Category: Nursing

  • Title: The Impact of Nurse-to-Patient Ratio on Patient Outcomes in Critical Care Areas: A Literature Review and Methodological Design

    1. Perform a brief literature review on your topic (with at least five supporting articles).
    2. Provide a detailed methodology and design for your study.
    3. Outline your sampling methodology.
    4. List the necessary tools for your research.
    5. Include any algorithms or flow maps created.
    My topic: Effect of Nurse-to-Patient Ratio on Patient Outcomes in Critical Care Areas

  • “Developing a Standardized Protocol for Pharmacological Treatment of Hypertension and Dyslipidemia in the Nurse Practitioner Role” Pharmacotherapy Management Plan for Statin Therapy in Hypertensive Patients

    Purpose
    The purpose of this assignment is to develop a standardized procedure or protocol that is applicable to the nurse practitioner role. This assignment will allow for discovery into protocol development as well as establishing a standardized treatment plan for a given diagnosis according to current evidence. This assignment supports the professional formation of the FNP, AGACNP, AGACNP, and PMHNP practice role.  
    Course Outcomes
    This assignment enables the student to meet the following course outcomes:
    CO1: Identify the most commonly prescribed agents in the major drug classes. 
    CO2: Make appropriate evidence-based therapeutic treatment decisions for individual patients utilizing drugs from the major drug classes. 
    CO3: Apply knowledge of pharmacokinetics, pharmacodynamics and pharmacogenomics in prescribing patient treatment. 
    CO4: Distinguish internal and external environment factors affecting drug action, reaction, efficacy, and interaction. 
    CO5: Identify client indicators of therapeutic, ineffective, adverse responses and side effects to drug therapy. 
    Due Date
    The Late Assignment Policy applies to this assignment.  
    The assignment title is due by Sunday 11:59 p.m. MT at the end of Week 3.  
    Total Points Possible
    This assignment is worth 120 points.
    Preparing the Assignment
    Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions. 
    Complete the outline templateLinks to an external site. provided for the sections highlighted in yellow and the “click to enter text here” is indicated.
    Provide references for your protocol at the bottom of the form where indicated. References should come from the following sources:
    Clinical Practice Guidelines
    DyslipidemiaLinks to an external site. 
    HTNLinks to an external site.  You can click on “Figures/Tables” on the right-hand side of the screen to take you to the algorithm/decision tree to get directly to the information you are looking for to work through the assignment to see how hypertension is treated according to this guideline.
    Course Textbook
    Rubric
    Week 3: Hypertension and Lipid Protocol
    Week 3: Hypertension and Lipid Protocol
    Criteria Ratings Pts
    This criterion is linked to a Learning OutcomePharmacological Treatment: 6a: HTN Clinical Practice Guideline
    40 pts
    Excellent
    Includes no fewer than 20 blanks completed correctly. Requirements: • 4 Drug Category/Classifications listed in order according to CPG • 4 Generic named examples for each category (20 Total blanks to complete correctly)
    36 pts
    Very Good
    16-19 blanks completed correctly.
    33 pts
    Satisfactory
    11-15 blanks completed correctly.
    20 pts
    Needs Improvement
    10 blanks completed correctly.
    0 pts
    Unsatisfactory
    0-9 blanks completed correctly for this section presented.
    40 pts
    This criterion is linked to a Learning OutcomePharmacological Treatment: 6b: 1st line treatment for non-African American
    20 pts
    Excellent
    Includes no fewer than 8 requirements. Requirements: 1. Drug 2. Dose 3. Route 4. Frequency 5. Instructions 6. Cautions/Precautions 7. Cost 8. Patient Education
    18 pts
    Very Good
    Includes no fewer than 6 requirements.
    16 pts
    Sati
    Includes no fewer than 4 requirements.
    10 pts
    Need
    Includes no fewer than 3 requirements.
    0 pts
    Uns
    0-2 requirements for this section presented.
    20 pts
    This criterion is linked to a Learning OutcomePharmacological Treatment: 6c: 1st line treatment for African American
    20 pts
    Excellent
    Includes no fewer than 8 requirements. Requirements: 1. Drug 2. Dose 3. Route 4. Frequency 5. Instructions 6. Cautions/Precautions 7. Cost 8. Patient Education
    18 pts
    Very Good
    Includes no fewer than 6 requirements.
    16 pts
    Sati
    Includes no fewer than 4 requirements.
    10 pts
    Need
    Includes no fewer than 3 requirements.
    0 pts
    Uns
    0-2 requirements for this section presented.
    20 pts
    This criterion is linked to a Learning Outcome6d and 8a
    10 pts
    Excellent
    Includes no fewer than 4 blanks completed correctly. Requirements: Answer the prompts for 6d and 8a which includes 4 blanks to complete.
    9 pts
    Very Good
    Includes no fewer than 3 blanks completed correctly.
    8 pts
    Satisfactory
    Includes no fewer than 2 blanks completed correctly.
    5 pts
    Needs Improvement
    Includes no fewer than 1 blank completed correctly.
    0 pts
    Unsatisfactory
    No blanks completed correctly.
    10 pts
    This criterion is linked to a Learning OutcomeStatin Therapy 6e
    10 pts
    Excellent
    Includes no fewer than 14 blanks completed correctly. Requirements: 14 blanks to complete table
    9 pts
    Very Good
    10-13 blanks completed correctly.
    8 pts
    Satisfactory
    5-9 blanks completed correctly.
    5 pts
    Needs Improvement
    2-4 blanks completed correctly.
    0 pts
    Unsatisfactory
    0-1 blanks completed correctly for this section presented.
    10 pts
    This criterion is linked to a Learning OutcomeTreatment Monitoring 7a-c
    10 pts
    Excellent
    Includes no fewer than 5 blanks completed correctly. Requirements: 1. Follow up timeframe 2. BP Medication Monitoring a. Physical Assessment b. Labs/Diagnostics 3. Statin Medication Monitoring a. Physical Assessment b. Labs/Diagnostics
    9 pts
    Very Good
    Includes no fewer than 4 blanks completed correctly.
    8 pts
    Satisfactory
    Includes no fewer than 3 blanks completed correctly.
    5 pts
    Needs Improvement
    Includes no fewer than 2 blanks completed correctly.
    0 pts
    Unsatisfactory
    0-1 blanks completed correctly for this section presented.
    10 pts
    This criterion is linked to a Learning OutcomeReferences
    10 pts
    Excellent
    Includes no fewer than 4 requirements. Requirements: 1. Only the 3 sources provided in instructions are used in conjunction with a pharmaceutical cost estimating website such as Good RX. 2. Citations are provided where indicated on the form. 3. Citations and references are in current APA edition format. 4. There is a reference to match every citation provided.
    9 pts
    Very Good
    Includes no fewer than 3 requirements.
    8 pts
    Satisfactory
    Includes no fewer than 2 requirements.
    5 pts
    Needs Improvement
    Includes no fewer than 1 requirement.
    0 pts
    Unsatisfactory
    No requirements for this section presented.
    10 pts
    This criterion is linked to a Learning OutcomeLate Penalty Deductions
    Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late up to 3 days. Assignments will not be accepted after three days late, and a score of zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.
    minus ______ points
    0 pts
    No Points Deducted
    0 pts
    Points Deducted
    0 pts
    Total Points: 120

  • Title: Interprofessional Collaboration and Leadership in a CQI Initiative

    Exemplar
    Assignment Instructions
    Overview
    Effective
    teamwork is critical to successful problem analysis, problem-solving, and
    enacting change. Based on the assigned and supportive readings, apply the Core
    Competencies for Interprofessional Collaborative Practice competencies and
    concepts to a CQI initiative either experienced or anticipated in a clinical or
    practice setting. As a nurse engaged in advanced nursing practice, it is
    important for you to be a competent leader poised to lead interprofessional teams
    to address CQI initiatives.
    Instructions
    ·        
    Compose a written narrative in a Microsoft Word
    document that thoroughly addresses the following:
    1.     
    Briefly describe a CQI Initiative (actual or
    anticipated). Identify the task, and discuss the PDSA cycle including the
    anticipated or target outcome.
    2.     
    Discuss the Core Competencies for
    Interprofessional Collaborative Practice, and incorporate the role of the
    advanced practice nurse as team leader. Identify elements to improve team
    effectiveness.
    3.     
    Identify the stakeholders and their role as team
    members for this initiative.
    4.     
    What resources are needed to support the team?
    These may include financial resources, intellectual resources, i.e. field
    experts, and recognition for team members and rewards.
    5.     
    How will you ensure open “safe” team
    communications?
    6.     
    What decision-making structure/process will you
    use?
    7.     
    What considerations must be taken into account
    to incorporate the organization’s culture?
    8.     
    How would define success in the team’s
    effectiveness?
    ·        
    Support your responses with references to the
    assigned reading as well as 2–4 scholarly, peer-reviewed articles.
    ·        
    The length of your paper should be 4–5-pages
    formatted to current APA standards. Include a title page and a references page.
    ·        
    For your own authenticity review, you may submit
    a draft via the Exemplar: Draft Submission prior to submission of the
    final document. The submission of a draft document is optional.
    Note: Your
    assignment will be checked for originality via the Turnitin plagiarism tool.

  • “Exploring Contemporary Issues and Trends in Nursing Practice: An Analysis of CNO and CNA Standards and Peer-Reviewed Literature”

    its an nursing course assignment. the name of the course is issues and trades in nursing. 
    please use Cno and Cna references as well with peer reviewed journal article.
    please take care no AI is used and no plagrisim.

  • Title: “Tackling the Obesity Epidemic: A Policy Recommendation for Improved Health Outcomes”

    Step 1: Consider a problem related to health that impacts society that is important to address. Why do you believe this problem is important to society in general? Use data to explain your reasons. Outline a policy recommendation to address this problem, Why do you suppose that this policy would be successful in addressing the problem? What impact in health outcomes do you expect to see if the policy is enacted?

  • Title: “Pursuing My Passion: A Journey Towards a Nursing Career”

    introdution , why u choosing nursing cariera goals, present , education expierence, two workshops (sals, academing writing,) reflection inthe text citation included,

  • Interdisciplinary Plan Proposal for Improving Organizational Outcomes in Healthcare: A Comprehensive Approach Title: Interdisciplinary Collaboration and Evidence-Based Practice for Achieving Organizational Goals

    This assignment will enable you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources, including a financial budget, that can be used to solve the problem identified in the health care professional interview you conducted.
    Overview
    Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present a plan for an interdisciplinary intervention to address the issue. While you will not be expected to implement the plan during this course, the plan should be evidence-based and realistic within the context of the issue and your interviewee’s organization.
    The goal of this assignment is to clearly lay out the improvement objective for your interdisciplinary intervention. Be sure to build on the leadership, change, and collaboration research you completed in the previous assignment. Look for specific, real-world ways in which those strategies and best practices could be used to generate buy-in for the plan or improve the implementation of the plan.
    Instructions
    Use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific organizational or patient outcome based on the information gathered in your interview.
    Using the Interdisciplinary Plan Proposal Template [DOCX] will help you stay organized and concise. As you complete each section of the template, apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as to the reference list at the end.
    Be sure that your plan addresses the following, which corresponds to the grading criteria in the rubric. Please study the rubric carefully so you understand what is needed for a distinguished score.
    Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
    Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
    Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
    Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.
    Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
    Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
    Additional Requirements
    Length of submission: Use the template. Remember that part of this assignment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2–4 pages in length. Be sure to include a reference page at the end of the plan.
    Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old. See the BSN Program Library Research Guide.
    APA formatting: Make sure that in-text citations and reference list follow current APA style. See the APA Module.
    You may choose to save this assignment to your ePortfolio.
    Competencies Measured
    By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
    Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
    Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if nothing is done to address the improvements sought by the plan.
    Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
    Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
    Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
    Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
    Competency 4: Explain how change-management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
    Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
    Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
    Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
    Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

  • “Homeostatic Control Lab Report: How the Human Body Maintains Balance” Lab Report: Understanding a Topic through Simulation Title: Investigating the Effects of Different Fertilizers on Plant Growth: A Scientific Method Lab Report

    Touchstones are projects that illustrate your comprehension of the course material, help you refine skills, and demonstrate application of knowledge. You can work on a Touchstone anytime, however, you must pass the previous Activities before you can submit the Touchstone for grading. Once you’ve submitted a Touchstone, it will be graded and counted toward your final course score.
    Touchstone: Homeostatic Control: How does the human body keep itself in balance Lab Report
    ASSIGNMENT: In this unit, you will complete the lab titled Homeostatic Control: How does the human body keep itself in balance? . You will write a lab report describing the hypothesis, methods, and conclusions from this lab experience.
    By completing the lab report, you will demonstrate your ability to do the following:
    Describe the lab’s overall objective and make a hypothesis.
    Introduce relevant background knowledge on the topic.
    Summarize the steps taken in the lab simulation.
    Explain any obtained results.
    Discuss the conclusions and implications.
    Download the lab report file:
    Lab Report – Homeostatic Control: How does the human body keep itself in balance?
    The document is a Microsoft Word file. You will type your answers directly into the boxes provided.
    IMPORTANT: You must submit this completed template file as your Touchstone. Any other submission file or format will be returned ungraded.
    In order to foster learning and growth, all work you submit must be newly written specifically for this course. Any plagiarized or recycled work will result in a Plagiarism Detected alert. Review Touchstones: Academic Integrity Guidelines for more about plagiarism and the Plagiarism Detected alert. For guidance on the use of generative AI technology, review Ethical Standards and Appropriate Use of AI.
    A. Directions
    Step 1: Download and review the lab report file.
    Step 2: Complete each part of the lab report file as you work through the simulation. Prompts in the lab report will help you develop your responses.
    Follow the process presented to you in the How to Write a Lab Report lesson to ensure you write a thorough lab report entry.
    Review the grading rubric (below) to make sure you have an understanding of how your lab report will be graded.
    Step 3: Once you’ve completed the lab simulation and your lab report, review the submission requirements (below) and update your lab report to ensure it meets the recommended requirements.
    Step 4: Once your lab report template is complete, submit it for grading.
    Refer to the checklist below throughout the Touchstone process. Do not submit your Touchstone until you meet these guidelines.
    ❒ Did you review the Lab Manual before starting the simulation?
    ❒ Did you complete the lab simulation?
    ❒ Did you refer to the lesson on How to Write a Lab Report?
    ❒ Did you complete all 5 sections of the Lab Report file?
    ❒ Did you review the Touchstone rubric and compare it to your lab report?
    ❒ Did you submit the provided Lab Report file as your Touchstone for grading?
    B. Rubric
    Advanced (100%) Proficient (85%) Acceptable (75%) Needs Improvement (50%) Non-Performance (0%)
    Objective and Hypothesis (45 pts)
    Describe the overall objective of the simulation and make a hypothesis (if applicable).
    Clearly describes the purpose of the simulation and makes a hypothesis. Purpose and hypothesis are well-aligned with the simulation and are paraphrased in the student’s own words. Describes the purpose of the simulation and makes a hypothesis. Both are aligned with the simulation and are paraphrased in the student’s own words, but are less clear and specific. Describes a purpose and a hypothesis that are only loosely aligned with the simulation. Either the description of the simulation’s purpose or the hypothesis is missing, or they are not paraphrased in the student’s own words. Does not describe the purpose of the simulation or a hypothesis. Response may be totally off-topic or absent.
    Background Knowledge (45 pts)
    Introduce relevant background knowledge on the topic described in the simulation.
    Lists at least 3 examples of relevant background knowledge on the topic from the simulation Lab Manual or other resources. Lists at least 2 examples of relevant background knowledge on the topic from the simulation Lab Manual or other resources. Lists at least 1 example of relevant background knowledge on the topic from the simulation Lab Manual or other resources. Lists at least 1 example but its connection to the simulation is unclear. Response does not offer any background knowledge on simulation. Response may be totally off-topic or absent.
    Summary and Steps (45 pts)
    Summarize the steps taken in the simulation.
    Summarizes all steps taken in the simulation and all equipment and techniques used. Summary is organized in a way that the reader understands the logical flow of the lab. Summarizes most of the steps taken in the simulation and lists some equipment and techniques used. Summary is organized in a way that the reader mostly understands the logical flow of the lab. Summarizes some of the steps taken in the simulation and lists some of the equipment and techniques used. Summary is organized in a way that the reader somewhat understands the logical flow of the lab. Summary is missing most of the steps in the simulation and most of the equipment and techniques used. Summary may contradict the simulation or be organized illogically. Summary does not include any steps taken in the simulation, or equipment and techniques used. Response may be totally off-topic or absent.
    Results (45 pts)
    Explain the obtained results from the simulation
    Accurately explains most of the obtained results of the simulation, if the results were expected or unexpected, and why. Accurately explains some of the obtained results of the simulation, and if the results were expected or unexpected. Explains some of the results of the simulation, but may contain some inaccuracies. Does not explain if the results were expected or unexpected. Explanation of results is entirely inaccurate or contradicts the simulation. Does not explain if the results were expected or unexpected. Does not explain any obtained results or if the results were expected or unexpected. Response may be totally off-topic or absent.
    Conclusions and Implications (45 pts)
    Discusses the conclusions and implications of the simulation.
    Clearly and specifically summarizes how the results of the simulation relate to the original purpose and hypothesis; correctly identifies systematic sources of error; and reflects on what was learned. Summarizes the results of the simulation but their relationship to the original purpose and hypothesis may be less clear; correctly identifies systematic sources of error; and reflects on what was learned. Completes 2 of 3 tasks: summarizes how the results of the simulation relate to the original purpose and hypothesis; correctly identifies systematic sources of error; and reflects on what was learned. Completes 1 of 3 tasks: summarizes how the results of the simulation relate to the original purpose and hypothesis; correctly identifies systematic sources of error; and reflects on what was learned. Completes none of the tasks. Response may be totally off-topic or absent.
    Conventions and Proofreading (25 pts)
    Submission follows conventions for standard written English.
    There are almost no errors in grammar, punctuation, spelling, and capitalization. There are minor errors in grammar, punctuation, spelling, and capitalization that do not impede readability. There are frequent errors in grammar, punctuation, spelling, and capitalization that somewhat impede readability. There are consistent errors in grammar, punctuation, spelling, and capitalization that significantly impede readability. Submission does not meet the minimum threshold for points to be awarded.
    C. Requirements
    The following requirements must be met for your submission to be graded:
    Use the provided lab report file completed with a readable 11- or 12-point font.
    Composition must be original and written for this assignment and all writing must be appropriate for an academic context.
    Plagiarism of any kind is strictly prohibited.
    Submission must include your name and the date.
    Only submit the completed lab report file saved in .doc or .dox format as your assignment submission.
    D. Additional Resources
    The following resources will be helpful to you as you work on this assignment:
    The Scientific Method Lesson
    How to Write a Lab Report Lesson

  • Exploring Evidence-Based Practice in a Healthcare Organization’s Website

    To Prepare:
    * Review the Resources and reflect on the definition and goal of EBP.
    * Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
    * Explore the website to determine where and to what extent EBP is evident.
    *
    * Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.
    REQUIRED RESOURCES
    * Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
    * Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–36
    * Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Links to an external site.
Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
    * Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice Links to an external site.
. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
    * Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants Links to an external site.
. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
    * Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practice Links to an external site.
. American Journal of Nursing, 110(1), 51-53.
    * Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs Links to an external site.
. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021
    * Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work Links to an external site.
. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
    * Walden University Library. (n.d.-a).Databases A-Z: Nursing Links to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981