Demonstrate knowledge of health care policy, finance, and regulatory environments to improve patient outcomes.

Clinical Evaluation Criteria
F: Incorporates Franciscan Values and the American Nurses Association, Code of Ethics for Nurses in academic and practice settings.

Creates a caring community
*Respect the patient’s dignity
Provide person-centered care
Actively listen to patients and others.
*Demonstrate personal responsibility by arriving on time and informing the clinical instructor of the absence
Prepare self to provide patient care
*Use professional communication in interactions with patients, inter-professional staff, instructor, and peers
Showing compassion
Support patient’s decision-making regarding healthcare needs
Allow the patient to direct their care.
Support staff with patient care decision-making
Reverencing creation
*Values diversity
Does not allow personal biases to influence patient care
Protects the environment by managing resources in patient care
Making peace
Identifies sources of conflicts
Forgives others
Examine how professional values direct decision making in the clinical setting:
*Forthright with peer, staff, and instructor.
Practices safe technique even when not being observed
Accepts responsibility for errors and tries to take appropriate corrective action
Respectful of faculty, staff, and peers
Recognizes personal, staff, and organizational biases and the potential influences on the care of a patient with a mental illness
Based on identified weakness and strengths in providing patient care, determines goals and strategies to improve clinical performance

R: Uses research and evidence-based practice as a basis for planning and providing care.

Develops nursing care plan based on an articulated evidence-based plan for a patient with complex nursing needs
Uses current and reliable resources (nursing literature, textbooks, and credible web sites) to explain the rationale of nursing actions

A1: Practice according to the ANA Nursing: Scope and standards of practice and the CONHS Standards of Conduct; abides by the legal standards as defined by state nurse practice acts, and federal regulations.

Utilizes the nursing process in the planning and delivery of care for a patient with complex nursing needs:
Assessment: collects comprehensive data pertinent to the patient’s health or situation using clinical agency identified assessment tools and identify normal from anticipated abnormal patient assessments
Diagnosis: analyzes data to determine the nursing diagnosis or issue using appropriate nursing classification language
Outcome Identification: identifies expected outcomes for a plan individualized to the patient or situation
Planning: evaluates the articulated plan of care and identifies the rationale for strategies
Implementation: implements the identified plan
Evaluation: evaluates progress toward attainment of outcomes
*Protects patient confidentiality in academic discussions (verbal and written)
*Protects institutional confidentiality in academic discussions (verbal and written)
*Abides by NCSBN guide on social media
Acts to prevent unsafe, illegal, or unethical care practices.

N1: Provides developmentally appropriate nursing care across the continuum of healthcare environments.

Identifies the developmental level of patient
Individualizes care based on the developmental level of patient
Adapts nursing skills to match patient population
The priority of activities reflects patients’ needs
Applies safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers
Demonstrates the application of psychomotor skills for the efficient, safe, and compassionate delivery of patient care.

C1: Collaborates and communicates with the patient and the healthcare team to maximize health outcomes.

*Validates nursing plan of care with the instructor and/or primary nurse
Explains treatments and procedures to patient and family as appropriate
Keeps patient informed of the plan of care
*Keeps the primary nurse and clinical instructor informed of patient response to the plan of care and any changes to the plan of care
Compares/contrasts the roles and perspectives of the nursing profession with other professionals on the healthcare team.

I: Uses information management and the application of patient care technology to provide quality care.

Explains the rationale for the use of patient care technology
Demonstrates skills in the use of patient care technology according to agency protocol
Uses EHR to communicate effectively with members of the health care team
Documents clinically relevant information in a timely manner
Understands the use of Clinical Information Systems (CIS) to document interventions related to achieving nurse-sensitive outcomes.
Uses information and communication technologies in preventative care.

S: Demonstrates leadership by influencing others to optimize physical, emotional, and spiritual safety and provide quality care.

*Collaborates with the inter-professional team to provide safe and effective care and implement unit safety initiatives, policies, and procedures
*Places the patient’s concerns and safety first:
Accessible and prompt in answering patient’s requests;
Prioritize patient’s care needs
Notify the instructor and primary nurse when leaving the unit and makes arrangements for patient care needs to be met
Collaborates with the patient regarding spiritual needs, incorporates into the plan of care, and identifies professionals who are specialists in spiritual care and makes referrals
Reviews and revises inter-professional plan as appropriate
Identifies and adapts environment to promote a sense of peace such as lighting, music, roommate, etc.
Engages the patient in dialogue that promotes a sense of well-being by:
Providing a presence
Determining the meaning of pain
Therapeutic sense of self
Uses a variety of appropriate non-verbal communication strategies that “grounds” or “centers” the patient, such as touch, silence, presence, humor, and active listening
Effectively uses therapeutic communication
Assists the patient to continue or engage in his/her meaningful spiritual rituals and routines
Manages personal emotional responses when the patient’s beliefs or actions may lead to a harmful effect
Identifies and acts on barriers to communication
Participates in quality and patient safety initiatives, recognizing that these are complex system issues, which involve individuals, families, groups, communities, populations, and other members of the healthcare team.
Promotes factors that create a culture of safety and caring.
Promotes the achievement of safe and quality outcomes of care for diverse populations.

C2: Provides culturally competent and holistic nursing care to diverse patients.
Assesses the patient’s use of complementary, alternative, and integrative health practices
Assesses spirituality in patient care
Assesses patient’s cultural practices in a respectful and sensitive manner
Identifies the patient’s cultural influences on acute illness behaviors
Considers the whole person (mind, body, spirit, and environment) when planning and providing care

A2: Advocates for health promotion and disease prevention strategies.
Assesses patient’s perceptions of needs and utilizes strategies that promote health
Identifies factors that contribute to health disparities
Supports patients’ decisions and motivates patients to follow through with actions
Participates in patient-centered activities that promote health and prevent disease
Provides information to empower patients to make informed decisions

N2: Demonstrate knowledge of health care policy, finance, and regulatory environments to improve patient outcomes.
Understands the implications of payer source
Identifies economic and health literacy barriers to improve the patient’s ability to navigate the health care system
Acts on identified barriers to improving patient outcomes
Identifies community resources for a patient with complex health care needs who is being discharged
* Indicates a critical behavior that must be followed at all times. Violation of a critical behavior may result in immediate clinical failure.

Last Completed Projects