NURS 6531 Complete Discussion

NURS 6531 Complete Discussion Homework

NURS 6531 Complete Discussion Homework NURS 6531 Week 1 Discussion – Competencies for Nurse Practitioners The Consensus Model for APRN Regulation has brought about changes in the competencies for nurse practitioners. There are Core Competencies for all nurse practitioner populations and include both MSN and DNP degrees. Review your Learning Resources Page to examine the Core Competencies.

  • Family/Across the Lifespan competencies
  • Adult-Gerontology NP competencies
  • The major categories of family/across the lifespan competencies include the following: Scientific Foundation; Leadership; Quality; Practice Inquiry; Technology and Information Literacy; Policy; Health Delivery System; Ethics; and Independent Practice. In this Discussion, you explore the nine competencies, and their application to the clinical setting.
  • The adult-gerontology NP competencies are different and students in that specialty should become familiar with them. NURS 6531 Complete Discussion Homework

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To prepare for NURS 6531 Week 1:

Review this week’s media presentation with Dr. Terry Buttaro, as well as the “Nurse Practitioner Self-Appraisal Guide” in the Learning Resources. Review the Consensus Model for APRN Regulation and the National Organization for Nurse Practitioner Faculties Core Competencies and population foci competencies. Consider the following nine competencies (Note: By Day 1 of this week, your Instructor will assign you to post on one of these nine competencies):

  • Scientific Foundation
  • Leadership
  • Quality
  • Practice Inquiry
  • Technology and Information Literacy
  • Policy
  • Health Delivery System
  • Ethics
  • Independent Practice

Reflect on the category that was assigned to you by the Course Instructor. Think about how you would implement this competency in a clinical setting. Consider evidence-based clinical practice. Post on or before Day 3 a brief description of the competency that was assigned to you. With your competency description in mind, explain how you would implement it in a clinical setting. Support your rationale with evidence from current research. NURS 6531 Complete Discussion Homework

NURS 6531 Week 2 Discussion Diagnosing Skin, Eye, Ear, and Throat Disorders

When entering examination rooms, advanced practice nurses often immediately begin assessing patients by looking for external abnormalities such as skin irritations or cloudy eyes. By making these simple observations, they can determine how to proceed with their patient evaluations. During the patient evaluation, advanced practice nurses will use initial observations to guide them in acquiring the necessary medical history, performing additional assessments, and ordering the appropriate diagnostics. The information obtained during this evaluation process will help in the development of a differential diagnosis. Once a diagnosis is made, the advanced practice nurse can consider potential treatment options and work with the patient to develop a plan of care. For this Discussion, consider the following four case studies of patients presenting with skin, eye, ear, and throat disorders.

Case Study 1: A 46-year-old male presents to the office complaining of a pruritic skin rash that has been present for a few weeks. He initially noted the rash on his chest, but it then spread to his back and arms. He notes that it does not seem to be on his legs. He recently came home from a trip to Florida, but denies fever, chills, new soaps or detergents, other travel, or known insect bites. He takes occasional ibuprofen for knee pain, but denies taking other medications or having other health problems. He has no known drug allergies. The physical examination reveals a male with a deep tan and notable scattered 1–1.5-centimeter, flat, circular, light-colored patches on his chest, back, and upper extremities.

Case Study 2: An 86-year-old widowed female is brought to the office by her daughter-in-law. The patient complains of constant tearing and an itchy, burning sensation in both eyes. The patient states this is not a new problem, but it has worsened in the past week and is affecting her vision. The patient complains that her eyes are dry. She thinks the problem must be caused by one of her medications. Her patient medical history is positive for hypertension, atrial fibrillation, and heart failure. She has an allergy to erythromycin that causes rash and elevated liver enzymes. Medications currently prescribed include Furosemide 40 milligrams po twice a day, diltiazem 240 milligrams po daily, lisinopril 20 milligrams po daily, and warfarin 3 milligrams po daily. The physical examination reveals a frail older female with some facial dryness and slight scaling. Her visual acuity is 20/60 OU, 20/40 OD, 20/60 OS. The eyelids are erythematous and edematous with yellow crusting around the lashes. Sclera are injected, conjunctiva are pale, and pupils are equal and reactive to light and accommodation.

Case Study 3: A middle-aged male presents to the office complaining of a two-day history of a left earache. The onset was gradual, but has steadily been increasing. It has been constantly aching since last night, and his hearing seems diminished to him. Today he thinks the left side of his face may even be swollen. He denies upper respiratory infection, known fever, or chills. His patient medical history is positive for Type 2 diabetes mellitus, hypertension, and hyperlipidemia. The patient has a known allergy to Amoxicillin that results in pruritus. Medications currently prescribed include Metformin 1,000 milligrams po twice a day, lisinopril 20 milligrams po daily, Aspirin 81 milligrams po daily, and simvastatin 40 milligrams po daily. The physical exam reveals a middle aged male at a weight of 160 pounds, height of 5’8”, temperature of 98.8 degrees Fahrenheit, heart rate of 88, respiratory rate of 18, and blood pressure of 138/76. Further examination reveals the following: Face: Faint asymmetry with left periauricular area slightly edematous Eyes: sclera clear, conj wnl L ear: + tenderness L pinna, + edema, erythema, exudates left external auditory canal, TM not visible R ear: no tenderness, R external auditory canal clear without edema, erythema, exudates + tenderness L preauricular node, otherwise no lymphadenopathy Cardiac: S1 S2 regular. No S3 S4 or murmur. Lungs: CTA w/o rales, wheezes, or rhonchi.

Case Study 4: A middle-aged female presents to the office complaining of strep throat. She states she suddenly developed a sore throat yesterday afternoon, and it has gotten worse since then. During the night she felt like she was chilled and feverish. She denies known recent contact with anyone else who had strep throat, but states she has had strep before and it feels like she has strep now. She takes no medications, but is allergic to penicillin. The physical examination reveals a slender female lying on the examination table. She has a temperature of 101 degrees Fahrenheit, heart rate of 112, respiratory rate of 22, and blood pressure of 96/64. The head, eyes, ears, nose, and throat evaluation is positive for bilateral tonsillar swelling without exudates. Her neck is supple with bilateral, tender, enlarged anterior cervical nodes.

To prepare: Review this week’s media presentations and Parts 5–8 of the Buttaro et al. text. Select one of the four case studies provided. Reflect on the provided patient information including history and physical exams. Think about a differential diagnosis. Consider the role the patient history and physical exam played in your diagnosis. Reflect on potential treatment options based on your diagnosis. Post on or before Day 3 an explanation of the differential diagnosis for the patient in the case study that you selected. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis. NURS 6531 Complete Discussion Homework

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NURS 6531 Week 3 Discussion Hypertension

In clinical settings, advanced practice nurses frequently use various strategies to treat and manage patients with hypertension and other cardiovascular disorders. These strategies often include pharmacologic and nonpharmacologic therapies, natural remedies, and/or changes in patient behavior. For hypertension patients, behavioral changes including increased exercise, healthier diet, and smoking cessation have proven to be particularly beneficial. However, it is important to recognize that treatment and management plans centered around changes in behavior often require greater patient commitment. This creates the need for patient-provider collaboration, as well as appropriate patient education. When patients are actively involved in their own care and better understand implications of their disorders, they are more likely to adhere to treatment plans.

To prepare: Review Part 11 of the Buttaro et al. text and the National Heart Lung Blood Institute article in this week’s Learning Resources. Reflect on your Practicum Experiences and observations. Select a case from these experiences that involves a patient who presented with a hypertension problem. When referring to your patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient. Think about the patient’s history including drug treatments and behavioral factors such as diet, exercise, smoking, etc. Review the National Heart Lung Blood Institute article in the Learning Resources. Reflect on health promotion strategies for the patient. Consider ways to reinforce hypertension management. Post on or before Day 3 a description of a patient who presented with a hypertension problem during your Practicum Experience. Explain the patient’s history including drug treatments and behavioral factors. Then, suggest two health promotion strategies for the patient. Include suggestions for reinforcing hypertension management. NURS 6531 Complete Discussion Homework

NURS 6531 Week 4 DQ1 Blood Clots

Blood clots form in various locations of the body and are not unique to any specific age group or gender. While there are certain risk factors that may make a patient more likely to develop blood clots, essentially any patient is a potential candidate. Unfortunately, blood clots often go unrecognized until something happens. Even if the patient identifies a problem and seeks medical care, blood clots are frequently misdiagnosed resulting in serious medical complications and sometimes death. Why does this happen? How can you, as the advanced practice nurse, protect your patients from misdiagnosis? Consider the following case studies:

Case Study 1: A 44-year-old African American male had a partial colectomy to have a cancerous tumor removed. The patient did really well after surgery and was discharged from post-op recovery to the surgical unit at a medical center. Approximately one hour after surgery, the patient complained of gas pains and shortness of breath. The patient continued to complain of gas pains after administration of morphine sulfate. Providers failed to diagnose a pulmonary embolism that resulted in the loss of the patient’s life.

Case Study 2: A 50-year-old white male went to the emergency department with complaints of right leg pain. The patient is an avid runner, and knowing this, the provider diagnosed the patient with a right leg muscle strain. The patient was sent home with Flexeril as needed and Motrin 800 mg q8h as needed. One week later, the patient followed up with his primary care doctor with continued right leg pain. His doctor instructed him to continue to take the muscle relaxant and Motrin, and advised that the pain should subside in 5–10 days. The following day the right leg pain increased, prompting the patient to return to the emergency department. Multiple providers failed to diagnose a blood clot in the patient’s right leg.

To prepare: Review Part 11 of the Buttaro et al. text in this week’s Learning Resources. Select one of the cased studies provided. Reflect on what went wrong in this case study, as well as why patient blood clots continue to be misdiagnosed. Think about how you might have prevented the misdiagnosis of the patient the case study. Consider strategies for obtaining patient history, ordering diagnostics, and recommending potential treatment options. Post on or before Day 3 a description of what went wrong in the case study that you selected, as well as why patient blood clots continue to be misdiagnosed. Then, explain how you might have prevented the misdiagnosis of the patient in the study. Include strategies for obtaining patient history, ordering diagnostics, and recommending potential treatment options. NURS 6531 Complete Discussion Homework

NURS 6531 Week 4 DQ2 Types of Anemia

In clinical settings, patients often present with many different types of anemia. Each type of anemia has its own causes and implications. For this reason, you must be able to differentiate between types of anemia as well as identify factors that put patients at greater risk of experiencing related complications. As you prepare for this Discussion, consider the following patient case studies: Case Study 1: An 82-year-old female presents to the office complaining of fatigue, dizziness, weakness, and increasing dyspnea on exertion. She has a past medical history of atrial fibrillation, hypertension, and hyperlipidemia.

Medications include warfarin 2 milligrams po daily, lisinopril 10 milligrams po daily, and simvastatin 10 milligrams po daily. There are no known drug allergies. The physical exam reveals a 5’2” older female. Her weight is 128 pounds, blood pressure is 144/80, heart rate is 98, temperature is 98 degrees Fahrenheit, and O2 saturation is 98%. Further examination reveals the following: Eyes: + pallor conjunctiva Cardiac: irregular rhythm. No S3 S4 or M. NO JVD Lungs: CTA w/o rales, wheezes, or rhonchi Abdomen: soft, BS +, + epigastric tenderness. No organomegaly, rebound, or guarding Rectal: no stool in rectal vault

Case Study 2: A 28-year old female presents for a routine physical. She has no complaints. Her personal medical history reveals asthma that is well controlled with an albuterol inhaler prn and Advair 250/50 1 puff BID. Social history reveals she is a nursing student who is a non-smoker, rarely uses alcohol, and is mostly vegetarian. Her physical exam is negative, and she is sent for a CBC/differential and lipid profile. Laboratory results reveal the following: Hemoglobin 10, Hematocrit 30.1, MCV increased.

Case Study 3: A 78-year-old female presents to the emergency room after a fall 3 days ago. She recently had a right above-the-knee amputation and was leaning over to pick something up when she fell. She did not want to come to the hospital, but she is having difficulty managing at home because of the pain in her left leg where she fell. Her patient medical history reveals RAKA, peripheral vascular disease, Type 2 diabetes, and stage 3 chronic kidney disease. Current medications include quinapril 20 milligrams PO daily, Lantus 30 units at bedtime, and Humalog to scale before meals. There are no known drug allergies. The physical exam is negative and x-rays reveal no acute injuries. Laboratory studies reveal a normal white blood cell count: Hgb of 8 and HCT 24. The MCV is normal.

To prepare: Review Chapter 213 in Part 18 of the Buttaro et al. text. Select one of the three case studies. Reflect on the provided patient information including history, physical exams, and lab reports. Think about a differential diagnosis. Consider the role the patient history, physical exam, and lab reports played in the diagnosis. Reflect on the pathophysiology of the type of anemia that you diagnosed, as well as potential treatment options. Consider the causes of this type of anemia. Think about whether the patient should be referred for specialized care. NURS 6531 Complete Discussion Homework

NURS 6531 Week 5 Discussion Examining Chest X-Rays

Chest x-rays are an invaluable diagnostic tool as they can help identify common respiratory disorders such as pneumonia, pleural effusion, and tumors, as well as cardiovascular disorders such as an enlarged heart and heart failure. As an advanced practice nurse, it is important that you are able to differentiate a normal x-ray from an abnormal x-ray in order to identify these disorders. The ability to articulate the results of a chest x-ray with the physician, radiologist, and patient is an essential skill when facilitating care in a clinical setting. In this Discussion, you practice your interprofessional collaboration skills as you interpret chest x-rays and exchange feedback with your colleagues. Consider the four patient x-rays (Note: By Day 1 of this week, your Instructor will assign you to post on one of these x-rays): X-ray 1 Note: Please view the Week 5 Discussion area to view the image for X-ray 1. X-ray 2: Note: Please view the Week 5 Discussion area to view the image for X-ray 2. X-ray 3: Note: Please view the Week 5 Discussion area to view the image for X-ray 3. X-ray 4: Note: Please view the Week 5 Discussion area to view the image for X-ray 4. To prepare: Review Part 10 of the Buttaro et al. text in this week’s Learning Resources, as well as the provided x-rays. Reflect on what you see in the x-ray assigned to you by the Course Instructor.Consider whether the patient in your assigned x-ray has an enlarged heart, enlarged blood vessels, fluid in the lungs, and/or pneumonia in the lungs. NURS 6531 Complete Discussion Homework

 NURS 6531 Week 6 Discussion: Diagnosing Gastrointestinal Disorders

In primary care settings, patients often present with abdominal pain. Although this is frequently a sign of a gastrointestinal (GI) disorder, abdominal pain could also be the result of other systemic disorders, making this type of pain difficult to assess. While abdominal pain is most common, many other GI symptoms also overlap multiple disorders, further increasing the difficulty in diagnosing and treating patients. This makes provider-patient communication essential. You must be able to formulate questions that will prompt the patient to provide the necessary information, as this will guide your assessment and diagnosis. For this Discussion, consider potential diagnoses for the patients in the following case studies.

Case Study 1: A 49-year-old man presents to the office complaining of vague abdominal discomfort over the past few days. He states he does not feel like eating and has not moved his bowels for the last 2 days. His patient medical history includes an appendectomy at age 22 and borderline hypertension, which he is trying to control with diet and exercise. He takes no medications and has no known allergies. Positive physical exam findings include a temperature of 99.9 degrees Fahrenheit, heart rate of 98, respiratory rate of 24, and blood pressure of 150/72. The abdominal exam reveals abdominal distention, diminished bowel sounds, and lower left quadrant tenderness without rebound.

Case Study 2: A 40 year-old female presents to the office with the chief complaint of diarrhea. She has been having recurrent episodes of abdominal pain, diarrhea, and rectal bleeding. She has lost 9 pounds in the last month. She takes no medications, but is allergic to penicillin. She describes her life as stressful, but manageable. The physical exam reveals a pale middle- aged female in no acute distress. Her weight is 140 pounds (down from 154 at her last visit over a year ago), blood pressure of 94/60 sitting and 86/50 standing, heart rate of 96 and regular without postural changes, respiratory rate of 18, and O2 saturation 99%. Further physical examination reveals: Skin: w/d, no acute lesions or rashes Eyes: sclera clear, conj pale Ears: no acute changes Nose: no erythema or sinus tenderness Mouth: membranes pale, some slight painful ulcerations, right buccal mucosa, tongue beefy red, teeth good repair Neck: supple, no thyroid enlargement or tenderness, no lymphadenopathy Cardio: S1 S2 regular, no S3 S4 or murmur Lungs: CTA w/o rales, wheezes, or rhonchi Abdomen: scaphoid, BS hyperactive, generalized tenderness, rectal +occult bloo

Case Study 3: A 52-year-old male presents to the office for a routine physical. The review of symptoms reveals anorexia, heartburn, and weight loss over the past 6 months. The heartburn is long standing, occurring most days during the week. He takes TUMS or Rolaids to relieve the discomfort. The patient describes occasional use of ibuprofen for back pain, but denies other medications including herbals. He has no known allergies. He was adopted so does not know his family history. Social history reveals that, although he stopped smoking ten years ago, he smoked for 20 years. He occasionally consumes alcohol on the weekends only. The only positive physical exam finding for this patient was slight epigastric tenderness. The remainder of his exam was negative and the rectal exam was negative for blood.

To prepare: Review this week’s media presentations and Part 12 of the Buttaro et al. text in the Learning Resources. Select one of the three case studies listed above. Reflect on the provided patient information including history and physical exams. Think about a differential diagnosis. Consider the role the patient history and physical exam played in diagnosis. Reflect on potential treatment options based on your diagnosis. NURS 6531 Complete Discussion Homework

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NURS 6531 Week 7 Discussion: Urinary Frequency

Urinary frequency is a genitourinary disorder that presents problems for adults across the lifespan. It can be the result of various systemic disorders such as diabetes, urinary tract infections, enlarged prostates, kidney infections, or prostate cancer. Many of these disorders have very serious implications requiring thorough patient evaluations. When evaluating patients, it is essential to carefully assess the patient’s personal, medical, and family history prior to recommending certain physical exams and diagnostic testing, as sometimes the benefits of these exams do not outweigh the risks. In this Discussion, you examine a case study of a patient presenting with urinary frequency. Based on the provided patient information, how would you diagnose and treat the patient? Consider the following case study: A 52-year-old African American male presents to an urgent care center complaining of urinary frequency and nocturia. The symptoms have been present for several months and have increased in frequency over the past week. He has been unable to sleep because of the need to urinate at least hourly all day and night. He does not have a primary care provider and has not seen a doctor in more than 10 years. His father died when he was a child in an automobile accident, and his mother is 79 years old and has hypertension. The patient has no siblings. His social history includes the following: banker by profession, divorced father of two grown children, non-smoker, and occasionally consumes alcohol on weekends only.

To prepare: Review Part 13 of the Buttaro et al. text in this week’s Learning Resources. Review the case study and reflect on the information provided about the patient. Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation. Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study. Reflect on a possible diagnosis for the patient. Review the Marroquin article in this week’s Learning Resources. If you suspect prostate cancer, consider whether or not you would recommend a biopsy. Think about potential treatment options for the patient. Post on or before Day 3 a description of the history that you need to obtain from the patient in the case study. Include a list of questions that you might ask the patient. Then, describe types of physical exams and diagnostics that might be appropriate for evaluation of the patient. Finally, explain a possible diagnosis, as well as potential treatment options for the patient based on this diagnosis. NURS 6531 Complete Discussion Homework

NURS 6531 Week 8 Discussion: Electrolyte Disorders

When an electrolyte disorder occurs, it disrupts the balance of ionized salts in the blood. Since electrolytes regulate physiological functions in the body, if left untreated, electrolyte disorders can cause harm to multiple body systems. This results in a variety of symptoms which are sometimes severe and life threatening. In this Discussion, you explore common electrolyte disorders and their potential causes, as well as the impact of the disorders on patients.

To prepare: Review Chapters 207, 208, and 241 of the Buttaro et al. text, as well as the Adams et al. and Assadi articles in this week’s Learning Resources. Select one of the following electrolyte disorders: hyperkalemia and hypokalemia; hypercalcemia and hypocalcemia; hypernatremia and hyponatremia; hypermagnesemia and hypomagnesemia. Reflect on signs and symptoms of this disorder. Consider potential causes of the disorder that you selected. Reflect on whether that disorder is iatrogenic or a result of prescribed drugs. Think about the impact of this electrolyte disorder on patients. Consider how the disorder affects other body systems. Post on or before Day 3 a description of the electrolyte disorder that you selected as well as signs and symptoms. Then, explain potential causes of the disorder including whether it is iatrogenic or a result of prescribed drugs. Finally, describe the impact of the disorder on patients and their body systems. NURS 6531 Complete Discussion Homework

NURS 6531 Week 9 Discussion: Chronic Back Pain

Patients frequently present with complaints of pain such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain. Typically, for this type of pain, narcotic drugs are often prescribed. This can pose challenges for you as the advanced practice nurse prescribing the drugs. While there is a process for evaluating back pain, it can be difficult to assess the intensity of a patient’s pain because pain is a subjective experience. Only the person experiencing the pain truly knows whether there is a need for drug treatments. This makes it important for you, as the prescriber, to watch for red flags and warning signs of abuse. In this Discussion, you explore the ethical implications of prescribing narcotics to patients with chronic back pain.

To prepare: Review this week’s media presentation on evaluating back pain, as well as Chapter 15 of the Buttaro et al. text in the Learning Resources. Reflect on the evaluation process for a patient with a history of back pain. Consider how you might evaluate a patient that presents with back pain. Think about potential red flags and warning signs of drug abuse. Reflect on the ethical implications of prescribing narcotics for chronic back pain. Think about what you would prescribe and why. Post on or before Day 3 a description of how you might evaluate a patient who presents with back pain. Then, describe potential red flags and warning signs of drug abuse. Explain the ethical implications of prescribing narcotics for chronic back pain. Finally, explain what you would prescribe for patients and why. NURS 6531 Complete Discussion Homework

NURS 6531 Week 10 Discussion: Stroke Prevention Media

Note: You will complete this week’s Discussion after you complete this week’s Assignment In this Discussion, you provide and receive feedback on the stroke prevention media created in this week’s Assignment. This exchange between you and your colleagues is an opportunity to practice your interprofessional collaboration skills, which are an essential rudiment of nursing practice. In clinical settings, you must be able to articulately express your thoughts and communicate with colleagues.

This Discussion is designed to help you improve this skill, as well as encourage you to listen to your colleagues and acknowledge that all views are valid and worthy of consideration. As you review the stroke prevention media piece created by your colleagues, keep the best interests of the specific patient population in mind. Use the feedback you receive to refine your own stroke prevention media prior to submitting the final Assignment in Week 11. Post on or before Day 4 a description of the stroke prevention media piece that you created. Include the details of your educational media, and if possible, a copy of the actual media piece. Explain why you selected the particular type of media and how and why it is suitable for your patient population.

NURS 6531 Week 11 Discussion: Diabetes

In the United States, 25.6 million adults age 20 years or older have diabetes (American Diabetes Association, 2011). If not properly treated and managed, these millions of diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. Proper treatment and management is the key for diabetic patients, and as the advanced practice nurse providing care for these patients, it is your responsibility to facilitate this process. Patient education is critical, as is working with patients to establish a regular pattern for daily activities such as eating and taking medications. When developing care plans for patients, you must keep the projected outcomes of treatment in mind, as well as patient preferences and other factors that might impact adherence to treatment and management plans. In this Discussion, you draw from your Practicum Experience and consider factors that impact the education and treatment of patients with diabetes.

To prepare: Review Chapter 205 in Part 17 of the Buttaro et al. text. Reflect on the clinical presentation of diabetes, as well as your Practicum Experiences and observations. Select a case from these experiences that involve a diabetic patient. When referring to the patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient. Recall the medical details of the patient in the case that you selected including patient history, clinical presentation, physical exams, diagnostics, and the recommended treatment plan. Select one of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the treatment plan and patient education strategies. Post on or before Day 3 a description of the case that you selected including the diabetic patient’s medical details. Then, explain how the factor that you selected might impact the treatment plan and patient education strategies. NURS 6531 Complete Discussion Homework

Nurs 6512 Midterm

Nurs 6512 Midterm Quiz and Final Exam Questions

Nurs 6512 Midterm Quiz and Final Exam Questions

NURS 6512 – Advanced Health Assessment and Diagnostic Reasoning


The physical and emotional well-being of patients and families can be complex and multifaceted. Advanced practice nurses need to have the knowledge and ability to provide safe, competent, and comprehensive physical health assessments. Students in this course focus on concepts and skills to assess patients across the lifespan. They learn to use diagnostic reasoning, advanced communication, and physical assessment skills to identify changes in health patterns. Students also use a systematic approach through which they focus on the assessment of patients with acute and chronic health problems. The advanced skills of suturing, reading 12 Lead EKGs, and interpreting X-rays will be covered. Students engage in course assignments that emphasize risk assessment, diagnostic reasoning, and evidence-based assessment across the lifespan. nurs 6512 midterm and Final exam quiz. ♦ Students may take this as a non-degree course, which means they do not have to be enrolled in a program. Contact an Enrollment Advisor [1-866-492-5336 (U.S.);1-443-627-7222 (toll)] for more information. Nurs 6512 Midterm Quiz and Final Exam Questions

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NURS 6512 Advanced Health Assessment and Diagnostic Reasoning: Welcome & Course Readings

Welcome to your nurs 6512 midterm and Final exam quiz course guide
Please find your required library readings below. If you have problems with the links below, please contact the Library. If you have APA questions about these materials, please contact the Writing Center.

NURS 6512 Course Readings

After clicking on a citation below, enter your myWalden user name and password at the prompt. Please Ask a Librarian if you have any questions about the links. Nurs 6512 Midterm Quiz and Final Exam Questions. Athilingam, P., Visovsky, C., & Elliott, A.F. (2015). Cognitive screening in persons with chronic diseases in primary care: challenges and recommendations for practice. American Journal of Alzheimer’s Disease & Other Dementias, 30(6), 547-558. DOI: 10.1177/1533317515577127

RN to MSN Track

The RN Track is for registered nurses who hold a hospital diploma, associate degree in nursing, or bachelor’s degree (other than BSN). Nurs 6512 Midterm Quiz and Final Exam Questions. This track requires that you fulfill general education requirements. Once you meet these requirements, you can begin the foundations courses for the MSN. If you already hold a Bachelor of Science in Nursing (BSN), see the BSN Track.

Admission Requirements

  • work experience form demonstrating two years of full-time or part-time nursing work experience employed as an RN.
  • The Technical Standards Policy & Clinical Site Acknowledgement Form with:
    • A statement of understanding of the MSN NP practicum requirements.
    • Identification of potential clinical sites in your local area for each of the four practicum requirements.
  • Additional Walden admission criteria required. Contact an enrollment advisor for more details. nurs 6512 midterm and Final exam quiz.

Completion Requirements

  • 81 total quarter credits
    • Foundations courses (26 cr.)
    • Core courses (20 cr.)
    • Specialization courses (35 cr. includes the required 640 practicum hours)

This sequence represents the minimum time to completion. Time to completion will vary by student, depending on individual progress and credits transferred, if applicable. For a personalized estimate of your time to completion, call an enrollment advisor at 844-767-9452.

Foundations Courses. Nurs 6512 Midterm Quiz and Final Exam Questions.

Course Code Course Credits
NURS 3101 Issues and Trends in Nursing (6 cr.)
NURS 3151 Foundations of Nursing Research (5 cr.)
NURS 4006 Topics in Clinical Nursing (5 cr.)
NURS 4211 Role of the Nurse Leader in Population Health (5 cr.)
NURS 4221 Leadership Competencies in Nursing and Healthcare (5 cr.)
 

*The baccalaureate degree program in nursing (BSN), master’s degree program in nursing (MSN), and Doctor of Nursing Practice (DNP) program at Walden University are accredited by the Commission on Collegiate Nursing Education (www.ccneaccreditation.org). Officially recognized by the U.S. Secretary of Education as a national accreditation agency, the Commission on Collegiate Nursing Education (CCNE) is an autonomous accrediting agency, contributing to the improvement of the public’s health. CCNE ensures the quality and integrity of baccalaureate, graduate, and residency programs in nursing. Nurs 6512 Midterm Quiz and Final Exam Questions.

Walden currently cannot enroll residents of the following states/districts into any Nurse Practitioner specializations: Louisiana, Nevada, New York, Oklahoma, Oregon and Utah.

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Note on Certification

The MSN nurse practitioner specializations are designed to prepare graduates to qualify to sit for national nurse practitioner certification exams, which are required for practice as a nurse practitioner in most states. Because no graduate program can guarantee that graduates will be permitted to practice as a nurse practitioner upon graduation, we encourage students to consult the appropriate Board of Nursing or state agency to determine specific certification exam requirements. Walden enrollment advisors can provide information relating to national certification exams; however, it remains the individual’s responsibility to understand, evaluate, and comply with all requirements relating to national certification exams for the state in which he or she intends to practice as requirements vary widely. Walden makes no representations or guarantee that completion of Walden coursework or programs will permit an individual to obtain national certification.

For more information about nurse practitioner certification exams, students should visit the American Academy of Nurse Practitioners at www.aanpcertification.org, the American Nurses Credentialing Center at www.nursecredentialing.org, or other nurse practitioner certification exam websites. nurs 6512 midterm and Final exam quiz.

Note on Licensure, Authorization, Endorsement, or Other State Credential Necessary to Practice as a Nurse Practitioner

The MSN nurse practitioner specializations are designed to prepare graduates with an active registered nurse (RN) license to practice as nurse practitioners. However, each state Board of Nursing has its own academic and certification requirements and issues its own credential for an RN to be permitted to practice as a nurse practitioner in that state. Because no graduate program can guarantee that graduates will be permitted to practice as a nurse practitioner upon graduation, we encourage students to consult the appropriate Board of Nursing or state agency in the state in which he or she wishes to practice to determine specific requirements.

Walden enrollment advisors can provide guidance relating to the state-by-state requirements for practice as a nurse practitioner; however, it remains the individual’s responsibility to understand, evaluate, and comply with all requirements relating to the practice as a nurse practitioner in the state in which he or she intends to practice as requirements vary widely. Walden makes no representations or guarantee that completion of Walden coursework or programs will permit an individual to obtain state licensure, authorization, endorsement, or other state credential. For more information about the requirements to practice as a nurse practitioner, students should contact the appropriate Board of Nursing or state agency. Nurs 6512 Midterm Quiz and Final Exam Questions.

Discussion Week 2: Policy and Advocacy

NURS 6050 Discussion Week 2: Policy and Advocacy for Population Health

NURS 6050 Discussion Week 2: Policy and Advocacy for Population Health

NURS 6050: Policy and Advocacy for Population Health

Research Priority for Transforming Nursing Leadership

Nurses are the front line person in caring for others and saving lives. One of the reasons I became a nurse. Most times it’s up to the nurse to respond accordingly within the scope of practice. For this reason, the research priority I chose is identifying the influence of nursing on important health care decisions at all levels. Although the doctor makes the decision on care, we as nurses are involved in the decision making. We help decided what is best for our patients. Nurses should be able to influence healthcare decisions through one and one with the patient, through collaborative efforts with doctors and others in the healthcare team, through political knowledge and effective communication. Not all nurses begin their career with thoughts of becoming a leader, but all nurses must be leaders (Institute of Medicine, 2011). As a prospective nurse leader, influencing healthcare decisions at all levels is a critical role in delivering high-quality care. Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay.

Research is essential to guide improvement. One of the benefits of exploring the importance of nursing on healthcare decisions is the delivery of high-quality care.  Nurses apply their skills, knowledge, and experience to apply adequate care to manypatients. When care fall shorts, nurses are the ones who holds much of the responsibility. Continuous research on the importance of nursing on healthcare decisions can help nurses provide the right care and ensure patients will benefit from improved, safe and quality care. One of the challenges for furtherresearch is that this particular research priority is defined too broadly. This result in researchers trying to decide what is more important.

Overview of Articles

The research article I decided to usetosupport that further research needs to be done on the influence of nursing on important health care decisions is by Kilpatrick (2013). The articles speak on communication by acute care nurse practitioners (ACNP) and decision-making in healthcare teams. An ACNP is a nurse that provides advance nursing to care for patients in acute settings. Theycan provide patient care using an expanded scope of medical practice.  However, their practice is affected by the delegation of patient care and prescribing authority (Kilpatrick, 2013).  Kilpatrick (2013) found that the communication and decision-making that occur during routine care activities such as patient care rounds and  interprofessional team rounds have been found to improve the quality care.

Like many areas of nursing,some policies and guidelines prevent nurses from performing as adequately as intended. The lack of clear guidelines or policies by the medical, nursing, and pharmacy licensing boards to clarify the transfer of prescriptive authority for ACNPs is a barrier affecting decision making in healthcare (Kilpatrick, 2013). The article goes on to say “the patterns of communication of the ACNPs and the team is affected by the ACNPs’ need to validate their decisions with the physicians” (Kilpatrick, 2013).  Kilpatrick (2013) later concluded thatthe transfer of prescriptive authority to ACNPs affected communication and decision-making and changed the way routine activities were conducted.Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay.

As leaders of nursing, nurses should not only be involved in the decision-making of healthcare when it comes to patients, but also the decision making of health care on an organizational level. From the bedside to the boardroom, nurses ought tobe responsibly involved in the decision making. The second research article I chose is by Rose and Nies (2016).  We are responsible for implementing change. Therefore nurses should be involved in the decision-making.  It is essential to include a variety of healthcare professionals in the governance process (Rose &Nies, 2016).  The nursing profession creates leaders every day and as stated by Rose and Nies (2016) “  …those polled acknowledged that increased levels of education and training could prepare nurses for leadership…”.

Further Research

Decision making in an integral part of nursing practice. Nursesare often enabled from leading the change to decision making. Although nurses represent the largest component of the healthcare workforce, historically they’re overlooked as decision makers (Rose &Nies, 2016). That is one of the reasons further research is neededon the influence of nursing on important healthcare decisions at all levels. Another reason is that there aren’t enough research or evidence that support the impact nurses have on healthcare decision. That is why opinion leaders from public and private organizations, along with leaders from academic institutions, view nurses as bedside clinicians, not as leaders and healthcare decision makers (Rose &Nies, 2016). Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay.

Week 2 discussion

  • Identification of the characteristics of mentors have been (or could be) most successful in recruiting and training diverse nurses and nurse faculty.

Good nursing teachers are an understated need in order to have qualified and motivated nursing staff. They must possess many firm characteristics and possess the rare qualities of insight, foresight and now sight to enhance recruiting, training and retention. Mentors need to possess the ability to empower, compliment and discipline a new trainee without causing breaking his or hers spirit and demotivating their mentor experience. Breaking the enthusiastic spirit will have negative results on the new nurse and his/her training.

Leadership differences can be studied for Gandhi to Hitler, yet studies suggest people are apt to respond better to a person with ideal characteristics rather than the actual position of the person (Force, 2005, p. 339). Above all, nurse mentors must possess the ability to lead. Leadership character exemplifies a host of many other features including integrity, honesty, bearing, dependability, resolve, tact, loyalty, discipline, commitment, initiative, experience and a positive attitude. Not all of these character traits are necessary for a leader as the possession of several other key attributes can makeup for the lack of not having another. There is one sole characteristic that all good leaders must possess, experience. There is no absolute substitute for experience. All of the didactic training in the world cannot possibly prepare you for even one day as a floor nurse. Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay.

Hospitals who have the greatest retention of nurses and nursing staff all possess similar characteristics. They all have nursing staff, “who felt they were rewarded and appreciated for their contributions to the organization. They were also more satisfied with their job, respond less to burnout and had higher educational preparation” (Force, 2005, p.337-338). Showing the nursing staff appreciation for the efforts is a leading factor in moral and well-being of the facility and can lead to better patient outcomes. Giving conditional rewards, even as simple as recognition, has an exceptional effect on nursing staff. The study by Force (2005) states:

Powerful leaders empower their staff nurses to exert greater effort toward achieving organizational goals and values. Leaders who seek out and value contributions from staff through shared decision making model have higher retention rates (pg. 338).

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In conclusion, a nurse recruiter/mentor must wear many hats. The mentor should be able to empower the trainee to be the best, or better, than his or her abilities. Direct recognition can motivate the enthusiasm and curious spirit of the new nurse to achieve a greater outcome. Discipline must be incorporated in the training with an empathetic tone in order to set the expected tone of his or hers unit. Empathetic discipline can ensure the new nurse is well versed and knows what is required and expected out of them. The trainee must know he or she can practice without fear of making mistakes, but it is imperative they know certain errors can have catastrophic effects. Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay.

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. NURS 6050 Discussion Week 2: Policy and Advocacy for Population Health

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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NURS 4221 Week 3 Assignment 1

NURS 4221 Week 3 Assignment 1 – Walden

NURS 4221 Week 3 Assignment 1 – Walden Description

Quality Improvement Process; FADE Model

Walden University

Nurs 4221

Quality improvement process involves an entire team, not just one person, manager, or nurse can change anything. With change for the best, it takes a team approach. Once the problem has been identified, a process then forms to find the best action to locate and fix the problem (Spath, 2013). Performance improvement being the last phase for the quality management (Spath, 2013). An improvement team is formed, which is composed of people that are the most familiar with the processes that are being evaluated (Spath, 2013). Once the improvement project is underway, everything that affects the performance is closely monitored (Spath, 2013). After finding out the problem and before change can take place the improvement team must find out where, when, and why the issues/problems occur so the most effective solutions can be put in place (Spath, 2013). To ensure the best practices are put into place the team will use analytic tools to investigate the order of and pick the interventions that will be most successful with the end results (Spath, 2013).

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I chose the FADE model is for the use of the quality improvement (QI) initiatives which include the cyclical process (Giardino, 2016). This model can work for all types of performance problems (Spath, 2013). The FADE model for the performance improvement is an integration of the original PDSA/PDCA cycle of development (Spath, 2013). With using the FADE model the QI team utilizes a four-step process which involves using a repetitive approach, it repeats the steps repeatedly to evaluate how well the plans that have been put into action are going and what are the impacts that are taking place in the changes of the system (Giardino, 2016). There are four steps of the FADE model which are called the focus, analyze, develop, and execute phases (Spath, 2013). The focus phase is where you choose a problem and write out a statement explaining it (Spath, 2013). Analyze is the phase where you learn more about the problem but obtaining data about the performance that is being questioned (Spath, 2013).

 
Develop phase is coming up with a solution for the problem and planning for implementing the solution that you come up with (Spath, 2013). Finally, the phase to execute which is putting the plan into action and monitoring the results and adjusting the plan if needed (Spath, 2013). The FADE model of the performance improvement is helpful for looking at a problem, analyzing the issue and the causes of it, making and putting in place a solution, and monitoring the success; then repeat until the progress is where it should be (Spath, 2013). NURS 4221 Week 3 Assignment 1 – Walden
References: Spath, P. (2013). Introduction to healthcare quality management (2nd ed.). Chicago, IL: Health Administration Press. Giardino, E. R. (2016). QUALITY IMPROVEMENT. Evaluation of Health Care Quality for DNPs.

NURS 4221 Week 4 Assignment 1 (Walden)

Description

Applying the FADE model

For the problem that I will be addressing using the FADE process, pain management in the terminally ill, I will be considering the aspects previously stated and giving an explanation as to why it will work. The process of FADE was selected to help to analyze and implement a plan that could change the score on the satisfaction survey to indicate that the patients who were dying were without pain. The FADE model is an advancement of the original PDSA/PDCA improvement cycle (Spath, 2013). The steps of the model are focus, analyze, develop, and execute.

NURS 4221 Week 6 Assignment 1 (Walden)

Description

The Management of Pain in the Terminally Ill Patient Leadership and Competencies in Nursing and Healthcare; NURS-4221-19

The Management of Pain in the Terminally Ill Patient

The topic that I chose for this paper is the management of pain the terminally ill patient. 

Measurable Quality Indicator, Pain Management in the dying Patient

The quality indicator that I have chosen is pain management in the dying patients. Quality indicators were developed by the America Nurses Association (ANA), taking the reports, 

The Management of Pain in the Terminally Ill Patient

The purpose of this paper is to note that we do have a problem with patients who are dying and the families reporting that they had pain when dying and finding measures to increase 

Literature Review

1. Use of Opioids and Sedatives at End-of-Life

2.Perspectives of Asians living in Texas on pain management in the last days of life

3. Evaluation of Therapeutic Choices for the Treatment of Pain in the Terminal Oncologic Patient Before and During Hospice Admission

4. Limits and Responsibilities of Physicians Addressing Spiritual Suffering in Terminally Ill Patients

5. Pain relief, spiritual needs, and family support: Three central areas in intercultural palliative care

Applying the FADE Model

Resources Conclusion

 

NURS 4221 Week 2 Peer Review Assignment – Walden

NURS 4221 Week 2 Peer Review Assignment – Walden

NURS 4221 Week 2 Peer Review Assignment – Walden Description

Complete a literature review for your practice problem. Summarize the purpose, methods, and findings for each of the studies located in your literature review. A minimum of five peer-reviewed, evidence-based practice articles. Include an explanation of the quality management measurement and data that were presented (5–6 paragraphs). That is, explain to what extent the solution influenced the practice problem. Use appropriate, relevant, and compelling content to illustrate mastery of the subject, conveying the writer’s understanding and shaping the whole work.

1. Use of Opioids and Sedatives at End-of-Life

2.Perspectives of Asians living in Texas on pain management in the last days of life

3. Evaluation of Therapeutic Choices for the Treatment of Pain in the Terminal Oncologic Patient Before and During Hospice Admission

4. Limits and Responsibilities of Physicians Addressing Spiritual Suffering in Terminally Ill Patients

5. Pain relief, spiritual needs, and family support: Three central areas in intercultural palliative care. NURS 4221 Week 2 Peer Review Assignment – Walden

References

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NURS 4221 Week 3 Assignment 1 (Walden)

Description

Quality Improvement Process; FADE Model

Walden University

Nurs 4221

Quality improvement process involves an entire team, not just one person, manager, or nurse can change anything. With change for the best, it takes a team approach. Once the problem has been identified, a process then forms to find the best action to locate and fix the problem (Spath, 2013). Performance improvement being the last phase for the quality management (Spath, 2013). An improvement team is formed, which is composed of people that are the most familiar with the processes that are being evaluated (Spath, 2013). Once the improvement project is underway, everything that affects the performance is closely monitored (Spath, 2013). After finding out the problem and before change can take place the improvement team must find out where, when, and why the issues/problems occur so the most effective solutions can be put in place (Spath, 2013). To ensure the best practices are put into place the team will use analytic tools to investigate the order of and pick the interventions that will be most successful with the end results (Spath, 2013). I chose the FADE model is for the use of the quality improvement (QI) initiatives which include the cyclical process (Giardino, 2016). This model can work for all types of performance problems (Spath, 2013). The FADE model for the performance improvement is an integration of the original PDSA/PDCA cycle of development (Spath, 2013). With using the FADE model the QI team utilizes a four-step process which involves using a repetitive approach, it repeats the steps repeatedly to evaluate how well the plans that have been put into action are going and what are the impacts that are taking place in the changes of the system (Giardino, 2016). There are four steps of the FADE model which are called the focus, analyze, develop, and execute phases (Spath, 2013). The focus phase is where you choose a problem and write out a statement explaining it (Spath, 2013). Analyze is the phase where you learn more about the problem but obtaining data about the performance that is being questioned (Spath, 2013). Develop phase is coming up with a solution for the problem and planning for implementing the solution that you come up with (Spath, 2013). Finally, the phase to execute which is putting the plan into action and monitoring the results and adjusting the plan if needed (Spath, 2013). The FADE model of the performance improvement is helpful for looking at a problem, analyzing the issue and the causes of it, making and putting in place a solution, and monitoring the success; then repeat until the progress is where it should be (Spath, 2013). References: Spath, P. (2013). Introduction to healthcare quality management (2nd ed.). Chicago, IL: Health Administration Press. Giardino, E. R. (2016). QUALITY IMPROVEMENT. Evaluation of Health Care Quality for DNPs.

NURS 4221 Week 4 Assignment 1 (Walden)

Description

Applying the FADE model

For the problem that I will be addressing using the FADE process, pain management in the terminally ill, I will be considering the aspects previously stated and giving an explanation as to why it will work. The process of FADE was selected to help to analyze and implement a plan that could change the score on the satisfaction survey to indicate that the patients who were dying were without pain. The FADE model is an advancement of the original PDSA/PDCA improvement cycle (Spath, 2013). The steps of the model are focus, analyze, develop, and execute.

NURS 4221 Week 6 Assignment 1 (Walden)

Description

The Management of Pain in the Terminally Ill Patient Leadership and Competencies in Nursing and Healthcare; NURS-4221-19

The Management of Pain in the Terminally Ill Patient

The topic that I chose for this paper is the management of pain the terminally ill patient. 

Measurable Quality Indicator, Pain Management in the dying Patient

The quality indicator that I have chosen is pain management in the dying patients. Quality indicators were developed by the America Nurses Association (ANA), taking the reports, 

The Management of Pain in the Terminally Ill Patient

The purpose of this paper is to note that we do have a problem with patients who are dying and the families reporting that they had pain when dying and finding measures to increase 

Literature Review

1. Use of Opioids and Sedatives at End-of-Life

2.Perspectives of Asians living in Texas on pain management in the last days of life

3. Evaluation of Therapeutic Choices for the Treatment of Pain in the Terminal Oncologic Patient Before and During Hospice Admission

4. Limits and Responsibilities of Physicians Addressing Spiritual Suffering in Terminally Ill Patients

5. Pain relief, spiritual needs, and family support: Three central areas in intercultural palliative care

Applying the FADE Model

Resources Conclusion

NURS 4211 Week 5 Assignment – Walden 

NURS 4211 Week 5 Assignment – Walden

NURS 4211 Week 5 Assignment – Walden

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Description: NURS 4211 Week 5 Assignment – Walden

Windshield Survey – Disaster Planning Preview:

Disaster Planning for Public Health: Huntington, WV

Huntington, WV, located on the banks of the Ohio River in southwestern West Virginia, is a small, diverse urban community located in Cabell County, WV. The largest city in the tristate region, Huntington’s population of roughly forty-eight thousand (48,000) people makes up slightly more than fifty percent of the county’s ninety-five thousand nine-hundred eighty- seven (95,987) residents (United States Census Bureau, 2016; “Huntington, WV,” n.d.). Huntington is known for its commerce and heavy industrial processing for oil, coal, gas, chemicals, and steel (“Huntington, WV,” n.d.). The city is also the largest inland waterway port in the U.S., making use of Huntington’s intricate railroad systems that run through the heart of the city (“Huntington, WV,” n.d.).

NURS 4211 Assignment – Role of the Nurse Leader in Population Health Essay Paper

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Nurses play an important role in promoting public health. Traditionally, the focus of health promotion by nurses has been on disease prevention and changing the behaviour of individuals with respect to their health. However, their role as promoters of health is more complex, since they have multi-disciplinary knowledge and experience of health promotion in their nursing practice. This paper presents an integrative review aimed at examining the findings of existing research studies (1998-2011) of health promotion practice by nurses. Systematic computer searches were conducted of the Cochrane databases, Cinahl, PubMed, Web of Science, PsycINFO and Scopus databases, covering the period January 1998 to December 2011. Data were analysed and the results are presented using the concept map method of Novak and Gowin. The review found information on the theoretical basis of health promotion practice by nurses, the range of their expertise, health promotion competencies and the organizational culture associated with health promotion practice. Nurses consider health promotion important but a number of obstacles associated with organizational culture prevent effective delivery.

What does it mean, really? How does someone promote health? I’m going to address the concept of health promotion from my perspective as a Registered Nurse in Ontario. Nurses play a huge role in illness prevention and health promotion. We, as nurses assume the role of ambassadors of wellness. Yes, I do believe that nurses play just as an important role in caring for the well as they do in caring for the sick. Perhaps caring for the well is the more important role. In this day and age of budget cuts, cost reduction and staffing shortages, health promotion makes sense. If we can preserve wellness, we reduce the number of times a person needs to enter the health-care system, thus reducing costs.

The World Health Organization (WHO) defines health promotion as a process of enabling people to increase control over and to improve their health (WHO, 1986). To facilitate that process, we must provide people with appropriate information. Nurses have a key role in providing that information in the form of health teaching. Nurses are highly educated, experienced health professionals who are accessible through many settings. Telehealth Ontario is a great example of how anyone can access the expertise of a nurse. Anyone can call in with a question, concern or health issue and gain information while being advised of a plan of action right over the phone. Of course, without being able to use hands-on assessment skills, this can be limiting when it comes to dealing with an acute scenario. Telehealth is not for resolving situations that require immediate attention. Nurses can direct people to local resources and give out health and wellness information. Telehealth would be useful when parents seek well-baby/well child information, information on vaccines, smoking cessation, addiction counseling, adolescent mental health resources, nutrition information etc. These are examples of situations where access to accurate health information can assist people in staying healthy. There are an increasing number of web pages with good health information available to the general public such as the Healthy Ontario website which is run by the Ontario government and has links to various health related resources. We must be aware that internet searching poses the threat of inaccurate, outdated information.
 
Part of the role of a nurse is to assist clients to decide which websites and what information is indeed suitable. Nurses can use the internet resources to expand their knowledge about specific conditions or treatments, retrieve materials to integrate into teaching or to help patients use the internet to self-educate. When nurses are working within a health promotion model, every interaction with a client can be an educational intervention (Rankin 2005). For example, while changing the dressing of a diabetic foot ulcer, there is the opportunity to discuss blood sugar testing and diabetic control. When in a clinic or doctor’s office, if a patient comes in with a cut, it’s the perfect time to check the chart for the last tetanus booster. During a home visit to discuss newborn care, it is the perfect opportunity for the nurse to discuss the childhood vaccine schedule, recommended vitamin supplements or even the developmental milestones of an older sibling. Nurses are practicing health promotion strategies constantly. Recognition of these subtle yet effective interactions is important in giving credit to the significance of nurses as health promoters. Everyone will interact with a nurse at some point in their lives. I challenge you to make the most of the expertise of a nurse. Nurses are high level thinkers with exceptional skills and considerable ability to communicate, negotiate, coordinate, and collaborate in order to deliver care (Sullivan, 2004). I am proud to be a part of such a dynamic, caring profession. The next time you are in the presence of a nurse, read a health-care article or are part of a health related discussion, think about nursing and the impact the occupation has on the health and wellness of our society. Ask a nurse a question about his or her career, daily tasks, and routines and ask questions about how he/she can assist you to achieve your goals for health and wellness.

As life expectancy in the United States is declining and the number of people struggling with chronic conditions continues to rise, nurses are everywhere: in our hospitals, schools, businesses, homes, and communities. There are many social, political, and economic influences shaping healthcare delivery today that are expanding the scope of responsibility for the executive nurse leader. The focal point of change is the passing of the Patient Protection and Affordability Care Act (ACA), where there is a clear strategic shift to provide patient care in the right setting with the formation of Accountable Care Organizations (ACOs). Financial reimbursement strategies are being aligned to facilitate these changes. Executive nurse leaders are trying to navigate through these healthcare changes by developing cost-effective care delivery models, supporting the role of the professional and advanced practice nurse, and advocating for the patient. In healthcare reform, this translates to healthcare being delivered in community venues and the executive nurse leader being the advocate for the healthcare needs of the population in the community.

Consistently named as the most trusted health profession, nurses are trained to see each person they care for in the context of his or her life. Regardless of their specific backgrounds or assignments, nurses have a responsibility and obligation to promote public and population health no matter where or how they practice. To truly achieve the best possible health and well-being for everyone in our nation, it is increasingly essential for nurses to play an expanded role.

Stemming from a range of Robert Wood Johnson Foundation (RWJF) programs focused on the nursing profession, this collection includes analysis and perspectives how to more fully leverage nurses in addressing critical public health issues across our nation, and incorporate a stronger population health focus into nursing education and practice.

Public health nursing (PHN) involves working with communities and populations as equal partners, and focusing on primary prevention and health promotion (ANA, 2007). These and other distinguishing characteristics of PHN evolved in the context of historical and philosophical perspectives on health, preventive health care, and the professionalization of nursing. Specifically, these are roles that involve collaboration and partnerships with communities and populations to address health and social conditions and problems.

The focus of this course is on application of theories and concepts from nursing and public health sciences in assessing health status, preventing and controlling disease, and promoting a healthier population by working with families, aggregates, communities, and healthcare systems. Students apply system thinking by using epidemiological and community assessment techniques to examine  at-risk populations, health promotion, and levels of prevention with special emphasis on ethnically diverse and vulnerable populations. Major local, state, and national health issues are considered including, communicable disease, chronic illness, environmental and occupational health, bioterrorism, emergency and disaster preparedness and response. Practice experiences provide learning experiences in population-based health promotion by collaborating with interdisciplinary public health partners in a local community.

Public health nursing developed as a distinct nursing specialty during a time when expanding scientific knowledge and public objection to squalid urban living conditions gave rise to population-oriented, preventive health care. Public health nurses were seen as having a vital role to achieve improvements in the health and social conditions of the most vulnerable populations. Early leaders of PHN also saw themselves as advocates for these groups.

In the 21st century, public health nurses practice in diverse settings including, but not limited to, community nursing centers; home health agencies; housing developments; local and state health departments; neighborhood centers; parishes; school health programs; and worksites and occupational health programs. High-risk, vulnerable populations are often the focus of care and may include the frail elderly, homeless individuals, sedentary individuals, smokers, teen mothers, and those at risk for a specific disease.

Contemporary PHN practice, like the practice of early PHN leaders, is often provided in collaboration with several agencies and focused on population characteristics that cross institutional boundaries (Association of Community Health Nursing Education [ACHNE], 2003). PHN practice and roles are defined from, …the perspective, knowledge base, and the focus of care, rather than by the site in which these nurses practice. Even though they are frequently employed by agencies in which direct care is provided to individuals and families, these nurses view individual and family care from the perspective of the community and/or the population as a whole (ACHNE, 2003, p. 10).

…PHN knowledge and competencies prepare nurses to take a leadership role to assess assets and needs of communities and populations… At an advanced level, PHN knowledge and competencies prepare nurses to take a leadership role to assess assets and needs of communities and populations and to propose solutions in partnership. Community- or population-focused solutions can have widespread influence on health and illness patterns of multiple levels of clients including individuals, families, groups, neighborhoods, communities, and the broader population (ACHNE, 2003).

The purpose of this article is to describe evolving roles in the specialty of public health nursing. A brief history of PHN provides a historical and philosophical background for current practice. A model for community participation with ethnographic orientation, and an exemplar of its use in a rural youth substance use prevention project, illustrates current advanced PHN practice. The article concludes with a discussion of essential PHN competencies, evidence that supports evolving PHN roles, and implications for contemporary public health nursing roles.

Brief Background and History of PHN Role

Prevention and curative care have been distinct concepts since ancient times. In Greek mythology, Hygeia was the goddess of preventive health, and her sister Panacea was the goddess of healing (Lundy & Bender, 2001). The notion of health care as healing, or treating those already sick, maintained dominance over preventive care for many centuries. During the mid-19th century however, new scientific understanding of transmission of disease enabled successful sanitation interventions that prevented disease on a large scale.

To carry preventive care forward, district nursing evolved as the first role for public health nurses, and Florence Nightingale concurrently professionalized nursing as an occupation (Brainard, 1922, 1985). Evolving PHN practice required an understanding of how culture, economics, politics, psychosocial problems, and sanitation influenced health and illness and the lives of patients and families (Fitzpatrick, 1975). Public health nursing in the United States (U.S.), England, and other countries quickly grew to include working with vulnerable populations in diverse settings including communities, homes, schools, neighborhoods, and worksites.

The new public health nursing role struggled, and continues to struggle, with appropriate interventions that would achieve quick results, but also leave lasting improvements in the population. With the advent of preventive health care, a moral tension arose between giving resources to the needy, and teaching them how to meet their own needs. Nursing of the acutely ill fits more easily into a model of one-way flow of resources from nurse to patient (Buhler-Wilkerson, 1989). The new public health nursing role struggled, and continues to struggle, with appropriate interventions that would achieve quick results, but also leave lasting improvements in the population. The Christian principle of helping those who help themselves guided this tension, but could not easily resolve it (Brainard, 1922, 1985). Public health nurses were urged to balance “wisdom and kindness” (Buhler-Wilkerson, 1989, p.32). Giving free services or free supplies to the poor was seen as creating dependency and upsetting the natural social fabric of communities. Public health nurses have addressed this moral tension over many years with innovative solutions that seek positive health outcomes, as well as advocate for vulnerable populations.

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By the early 1900s, public health nursing roles extended beyond the care of the sick to encompass advocacy, community organizing, health education, and political reform (American Nurses Association [ANA], 2007). Several examples of exceptional PHN initiatives show how these roles improved the health of communities and populations. The visionary work of Lillian Wald’s Henry Street Settlement, started in New York City in 1906, evolved from finding and caring for the sick poor, to advocating and educating about the poor to other organizations. Wald expanded this mission to advocating for new federal agencies and a host of local improvements (Stanhope & Lancaster, 2011).

In the 1920s in Mississippi, Mary Osborne formed a collaborative between public health nurses and African-American (AA) lay midwives to improve perinatal mortality of AA women and babies (Lundy & Bender, 2001). In the 1960s in Detroit, Nancy Milio integrated community organizing, community decision-making, and PHN to develop a maternal-child health center that was highly accepted and even protected by the AA neighborhood during the “Detroit riots” (Milio, 1970). Public health nurses and other community professionals have continued to recognize the advantages of community participatory methods, including the potential for more effective intervention outcomes and capacity-building for long term benefit to the community (Savage et al., 2006).

Community Participatory Health Promotion Model

The community participation and ethnographic model (see Figure 1) is an innovative framework that demonstrates evolving public health nursing practice. It was developed, based on the work of Aronson, Wallis, O’Campo, Whitehead, and Schafer (2007a), by an inter-professional research team from the University of Virginia (UVA), Virginia Polytechnic Institute and State University (Virginia Tech [VT]), and Carilion Clinic (CC) (Kulbok, Meszaros, Bond, Botchwey, & Hinton, 2009) to address youth substance use prevention in a rural tobacco-growing county of Virginia. The community participation and ethnographic model builds on assumptions underlying community-based participatory research (CBPR) and encourages engagement of community members and trusted community leaders in processes from problem identification to project evaluation and dissemination. The CBPR approach is philosophically based in critical and social action theory; it builds partnerships with community members across social-economic status and focuses on community assets and resources rather than on deficits (Israel, Eng, Schulz, & Parker, 2005; Kretzmann & McKnight, 1997). CBPR seeks balance between community members and practitioners or researchers through shared leadership, co-teaching, and co-learning opportunities; it benefits from the expertise of both community members and practitioners or researchers (Anderson, Calvillo, & Fongwa, 2007; Isreal et al., 2005).

Hospitals are taking a stance on patients’ lifestyles since non-medical factors such as social, behavioral and environmental issues have a substantial impact on patient health.Public health nursing (PHN) practice is population-focused and requires unique knowledge, competencies, and skills. Early public health nursing roles extended beyond sick care to encompass advocacy, community organizing, health education, and political and social reform. Likewise, contemporary public health nurses practice in collaboration with agencies and community members. The purpose of this article is to examine evolving PHN roles that address complex, multi-causal, community problems. A brief background and history of this role introduces an explanation of the community participation health promotion model. A community-based participatory research project, Youth Substance Use Prevention in a Rural County provides an exemplar for description of evolving PHN roles focused on community health promotion and prevention. Also included is discussion about specific competencies for PHNs in community participatory health promoting rolesand the contemporary PHN role.

A standard definition of population health emerged from a 2003 report published in the American Journal of Public Health entitled, What is Population Health? In the report, authors David Kindig and Greg Stoddart defined population health as: “Health outcomes of a group of individuals, including the distribution of such outcomes within the group.”Nurses are trained to think holistically, to consider the context of a patient’s life and how that impacts his or her health,” says Paul Kuehnert, DNP, RN, FAAN, assistant vice president for RWJF Program staff,  who commissioned the study. Whole care also means assessments of the patient’s healthcare environment, which can include acute, ambulatory, home, behavioral health and community interventions. “Because of the nature of their roles, nurses often spend more face-to-face time with patients, which allows them to gain insight into the community and societal factors that impact patients’ lives and health. Armed with this insight, nurses can work with primary care physicians to help connect patients to resources within the community that can improve their overall well-being.”

This was the definition used by the NACNEP in its 2016 report, “Preparing Nurses for New Roles in Population Health Management.” While it has become the accepted definition of the term, the concept continues to evolve as the role of healthcare professionals is refined.

In 2015, the online publication Healthcare IT Newssought clarity by asking 37 healthcare leaders to offer their personal definitions of population health. The definitions varied, but a consensus emerged around opportunities for health systems, agencies and organizations to work together for better health outcomes in their respective communities.

And that is where the idea of population health begins to be revealed as a practical concept for understanding and meeting the needs of patient communities throughout the nation.

Tech companies have also been stepping into the population health ring. In March 2018, Uber announced Uber Health: a way to partner with healthcare organizations to provide reliable, comfortable transportation for patients. The announcement mentioned that over 100 U.S. healthcare organizations, are already using Uber Health to encourage patients to be more proactive in their care.

As more organizations focus on population health initiatives, healthcare workers adjust their practice to fit those needs. The role of the bedside nurse continues to shift beyond acute care.

Promoting wellness and disease prevention is not new to nurses at the bedside. However, since the Affordable Care Act in 2010, more reimbursement programs are encouraging hospitals to be catalysts in community health engagement. Many U.S. facilities require nurses to be patient health advocates in helping people stay healthy and avoid chronic diseases.

In 2016, the National Advisory Council on Nurse Education and Practice (NACNEP) called for changes in nursing education to better align with a new emphasis away from acute care and toward population health management.

Population health management programs are geared toward closing the gap of health disparities across demographics because of social determinants of health. Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks, according to Healthy People 2020.

Nurses who desire to succeed in health promotion take an active role in educating families and communities to improve their health status. Ordinarily, health promotion activities involve the assessment of individuals, or families and whole communities to plan, implement and evaluate intervention programs.

The best form of health promotion goes beyond education on healthy living to include disease prevention. Nurses use a robust advocacy approach to promoting health by identifying health risk factors in every person’s life. These are the factors that prevent underserved groups of the population from engaging in the health promoting activities. Some of the risk factors are:

  • Poverty
  • Unemployment
  • Homelessness
  • Illiteracy
  • Socio-political factors

Health promotion thrives when people access professional advice from someone who enables them to have more control of their health and improve their wellness. Nurses facilitate the process by providing appropriate information. Many patients get help promotion from nurses as they are the health personnel that they interact with frequently. Nurses are also easy to reach. They trust nurses because they are well educated, experienced and accessible in many settings.

For example, some people rely on telehealth service to call in with questions, concerns or discuss a health issue. Nurses use their experience to offer advice on their phone. For acute cases that require immediate attention, nurses providing telehealth help direct callers to local resources or facilities that can solve their health issues.

When nurses work in the traditional health promotion model, they interact with all sorts of individuals.

Those who want to promote health can do it at every interaction. For instance, a nurse who is changing the dressing on a wound can use the opportunity to inform the patient about the importance of taking a blood sugar test or determine the last tetanus booster from the chart. A home visit to a new mother is a chance to pass information about childhood vaccines, best vitamin supplements and healthy feeding methods for older siblings. Nurses consistently provide health promotion strategies hence are significant promoters.

Nurses play a dynamic and crucial role in healthcare. A nurse is usually the first person a patient interacts with. Nurses are responsible for assessing patients’ needs and diagnosing illnesses. As such, nurses are an integral part of the comprehensive standards of care and health promotion. The World Health Organization (WHO) defines health promotion as “the process of enabling people to increase control over the determinants of health and thereby improving their health.” Before we can examine the role of nurses in health promotion, we must first assess the guiding principles of health promotion.

The three main tenets of health promotion are advocate, enable and mediate. Nurses advocate on behalf of their patients and the community at large by supporting causes that help optimize health, such as nonprofit organizations and educational campaigns. Nurses enable or empower their patients by striving for equal access to healthcare services. Race, gender and ethnicity are important factors to consider. Finally, to promote health for all citizens, nurses play the role of mediator between healthcare providers, governments, businesses and the media. A collaboration between various institutions is the only way to ensure the health of a population.

A comprehensive health education — the use of different learning approaches to help improve health through knowledge and experience — is essential to effective health promotion. Thus, health promotion underpins a nurse’s role within a healthcare setting. Nurses are able to improve their capacity for promoting health in an online RN to BSN program that incorporates health promotion strategies into the curriculum and learning environment.

In 2016, the Centers for Medicare and Medicaid Services announced a 5-year, $157 million test of a payment model called Accountable Health Communities to accelerate the development of a scalable delivery model for addressing upstream determinants of health. Hospitals in lower-income areas have more pressure from Medicaid to enact population health management initiatives. The impact of population health programs is much greater in lower-income urban communities than in suburban counterparts.

Through the practice of health promotion, nurses provide patients the information they need to manage and ultimately improve their health. A nurse’s work environment makes it easy to take advantage of a routine interaction with a patient and use it as an opportunity to educate.

For example, a nurse can educate new parents at their baby’s wellness visit on their child’s upcoming vaccines. Or a nurse can use the time treating a patient’s diabetes-related foot ulcer to review tips and tricks regarding how to best control blood sugar levels. Equipping patients with accurate information, while also advocating for a healthy lifestyle, can help them gain better control of their health.

It can also have a big effect on healthcare costs. With an industry-wide focus on cost reduction and staffing shortages in healthcare facilities, effective health promotion can reduce the frequency with which an individual must seek out treatment.

The Journal of Professional Nursing acknowledged health promotion has become a popular buzzword, and concluded health promotion is aimed at mitigating the determinants of health through community action, action by health professionals and group action.

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Health promotion focuses on holistically addressing health issues, as opposed to lecturing individuals concerning habits that are negatively affecting their health. Often, individuals may be aware of health practices they should make habits (exercise) or stop (smoking). However, health promotion is more about ensuring access to the resources needed to improve healthy behavior. On a much higher level, nurses might also be able to advocate for societal changes to reduce resource scarcity that may impede health promotion.

There are a number of conceptual models that attempt to organize the main elements that affect health. Some models list five elements, some six. In general, though, there are six main dimensions of health that comprise most models:

  • Biophysical: Physical risk factors for disease, including age, genetics and any anatomical abnormalities
  • Psychological and emotional: Coping mechanisms, ability to adapt, level of cognition, and inclination and drive to adapt healthy behaviors
  • Behavioral: Lifestyle choices that impact health, whether beneficial, like an exercise regimen or detrimental, like a smoking habit
  • Social-cultural: Individual-level attributes like socioeconomic status and support systems, as well as broader social influences including beliefs, practices and values influenced by culture
  • Physical environment: Anything in a patient’s environment that may impact health, including water and air quality
  • Health systems: A patient’s ability to access healthcare systems, both because of the individual’s willingness to do so and his or her ability to pay for and access appropriate care

As technology continues to develop, educating patients through the practice of health promotion will become easier. Nurses no longer must be face-to-face with their patients in to share information.

Medical technology improvements such as telehealth have expanded patient access to nurses, which allows patients to contact a healthcare professional via phone or a video chat.

When one thinks of health care, notions of treatment and management for existing medical conditions come to mind. A major component of health care, however, also involves the prevention of illness. Known as preventative health care, a number of strategies fall under this banner. A United Healthcare fact sheet details that procedures performed in a doctor’s office, such as physical examinations, drawing blood for testing, immunizations and screenings for certain illnesses can be considered preventative health care measures. This classification is used because the procedures are performed in order to uncover illness in its early stages or to look for signs that may indicate elevated risk for certain conditions.

A health care professional will screen for certain kinds of cancers — colon and breast cancer — as these diseases are typically far easier to treat if they are discovered in their earliest stages, before the onset of symptoms. A primary care provider also may test a patient’s blood sample for evidence of problems that could lead to disease further down the road: High cholesterol and high blood pressure can foreshadow the development of heart disease, for example.

As noted in the United Healthcare article, preventative measures such as screenings, physical examinations and immunizations often are implemented in accordance with demographic factors like age, gender and family history. A fact sheet from the U.S. Centers for Disease Control and Prevention (CDC) detailed one such example, being colorectal cancer, which is widely screened for but only in adults over the age of 50. The CDC suggests the age threshold of 50 because adults younger than this are statistically at a much lower risk for exhibiting with disease.

Texture Health combines deep healthcare and technical expertise to create integrated, advanced and highly-configurable, cloud-based and mobile technology solutions that help providers, health plans, patients and the people who care for them connect, communicate, and collaborate like never before.

We help ACOs, Integrated Delivery Networks, Behavioral Health Collaboratives, Hospitals and Health Systems, Health Plans and MCOs improve patient health and achieve their value-based initiatives, by caring for more patients, in less time, with less resources.

  • The Interprofessional Student Hotspotting Learning Collaborative is an annual program that trains interdisciplinary teams of professional students from schools around the country to learn to work with complex medical and social needs using a patient-centered approach. Student Hotspotting is part of the Camden Coalition of Healthcare Providers’ effort to educate and provide mentorship for the next generation of health care professionals and is run through the National Center for Complex Health and Social Needs.

  • Available WIPs: Foundations of Population Health Science and Practice – Mini Course for Public Health Professionals

    Health departments and community-based organizations that operate with public health central to their mission have unique needs, modalities, approaches, regulatory, and public policy contexts to inform their population health improvement efforts. Population health trainings/mini courses that specifically address the unique needs and goals of public health are not universally accessible. There is a need for training that provides high yield information that equips the public health workforce with foundational knowledge in population health science and best practices in population health. The proposed WIP will contribute to the ongoing professional development of the public health workforce by increasing their foundational knowledge of population health science and the effective design, implementation, and evaluation of population health practice activities.

According to the 2015 study Moving From Patient Care to Population Health: A New Competency for the Executive Nurse Leader, the goal in population health management is to keep the patient population as healthy as possible and minimize the need for acute care interventions such as emergency room visits and hospitalizations. If population health initiatives are measured successfully in terms of a reduction in the total cost to the organization, hospitals are rewarded with increased reimbursements.Our task force put together a list of education programs that can help nurses gain the knowledge they need to be visionary thinkers in this new model of care,” Zangerle said. “There are everything from graduate to certificate programs available, and nurses will need to self-determine which class or program would best help them to acquire the knowledge they need to assist in leading PHM efforts.

NURS 4211 Week 5 Assignment – Walden . NURS 4211 Week 5 Assignment – Walden . NURS 4211 Week 5 Assignment – Walden . NURS 4211 Week 5 Assignment – Walden . NURS 4211 Week 5 Assignment – Walden . NURS 4211 Week 5 Assignment – Walden . NURS 4211 Week 5 Assignment – Walden 

NR 451 Week 3 Capstone Project

NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

(Promoting Breastfeeding)

Capstone Project Milestone 1:

Practice Issue and Evidence Summary Worksheets

Directions: NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

Refer to the guidelines for specific details on how to complete this assignment.
Type your answers directly into the worksheets below.
Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.
Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.

Practice Issue Worksheet

What is the Practice Issue?

Define the scope of the Practice Issue:

What is the practice area?
_✔__ ___

___
(list)_________________________________
How was the practice issue identified?
___
Describe the rationale for your checked selections:
What evidence must be gathered? (Check all that apply)
Describe the rationale for your checked selections:

NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

Evidence Summary Worksheet

Directions: Please type your answers directly into the worksheet.

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:

Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected:

Define the search terms for your systematic review:

Identify the objectives of the article.

Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.

Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome. Consider the relevance to your project proposal for the Milestone 2 project paper.

Outline evidence-based solutions that you will consider for your project.
Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project.

Grading Rubric: NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

Assignment Criteria

A (100%)

Exceptional

Outstanding or highest level of performance

B (88%)

Exceeds

Very good or high level of performance

C (80%)

Meets

Competent or satisfactory level of performance

NI (38%)

Needs Improvement

Poor or failing level of performance

F (0%)

Developing

Unsatisfactory

level of performance

The Problem

30 points

Summary of change model and

Practice issued addressed

Statistical information as it relates to work area,scope of problem to healthcare as a whole, discussed.

Team, stakeholders and role/reason chosen is discussed and is logical.

30 points ☐

Summary of change model and

Practice issued addressed

Statistical information as it relates to work area is missing and scope of problem to healthcare discussed.

Team, stakeholders and their role/reason chosen is discussed and is logical.

26 points ☐

Summary of change model discussed and

Practice issued addressed

Statistical information as it relates to work area is missing and scope of problem to healthcare discussed minimally.

Team, stakeholders and their role/reason chosen discussed and is logical.

24 points ☐

Summary of change model is not discussed however,

Practice issued is addressed

Statistical information as it relates to work area is missing and scope of problem to healthcare discussed

Team and stakeholders stated butrole/ reason chosen is not discussed.

11 points ☐

None of the elements were present.

0 points ☐

The Evidence

35 points

Discussion of the evidence is done in terms of themes the author/s pull from the multiple articles in the Systematic Review.

Pertinent information is summarized.

Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.

35 points ☐

Discussion of the evidence is done in terms of themes.

Pertinent information is in paragraph as one overriding theme pulled from the Systematic Review.

Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.

31 points ☐

Discussion of the evidence is done in terms of individual authors within the article.

Pertinent information is not summarized.

Sources listed individually but as an Evidence Summary synthesized into concepts discovered.

28 points ☐

Discussion of the evidence is done in terms individual authors.

Pertinent information is not summarized.

Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.

13 points ☐

There is no discussion of the evidence.

0 points ☐

The Plan

35 points

Plan of action described. Important elements are discussed and logical.

Timeline is thorough and contains all elements.

Timeline is logical and appropriate.

35 points ☐

Plan of action described but not all important elements included. OR

Timeline is present but doesn’t contain all elements.

31 points ☐

Plan of action described but not all important elements included

AND

Timeline is present but doesn’t contain all elements.

28 points ☐

Plan of action is present but not logical and is incomplete.

The timeline is not appropriate or logical.

13 points ☐

Plan of action is not present.

The timeline is not present.

0 points ☐

The Nurse’s Role

25 points

The nurse’s role in the pilot plan is described and clear.

Procedures for the pilot plan are clear and concise.

25 points ☐

The nurses’ role is described but not clear.

OR

Procedures are discussed but not clear.

22 points ☐

The nurses’ role is described but not clear.

AND

Procedures are discussed but not clear.

20 points ☐

The nurse’s roles are not appropriate.

Procedures are not clearly written and are incomplete.

10 points ☐

Nurses’ roles are absent. Procedures are absent.

0 points ☐

Resources

20 points

Form for tracking outcomes during pilot study is included.

Resources (to help with the project) the nurses need are included. At least three resources included. The nurse investigator, the team, internet resources, or other resources is included.

20 points ☐

Form for tracking outcomes included.

At least three resources the nurses need to help with the project are included but the resources were not the best suited resources for the project.

18 points ☐

Form for tracking outcomes included but was not well-developed.

At least two resources are included but are not included for the duration of the project.

16 points ☐

Form for tracking outcomes is poorly developed.

Only one resource is listed.

8 points ☐

Form for tracking outcomes is absent

No appropriate resources are listed.

0 points ☐

Summary

10 points

Summary slide reiterates the problem and purpose of the plan along with the measurable goals.

10 points ☐

Summary slide reiterates the problem AND purpose.

Goals are stated but are not referenced in terms of success.

9 points ☐

Summary slide reiterates the problem OR the purpose, but not both.

Goals are stated.

8 points ☐

Summary slide reiterates the problem OR the purpose, but not both.

Goals are not mentioned.

4 points ☐

Summary slide is not shown.

0 points ☐

Overall presentation

20 points

Presentation is presented in a clear and logical manner.

PowerPoint is appealing and includes creativity.

Font is easy to read.

20 points ☐

Presentation is accurate and covers most elements.

18 points ☐

Presentation content is accurate and can be followed, but it lacks flow and creativity.

16 points ☐

Presentation lacks organization. Creativity is difficult to follow.

8 points ☐

Presentation lacks any attempt at organization and comes across as chaotic.

0 points ☐

Mechanics

25 points

Includes title slide.Grammar, punctuation, and sentence structure are correct.

References properly cited within the presentation.

Reference slide includes all citations within the PowerPoint presentation.

Evidence of spell and grammar check.

25 points ☐

Title slide is incomplete.

Minimal errors in grammar, punctuation, and/or sentence structure noted.

References are present, with minimal errors in format within the PowerPoint presentation.

Citations are present but not correct format.

22 points ☐

Missing title slide

Multiple grammar and punctuation errors noted.

References do not include all citations within the PowerPoint presentation.

20 points ☐

The title slide is missing.

The references are improperly formatted and are incomplete within the PowerPoint presentation.

Errors in spelling and grammar are evident.

10 points ☐

Title slide and citations are missing.

References are missing.

No evidence of proof-reading prior to submitting assignment.

0 points ☐

Total Possible Points = 200 points:

NR451

Week 5 Discussion: Core Competencies for Nurses

Core Competencies for Nurses

Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative at http://www qsen org How can the QSEN competencies for nurses be implemented into your workplace or professional nursing setting? If you are not currently employed as a nurse, consider a previous work setting that would have benefited from implementation of the QSEN competencies.

NR 451 Week 3 Discussion: Feasibility of Your Design Proposal and Importance of Communication

Feasibility of Your Design Proposal and Importance of Communication

Now that you have identified your capstone change project. it is time to look its feasibility

• What tangible and intangible resources will be needed to implement your project?

• What improved outcomes do you anticipate will occur that could indicate the project produced a successful return on investment (ROI) of these resources?

• How will you communicate your plan for change with key decision makers so that they will support the allocation of the resources you are seeking?

NR 451 Week 8 Discussion: The Future of Affordable, Safe, and Quality Healthcare

The Future of Affordable, Safe, and Quality Healthcare

What does the following statement mean to you?

In order to meet the challenges of taking care of older and sicker patients, incorporate patient safety and quality of care into practice, and understand economics and its effect on the workforce, nurses must take a leading role in the future of healthcare and remain current in their profession by means of engagement in lifelong learning.

NR 451 Week 4 Assignment 2 Capstone Project Milestone 2: Design for Change Proposal Paper Set 1

(Chlorhexidine Pre-Operatively)

Create a proposal for your Design for Change Capstone Project. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.

The format for this proposal will be a paper following the Publication manual of APA 6th
The paper is to be four- to six-pages excluding the Title page and Reference page.
As you organize your information and evidence, include the following topics.
Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.

Change Model Overview: Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.

Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.
Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations required. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources required, use peer-reviewed journals and credible websites.

Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.

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NR 451 Week 4 Assignment 2: Capstone Project Milestone 2 – Design for Change Proposal Paper Set 2

(Promoting Breastfeeding)

Create a proposal for your Design for Change Capstone Project. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.

The format for this proposal will be a paper following the Publication manual of APA 6th
The paper is to be four- to six-pages excluding the Title page and Reference page.
As you organize your information and evidence, include the following topics.
Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.

Change Model Overview: Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.

Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.
Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations required. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources required, use peer-reviewed journals and credible websites.

Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.

NR 451 Week 4 Discussion: Evaluating Quality Patient Outcomes

Evaluating Quality Patient Outcomes

How can data provide information to evaluate quality patient outcomes? Give an example of data that can reflect poor quality in care How can quality improvement be a daily task in patient care? Why does continuous quality improvement need to be associated with change?

NR 451 Week 6 Capstone Project Milestone 3 Educating Staff – Implementing Change Guidelines Purpose Set 1

(Chlorhexidine Pre-Operatively)

The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.

Create an educational presentation for staff before the launch of your change project.This should inform the staff of the problem, your potential solution, and their role in change project.
The format for this proposal will be a PowerPoint presentation.
The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.

Below are the topics for the slides:

a. Title slide
b. Description of the change model used
c. PICO question—include the elements
d. Scope of the problem—use statistics
e. Your team/stakeholders
f. Evidence to support your need for change—from research
g. Action Plan
h. Timeline for the plan
i. The nurses role and responsibility in the pilot program
j. Procedure
k. Forms that will be used (if applicable)
l. Resources available to the staff—including yourself
m. Summary
n. References
Citations and References must be includedg. Action Plan
h. Timeline for the plan
i. The nurses role and responsibility in the pilot program
j. Procedure
k. Forms that will be used (if applicable)
l. Resources available to the staff—including yourself
m. Summary
n. References

5. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible websites.

Guidelines

• Application: Use Microsoft PowerPoint 2010.
• Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide).
• Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6.

NR 451 Week 6 Discussion: Implementing Change Despite Resistance

Implementing Change Despite Resistance

Change can be difficult to implement Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.

NR 451 Week 7 Discussion

Please go to www.whitehouse.gov/blog/2016/03/23/look-six-years-affordable-care-act to read the latest about the Affordable Care Act from the White House

Respond to the questions below

• What are some benefits of the healthcare reform that has been prompted by the Affordable Care Act (ACA)?

• Why is it important to be aware of changes in healthcare policy?

• Why do you believe we spend more on healthcare than any other country but have the worst outcomes?

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

  • GuaranteeNR 451 Week 3 Capstone Project

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  • Question and answers
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  • Multiple answer questions

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

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NR 451 Week 3 Discussion

NR 451 Week 3 Discussion: Feasibility of Your Design Proposal and Importance of Communication

NR 451 Week 3 Discussion: Feasibility of Your Design Proposal and Importance of Communication

Feasibility of Your Design Proposal and Importance of Communication

Now that you have identified your capstone change project. it is time to look its feasibility

• What tangible and intangible resources will be needed to implement your project?

• What improved outcomes do you anticipate will occur that could indicate the project produced a successful return on investment (ROI) of these resources?

• How will you communicate your plan for change with key decision makers so that they will support the allocation of the resources you are seeking?

CLICK HERE TO ORDER NR 451 Week 3 Discussion: Feasibility of Your Design Proposal and Importance of Communication

Grading Rubric: NR 451 Week 3 Discussion: Feasibility of Your Design Proposal and Importance of Communication

Assignment Criteria

A (100%)

Exceptional

Outstanding or highest level of performance

B (88%)

Exceeds

Very good or high level of performance

C (80%)

Meets

Competent or satisfactory level of performance

NI (38%)

Needs Improvement

Poor or failing level of performance

F (0%)

Developing

Unsatisfactory

level of performance

The Problem

30 points

Summary of change model and

Practice issued addressed

Statistical information as it relates to work area,scope of problem to healthcare as a whole, discussed.

Team, stakeholders and role/reason chosen is discussed and is logical.

30 points ☐

Summary of change model and

Practice issued addressed

Statistical information as it relates to work area is missing and scope of problem to healthcare discussed.

Team, stakeholders and their role/reason chosen is discussed and is logical.

26 points ☐

Summary of change model discussed and

Practice issued addressed

Statistical information as it relates to work area is missing and scope of problem to healthcare discussed minimally.

Team, stakeholders and their role/reason chosen discussed and is logical.

24 points ☐

Summary of change model is not discussed however,

Practice issued is addressed

Statistical information as it relates to work area is missing and scope of problem to healthcare discussed

Team and stakeholders stated butrole/ reason chosen is not discussed.

11 points ☐

None of the elements were present.

0 points ☐

The Evidence

35 points

Discussion of the evidence is done in terms of themes the author/s pull from the multiple articles in the Systematic Review.

Pertinent information is summarized.

Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.

35 points ☐

Discussion of the evidence is done in terms of themes.

Pertinent information is in paragraph as one overriding theme pulled from the Systematic Review.

Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.

31 points ☐

Discussion of the evidence is done in terms of individual authors within the article.

Pertinent information is not summarized.

Sources listed individually but as an Evidence Summary synthesized into concepts discovered.

28 points ☐

Discussion of the evidence is done in terms individual authors.

Pertinent information is not summarized.

Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.

13 points ☐

There is no discussion of the evidence.

0 points ☐

The Plan

35 points

Plan of action described. Important elements are discussed and logical.

Timeline is thorough and contains all elements.

Timeline is logical and appropriate.

35 points ☐

Plan of action described but not all important elements included. OR

Timeline is present but doesn’t contain all elements.

31 points ☐

Plan of action described but not all important elements included

AND

Timeline is present but doesn’t contain all elements.

28 points ☐

Plan of action is present but not logical and is incomplete.

The timeline is not appropriate or logical.

13 points ☐

Plan of action is not present.

The timeline is not present.

0 points ☐

The Nurse’s Role

25 points

The nurse’s role in the pilot plan is described and clear.

Procedures for the pilot plan are clear and concise.

25 points ☐

The nurses’ role is described but not clear.

OR

Procedures are discussed but not clear.

22 points ☐

The nurses’ role is described but not clear.

AND

Procedures are discussed but not clear.

20 points ☐

The nurse’s roles are not appropriate.

Procedures are not clearly written and are incomplete.

10 points ☐

Nurses’ roles are absent. Procedures are absent.

0 points ☐

Resources

20 points

Form for tracking outcomes during pilot study is included.

Resources (to help with the project) the nurses need are included. At least three resources included. The nurse investigator, the team, internet resources, or other resources is included.

20 points ☐

Form for tracking outcomes included.

At least three resources the nurses need to help with the project are included but the resources were not the best suited resources for the project.

18 points ☐

Form for tracking outcomes included but was not well-developed.

At least two resources are included but are not included for the duration of the project.

16 points ☐

Form for tracking outcomes is poorly developed.

Only one resource is listed.

8 points ☐

Form for tracking outcomes is absent

No appropriate resources are listed.

0 points ☐

Summary

10 points

Summary slide reiterates the problem and purpose of the plan along with the measurable goals.

10 points ☐

Summary slide reiterates the problem AND purpose.

Goals are stated but are not referenced in terms of success.

9 points ☐

Summary slide reiterates the problem OR the purpose, but not both.

Goals are stated.

8 points ☐

Summary slide reiterates the problem OR the purpose, but not both.

Goals are not mentioned.

4 points ☐

Summary slide is not shown.

0 points ☐

Overall presentation

20 points

Presentation is presented in a clear and logical manner.

PowerPoint is appealing and includes creativity.

Font is easy to read.

20 points ☐

Presentation is accurate and covers most elements.

18 points ☐

Presentation content is accurate and can be followed, but it lacks flow and creativity.

16 points ☐

Presentation lacks organization. Creativity is difficult to follow.

8 points ☐

Presentation lacks any attempt at organization and comes across as chaotic.

0 points ☐

Mechanics

25 points

Includes title slide.Grammar, punctuation, and sentence structure are correct.

References properly cited within the presentation.

Reference slide includes all citations within the PowerPoint presentation.

Evidence of spell and grammar check.

25 points ☐

Title slide is incomplete.

Minimal errors in grammar, punctuation, and/or sentence structure noted.

References are present, with minimal errors in format within the PowerPoint presentation.

Citations are present but not correct format.

22 points ☐

Missing title slide

Multiple grammar and punctuation errors noted.

References do not include all citations within the PowerPoint presentation.

20 points ☐

The title slide is missing.

The references are improperly formatted and are incomplete within the PowerPoint presentation.

Errors in spelling and grammar are evident.

10 points ☐

Title slide and citations are missing.

References are missing.

No evidence of proof-reading prior to submitting assignment.

0 points ☐

Total Possible Points = 200 points:

NR451

NR 451 Week 4 Discussion: Evaluating Quality Patient Outcomes

Evaluating Quality Patient Outcomes

How can data provide information to evaluate quality patient outcomes? Give an example of data that can reflect poor quality in care How can quality improvement be a daily task in patient care? Why does continuous quality improvement need to be associated with change?

NR 451 Week 5 Discussion: Core Competencies for Nurses

Core Competencies for Nurses

Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative at http://www qsen org How can the QSEN competencies for nurses be implemented into your workplace or professional nursing setting? If you are not currently employed as a nurse, consider a previous work setting that would have benefited from implementation of the QSEN competencies.

NR 451 Week 4 Assignment 2 Capstone Project Milestone 2: Design for Change Proposal Paper Set 1

(Chlorhexidine Pre-Operatively)

Create a proposal for your Design for Change Capstone Project. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.

The format for this proposal will be a paper following the Publication manual of APA 6th
The paper is to be four- to six-pages excluding the Title page and Reference page.
As you organize your information and evidence, include the following topics.
Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.

Change Model Overview: Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.

Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.
Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations required. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources required, use peer-reviewed journals and credible websites.

Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.

NR 451 Week 4 Assignment 2: Capstone Project Milestone 2 – Design for Change Proposal Paper Set 2

(Promoting Breastfeeding)

Create a proposal for your Design for Change Capstone Project. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.

The format for this proposal will be a paper following the Publication manual of APA 6th
The paper is to be four- to six-pages excluding the Title page and Reference page.
As you organize your information and evidence, include the following topics.
Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.

Change Model Overview: Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.

Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.
Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations required. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources required, use peer-reviewed journals and credible websites.

Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.

NR 451 Week 6 Capstone Project Milestone 3 Educating Staff – Implementing Change Guidelines Purpose Set 1

(Chlorhexidine Pre-Operatively)

The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.

Create an educational presentation for staff before the launch of your change project.This should inform the staff of the problem, your potential solution, and their role in change project.
The format for this proposal will be a PowerPoint presentation.
The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.
Below are the topics for the slides:
a. Title slide
b. Description of the change model used
c. PICO question—include the elements
d. Scope of the problem—use statistics
e. Your team/stakeholders
f. Evidence to support your need for change—from research
g. Action Plan
h. Timeline for the plan
i. The nurses role and responsibility in the pilot program
j. Procedure
k. Forms that will be used (if applicable)
l. Resources available to the staff—including yourself
m. Summary
n. References
Citations and References must be includedg. Action Plan
h. Timeline for the plan
i. The nurses role and responsibility in the pilot program
j. Procedure
k. Forms that will be used (if applicable)
l. Resources available to the staff—including yourself
m. Summary
n. References

5. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible websites.

Guidelines

• Application: Use Microsoft PowerPoint 2010.
• Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide).
• Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6.

NR 451 Week 6 Discussion: Implementing Change Despite Resistance

Implementing Change Despite Resistance

Change can be difficult to implement Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.

NR 451 Week 7 Discussion

Please go to www.whitehouse.gov/blog/2016/03/23/look-six-years-affordable-care-act to read the latest about the Affordable Care Act from the White House

Respond to the questions below

• What are some benefits of the healthcare reform that has been prompted by the Affordable Care Act (ACA)?

• Why is it important to be aware of changes in healthcare policy?

• Why do you believe we spend more on healthcare than any other country but have the worst outcomes?

NR 451 Week 8 Discussion: The Future of Affordable, Safe, and Quality Healthcare

The Future of Affordable, Safe, and Quality Healthcare

What does the following statement mean to you?

In order to meet the challenges of taking care of older and sicker patients, incorporate patient safety and quality of care into practice, and understand economics and its effect on the workforce, nurses must take a leading role in the future of healthcare and remain current in their profession by means of engagement in lifelong learning.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NR 451 Week 3 Discussion

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NR 451 Week 3 Discussion

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. NR 451 Week 3 Discussion

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NR 451 Week 3 Discussion

  • GuaranteeNR 451 Week 3 Discussion

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium. NR 451 Week 3 Discussion

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NURS 7313 DNP Project: Clinical Application

NURS 7313 DNP Project: Clinical Application

NURS 7313 DNP Project: Clinical Application

COURSE DESCRIPTION

This course requires the student to engage faculty and community leaders in the implementation, and reporting of the process and outcomes of their theory and evidence based organizational intervention at multiple system levels.  The role of the DNP as leader and innovator in complex organizational systems will be discussed as it relates to implementation and evaluation.  Faculty, practice leaders and experts will facilitate the implementation and evaluation of a DNP Project.

CREDIT AND TIME ALLOCATION

Credit Hour Allocation: 3 Semester Credit Hours Clock Hour Allocation: 3 Clock Hours Clinical (180 hours clinical)

KINDLY ORDER NOW FOR A CUSTOM-WRITTEN AND PLAGIARISM-FREE PAPER

PREREQUISITES

NURS 7321 Statistical Analysis for Quality Improvement and Health Delivery Systems or PH 1690 Foundations of Biostatistics NURS 7301 Methods for Evidence-Based Practice (EBP) Translational Science I NURS 7323 Design and Analysis for Evidence-Based Practice (EBP) Translational Science II Concurrent NURS 7312 DNP Project: Seminar

PROGRAM OUTCOMES

Upon completion of the Doctor of Nursing Practice (DNP) Program students will:

  1. Integrate nursing science, ethics, biophysical, psychosocial, analytical, and organizational sources to provide the highest level of specialty nursing practices.
  2. Develop, implement, and evaluate healthcare practices in healthcare systems that ensure quality improvement and patient safety.
  3. Use analytic methods and evidence based practices to improve practice outcomes and the practice environment.
  4. Implement and evaluate ethical healthcare information systems and patient care technology to improve the quality of patient health outcomes and care systems.
  5. Advocate for healthcare practices that advance social justice, equity, and ethical policies within all healthcare arenas.
  6. Employ interprofessional collaborative teams to improve patient and population health outcomes and healthcare delivery systems.
  7. Lead the integration and institutionalization of (evidence based) clinical prevention and population based health guidelines.
  8. Use clinical judgment, systems thinking, accountability, and specialized knowledge to design, deliver, and evaluate evidence based, culturally proficient care to improve patient, population, and health systems outcomes.

COURSE OUTCOMES

N/A

CLINICAL OUTCOMES

  1. Implement the DNP Project with faculty and practice leaders.
  2. Measure outcomes of the DNP Project.
  3. Present the completed DNP Project to practice leaders and communities of interest.
  4. Demonstrate organizational and systems leadership for knowledge translation in the implementation and reporting of the DNP Project.

Essentials: I, II, III, V, VI, VIII

GRADING SCALE FOR GRADUATE COURSES

A = 4 points (90-100) B = 3 points (80-89) C = 2 points (75-79) D = 1 point (66-74) F = 0 points (65 or below)

CRITERIA FOR EVALUATION / GRADES

Grade Percentages 100 % Submission of Practicum Hours (Format and due dates for log submissions are located in Canvas) Grading Scale Pass/Fail grading for each log Total clinical practicum hours required = 180 hours

WRITTEN ASSIGNMENTS

  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a “zero” for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.

APA GUIDELINES

The APA Publication Manual 6th edition is required for use in all nursing school programs.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NURS 7313 DNP Project: Clinical Application

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

  • Guarantee NURS 7313 DNP Project: Clinical Application

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions
  • NURS 7313 DNP Project: Clinical Application

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, affordable, plagiarism-free paper

NURS 7324 Healthcare Economics and Policy

NURS 7324 Healthcare Economics and Policy Assignments

NURS 7324 Healthcare Economics and Policy Assignments

COURSE DESCRIPTION

This course prepares the student to lead improvements in health care through an understanding of macroeconomic principles in the health care market.  Students will be given the opportunity to apply theoretical and empirical economic analysis to business and public policy issues in health care.

CREDIT AND TIME ALLOCATION

Credit Hour Allocation: 3 Semester Credit Hours Clock Hour Allocation: 3 Clock Hours Class (45 hours class)

PREREQUISITES

Graduate Standing

KINDLY ORDER NOW FOR A CUSTOM-WRITTEN AND PLAGIARISM-FREE PAPER

PROGRAM OUTCOMES

Upon completion of the Doctor of Nursing Practice (DNP) Program students will:

  1. Integrate nursing science, ethics, biophysical, psychosocial, analytical, and organizational sources to provide the highest level of specialty nursing practices.
  2. Develop, implement, and evaluate healthcare practices in healthcare systems that ensure quality improvement and patient safety.
  3. Use analytic methods and evidence based practices to improve practice outcomes and the practice environment.
  4. Implement and evaluate ethical healthcare information systems and patient care technology to improve the quality of patient health outcomes and care systems.
  5. Advocate for healthcare practices that advance social justice, equity, and ethical policies within all healthcare arenas.
  6. Employ interprofessional collaborative teams to improve patient and population health outcomes and healthcare delivery systems.
  7. Lead the integration and institutionalization of (evidence based) clinical prevention and population based health guidelines.
  8. Use clinical judgment, systems thinking, accountability, and specialized knowledge to design, deliver, and evaluate evidence based, culturally proficient care to improve patient, population, and health systems outcomes.

COURSE OUTCOMES

  1. Describe the role of health economics in healthcare and healthcare policy at the macroeconomic level
  2. Synthesize relevant economic concepts and models in the health care sector.
  3. Critically analyze the role of payers from an economic perspective
  4. Describe the relationship between insurance and health.
  5. Critically analyze perspectives on the role of government in health care.
  6. Evaluate the role of economic factors in the development of policy concerning health and health care.

CLINICAL OUTCOMES

N/A

GRADING SCALE FOR GRADUATE COURSES

A = 4 points (90-100) B = 3 points (80-89) C = 2 points (75-79) D = 1 point (66-74) F = 0 points (65 or below)

CRITERIA FOR EVALUATION / GRADES

Grade Percentages:

ACTIVITY Details PERCENT OF TOTAL GRADE
Class Attendance First two days face to face   5
Discussion Boards 5 discussions / 5 points each 25
Quizzes 3 quizzes / 10 points each 30
Article Reviews 3 articles / 10 points each 30
Homework 2 assignments 10

Grading Criteria: 1. Class Attendance and Participation: Students are expected to attend both weekend classes at the beginning of the semester prepared to participate in class discussions, share insight from the readings, and  demonstrate integration of course content with their professional practice  experiences.

  1. Consistently engaged online participation is paramount to gaining the full benefit of the content and it’s application in this course. It is an expectation that students will follow specific instructions for each online discussion. Students are expected to contribute to online discussion in a scholarly manner, using literature to support statements. All supporting literature must be referenced, using APA standards. Students will be expected to share insights from the readings integrated with their practice experience, challenging the readings or their practice where there seems to be incongruence. It is an expectation that postings will be grammatically correct with minimal typographical errors.

Grading Criteria for Discussion Board Forums: Postings reflect professional level writing skills and employ professional courtesy. • Postings are accurate, substantive, and demonstrate original thought. • Responses to peers deepen and expand the discussion – simply agreeing or disagreeing with a posting does not constitute a response. • Postings are supported by relevant literature when appropriate and cited in APA format. • Postings conform to the stated directions including the timeframe for initial and follow-up postings and the frequency of postings. • Late postings will not be accepted.

  1. Application Assignment specifics will be submitted under Course Materials and linked from the Assignment link in Canvas. They are used as the basis for building competency with economic models and related policy analysis. Submissions that are less than or equal to one day late will be given a 50% beginning deduction prior to grading criteria being applied. Submissions more than one day late will not be accepted.
  2.  Criteria specifics for Article Reviews will be posted under Course Materials and linked from the Assignment Link in Canvas.Late submissions will receive 10 points deduction for each 24 hour period late.
  3. Responses to Online Presentations will be organized according the that response rubric and posted on the Discussion Board by the due date.

WRITTEN ASSIGNMENTS

  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a “zero” for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.

APA GUIDELINES

The APA Publication Manual 6th edition is required for use in all nursing school programs.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NURS 7324 Healthcare Economics and Policy

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

  • Guarantee NURS 7324 Healthcare Economics and Policy

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions
  • NURS 7324 Healthcare Economics and Policy

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, affordable, plagiarism-free paper