Category: Nursing

Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you’ve defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5–7 page analysis of your intervention.
INTRODUCTION 
In your first three assessments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem.
PREPARATION 
In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:
Creating an educational brochure.
Producing an educational voice-over PowerPoint presentation or video focusing on your topic.
Creating a teaching plan for your patient, family, or group.
Recommending work process or workflow changes addressing your topic.
Plan to spend at least 3 direct practicum hours working with the same patient, family, or group.
In addition, you may wish to complete the following:
Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence.
INSTRUCTIONS
Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.
Part 1
Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.
Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:
Leadership.
Collaboration.
Communication.
Change management.
Policy.
Quality of care.
Patient safety.
Costs to the system and individual.
Technology.
Care coordination.
Community resources.
Part 2
Submit your proposed intervention to your faculty for review and approval.
In a separate written deliverable, write a 5–7 page analysis of your intervention.
Summarize the patient, family, or population problem.
Explain why you selected this problem as the focus of your project.
Explain why the problem is relevant to your professional practice and to the patient, family, or group.
In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
Define the role of leadership and change management in addressing the problem.
Explain how leadership and change management strategies influenced the development of your proposed intervention.
Explain how nursing ethics informed the development of your proposed intervention.
Include a copy of the intervention/solution/professional product.
Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.
Identify the patient, family, or group.
Discuss the benefits of gathering their input to improve care associated with the problem.
Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.
Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.
Cite the standards and/or policies that guided your work.
Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.
Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
Cite evidence from the literature that supports your conclusions.
Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.
Cite evidence from the literature that supports your conclusions.
Write concisely and directly, using active voice.
Apply APA formatting to in-text citations and references.
ADDITIONAL REQUIREMENTS
Format: Format the written analysis of your intervention using APA style. APA Style Paper Tutorial [DOCX] is provided to help you in writing and formatting your paper. Be sure to include:
A title page and reference page. An abstract is not required.
Appropriate section headings.
Length: Your paper should be approximately 5–7 pages in length, not including the reference page.
Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.
Portfolio Prompt: Save your intervention to your ePortfolio. After you complete your program, you may want to consider leveraging your portfolio as part of a job search or other demonstration of your academic and professional competencies.
COMPETENCIES MEASURED
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
Define the role of leadership and change management in addressing a patient, family, or population health problem and includes a copy of intervention/solution/professional product.
Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.
Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.
Competency 5: Analyze the impact of health policy on quality and cost of care.
Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.
Competency 6: Collaborate interprofessionally to improve patient and population outcomes.
Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.
Competency 8: Integrate professional standards and values into practice.
Write concisely and directly, using active voice.
Apply APA formatting to in-text citations and references.

Reflecting on your population of interest once you graduate as a DNP in primary care  answer the following questions: 
1) Over past several years there have been discussions about eliminating or revising the Patient Protection and Affordable Care Act (PRACA), discuss how any changes may impact your population of interest and recommend at least two policy related changes  (based on evidence) you would advocate for to improve the health of your patients once you are a DNP in primary care? 
2) Decades ago Loretta Ford pioneered the APN role and now we have over 300,000 NPs are licensed in the US. (she lives here in Florida and is still active in NP initiatives working with the Florida Nurse Practitioner Network). Because of the efforts of state and national NP organizations such as FNPN and AANP, we now have autonomous practice Florida,  discuss advocacy roles of DNPs in primary care  nurse practitioners (FNP or AGNP) or psychiatric mental health nurse practitioners? Describe how you would integrate primary care and palliative/EOL care or mental health into your practice?
autonomous APN practice
3) Identify the major stakeholders who are are important to your policy brief and how would you as a DNP make an effort to reach out to them and include their perspective? 

2-4 page paper (not including title page and reference page) 12 point font double space APA style this paper is on nursing theorist- I was going to do Hildegard Peplau but feel free to choose another aside from Nightingale- *The beginning of the paper needs to be background on the nurse (birth/death date, where they grew up etc) * next needs to state i nto on the theory, what is it and why is it important.? etc *use 3 nursing jour nais that have to do with this nursing theory that are PEER REVIEWED AND wri tten WITHIN THE LAST 5 YEARS. *summarize those 3 nursing journals regarding how that theory was used and whether it proved to be beneficial or not. * last part of paper states your opinion on the theory. whether you agree or di sagree with the significance this nursing role plays in Patient care.
Evidence Based Practice Paper
1. The purpose of the Evidenced Based Practice Paper is for the student to become familiar with accessing nursing journals, reading nursing research articles, and to demonstrate a working knowledge of APA format. Each student will choose a nurse theorist and will be expected to gather three nursing articles related to that theorist.
2. All final work is to be up louded in the canvas course. Faculty will evaluate professional appearance of the paper. The content of the paper will be 2-4 pages long (not including the title page and reference page).
3. Correct spelling, grammar, and medical terminology are expected. Papers with numerous grammatical and spelling errors may be returned without grading.
4. The paper order is: Title Page, Nurse theorist, brief explaination of the theory, and if you agree or disagree with the theory with your reasoning, a brief description of the 3 articles you chose, a summery of your paper and lastly the reference page
5. Papers are expected to be submitted by the date due assigned by the instructor. Papers may not be accepted beyond the date due unless specific arrangements with the instructor were made ahead of time.
6. The references in correct APA format is to be attached. The references reflect the sources for the nursing research articles. References should be published within the last 5 years, and only nursing journals may be used as references. Three different journals must be used.
EBP Paper Grading Criteria
A grade of 75 for the paper is satisfactory. The grade will be calculated into the homework grades.
Section One: Mechanics: 5 Points
• Rules of grammar, usage, punctuation are followed. Spelling is correct.
• Paper is neatly typed. Overall appearance of paper is college level and professional. The paper is stapled. Title page provided; title page in correct format according to example provided. Section Two: Nursing theorist and theory: 45 points
• The Nursing theorist , including a brief background, the theory they developed, with a brief explaination of the theory and if you agree or disagree with the theory and why.
Section Three: Three Articles Relating to the Nursing Theorist:
• Demonstrates simple and complex relationships in a clear manner that allows for high level understanding by the reader ( 5 points)
• Ties the general and specific concepts together with linking lines and words in some fashion that makes sense
• Three nursing research articles related to the nurse theorist and their theory: (30 points)
• A brief description of each article
Section Four: Overall Quality and Appropriateness of Content: 10 points
• Overall impression of the paper is that the student placed sufficient time and emphasis in researching, planning, and evaluating articles.
• The scope of the paper demonstrates more depth than superficial and / or hurried; the overall assignment reflects critical thinking and analysis beyond the beginning level and reflects complex reflection and thinking.
• In-text citations and the reference/s are in correct APA format. Absence of plagiarism.
Section Five: Overall Following Directions: 5 points • Follows the instructor’s directions (This is an all or none point assignment. If the student fails to follow any direction pertinent to the assignment, 5 points are deducted.)
• Submitted on time.

In a 4-5 page reflection paper, assess your nursing career through “appreciative inquiry” (Billings & Kowalski, 2008).
Drawing on your own life stories and experiences, what does a nursing career meant to you? How does your nursing practice parallel the ANA (2015) Code of Ethics? List 4 specific examples from the Code of Ethics.
Why is consistent and standardized nursing language necessary for care in today’s healthcare environment and how does it relate to the Code of Ethics? What motivates you to remain in the nursing profession? Give an example through a personal story and what you learned that motivates you as a registered nurse.
Develop 3 short-term and 3 long-term goals that emphasize your unique strengths.
How will a BSN degree impact your short-term and long-term goals?
Be creative and talk about your personal journey as a nurse. Include a personal nursing philosophy in the reflection. Readings & Resources
Chapter 7 – Ethics: Basic Concepts for Professional Nursing Practice in Black, B. P. (2019). Professional nursing: Concepts & challenges.
American Nurses Association (ANA) Code of Ethics for Nurses with Interpretive Statements
Winland-Brown, J., Lachman, V. D., & Swanson, E. O. (2015). The new “code of ethics for nurses with interpretive statements” (2015): Practical clinical application, part I. MEDSURG Nursing, 24(4), 268–271.
Billings, D., & Kowalski, K. (2008). Appreciative inquiry. The Journal of Continuing Education in Nursing, 39(3), 104.
The ICN Code of Ethics for Nurses
Moore, C. (2019). What is appreciative inquiry? (definition, examples, & model). Additional Instructions:
All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines

C.   Describe the outbreak of the disease selected in part B, including each of the following:
•   the name of the disease: RESPIRATORY SYNDROME CORONAVIRUS
•   the name of your CDC region impacted by the outbreak: REGION 2
•   the date (i.e., month and year) the outbreak was discovered in your CDC region
•   the other CDC regions impacted by the outbreak
1.   Describe two risk factors associated with the selected outbreak, the route of transmission of the disease, and one epidemiological determinant for the selected outbreak.
D.   Discuss how an outbreak of the disease from part B would impact your community at a systems level (e.g., the functioning of schools, local government, businesses, hospitals).
1.   Compare a community outbreak that occurred in a country outside of the U.S. at a systems level.
2.   Explain the reporting protocol for the community from local levels to the CDC if an outbreak of the selected disease were to occur in your CDC region.
3.   Discuss two strategies (e.g., patient education, community vaccine promotion) that you would recommend to prevent an outbreak of the selected disease in your CDC region and include why each strategy is recommended.

Requirements
In Week 7, students will create a PowerPoint slide show with notes pages discussing their PICOT question, literature review, and recommendations for change. In Week 8, students will create a Kaltura recording of the presentation for the Peer Discussion thread.
Criteria for Content
Students will synthesize the information they have gathered during the course to formulate a presentation advocating for a practice change in relation to an area of interest to NP practice.
Creating a Professional PowerPoint PresentationLinks to an external site.Download Creating a Professional PowerPoint Presentation
In a PowerPoint Presentation, address the following.
Title Slide
Introduction (1 slide): Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered.
Practice Issue (1-3 slides): Describe the area of interest and practice issue/problem related to NP practice selected in week 2. Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes. Provide speaker notes. Provide scholarly references to support your ideas.
PICOT Question (1 slide): Provide the PICOT question developed in week 2. Describe each element of your PICOT question in one or two sentences, being sure to address all the following:
P-Population and problem – What is the nursing practice concern or problem and whom does it affect?
I–Intervention – What evidence-based solution for the problem would you like to apply?
C–Comparison – What is another solution for the problem? Note that this is typically the current practice, no intervention at all, or alternative solutions.
O–Outcome – Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome.
T–Time frame – What is the Timeframe involved for the EBP initiative or the target date of completion?
Literature review (2-4 slides):Summarize the literature review completed in week 5. Discuss themes and special concerns. Discuss any unique insight or perspective offered from the literature. Provide speaker notes. Speaker notes and/or slides include citations from scholarly nursing literature which support the assertions presented.
Recommendations (3 slides):
Slide 1: Identify the evidence-based recommendation for the identified practice change. Speaker’s notes should fully explain the recommended change and rationale for the change. Provide support from scholarly references to support the recommendation.
Slide 2: Identify the key stakeholders impacted by the recommended change. Speaker’s notes add detail.
Slide 3: Analyze the recommendation in terms of fit, feasibility, and appropriateness as discussed by Dang and Dearholt (2018), Ch. 8. Speaker’s notes add detail. *Note: information regarding stakeholders, fit, feasibility, and appropriateness may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas.
Conclusion: (1 slide)Slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.
References: Reference elements provided in APA format, may use bullets. Hanging indents not required.
Preparing the Presentation
Submission Requirements
Application: Use Microsoft Power Point to create the presentation. Submit as a .ppt or .pptx file.
Length: The PowerPoint presentation should be between 9-13 total slides (excluding title and reference slides).
Speaker notes should be used and include in-text citations when applicable. Use the Notes Page view feature in PowerPoint to include speaker notes.
Submission: Submit the PowerPoint file to the Week 7 Dropbox.
Best Practices in Preparing the Presentation
The following are best practices in preparing this presentation:
Review directions thoroughly.
Follow submission requirements.
Make sure all elements on the grading rubric are included.
Follow rules of grammar, spelling, word usage, and punctuation consistent with formal, scientific writing.
Review the Creating a Professional Presentation located in Course Resources.
Correctly cite and reference ideas and information that come from scholarly literature.

Review guidelines & exemplar & rubric
1 page 12 Times New Roman (no title or reference page) only urls
focus on common primary care diagnoses – keep simple to demonstrate your competency
Presentation/History
include all relevant SUBJECTIVE history from patient here that supports CC
Physical exam
include all relevant OBJECTIVE data to support CC 
*make sure you place the subjective/objective data in the correct section
**relevant data includes positives/negative to CC
Diagnostics – make sure you provide rationale (why you are doing/differentials) and/or support from CPGs. Sometimes I am unable to discern why you are doing a test related to presentation
Diagnosis (billable)
Rationale – be clear on SPECIFIC symptoms/exam/results from above sections that support diagnosis – don’t just state “symptoms/exam findings” – I want to know that you know what they are
Treatment
should be supported by CPGs or peer reviewed evidence -urls 
primary sources
include page # or heading to review
evidence should be most recent available – caution non US sources for standard of care
include f/u
Rxs include name, strength, dosing, #, refills

i need help writing a successful plan for nursing studies including tutoring time, study time, child care, time management etc

As a nurse working with palliative care patients it will be/or is important for you to understand your own personal feelings about death and dying. Your experiences are reflections of your culture, faith, and loss experiences. Complete the following exercise and submit here. This assignment is designed to be self-reflective. There is no right or wrong answers. 
The first death I can remember was the death of:
I was age:
The feelings I remember I had at the time were:
The first funeral (wake or other ritual service) I ever attended was for:
I was age:
The thing I most remember about the experience is:
My most recent loss by death was (person, time, circumstance):
I cope with loss by:
The most difficult death for me was the death of:
It was difficult because:
Of the important people in my life who are now living, the most difficult death for me would be the death of:
It would be difficult because:
My primary style of coping with loss is:
I know my own grief is resolved when:
It is appropriate for me to share my own experiences of grief with a client/patient when: 

Experience
Post your executive summary.
Compare your pre-and post-self-assessments. My pre and post self assessment needs to be reviewed and I have to improve on all aspects of financial and budgeting because this course was very challenging in regards to the break even and benefit analysis 
Reflection
Discuss the strengths and weaknesses to the business plan for your final proposal. 
Identify areas of strength and weakness related to financial and budgeting principles discovered through your pre- and post- self-assessments comparison. (I have to do some reviews on all aspect of finance and budgeting)
Implications for the Future
What adjustments are needed for you to create the most compelling plan?
What concepts from the course do you need to study further? I need to explore more topics on budgeting and finance
What is your plan for enhancing your knowledge of finance and budgets in the healthcare organization
Two peer reviewed references less than 5 years
The initial essay must meet the following expectations:
• Address the essay in a thorough, substantive manner.
o Demonstrate application of scholarly resources.
▪ Provide relevant evidence of two scholarly resources in the initial post, clearly stating how the evidence informed or changed professional or academic decisions.
▪ Two scholarly resource must be from a nursing peer-reviewed journal.
o Demonstrate application of course knowledge.
▪ Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life, professional situations.
▪ Compare concepts and principles from the weekly lesson with personal experience as it applies to the practice setting.
• Include correct spelling, grammar, punctuation, syntax, and sentence and paragraph structure.
• Include a minimum of two scholarly sources, current within five years, to support information presented.
o Scholarly sources required for the TD must be sources that are separate from course-related sources and/or reading assignments.
o If course-related sources or readings are used as a source in the essay they must be in addition to the required scholarly sources for the discussion and must be cited following the current APA guidelines.
o If used as a source in the assignment, course-related readings must meet the criteria for scholarly work:current within five years.
o Sources older than five years may not be used without the permission of the course professor.
o Correct APA format for citing and referencing sources is applied.