NURS FPX 6025 Assessment 2 Practicum and Experience Reflection


NURS FPX 6025 Assessment 2 Practicum and Experience Reflection

NURS FPX 6025 Assessment 2 Practicum and Experience Reflection


Capella university

NURS-FPX 6025 MSN Practicum

Prof. Name


Practicum and Experience Reflection

The practicum course I have been engaged in has demonstrated to me the complexity of the issue of nutrition and fluid adherence in African-American patients with ESRD on maintenance hemodialysis. I firmly believe that adherence to the established limits is very important in managing End-Stage Renal Disease ESRD. Thus, the key objective of my practicum is to develop and implement an individualized intervention protocol that is suitably adapted to the specific needs of patients with ESRD (Yang et al. (2021). The practicum session has included several activities on my part, such as giving outpatient education sessions to improve their knowledge of nutritional and fluid limits, performing targeted preventive health plans to ensure that they adhere to treatment, and evaluating the outcomes to assess the effectiveness of our strategies (Gebrie et al., 2023).

Engaging in patient education sessions has provided me with firsthand experience in communicating complex medical concepts in a clear and accessible manner, ensuring that patients grasp the importance of adhering to prescribed limits for their overall health and well-being. Additionally, actively participating in implementing interventions has allowed me to witness the practical challenges and nuances involved in supporting patients in adhering to their prescribed dietary and fluid restrictions (Kwame & Petrucka, 2021). Each intervention has offered valuable insights into the complexities of managing ESRD patients’ care needs, from exploring dietary modifications to facilitating lifestyle adjustments. The practicum has provided me with ample opportunities to evaluate outcomes and assess the effectiveness of our interventions in improving adherence to nutritional and fluid limits. Through meticulous data collection and analysis, I have gained valuable insights into the factors influencing patients’ adherence behaviors and identified areas for refinement and improvement in our intervention strategies (Murali et al., 2019).

Preceptor Role as a Mentor and Supervisor

In addressing the PICOT question concerning African American patients with End-Stage Renal Disease (ESRD) undergoing hemodialysis, the practitioner’s journey is guided by the pivotal role of the preceptor as both a mentor and site supervisor. The preceptor’s expertise and experience serve as a beacon, illuminating the path toward effectively understanding and implementing the intervention plan (Gebrie et al., 2023). Through regular feedback sessions, the preceptor ensures that the practitioner comprehends the objectives of the practicum, thereby fostering a deep understanding of the intervention’s purpose and methodologies. Additionally, the preceptor is crucial in resource facilitation, ensuring practitioners can access all necessary tools and materials to fulfill their responsibilities (King et al., 2023).

By cultivating an environment conducive to open communication, the preceptor empowers the practitioner to seek clarification and assistance as needed, nurturing a collaborative learning environment. Furthermore, the preceptor actively involves the practitioner in decision-making, encouraging them to contribute their insights and perspectives to optimize patient care outcomes. In essence, through his or her role as a mentor and site supervisor, the preceptor equips the practitioner with the knowledge, skills, and support necessary to navigate the challenges of improving adherence to nutritional and fluid limits among ESRD patients, thereby driving positive health outcomes within the specified timeframe (Jassim et al., 2022).

Goals and Objectives of Practicum Experience

The practicum’s goals and objectives are to improve health outcomes by enhancing adherence to nutritional and fluid limits among ESRD patients. The primary goal is to implement an intervention plan that effectively addresses the unique needs of African American patients undergoing hemodialysis. This involves conducting patient education sessions, counseling sessions, and regular monitoring to assess adherence levels (Hussain et al., 2023). The practicum objectives encompass implementing patient education sessions to enhance understanding of nutritional and fluid limits, providing counseling and support to overcome adherence barriers, monitoring patient progress, and adjusting intervention plans based on feedback and outcomes.

Collaboration with multidisciplinary healthcare team members is emphasized to optimize patient care and outcomes (Vaismoradi, 2020). These objectives collectively aim to improve adherence among African American patients with End-Stage Renal Disease undergoing hemodialysis, facilitating better health outcomes in this population. It is essential to maintain regular communication with patients, assess their individual needs, and tailor interventions accordingly to achieve these goals and objectives. Additionally, ongoing evaluation of the intervention plan’s effectiveness and flexibility in adjusting is crucial for achieving desired outcomes (Umeukeje et al., 2022).

Completion of Hours

Demonstrating completion of hours toward the practicum experience involves maintaining accurate records of activities and engagement in patient care. I have diligently logged my hours, ensuring compliance with the minimum of 20 patient education sessions for every 100 hours of clinical care provided. These records include detailed documentation of patient interactions, interventions implemented, and outcomes assessed for nutritional and fluid adherence. I demonstrate my commitment to fulfilling the practicum requirements by consistently recording my hours and activities.


Gebrie, M. H., Asfaw, H. M., Bilchut, W. H., Lindgren, H., & Wettergren, L. (2023). Health-related quality of life among patients with end-stage renal disease undergoing hemodialysis in Ethiopia: a cross-sectional survey. Health and Quality of Life Outcomes21(1).

Hussain, F., Ashraf, S., Arshad, M., Muhammad, Faheem Shahzad Khan, Muhammad Awais Ahmad, Ali, S., Muhammad Ahsan Asif, Munawar, A., & Haseeb Mehmood Qadri. (2023). Knowledge, adherence, and perception of patients on maintenance hemodialysis to treatment regimens at a tertiary care hospital in Pakistan. Curēus15(12).

Jassim, T., Carlson, E., & Bengtsson, M. (2022). Preceptors’ and nursing students’ experiences of using peer learning in primary healthcare settings: a qualitative study. BMC Nursing21(1).

King, A., Tanumihardjo, J. P., Ahn, D., Zasadzinski, L., Robinson, E., Quinn, M. T., Peek, M. E., & Saunders, M. R. (2023). Assessing knowledge of end-stage kidney disease and treatment options in hospitalized African American patients undergoing hemodialysis. Chronic Illness, 174239532311688-174239532311688.

NURS FPX 6025 Assessment 2 Practicum and Experience Reflection

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing20(158), 1–10. BMC Nursing.

Mignote Hailu Gebrie, Mekonnen, H., Workagegnehu Hailu Bilchut, Lindgren, H., & Wettergren, L. (2023). Patients’ experience of undergoing maintenance hemodialysis. An interview study from Ethiopia. PLOS ONE18(5), e0284422–e0284422.

Murali, K. M., Mullan, J., Roodenrys, S., Hassan, H. C., Lambert, K., & Lonergan, M. (2019). Strategies to improve dietary, fluid, dialysis or medication adherence in patients with end stage kidney disease on dialysis: A systematic review and meta-analysis of randomized intervention trials. PLOS ONE14(1), e0211479.

Umeukeje, E. M., Ngankam, D., Beach, L. B., Morse, J., Prigmore, H. L., Stewart, T. G., Lewis, J. B., & Cavanaugh, K. L. (2022). African Americans’ hemodialysis treatment adherence data assessment and presentation: A precision-based paradigm shift to support quality improvement activities. Kidney Medicine4(2), 100394.

Vaismoradi, M. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health17(6), 1–15.

NURS FPX 6025 Assessment 2 Practicum and Experience Reflection

Yang, C., Hui, Z., Zeng, D., Zhu, S., Wang, X., Lee, D. T. F., & Chair, S. Y. (2021). A community-based nurse-led medication self-management intervention in the improvement of medication adherence in older patients with multimorbidity: protocol for a randomised controlled trial. BMC Geriatrics21(1).

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