cover health topics suggested by the public.
20 Tips to Help Prevent Medical Errors
These tips tell what patients what they can do to get safer care.
Patients and Providers Discuss Importance of Asking Questions
In these short videos, patients talk about how simple questions can help you take better care of yourself, feel better, and get the right
care at the right time. Doctors and nurses talk about how your questions help them take better care of you and give advice on how
you can be an active member of your health care team and get your questions answered.
For Long-Term Care Facility Staff
Toolkit To Educate and Engage Residents and Family Members
This toolkit helps nursing homes encourage an open and respectful dialogue between nurses and prescribing clinicians and residents
and their family members and helps residents and family members participate in their care.
For Ambulatory Surgery Center Staff
Patient and Family Engagement in the Surgical Environment
These slide sets, facilitator notes, guides, tools, and videos help staff in ambulatory surgery centers engage patients and families in
their care.
For Patients and Families in Ambulatory Surgery Centers
Getting Ready for Your Ambulatory Surgery
This 2-page patient brochure helps patients and their families prepare for ambulatory surgeries and other procedures performed in
outpatient settings.
Other Resources
Question Builder
20 Tips To Help Prevent Medical Errors
Patients and Providers Discuss the Importance of Asking Questions (Videos)
Privacy and Related Considerations for Patient Safety and Quality Improvement Activities (PDF, 491 KB)
Page last reviewed June 2023
Page originally created February 2018
https://www.ahrq.gov/patient-safety/patients-families/index.html
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