NRS-493 Professional Capstone and Practicum Reflective Journal – Topic 3

NRS-493 Professional Capstone and Practicum Reflective Journal – Topic 3

Assessment Description

Students are required to submit weekly journal entries throughout the course. These reflective narratives help students identify important learning events that happen throughout the course and the practicum. In each week’s entry, students should reflect on the personal knowledge and skills gained.

Write a reflection journal (250-300 words) to outline what has been discovered about your professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week there will be a specific focus to use in your reflection. Integrate leadership and inquiry into the current practice. Please make sure to address all areas in your writing.

Topic Focus: Health care delivery and clinical systems

While APA style is not required for the body of this assignment, solid academic writing is expected.

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 required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Health Care Delivery and Clinical Systems

Healthcare delivery and clinical systems entail a combination of a range of factors such as mechanisms of care coordination, health policies, communication flow, healthcare structure, budget, products, healthcare regulations, decision-making, human resources, social expectations, equipment, health insurance, healthcare settings, and quality controls that play a crucial role in the provision of smooth operations and advancement of health care (Al-Saddique, 2018).

Through this week’s practicum experience, I was exposed to the reality of the complex, complicated, large, and multilevel nature of health care delivery and clinical systems. Ideally, the health care delivery and clinical systems work in

a wide range of networks, practices, and groups. One of the greatest lessons I learned is that healthcare delivery and clinical systems play an instrumental role in supporting healthcare settings to make sound decisions about their operations. The original intention of the healthcare delivery and clinical systems is to ensure that the healthcare system is orderly, accountable, and enhances the collaboration of healthcare providers and services (Cerise et al., 2021). Nonetheless, attaining these goals has been impeded by the fragmented nature of the health care system.

Participating in this week’s practicum experience enabled me to understand the need for proper collaboration, care coordination, and system planning in the health care delivery to help in optimization of the care provision and clinical systems (Cerise et al., 2021). I also acknowledged the essence of championing healthcare reforms to facilitate superior healthcare performance anchored on quality, equity, safety, efficiency, and timeliness. Promoting sophisticated healthcare delivery and clinical systems is beneficial for both patients and healthcare providers. Providers enjoy increased job satisfaction while patients benefit from timely, safe, reliable, quality, integrated, and affordable health care.


Al-Saddique, A. (2018). Integrated delivery systems (IDSs) as a means of reducing costs and improving healthcare delivery. J Healthc Commun, 3, 19. DOI: 10.4172/2472-1654.100129

Cerise, F. P., Moran, B., Huang, P. P., & Bhavan, K. P. (2021). The imperative for integrating public health and health care delivery systems. NEJM Catalyst Innovations in Care Delivery, 2(4).


As a student in Master of Science in nursing program, I have learned that there is always room for growth and development in my professional practice. Through the studies, I have gained knowledge on the new practice approaches that could positively impact patient treatment outcomes. The above approaches involves incorporating leadership and inquiry into my current practice, application of evidence-based practices, as well as seeking out further resources (Moore et al., 2020).

Regarding my personal attributes, I think that my capacity for multidisciplinary teamwork and my effective communication abilities have served me well in my work. I am aware, though, that I can still do better when it comes to problem-solving and critical thinking. I want to look for chances for continuous education and engage in reflective practices that push me to think creatively in order to overcome this deficit (Slightam et al., 2020).

Promoting the best patient outcomes requires integrating leadership and investigation into my work (Stadick, 2020). I can promote change and progress as a nurse leader by searching out evidence-based practices and actively learning new things. I can influence favorable outcomes for my patients and the healthcare system as a whole by putting these principles to use and incorporating the findings into my everyday work.

In conclusion, my journey as a Master of Science in nursing student has taught me the importance of seeking out new and innovative approaches to improve my professional practice. I recognize that there is always room for growth and improvement, and I am committed to utilizing my strengths and seeking out additional resources to drive optimal patient outcomes. Through leadership and inquiry, I am confident that I can make a positive impact in my practice and the lives of my patients.


Moore, S., Roche, J., Bell, L., & Neenan, E. E. (2020). Supporting facilitators of maker activities through reflective practice. Journal of Museum Education45(1), 99-107.

Slightam, C., Gregory, A. J., Hu, J., Jacobs, J., Gurmessa, T., Kimerling, R., … & Zulman, D. M. (2020). Patient perceptions of video visits using veterans affairs telehealth tablets: survey study. Journal of medical Internet research22(4), e15682.

Stadick, J. L. (2020). Understanding health care professionals’ attitudes towards working in teams and interprofessional collaborative competencies: A mixed methods analysis. Journal of Interprofessional Education & Practice21, 100370.


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Healthcare delivery and clinical system refer to system coordination mechanisms, quality control, information flow, communication flow, and decision-making process between practitioners and patients (Young et al., 2009). The health delivery systems have seen a change in ownership and management pattern due to an increase in the concentration of acute care delivery systems, restructuring of acute and long-term care sectors, and blurring of the distinction between profit and not for profit ownership. The United States health care sector is unique because it offers an array of clinicians, hospitals, insurance plans, and purchases of health care services. The various part of the system operates as independent groups, networks, and groups. The sector also has either voluntary or government regulators.

The system offers four levels of care. The first one is primary care where one gets evaluated for symptoms and medical concerns. Primary care coordinates care among specialists, enhances access to healthcare services, improve health outcome, and reduce the use of emergency department visits and hospitalization (Young et al., 2009). The second level is secondary care where specialized care is provided. At this level, one is handled by an expert on the condition at hand. The secondary level handles medical conditions that cannot be managed at the primary care level. In case more care is needed one proceeds to tertiary care where specialized equipment and expertise are offered. The last level is quaternary care which is an extension of tertiary care.

The US healthcare system currently aims at providing people-centered and integrated health services (Mohammed et al., 2016). People-centered care focuses on clinical encounters as well as community health and their roles in shaping health services and health policy.



Mohammed, K., Nolan, M. B., Rajjo, T., Shah, N. D., Prokop, L. J., Varkey, P., & Murad, M. H. (2016). Creating a patient-centered health care delivery system: a systematic review of health care quality from the patient perspective. American Journal of Medical Quality, 31(1), 12-21.

Young, G. J., Meterko, M. M., Mohr, D., Shwartz, M., & Lin, H. (2009). Congruence in the assessment of service quality between employees and customers: A study of a public health care delivery system. Journal of Business Research, 62(11), 1127-1135.