Nursing checklist assessment tools: evaluation and implementation challenges

Practicum Critique

Nursing Checklist Assessment Tool -- by Ivy Amoranto

Did They Include?

Pros and Cons: No -- not explicitly.

Feasibility of the project: No -- not explicitly

Viability of Implementation in Another Environment: No

Grading

Pros and cons: No explicit pros and cons present

Feasibility of the project: No explicit feasibility items mentioned

Viability of implementation in another environment: Not explicity covered but the totality of the data reflects an assessment tool and a covering thereof that is rather solid.

Three Questions: 1) Will you revisit and revise the tool as needed if it becomes apparent that something is missing, not needed or perhaps worded/displayed wrongly? 2) Do you think any single assessment tool can be properly exhaustive without being too verbose, wordy or long. 3) Are you concerned that some of the symptoms to check off are up to the subjectivity or objectivity of the patient that is being seen and/or whether the patient is unconscious and thus unable to answer health questions?

Three Discussion Points: 1) When it comes to "increasing revenues," there is perhaps a bit of an ethics problem when it comes to any sort of medical facility that focuses the least bit of effort on profits more so than quality of care, customer service, visiting with the families. 2) Discuss the idea of the government taking a harder line when it comes to profit-based care homes and other medical facilities and whether that might make a sometimes messy situation even worse. 3) Discuss the proper balance between staffing levels and a lack of efficiency when it comes to long-term care homes and the like.

Critique Two -- Fall Prevention -- by Heather King

Did They Include?

Pros and Cons: No explicit section but mentioned in passing throughout the report

Feasibility of the project: Yes...it is covered what interventions are workable and which ones are not.

Viability of Implementation in Another Environment: Yes...falls in different environments are covered.

Assignment Files: Yes

Grading

Pros and cons: The table that shows the methods/sources used for the literature review and how they all are good or bad depending on the situation is a good compare and contrast. It would seem a weakness to some to use only exterior/secondary sources but those are often the best sources of data s they are more commonly done in a scientific way. This article balances the fact that this is true and contrasts this with the idea that there are pros and cons to each type of scholarly source.

Feasibility of the project: There is absolutely merit to this project as striking a proper balance between efficacy and efficiency in a high-speed medical environment is absolutely an issue that can and should be covered.

Viability of implementation in another environment: Extremely high -- the admissions process is important to very important across the medical and nursing paradigms

Three Questions: 1) Where is the proper balance between efficiency and efficacy when it comes to nursing care and the admissions of patients? 2)

Three Discussion Points: 1) Discuss the idea of what is necessary and what is not when it comes to an admission process that involves an emergency patient? What absolutely needs to be known? What can wait for later? 2) Discuss whether the use of electronic healthcare records helps or hinders the admission process. Discuss further whether it works or not comes down to the people using or implementing the system or if there can be flaws in using these electronic and mobile methods. 3) Discuss whether there should be governmental regulation (above and beyond what is happening right now) when it comes to the admission of patients. To be specific, discuss whether there are apparent and obvious shortcomings when it comes to the standard of care that is in place right now and whether the proverbial yardstick needs to change in favor of better and/or modern methods. Relevant factors that should be considered include urgency, time, cost, the profit motive and so forth. A compare and contrast, if known, of how things are typically done in private vs. public (or even profit versus private non-profit) can be a good perspective on this matter.