Assignment: Comprehensive Needs Assessment – MSN 6610
Assignment: Comprehensive Needs Assessment – MSN 6610
Complete an interactive simulation exploring the role of the nurse in health care coordination. Then, complete a comprehensive patient needs assessment of 4–5 pages.
Note: Each assessment in this course builds on your work in the preceding assessment; therefore, complete the assessments in the order in which they are presented.
Care coordination is an emerging and complex field in the health care system because of the growing number of providers, the various settings of care, and the numerous methods of delivering care. Hospitals are implementing several interventions to address gaps in care coordination, such as enhanced systems of communication, information technology, and personnel resourcing. This assessment provides an opportunity for you to complete a comprehensive needs assessment.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
•Competency 1: Determine the influence of current health care legislation, policy, and research on evidence-based practice in assessment by care coordinators. ◦Identify current gaps in a patient’s care.
◦Develop a strategy for gathering additional necessary assessment data not readily available from an initial patient interview.
•Competency 2: Evaluate current factors (such as population health, cost, interprofessional communications) affecting patient outcomes related to care coordination. ◦Identify factors most likely to affect patient outcomes.
◦Advocate for the benefits of a multidisciplinary approach to patient care that a care coordination plan would foster.
•Competency 3: Determine appropriate care coordination performance measures for driving high-quality patient outcomes, based on current accrediting standards and benchmarks. ◦Identify specific patient and care coordination outcome measures related to specific accrediting standards.
•Competency 4: Apply relevant evidence-based practices that reflect a shift toward a broader population health focus on patient outcomes. ◦Identify evidence-based practices from the literature necessary to successfully implement a plan of care.
•Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. ◦Write clearly and concisely, using correct grammar and mechanics.
◦Support main points, claims, and conclusions with credible evidence, correctly formatting citations and references using
Context:
In their book To Err Is Human: Building a Safer Health System, Kohn, Corrigan, and Donaldson (2000) identified collaborative communication and the reduction of medical errors as top priorities to improve the quality and safety of patient care. In response to this, the National Quality Forum (NQF), a nonprofit organization that works to catalyze improvements in health care, identified care coordination as an important national strategy to improve patient safety and quality of care delivery.
Coordination of care supports patient safety and quality and is a recognized professional standard shared by registered nurses regardless of their practice setting. Whether educating a patient about his or her medication and plan of care, or reviewing follow-up care, nurses are essential in facilitating the continuity of care for all patients.
Historically, nurses have engaged in coordinating care for every one of their patients. As the landscape of health care evolves, so does care coordination.
Assignment: Comprehensive Needs Assessment – MSN 6610
Reference
Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system. Washington, DC: National Academies Press. Retrieved from http://www.nap.edu/openbook.php?record_id=9728
Questions to consider:
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.
•What are the key reasons for completing a patient needs assessment?
•Which types of information are likely to be most valuable for improving patient outcomes?
•What are the benefits of a multidisciplinary approach to coordinated care?
Assessment Instructions
Note: Complete the assessments in this course in the order in which they are presented.
Preparation
To prepare for this assessment, complete the Vila Health: The Nurse’s Role in Care Coordination simulation (linked in the Required Resources). You will use the patient information from the simulation for your needs assessment.
Note: Remember that you can submit all—or a portion of—your draft to Smarthinking for feedback before you submit the final version of this assessment. However, if you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
Requirements
Complete a comprehensive needs assessment for Mr. Decker, based on the information provided in the Vila Health simulation.
Needs Assessment Format and Length
Format your needs assessment using APA style:
•Use the APA Style Paper Template, linked in the Required Resources. An APA Style Paper Tutorial is also provided (linked in the Suggested Resources) to help you in writing and formatting your needs assessment. Be sure to include: ◦A title page and reference page. An abstract is not required.
◦A running head on all pages.
◦Appropriate section headings.
•Your needs assessment should be 4–5 pages in length, not including the title page and references page.
Supporting Evidence
Cite 3–5 sources of scholarly or professional evidence to support your assessment.
Conducting the Assessment
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your needs assessment addresses each point, at a minimum. Read the Needs Assessment Scoring Guide to better understand how each criterion will be assessed.
•Identify current gaps in the patient’s care. ◦Use an appropriate needs assessment tool to identify gaps.
◦Consider the types of patient information that will be most useful in assessing the current level of care.
•Develop a strategy for gathering additional, necessary assessment data not readily available from an initial patient interview. ◦Consider the full range of interrelated needs that affect the patient’s health.
•Identify factors most likely to affect patient outcomes. ◦Consider the potential effects of these factors on outcomes.
◦What evidence do you have to support your conclusions?
•Identify specific patient and care coordination outcome measures related to specific accrediting standards. ◦What are the applicable accrediting standards?
◦What is the rationale for measuring outcomes based on accrediting agencies?
◦How would you describe the relationship between specific outcomes and standards?
•Identify evidence-based practices from the literature necessary to implement a plan of care successfully. ◦Are your sources relevant and credible?
◦Consider best practices, having a population-health focus on patient outcomes.
•Advocate for the benefits of a multidisciplinary approach to patient care that a care coordination plan would foster. ◦What are the key points in your argument?
◦What evidence do you have to support you assertions?
•Write clearly and concisely, using correct grammar and mechanics. ◦Express your main points and conclusions coherently.
◦Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your needs assessment.
•Support main points, claims, and conclusions with credible evidence, correctly formatting citations and references using APA style.
Comprehensive Needs Assessment Scoring Guide: Assignment: Comprehensive Needs Assessment – MSN 6610
| Comprehensive Needs Assessment Scoring Guide | ||||
| Criteria | Non-performance | Basic | Proficient | Distinguished |
| Identify current gaps in a patient’s care. | Does not identify perceived gaps in a patient’s care. | Identifies perceived gaps in a patient’s care unsupported by the available data. | Identifies current gaps in a patient’s care. | Identifies current gaps in a patient’s care, based on a comprehensive, patient-centered needs assessment that includes patient-reported data. |
| Develop a strategy for gathering additional necessary assessment data not readily available from an initial patient interview. | Does not suggest a general approach for gathering needs assessment data from an initial patient interview. | Suggests a general approach for gathering needs assessment data from an initial patient interview. | Develops a strategy for gathering additional, necessary assessment data not readily available from an initial patient interview. | Develops a strategy for gathering additional necessary assessment data not readily available from an initial patient interview. The strategy reflects a holistic, coordinated care perspective. |
| Identify factors most likely to affect patient outcomes. | Does not identify factors having some effect on patient outcomes. | Identifies factors having some effect on patient outcomes, including those that are substantially unrelated to patient outcomes. | Identifies factors most likely to affect patient outcomes. | Identifies factors most likely to affect patient outcomes. Describes clear cause-and-effect relationships supported by credible evidence. |
| Identify specific patient and care coordination outcome measures related to specific accrediting standards. | Does not identify patient and care coordination outcome measures. | Identifies patient and care coordination outcome measures. | Identifies specific patient and care coordination outcome measures related to specific accrediting standards. | Identifies specific patient and care coordination outcome measures related to specific accrediting standards. Provides justification for following accrediting agency guidelines and articulates clear relationships among outcomes and standards. |
| Identify evidence-based practices from the literature necessary to successfully implement a plan of care. | Does not identify evidence-based practices that support a plan of care. | Identifies evidence-based practices that support a plan of care. | Identifies evidence-based practices from the literature necessary to successfully implement a plan of care. | Identifies evidence-based practices from current and credible sources, necessary to successfully implement a plan of care from a population-health perspective. |
| Advocate for the benefits of a multidisciplinary approach to patient care that a care coordination plan would foster. | Does not list benefits of a multidisciplinary approach to patient care that a care coordination plan would foster. | Lists benefits of a multidisciplinary approach to patient care that a care coordination plan would foster. | Advocates for the benefits of a multidisciplinary approach to patient care that a care coordination plan would foster. | Advocates for the benefits of a multidisciplinary approach to patient care that a care coordination plan would foster. Presents an astute, well-reasoned argument supported by credible evidence. |
| Write clearly and concisely, using correct grammar and mechanics. | Does not write clearly and concisely, using correct grammar and mechanics. | Writing is not consistently clear or concise, or errors in grammar and mechanics inhibit effective communication. | Writes clearly and concisely, using correct grammar and mechanics. | Writes clearly and concisely. Grammar and mechanics are error-free. |
| Support main points, claims, and conclusions with credible evidence, correctly formatting citations and references using APA style. | Does not support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. | Main points, claims, and conclusions are not well supported. Sources lack relevance or credibility, or are incorrectly formatted. | Supports main points, claims, and conclusions with credible evidence, correctly formatting citations and references using APA style. | Supports main points, claims, and conclusions with relevant, credible, and convincing evidence. Source citations and references are error-free. |
FAQs
What is a comprehensive needs assessment? ›
A comprehensive needs assessment is a process that is used to identify needs and performance challenges in a school or district, determine their root causes, and set priorities for future action.
What are the 4 types of nursing assessments? ›WHEN YOU PERFORM a physical assessment, you'll use four techniques: inspection, palpation, percussion, and auscultation.
What is a needs assessment in nursing? ›A Needs Assessment is: A systematic process of gathering information that is appropriate and. sufficient to develop an effective educational program that will address the groups' needs and wants (gap).
How do you write a health needs assessment? ›- aims and objectives for the assessment – defining purpose and intended outcomes.
- a target population to be assessed.
- the data and information required.
- a timeline for the health needs assessment – when, what, how and who. ...
- potential challenges and how to manage them.
The law states you are entitled to a needs assessment. Declining one (or not insisting) may come back to bite you in the "but" and there is no going back.
What are the 5 keys to comprehensive assessment? ›The five keys include: 1) meaningful goals and measures, 2) formative assessment, 3) summative assessment, 4) performance-based assessment, and 5) student ownership.
What are the 4 a's in nursing? ›As a systematic process for change, this article offers the AACN's Model to Rise Above Moral Distress, describing four A's: ask, affirm, assess, and act. To help critical care nurses working to address moral distress, the article identifies 11 action steps they can take to develop an ethical practice environment.
What are the 5 stages of nursing process? ›- The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care. Assessment. ...
- Diagnosis. ...
- Outcomes / Planning. ...
- Implementation. ...
- Evaluation.
Attention will be focused on the four P's: pain, peripheral IV, potty, and positioning. Rounds will also include an introduction of the nurse or PCT to the patient, as well as an environmental assessment.
How long does a needs assessment last? ›There's no set timescale for the assessment process. The local authority should give you some sort of indication of how long it should take for your assessment to be completed. Normally it shouldn't take longer than four to six weeks, unless your assessment is complex.
What is a needs assessment disability? ›
A Needs Assessment is the first step towards getting the support or services you and your family require if you have a long-term disability. A Needs Assessment is a process of determining your strengths, needs and goals and identifying the services required to support you to be as independent as possible.
What happens after a needs assessment? ›After your care needs assessment, your local council or trust will let you know whether, in principle, you qualify for care and support. This decision is made by comparing your care needs with a set of nationally agreed criteria, which all local councils must use.
What is an example of a needs assessment? ›A “Needs Assessment”is a systematic approach that progresses through a defined series of phases. Needs Assessment focuses on the ends (i.e., outcomes) to be attained, rather than the means (i.e., process). For example, reading achievement is an outcome whereas reading instruction is a means toward that end.
What are five examples of questions to ask to learn about a patient's needs? ›...
Here are 5 open-ended questions which may add depth to conversations with patients:
- What health concerns do you have? ...
- What are you most worried could be wrong? ...
- What's life been like for you during the pandemic? ...
- How did you and your partner meet? ...
- Can you tell me more?
- What is the ideal business outcome you would like to experience? Or What results are you trying to accomplish? ...
- What is the problem we are trying to solve? ...
- How will we measure our success? ...
- What options have you tried so far? ...
- What is the most appropriate way forward?
Yes. Child in need assessments are voluntary. This means that parents or carers do not have to agree to have an assessment. Remember, a child in need assessment aims to find out what extra help and services a child and their family need.
Can you be charged for a needs assessment? ›The needs assessment is free and anyone can ask for one.
Can you tell social services to go away? ›Some have asked ” can I tell social services to go away ” – If you tell them to go away, they won't and you will end up in Court and there is then the risk that your children really will be removed. Be Honest. This might sometimes seem like a bad idea.
What is included in a comprehensive health assessment? ›A comprehensive health assessment includes an examination of social and behavioral influences, health risks and information needs of patients and/or families/caregivers.
What is an example of a comprehensive assessment? ›Examples of comprehensive assessment methods are portfolios, staggered research essays, and larger individual or group projects. You can use different rubrics for each segment of the larger product or use the same one so students see how they are improving over time.
What are the 3 main types of assessment? ›
Assessment is integral to the teaching–learning process, facilitating student learning and improving instruction, and can take a variety of forms. Classroom assessment is generally divided into three types: assessment for learning, assessment of learning and assessment as learning.
What are the 3 D's in nursing? ›The 3Ds (diversity, disparities, and determinants) that serve as a framework for this supplement are concepts that are key foundations of nursing education, practice, and research.
How do nurses get straight A's? ›- Follow the nursing exam study guide. ...
- Focus on the material covered in class. ...
- Think in terms of action, not facts. ...
- Form a study group. ...
- Skim-read first. ...
- Use outside sources. ...
- Know your learning style. ...
- Use downtime as study time.
Charting the 7 c's of cultural change affecting foreign nurses: competency, communication, consistency, cooperation, customs, conformity and courage.
What are the 5 P's in nursing? ›During hourly rounds with patients, our nursing and support staff ask about the standard 5 Ps: potty, pain, position, possessions and peaceful environment.
What are the six 6 of nursing? ›The values were care, compassion, competence, communication, courage and commitment, and became commonly referred to as the “6Cs of nursing”. Each of the six values, which were also backed by six areas of action, carried equal weight and focused on putting patients at the “heart of everything” that nurses do.
What are the 5 nursing interventions? ›These are assessment, diagnosis, planning, implementation, and evaluation.
Can I wear a dress to a nursing interview? ›Formal dress isn't required anymore, but professional attire helps. Details matter when it comes to nursing, and interviewers will notice the details. “Ensure everything is clean, including your shoes,” said Chaudhary. “Well-kept hair and even nail care are important.
What are the 5 C's in healthcare? ›According to Roach (1993), who developed the Five Cs (Compassion, Competence, Confidence, Conscience and Commitment), knowledge, skills and experience make caring unique.
How often do nurses make rounds? ›Generally, rounding occurs every hour during the day shift and every two hours on the night shift. A nurse and nursing assistant often rotate on the even and odd hours. As the staff make their hourly rounds, they focus their assessment on four key concepts — pain, position, potty, and placement of environmental items.
What happens after a social services assessment? ›
After a needs assessment, your local authority must review the information gathered and decide whether or not to provide services for you. Your authority will do this by determining whether your needs meet the national eligibility criteria.
How long does it take to get a care assessment? ›How long is the care needs assessment process? Although there is no set timescale for the process to start, it normally takes from 4-6 weeks for the claim to be assessed. And once the assessment has been carried out, you normally get the results within a week.
How do I get a needs assessment report? ›You can expect the Needs Assessment Centre to send you the report in about 10 working days. They will also send a copy of the report to your funding provider and if you agree, they will send a copy to your Disability or Learning Support Keyworker. Wait for approval from your funding provider.
What do they do at a disability assessment? ›They'll ask questions to find out how your health condition, disability or illness affects your ability to carry out a range of everyday activities. They'll also ask you about the things you've said on your questionnaire - take a copy with you so you can check back to the answers you gave.
What are the 4 major types of disabilities? ›The four major types of disabilities include physical, developmental, behavioral or emotional, and sensory impaired disorders.
Who is eligible for ministry disability support services? ›Ministry funded disability support services are available to people who have a physical, intellectual or sensory disability (or a combination of these) which: is likely to continue for at least six months. needs ongoing support to live independently, to the extent that ongoing support is required.
What happens after disability medical assessment? ›After your assessment, the Government-contracted Doctor will write a report about the impact of your condition. They'll then send the report to us. Their report helps us decide if you meet the medical rules for DSP. If you can't attend your assessment, you can reschedule your appointment.
How long does a social services risk assessment take? ›The focus of the assessment must be on the needs of the child and the maximum. time for completion of any assessment is 45 days. It is an expectation that not all assessments will need this length of time to complete and it is not in the child's interests to have a delay in their assessment.
What happens after Esa health assessment? ›The Department for Work and Pensions (DWP) will send you a letter with their decision. They might decide to: keep giving you ESA and put you in the 'work-related activity group' keep giving you ESA and put you in the 'support group'
What are the 3 components of a needs assessment? ›The main outcomes of a community needs assessment are in 3 main categories: Policy Change, Systems Change, and Environmental Change.
What are the 4 types of community needs? ›
It may be helpful to categorize needs into four categories: perceived needs, expressed needs, absolute needs, and relative needs.
What is a basic needs assessment? ›A needs assessment helps you determine what needs to be accomplished to reach your project goals. This assessment of needs then informs a project's overall plan and approaches by helping you identify targeted strategies and prioritize resources.
What are 10 questions doctors ask to patients? ›- What brings you in today? Why are you here?
- What hurts? The part of your body.
- What are your symptoms? Describe the problem.
- How long has this been going on? ...
- Has the pain been getting better or worse? ...
- Do you smoke? ...
- Do you have a family history of this? ...
- Do you take any medicines or supplements?
- Assessment phase.
- Diagnosis phase.
- Planning phase.
- Implementing phase.
- Evaluation phase.
- How would you rate the overall care provided at our facility?
- Were our staff empathetic to your needs?
- Were you satisfied with the doctor you were allocated with?
- How happy are you with the doctor's treatment?
- Were we able to answer all your questions?
A needs assessment may take many different formats. The most common formats include surveys, interviews, focus groups, or key informant interviews. A needs assessment might utilize one or more data collection formats.
What is the goal of a needs assessment? ›The goal of a needs assessment is to help educators identify, understand, and prioritize the needs that districts and schools must address to improve performance.
What are the 8 steps in a needs assessment? ›- Step 1: Identify and engage stakeholders. ...
- Step 2: Define the community. ...
- Step 3: Collect and analyze data. ...
- Step 4: Select priority community health issues. ...
- Step 5: Document and communicate. ...
- Step 6: Plan improvement strategies. ...
- Step 7: Implement improvement plans.
- STEP 1: Prepare Management Plan. ...
- STEP 2: Identify Major Concerns. ...
- STEP 3: Determine Need Indicators. ...
- STEP 4: Consider Data Sources. ...
- STEP 5: Decide on Preliminary Priorities. ...
- STEP 1: Determine Target Groups.
- Overview of the Comprehensive Assessment.
- Components of the Comprehensive Assessment. Digital Portfolio. Vision Statement. Competency Plan. Critical Reflections. Critical Synthesis Paper. Comprehensive Assessment Presentation.
- Scheduling the Comprehensive Assessment.
- Admission to Candidacy.
What is a comprehensive assessment in healthcare? ›
A comprehensive health assessment includes an examination of social and behavioral influences, health risks and information needs of patients and/or families/caregivers.