Professional Capstone and Practicum Reflective Journal Essay

Professional Capstone and Practicum Reflective Journal Essay

Professional Capstone and Practicum Reflective Journal Essay

Leadership and economic models

In this tenth week, the focus of the practicum was on leadership and economic models. This area was the most demanding yet fulfilling of my practicum experience. The current healthcare system is complex and fragmented. As such, there is a need for sound leadership and economic ideas to address myriad challenges facing the health care system today. Regarding the economic models, this practicum practice exposed to key economic considerations in healthcare such as production, purchasing, and delivery of care services and the systems that enable such services (Sturmberg & Bircher, 2019). The other consideration was on the behaviors of individual stakeholders, groups, and organizations and the quality, accessibility, and cost of the delivery system as well.

This practicum experience exposed me to the reality that the health care system is highly complex, fragmented, inefficient, flawed, expensive and only a few individuals have unlimited accessibility (Zeigler et al., 2019). Clients need quality and cost-effective care. As nurses, we need to identify the economic realities in the healthcare industry and strive to improve the cost and quality of care. Nurses should be equipped with healthcare economic theory to assist them in evaluating options to lower healthcare costs and determine the pros and cons of such options before making economic decisions. Nurses also need to implement innovative ways of enhancing the value of care through initiatives such as pay-for-performance. However, these changes can only be realized through effective leadership. Nurses should be proactive in leadership roles because they interact with patients more frequently than other care providers and have a unique understanding of patients and their needs (Ellis, 2021).  Nursing leadership is crucial in patient examination, diagnosis, treatment, and education to make informed decisions.


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Ellis, P. (2021). Leadership, management, and team working in nursing. Sage.

Sturmberg, J. P., & Bircher, J. (2019). Better and fulfilling healthcare at lower costs: the need to manage health systems as complex adaptive systems. F1000Research, 8. doi: 10.12688/f1000research.19414.1

Zeigler, B., Traoré, M. K., Zacharewicz, G., & Duboz, R. (2019). Value-based learning healthcare systems: Integrative modeling and simulation. Institution of Engineering and Technology.


Assessment Description
Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

New practice approaches
Interprofessional collaboration
Health care delivery and clinical systems
Ethical considerations in health care
Practices of culturally sensitive care
Ensuring the integrity of human dignity in the care of all patients
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

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