NURS 6600 FINAL EXAM PREP
Capstone Synthesis Practicum
ANSWERED
2023/2024
, 1. What are the main components of the nursing process and how do they relate to the quality and safety of
patient care? Provide an example of each component in a clinical scenario.
Answer: The main components of the nursing process are assessment, diagnosis, planning, implementation,
and evaluation. They relate to the quality and safety of patient care by ensuring that the nurse collects
relevant data, identifies the patient's needs and problems, sets measurable and realistic goals, carries out
appropriate interventions, and monitors the outcomes. For example, in a clinical scenario where a patient has
a wound infection, the nurse would assess the wound characteristics, vital signs, pain level, and laboratory
results; diagnose the infection based on the assessment data; plan interventions such as wound dressing,
antibiotic administration, and patient education; implement the interventions according to the plan; and
evaluate the effectiveness of the interventions by observing the wound healing, checking for signs of
infection, and asking for feedback from the patient.
2. What are some of the ethical principles that guide nursing practice and how do they apply to decision
making in complex situations? Give an example of a situation where you had to apply ethical principles in
your practice.
Answer: Some of the ethical principles that guide nursing practice are autonomy, beneficence,
nonmaleficence, justice, fidelity, and veracity. They apply to decision making in complex situations by
helping the nurse to respect the patient's rights and preferences, promote the patient's well-being, prevent or
minimize harm, distribute resources fairly, maintain trust and loyalty, and communicate truthfully. For
example, in a situation where a patient refuses a life-saving treatment due to religious beliefs, the nurse
would have to apply ethical principles such as autonomy (respecting the patient's choice), beneficence
(explaining the benefits and risks of the treatment), nonmaleficence (avoiding coercion or pressure), justice
(considering the impact on other patients), fidelity (supporting the patient's decision), and veracity
(documenting the informed refusal).
3. What are some of the evidence-based practice models that can be used to implement research findings
into nursing practice? Describe the steps involved in one of the models and how you would use it in your
practice.
Answer: Some of the evidence-based practice models that can be used to implement research findings into
nursing practice are Iowa Model, Stetler Model, Johns Hopkins Nursing Evidence-Based Practice Model,
ACE Star Model, and Promoting Action on Research Implementation in Health Services (PARIHS)
Framework. The steps involved in one of the models, such as Iowa Model, are:
- Identify a problem or question that is relevant to nursing practice
- Search for and appraise existing research evidence on the topic
- Determine whether there is sufficient evidence to support a change in practice
- If yes, develop a plan for implementing the change
- If no, conduct a research study or seek other sources of evidence
- Pilot test and evaluate the change in a small group of patients or settings
Capstone Synthesis Practicum
ANSWERED
2023/2024
, 1. What are the main components of the nursing process and how do they relate to the quality and safety of
patient care? Provide an example of each component in a clinical scenario.
Answer: The main components of the nursing process are assessment, diagnosis, planning, implementation,
and evaluation. They relate to the quality and safety of patient care by ensuring that the nurse collects
relevant data, identifies the patient's needs and problems, sets measurable and realistic goals, carries out
appropriate interventions, and monitors the outcomes. For example, in a clinical scenario where a patient has
a wound infection, the nurse would assess the wound characteristics, vital signs, pain level, and laboratory
results; diagnose the infection based on the assessment data; plan interventions such as wound dressing,
antibiotic administration, and patient education; implement the interventions according to the plan; and
evaluate the effectiveness of the interventions by observing the wound healing, checking for signs of
infection, and asking for feedback from the patient.
2. What are some of the ethical principles that guide nursing practice and how do they apply to decision
making in complex situations? Give an example of a situation where you had to apply ethical principles in
your practice.
Answer: Some of the ethical principles that guide nursing practice are autonomy, beneficence,
nonmaleficence, justice, fidelity, and veracity. They apply to decision making in complex situations by
helping the nurse to respect the patient's rights and preferences, promote the patient's well-being, prevent or
minimize harm, distribute resources fairly, maintain trust and loyalty, and communicate truthfully. For
example, in a situation where a patient refuses a life-saving treatment due to religious beliefs, the nurse
would have to apply ethical principles such as autonomy (respecting the patient's choice), beneficence
(explaining the benefits and risks of the treatment), nonmaleficence (avoiding coercion or pressure), justice
(considering the impact on other patients), fidelity (supporting the patient's decision), and veracity
(documenting the informed refusal).
3. What are some of the evidence-based practice models that can be used to implement research findings
into nursing practice? Describe the steps involved in one of the models and how you would use it in your
practice.
Answer: Some of the evidence-based practice models that can be used to implement research findings into
nursing practice are Iowa Model, Stetler Model, Johns Hopkins Nursing Evidence-Based Practice Model,
ACE Star Model, and Promoting Action on Research Implementation in Health Services (PARIHS)
Framework. The steps involved in one of the models, such as Iowa Model, are:
- Identify a problem or question that is relevant to nursing practice
- Search for and appraise existing research evidence on the topic
- Determine whether there is sufficient evidence to support a change in practice
- If yes, develop a plan for implementing the change
- If no, conduct a research study or seek other sources of evidence
- Pilot test and evaluate the change in a small group of patients or settings
