NR 451 Week 5 Assignment iCARE Paper

Student Name
Chamberlain University
NR-451: RN Capstone Course
Prof. Name
Date
Academic Integrity Statement
By submitting this assignment, I affirm, on my honor, that the work presented here is my own original effort, except where proper quotations and citations have been provided. I have not received unauthorized assistance in completing this assignment.
ICARE in Nursing
I currently serve in a remote capacity for a healthcare organization that offers in-home urgent care services to patients. Our approach relies heavily on an interdisciplinary care model, involving various professionals such as nurse care managers, social workers, behavioral health care managers, nurse practitioners, and licensed practical nurses. Each team is responsible for the management of approximately 400 patients.
To coordinate effectively, we hold a virtual morning huddle each day via Microsoft Teams to address patient concerns and share updates. However, due to the large patient load, these huddles are often too brief to cover all cases comprehensively. Furthermore, the absence of social workers and behavioral health team members from these meetings can limit the holistic exchange of information. Extending the duration of the huddles and ensuring full interdisciplinary participation could improve care coordination and outcomes.
Compassion
Compassion forms a cornerstone of nursing practice, enhancing the therapeutic relationship between nurses and patients, and contributing to improved health outcomes (American Nurses Association [ANA], 2021). It becomes easier for nurses to express compassion when supported by their interdisciplinary colleagues.
Compassionate care involves showing respect, empathy, and genuine concern for the patient’s well-being, as well as engaging in active listening to make patients feel heard and respected. In my telephonic nursing role, active listening plays an especially critical role. My team consistently applies this practice, both with patients and with each other, reducing miscommunication and strengthening our professional relationships. This, in turn, fosters better collaboration, which directly impacts patient outcomes positively.
Advocacy
Nurses hold the dual responsibility of advocating for their patients, their profession, and the public (Caves, 2022). Patient advocacy involves ensuring that individuals receive the necessary care and intervening when their needs are not met. Additionally, nurses are in a position to advocate for safe workplace conditions.
When unsafe practices or workplace violence occur, taking a stand becomes essential to protect both patients and staff. Interdisciplinary teams play a pivotal role in identifying, addressing, and revising unsafe practices or policies. Collaborative advocacy strengthens safety protocols, thereby safeguarding patient outcomes.
Resilience
Resilience, the capacity to adapt effectively during periods of adversity, is essential in the demanding and high-pressure nursing environment (Henshall et al., 2020). Nurses frequently encounter emotionally taxing situations, high workloads, and staffing shortages—factors that can lead to burnout.
The COVID-19 pandemic highlighted the importance of resilience-building interventions. These initiatives help restore emotional balance and reduce stress. My current organization actively supports such interventions. For example, all team members were granted a paid “compassion day” to use for personal well-being activities. Such initiatives enable healthcare providers to maintain their mental and emotional health, ultimately allowing them to deliver higher-quality care.
Evidence-Based Practice
Evidence-based practice (EBP) underpins effective nursing interventions, ensuring that care strategies are supported by research and clinical evidence. In my current role, we apply EBP to reduce the rate of hospital readmissions within 30 days post-discharge. Research has shown that conducting a transitional care visit within three days of discharge significantly lowers readmission rates.
As a result, our organization revised its policy from seven days to three days for post-discharge visits. This change required adjustments from both nurse practitioners, who conduct the visits, and nurses, who schedule them. The success of this initiative relies heavily on precise coordination between team members. By adhering to EBP, we are able to improve patient health outcomes while reducing unnecessary hospitalizations.
NR 451 Week 5 Assignment iCARE Paper
Table: ICARE Model in Practice
| ICARE Component | Definition | Application in Current Role | Impact on Patient Outcomes |
|---|---|---|---|
| Compassion | Showing empathy, respect, and understanding to patients. | Active listening via telephonic care; mutual respect within the team. | Improved communication, reduced misinterpretations, better trust. |
| Advocacy | Acting to ensure patients and staff have safe, effective care. | Reporting unsafe practices; ensuring patient needs are met. | Enhanced patient safety and care quality. |
| Resilience | Ability to adapt and recover during challenging times. | Company-provided “compassion day” for self-care. | Reduced burnout, improved provider well-being. |
| Evidence-Based Practice | Using current research to guide care decisions. | Reduced readmission rates by conducting visits within three days. | Fewer hospitalizations, better recovery outcomes. |
Summary
The ICARE framework—encompassing compassion, advocacy, resilience, and evidence-based practice—serves as a foundation for high-quality, patient-centered care. In my current role, this model fosters effective interdisciplinary collaboration, enhances patient satisfaction, and improves clinical outcomes. While our organization applies this model well, continuous evaluation and adjustment are necessary to address evolving healthcare challenges.
References
American Nurses Association. (2021). Nursing (4th ed.). https://ambassadored.vitalsource.com/books/9780999308882
Caves, L. (2022). What is advocacy. Ohio Nurses Review, 97(4), 22. https://doi.org/10.1016/j.profnurs.2022.04.006
NR 451 Week 5 Assignment iCARE Paper
Henshall, C., Davey, Z., & Jackson, D. (2020). Nursing resilience interventions—A way forward in challenging healthcare territories. Journal of Clinical Nursing, 29(19–20), 3597–3599. https://doi.org/10.1111/jocn.15276