MSNF P6011 Patient Centered Concept Map

Create an evidence-based, patient-centered concept map that illustrates an individualized approach to patient care, based on a patient case file of your choice.

Evidence-based practice is a key skill in the toolkit of the master’s-prepared nurse. Its goal is to ensure that health care practitioners are using the best available evidence to ensure that patients are receiving the best care possible (Godshall, M., 2015.). In essence, evidence-based practice is all about ensuring quality care.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:In this assessment, you have an opportunity to apply evidence-based practice and personalized care concepts to ensure quality care and improve the health of a single patient.

Competency 1: Apply evidence-based practice to plan patient-centered care.
- Analyze the needs of a patient, and those of their family, with regard to how they will influence a patient-centered concept map.
- 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 of a patient-centered concept map.
Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
- Justify 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

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As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Recall an experience you have had—or one that you might have observed in your care setting—in which you individualized care for a patient. MSNF P6011 Patient Centered Concept Map

In your approach to individualized care, did you:
- Address any health concerns other than those for which the patient was seeking care?
- Consider the patient’s economic and daily environmental circumstances?
- Consider any ethical issues inherent in working with the patient?
What might you have done differently, if you could revisit that patient’s case?
What evidence supported your original course of action?
What evidence would you present to support an alternative course of action, if you could revisit that patient’s case?

SUGGESTED RESOURCES

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6011 – Evidence-Based Practice for Patient-Centered Care and Population Health Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Evidence-Based Practice

Godshall, M. (2015). Fast facts for evidence-based practice in nursing: Implementing EBP in a nutshell (2nd ed.). New York, NY: Springer Publishing Company.
- Read Chapter 7.
Blix, A. (2014). Personalized medicine, genomics, and pharmacogenomics: A primer for nurses. Clinical Journal of Oncology Nursing, 18(4), 437–441.
Baker, J. D. (2017). Nursing Research, Quality Improvement, And Evidence-Based Practice: The Key To Perioperative Nursing Practice: Editorial. Association of Operating Room Nurses, 105(1), 3.
Hain D. J., & Kear, T. M. (2015). Using evidence-based practice to move beyond doing things the way we have always done them. Nephrology Nursing Journal, 42(1), 11–20.
Evidence-Based Practice in Nursing & Health Sciences: Review Levels of Evidence.
Evidence-Based Practice in Nursing & Health Sciences.
Evidence-Based Practice: What It Is and What It Is Not | Transcript.

PREPARATION

You have been presented with a number of patient case files in the Evidence-Based Patient-Centered Care media piece. You reviewed each case, selected one case for further research, and created draft evidence-based concept map to illustrate an approach to individualized care for the patient. In this assessment, you will build upon and refine your draft concept map and develop a supporting narrative.

Create your concept map and narrative as separate documents. Be sure to note the areas where you need to include your evidence-based support and where you need to make clear your strategies for communicating information to the patient and the patient’s family.

Note: Many organizations use the spider style of concept maps (see the Taylor & Littleton-Kearney article for an example). Also, if a specific style of concept map is used in your current care setting, you may use it in this assessment.

REQUIREMENTS

Note: The requirements outlined below 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.

Supporting Evidence and APA Style

Integrate relevant evidence from 3–5 current scholarly or professional sources to support your assertions.

Apply correct APA formatting to all in-text citations and references.MSNF P6011 Patient Centered Concept Map
Attach a reference list to your narrative.

Concept Map

Develop a concept map for the individual patient, based upon the best available evidence for treating your patient’s health, economic, and cultural needs.

Narrative

Develop a narrative (2–4 pages) for your concept map.

Analyze the needs of your patient and their family, and determine how those needs will influence a patient-centered concept map.
- Consider how your patient’s economic situation and relevant environmental factors may have contributed to your patient’s current condition or affect their future health.
- Consider how your patient’s culture or family should influence your concept map.
Justify 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 both the health issue you are trying to correct and for the unique situation of your patient and their family.
Propose relevant and measurable criteria for evaluating the degree to which the desired outcomes of your concept map were achieved.
- 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 their 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 their family, regardless of language, disabilities, or level of education.

ADDITIONAL REQUIREMENTS

Be sure to include both documents when you submit your assessment.

Evidence-Based Patient-Centered Concept Map Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Design an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs.	Does not design an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs.	Designs a patient-centered concept map, but the map is not well individualized to treat a specific patient’s health, economic, or cultural needs.	Designs an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs.	Designs an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs, and identifies assumptions on which the plan is based.
Analyze the needs of a patient, and those of their family, with regard to how those needs will influence a patient-centered concept map.	Does not analyze the needs of a patient, and those of their family, with regard to how those needs will influence a patient-centered concept map.	Attempts to analyze the needs of a patient, and those of their family, but misses needs that would influence a patient-centered concept map.	Analyzes the needs of a patient, and those of their family, with regard to how those needs will influence a patient-centered concept map.	Analyzes the needs of a patient, and those of their family, with regard to how those needs will influence a patient-centered concept map. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis).
Justify the value and relevance of evidence used as the basis of a patient-centered concept map.	Does not justify the value and relevance of evidence used as the basis of a patient-centered concept map.	Attempts to justify the value and relevance of evidence used as the basis of a patient-centered concept map, but the justification of its value or relevance is weak.	Justifies the value and relevance of evidence used as the basis of a patient-centered concept map.	Justifies the value and relevance of evidence used as the basis of a patient-centered concept map, and impartially considers conflicting data and other perspectives.
Propose relevant and measurable criteria for evaluating the outcomes of a patient-centered concept map.	Does not propose criteria for evaluating the outcomes of a patient-centered concept map.	Proposes criteria for evaluating the outcomes of a patient-centered concept map that are insufficient or inappropriate.	Proposes relevant and measurable criteria for evaluating the outcomes of a patient-centered concept map.	Proposes relevant and measurable criteria for evaluating the outcomes of a patient-centered concept map, and acknowledges challenges specific to such an evaluation process.
Develop a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way.	Does not suggest a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way.	Suggests a strategy for communicating with patients and their families that falls short of being ethical, culturally sensitive, or inclusive.	Develops a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way.	Develops a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way, and identifies assumptions on which the strategy is based.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.	Does not integrate relevant and credible sources of evidence to support assertions; does not correctly format citations and references using APA style.	Sources lack relevance or credibility, are poorly integrated, or are incorrectly formatted.	Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.	Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Citations are error-free.