Week 6 Assignment: Reading Research Literature

This assignment provides a learning activity for students to read an original research study and complete a worksheet to demonstrate understanding of the study purpose, design, sample, data collection, analysis, limitations, conclusions, and the importance of reading research literature.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4, 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

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Advanced Coding: E/M, Medicine, And Anesthesia

1.   Anesthesia administered to a normal, healthy patient undergoing an esophageal procedure is coded as

A. 00500-P1.   B. 00502-P1.   C. 00500-P2.   D. 00506-P1.

2.   A new patient comes into the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned?

A. G0185   B. G7869   C. G7452   D. G0147

3.   A new patient is seen for a home visit that involves a comprehensive history, examination, and medical decision making of high complexity. What code should be assigned?

A. 99349   B. 99345   C. 99342   D. 99350

4.   A prolonged evaluation and management service before and/or after direct patient care for one hour is coded as

A. 99359.   B. 99358.   C. 99361.   D. 99360.

5.   A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What anesthesia CPT code should be assigned?

A. 01242-P2   B. 01202-P1   C. 01202-P3   D. 01202-P5

6.   Anesthesia for procedures performed on the larynx and trachea in an 11-month-old child would be assigned to code

A. 00620.   B. 00625.   C. 00326.   D. 00532.

7.   A patient returns for a follow-up office visit regarding the repair of her fractured knee. The office visit consists of a detailed history, detailed examination, and medical decision making of moderate complexity. What CPT code is assigned?

A. 99213   B. 99212   C. 99211   D. 99214

8.   Intramuscular nonhormonal antineoplastic chemotherapy administration would be assigned to code

A. 96402.   B. 96405.   C. 96406.   D. 96401.

9.   Home infusion with specialty drug administration during a 6-hour visit would be assigned what codes?

A. 99606, 99607 ×3   B. 99601, 99602 ×4   C. 99604, 99605 ×2   D. 99603, 99604 ×2

10.   A patient is seen for a psychiatric diagnostic evaluation. The physician obtains a complete history of the patient’s mental status and does a complete biological and psychosocial assessment along with a complete physical examination. The physician’s final diagnosis is recurrent episode of severe major depressive disorder, without any psychotic behavior involved. The patient also has a history of psychological trauma. What codes are assigned?

A. F33.2, Z91.49   B. F33.1, Z91.47   C. F34.2, Z91.49   D. F36.2, Z91.46

11.   A 17-year-old patient is diagnosed with a severe form of nutritional anemia. What ICD-10-CM code should be assigned?

A. D45.9   B. D53.9   C. D74.9   D. D65.9

12.   A 32-year-old patient receives anesthesia for spinal surgery. The anesthesia is complicated by utilization of controlled hypotension. What add-on anesthesia code would be assigned?

A. 99174   B. 92117   C. 99100   D. 99135

13.   Nursing facility discharge day management of 19.5 minutes would be assigned to code

A. 99317.   B. 99319.   C. 99316.   D. 99315.

14.   A patient is admitted to the hospital for leukemia. She has a comprehensive history, comprehensive examination, and medical decision making of high complexity. What CPT code should be assigned?

A. 99202   B. 99223   C. 99213   D. 99251

15.   A service that is rarely provided, unusual, variable, or new may require a

A. physician’s authorization.   B. patient’s authorization.   C. staged or related procedure.   D. special report.

16.   A new patient is seen for a prescription refill. During the visit, the physician obtains a problem focused history, problem focused examination, and medical decision making is straightforward. What CPT code should be assigned for this service?

A. 99214   B. 99215   C. 99213   D. 99201

17.   A 7-year-old child is brought to the clinic due to recurrent ear infections. The physician performs a bilateral tympanostomy under general anesthesia. What CPT code should be assigned?

A. 69436-50   B. 69536-50   C. 69426-50   D. 69736-50

18.   Code 00906 is assigned for

A. an angioscopy.   B. anesthesia for surgery performed on the bony pelvis.   C. an osteotomy.   D. anesthesia provided for a vulvectomy.

19.   A 25-year-old patient receives a Hepatitis A vaccination. The vaccine is administered intramuscularly in the clinic. What CPT codes should be assigned?

A. 90632, 90471   B. 90541, 90489   C. 90637, 90472   D. 90672, 90451

20.   A dark adaptation examination with interpretation and report is assigned to code

A. 92326.   B. 92284.   C. 92287.   D. 92325.

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Help With IHuman Patrica Doyle

iHuman case study help for Patricia Doyle

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Soap Note Assigment

Patient information to complete the soap note. please see attachment

39-year-old Male with epigastric pain

Chief Compliant: “I’ve been having this abdominal pain, and it just seems like it won’t go away. It started probably a year ago. It used to happen a few times a week, now it hurts every day.”

History of Present Illness: Mr. Rodriguez is a 39-year-old male that recently immigrated to the United States from Dominican Republic. He complains of epigastric pain that began approximately one year ago. He describes the pain as “burning” and occurring daily. He states that the pain sometimes worsens with eating and sometimes it improves. He states that spicy foods make the pain worsen. He admits to weekly NSAID usage and drinking 3-4 alcoholic beverages a week. He quit smoking 6 months ago. He drinks an herbal tea but does not experience any relief or change in the symptoms. He denies any fever, chills, nausea, hematemesis, hematochezia, or melena.

PMH/Medical/Surgical History: No history of gastrointestinal problems in the past. No history of surgery. No known drug allergies.

Medications: Takes ibuprofen “almost daily” for aches and pains associated with working. Drinks herbal tea meant to improve GI symptoms.

Significant Family History: Patient states family history of heart disease. Father had hypertension and his mother had diabetes.

Social History: Patient denies smoking. Patient states that he quit smoking 6 months ago. Patient states that he drinks 3-4 beers weekly.  No illicit drugs.

Review of Symptoms:

GENERAL:  39-year-old Spanish speaking patient. Language interpreter present. Patient is alert and oriented. Afebrile. Patient denies recent, unexplained weight loss, fever, chills, weakness or fatigue.

HEENT:  Denies headache, change in vision, nose, or ear problems. Denies sore throat.

SKIN:  No change in skin, hair or nails.

CARDIOVASCULAR:  Regular heart rate and rhythm. S1, S2, no murmurs, rubs, or gallops.

RESPIRATORY:  clear to auscultation.

GASTROINTESTINAL:  Soft, flat, non-distended. Normoactive bowel sounds heard in four quadrants. Soft, non-distended, with minimal epigastric tenderness on deep palpation without rebound tenderness or guarding, no hepatosplenomegaly, and no hernia or masses.

GENITOURINARY: Denies problems with urination.

NEUROLOGICAL:  No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  Alert & oriented x3. Denies muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  Denies anemia, bleeding or bruising.

LYMPHATICS:  No enlarged nodes. Denies history of splenectomy.

PSYCHIATRIC:  Denies history of depression or anxiety. Patient does express concern about paying for medications and follow up visits due to lack of insurance.

ENDOCRINOLOGIC:  Denies sweating, cold or heat intolerance. Denies polyuria or polydipsia..

Objective Data:

• Temperature: 98.5 Fahrenheit
• Heart rate: 78 beats/minute, regular
• Respiratory rate: 16 breaths/minute
• Blood pressure: 133/82 mmHg
• Body Mass Index: 24.8 kg/m2- This BMI is within normal range according to the National Heart, Lung, and Blood Institute (2017).

Physical Assessment Findings: Patient is alert, oriented and is cooperative.

HEENT:  PERRLA, no nystagmus noted. Tympanic membranes are intact. External auditory canals are normal. Oral pharynx is normal without erythema or exudate. Tongue and gums are normal.

Lymph Nodes:  Non-palpable

Carotids: equal bilaterally 2+

Lungs:  clear to auscultation

Heart:  Regular rate and rhythm normal S1 and S2.

Abdomen:  soft, non-tender, non-distended, no masses.

Genital/Pelvic:  unremarkable

Extremities/Pulses:  normal pulse bilaterally

Neurologic:  A&Ox3, cranial nerves intact

Laboratory and Diagnostic Testing:

Fecal Occult Blood Testing: negative

Heliobacter Pylori (H. pylori) serology test: Positive

CBC with differential to test for other conditions such as anemia or pancreatitis.

Upper GI endoscopy: can help to check for damage to the lining of the stomach and to rule out malignancies (National Institutes of Health [NIH], 2017)

Upper GI Series: Commonly used in the past to diagnose peptic ulcers however this test can miss smaller ulcers and does not allow for direct treatment of the ulcer (American College of Gastroenterology, 2017).

Chest x-ray: This test is not normally used due more effective imaging for GI issues, but could be helpful to rule out other diagnoses such as a hiatal hernia or other abnormal anatomy (Chow, 2015).

Diagnosis:

K27 Peptic Ulcer Disease

K21.9 Gastro-esophageal reflux disease without esophagitis

K29.70 Gastritis, unspecified, without bleeding

Source: ICD10Date.com, 2017.

Differential Diagnosis:

• Diverticulitis
• Emergent Treatment of Gastroenteritis
• Esophageal Rupture and Tears in Emergency Medicine
• Esophagitis
• Gallstones (Cholelithiasis)
• Gastroesophageal Reflux Disease
• Inflammatory Bowel Disease
• Viral Hepatitis
• Acute Cholangitis
• Acute Coronary Syndrome
• Acute Gastritis
• Cholecystitis
• Cholecystitis and Biliary Colic in Emergency Medicine
• Chronic Gastritis

Source: Epocrates, 2017.

Plan of Care:

Initially, this patient was started on over the counter antisecretory treatment such as an histamine-2 receptor antagonist or a proton pump inhibitor therapy (PPI) (NIH, 2014). At follow up, patient reported no relief in symptoms and tested positive for H. pylori. He was then treated with standard triple therapy (American Family Physician, 2015). At the next follow up he stated that symptoms resolved during antibiotic triple therapy but returned after finishing the regimen. He was then placed on salvage therapy with included another antibiotic, Levofloxacin, a PPI and amoxicillin for 10 days. At follow up the patient was completely symptom free. The patient was educated regarding possible continuation of PPI therapy to alleviate continuing symptoms. He was counseled to avoid NSAIDS, alcohol, spicy foods, smoking and to avoid lying down after eating (American Academy of Family Physicians [AAFP], 2015)

The patient was counseled and educating using the services of a Spanish speaking interpreter and was given Spanish medication and treatment handouts. He was given instructions to recognize worsening symptoms and when to follow up in office.

Medications:

Triple Therapy:

Omeprazole (PPI): 40mg PO QD for 4 weeks

Amoxicillin: 1g PO BID for 10 days

Clarithromycin 500mg PO BID for 10 days

Second Line:

Omeprazole (PPI): 40mg PO QD for 10 days

Amoxicillin: 1g PO BID for 10 days

Levofloxacin 500mg PO QD for 10days

References:

American Academy of Family Physicians (2015). Diagnosis and Treatment of Peptic Ulcer Disease and H. pylori Infection. American Family Physicians. 91(4):236-242. Retrieved from URL: /orders/www.aafp.org/afp/2015/0215/p236.htm

American College of Gastroenterology (2017) Peptic Ulcer Disease. Digestive Health Topic. Retrieved from URL: http://patients.gi.org/topics/peptic-ulcer-disease/

Chow, S. (2015). Peptic Ulcer Diagnosis. News Medical Life Sciences. Retrieved from URL: /orders/www.news-medical.net/health/Peptic-Ulcer-Diagnosis.aspx

Epocrates (2017). Peptic Ulcer Disease. Retrieved from URL: /orders/online.epocrates.com/diseases/8035/Peptic-ulcer-disease/Differential-Diagnosis

ICD0Data.com (2017). Gastro-esophageal reflux disease without esophagitis. Retrieved fromhttp://www.icd10data.com/ICD10CM/Codes/K00-K95/K20-K31/K21-/K21.9

ICD10Data.com (2017). Peptic ulcer, site unspecified. Retrieved fromhttp://www.icd10data.com/ICD10CM/Codes/K00-K95/K20-K31/K27-/K27

ICD10Data.com (2017). Gastritis, unspecified, without bleeding. Retrieved from URL: http://www.icd10data.com/ICD10CM/Codes/K00-K95/K20-K31/K29-/K29.70

National Institutes of Health [NIH] (2017). Upper GI Endoscopy. Diagnostic Tests. Retrieved from URL: /orders/www.niddk.nih.gov/health-information/diagnostic-tests

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Developmental Teaching Plan

Instructions:
Develop a teaching plan based on an assigned scenario or case. Determine what elements you would include in your assessment of the learner. Identify anticipated or expected learner needs. Select and prioritize evidence-based teaching strategies that would best meet the needs of the learner. Describe the resources you would provide to enhance learning. Explain methods that would be used to evaluate learning outcomes. Provide rationales for elements of your teaching plan supported by references from the required course reading assignments. Use the teaching plan format assigned. The competencies contained in the Teaching Plan Rubric will be assessed through this assignment.

Teaching plan paper format Total 4-6 pages 1-Title Page (APA format) 2-SBAR report on the patient(Brief and concise) 3- Begin the actual paper to include all parts on the rubric, including a conclusion. (APA format) 4- Reference page (APA format) Minimal 2-3 references including a professional organization for the illness/condition.

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Public Health/ Health Evaluation &Implementation FINAL PROJ.

This is Master level, please read. I have a Public Health Program  FINAL PROJ.Proposal (15 pages) On High Blood Pressure (HTN) to fill in. The outlines are already created ( TOPIC is HTN, Objectives are determined, Community is chosen). I need someone with Health care experience what has done previous Assignments on HTN and it an exert on how to address the problem on different levels: INTRApersonal, INTERpersonal, COMMUNITY level, SOCIETY levels.

1)TOPIC:  High blood pressure (hypertension)

2)OBJECTIVES: My health promotion program proposal will focus on optimization of hypertension management in rural communities; 50% reduction in cases of HTN in West Virginia rural community

3)This project focuses on PROGRAM PLANNING MODELS: planning model I   have selected for my proposal is the Intervention Mapping Model.

My Health promotion program proposal will focus on optimization of delivery of rural health care through development of an INTERVENTION PROGRAM that increase hypertension awareness and self-management by using community volunteers as health coaches. YOU will fill in with more details in here.

THE INTERVENTION STRATEGIES are to be filled in, I have already chose a Behavioral theory to be applied.

I have uploaded a FINAL PROJ.EXAMPLE in an adobe, from a collegue, for you to use it as INSPIRATION, please do not COPY PASTE anything from that!

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People Of Egyptian And Filipino Heritage

People of Egyptian and Filipino Heritage

A1) Ancient  Egyptian culture  flourished between c. 5500 BCE with the rise of technology (as evidenced in the glass-work of  faience ) and 30 BCE with the death of  Cleopatra VII , the last Ptolemaic ruler of  Egypt . It is famous today for the great monuments which celebrated the triumphs of the rulers and honored the gods of the land.

– Cultural Advances and Daily Lifestyle.

Papyrus (from which comes the English word `paper’) was only one of the technological advances of the ancient Egyptian culture. The Egyptians were also responsible for developing the ramp and lever and geometry for purposes of construction, advances in mathematics and astronomy (also used in construction as exemplified in the positions and locations of the  pyramids  and certain temples, such as  Abu Simbel ), improvements in irrigation and agriculture (perhaps learned from the Mesopotamians), ship building and aerodynamics (possibly introduced by the  Phoenicians ) the wheel (brought to Egypt by the  Hyksos ) and medicine.

—Philippine society is a unique blend of  diversity  and  homogeneity . Although geographically part of  Southeast Asia , the country is culturally strongly Euro-American. Forces of assimilation have constantly worked to overcome cultural differences between the various ethnic groups that are scattered sometimes in relative isolation throughout the archipelago. Nearly four centuries of Western rule, however, have left an indelible imprint on the Philippines, serving as a  conduit  for the introduction of Western  culture  and as the  catalyst  for the emergence of a sense of Philippine political and cultural unity. While the Christian churches built by the Spanish and the mosques built by the Muslims provided a spiritual anchor, the educational system established by the  United States  and expanded by the Filipinos has become emblematic of cultural unity and socioeconomic progress. Nonetheless, through the persistence of strong family ties, the revival of the barangay as the smallest unit of government, increased attention to Asian history and literature, and subsequent revival of dormant traditions, the Philippines has strengthened its Asian heritage without abandoning its Western cultural acquisitions.

— Daily life and social customs.

Life in the Philippines generally revolves around the  extended family , including parents, grandparents, aunts, uncles, cousins (up to several times removed), and other relatives. For Catholic families, godparents—those to whom care of children is entrusted should the parents die or otherwise be incapacitated—also figure prominently in the kinship network. Members of extended families typically gather for major life events such as baptisms and confirmations (for Catholic Filipinos), circumcisions (for Muslim Filipinos), and marriages, as well as for major religious and other national holidays. Among the religious holidays officially observed in the Philippines are Christmas and Easter, as well as  Eid al-Fitr, which mark the end of the Muslim fasting month of  Ramadan . Other major holidays include New Year’s Day,  Labor Day  (May 1), and  Independence Day  (June 12).

A2) –Filipino older adults tend to cope with illness with the help of family and friends, and by faith in God. Complete cure or even the slightest improvement in a malady or illness is viewed as a miracle. Filipino families greatly influence patients’ decisions about health care. Patients subjugate personal needs and tend to go along with the demands of a more authoritative family figure in order to maintain group harmony. Before seeking professional help, Filipino older adults tend to manage their illnesses by self-monitoring of symptoms, ascertaining possible causes, determining the severity and threat to functional capacity, and considering the financial and emotional burden to the family.

—Health care in Egypt occupies a central place both in people’s concerns and in state priorities. There is an extensive network of public hospitals in major towns and cities all over the country. There is a health unit offering basic medical services in practically every village. The standard of the medical service is variable, however, and people often find they have to obtain treatment in private hospitals and clinics. Among more affluent sectors of urban Egypt, people seek out alternative treatments such as homeopathy.

Egyptians tend to combine the modern health system with traditional practices. In villages, the midwife, for example, plays a key role not just during childbirth and the related ceremonial activities, but also in providing general medical advice to women. There are other traditional health practitioners, such as seers and spirit healers. Thezar ceremony marks a form of spirit possession cult that establishes a relationship between an afflicted person and the spirits afflicting him or her. This

A3) Religious Beliefs.

Egypt is a country of “everyday piety.” The central belief in Islam is in the oneness of God, whose truths were revealed through the prophet Muhammad. The statement of this basic profession of faith is one of the five pillars of the religion. The other four are the Ramadan fast, the pilgrimage to Mecca, the five daily prayers, and the giving of alms. For many Muslims these five pillars sum up the belief system and indicate the practices. Egyptians frequently invoke the notion of God and his power. Any statement about the future, for instance, is likely to contain the injunction, “God willing,” showing that the ultimate determination of the intention is up to God.

In Egypt, there are other possible elaborations. For some, who focus on God as all-powerful, religious practice involves seeking God’s help in over-coming problems and seeking favorable outcomes, for instance, with regard to recovery from disease or misfortune. Around this notion has grown up a series of practices involving visits to shrines, often where individuals believed to be beloved of God are buried, to seek their intercession with God. Foremost among these shrines are those in Cairo associated with the family of the prophet Muhammad. But every village and town has such shrines, whose importance varies. This form of religion is often attacked by religious purists who argue that to give such importance to these “saints” undercuts the oneness of God.

References

Berger, Morroe.Islam in Egypt Today: Social and Political Aspects of Popular Religion, 1970.

Biegman, Nicolaas H.Egypt: Moulids, Saints, Sufis, 1990.

Blackman, Winifred S.The Fellahin of Upper Egypt: Their Religious, Social, and Industrial Life To-day with Special Reference to Survivals from Ancient Times, 1927 (repr. 1999).

Agoncillo, T., & Guerrero, M. (1987). History of the Filipino people. Quezon City, Philippines: Garcia Publishing Company.

Anderson, J. (1983). Health and illness in Pilipino immigrants. In Cross-Cultural Medicine [Special issue]. Western Journal of Medicine, 139(6), 811-819.

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We Can, But Dare We?

As healthcare providers, we look more and more to technology to improve patient outcomes, streamline operations, and lower costs. Sometimes, technology can be used in ways that have ethical, moral, and legal considerations too. You will be writing about the use of personal devices and social media and its use in healthcare. We can do it, but dare we?

This is a “think outside the box” assignment in which there is not necessarily only one right answer. Still, you are required to find sources that support your opinions. Be sure to cite and reference them in your paper. The running head of the paper will be—We can do it, but dare we?

The length of the paper should be four to five pages, excluding the title page and reference page. Limit the references to minimum of 4 to 5 references. The Paper will contain an introduction that catches the attention of the reader, states the purpose of the paper, and provides a narrative outline of what will follow (i.e,the assignment criteria).

In the body of the paper discuss the scenario in relation to HIPAA, legal and other regulatory requirement that apply to the scenario and the ending you choose. Demonstrate support from sources of evidence included as in- text citation.

Choose and identify one of the four possible endings provided for the scenario and construct your paper based on its implications to the scenario. Make recommendations about what should have been done and what could be done to correct the problems caused by the scenario and the ending you chose. Demonstrate support from sources of evidence included as in-text citations.

Present the advantages and disadvantages of using smart phones and social media in health care and describe professional and ethical principles to the appropriate use of this technology, base on the facts from supporting sources of evidence, which must be included as in-text citations.

The paper’s conclusion should summarize what you learned and make reflections about them to your practice.

Please and please this paper should be 100% free plagiarism.

Note: The article should be written in APA format, Times New Roman, please, this paper is 240 in grade, and I will advise you strictly follow the rubric for proper grading sake.

Thanks,

Sesan.

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Leadership Action Plan PowerPoint Slide Show

1. Develop a PowerPoint slideshow consisting of 8-15 slides. Include the following. Title slide, written speaker notes, and Reference slide. Do not use Voice Over recordings. All information needs to be written in slides and notes.

2. You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.pptx” format. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.

3. As the leader, you have identified a problem or issue related to one of the National Patient Safety Goals 2018 created by the Joint Commission that will lead to quality improvement. You will find the National Patient Safety Goals using this link: NPSG (Links to an external site.)Links to an external site.

4. Assess the problem or issue. State the problem/issue and identify three rationales (reasons) that the problem exists.

5. Determine the people who are involved in the issue and explain three reasons as to how their role will contribute to the problem or issue solution.

6. Identify three solutions and discuss the purpose, cost and desired outcome.

7. Pick one solution to share with the director and discuss why this solution was chosen over the others.

8. Make an action plan to share the solution with the director or staff.

9. Summarize issue, plan and desired outcome and purpose for quality improvement on slide.

10. Summarize your learning and value of doing the assignment.

11. Include written speaker notes for all slides except title slide and reference slide.

12. Submit your PowerPoint slideshow by 11:59 p.m. MT, Sunday, end of Week 6

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Capstone Project Topic Selection And Approval

In collaboration with your approved course mentor, you will identify   a specific evidence-based practice proposal topic for the capstone   project. Consider the clinical environment in which you are currently   working or have recently worked. The capstone project topic can be a   clinical practice problem, an organizational issue, a quality   improvement suggestion, a leadership initiative, or an educational   need appropriate to your area of interest as well as your practice   immersion (practicum) setting. Examples of the integration of   community health, leadership, and an EBP can be found on the   “Educational and Community-Based Programs” page of the Healthy     People 2020 website.

Write a 500-750 word description of your proposed capstone project   topic. Make sure to include the following:

1. The problem, issue, suggestion, initiative, or educational     need that will be the focus of the project
2. The setting or     context in which the problem, issue, suggestion, initiative, or     educational need can be observed.
3. A description providing a  high level of detail regarding the problem, issue, suggestion,     initiative, or educational need.
4. Impact of the problem, issue, suggestion, initiative, or educational need on the work     environment, the quality of care provided by staff, and patient   outcomes.
5. Significance of the problem, issue, suggestion,     initiative, or educational need and its implications to   nursing.
6. A proposed solution to the identified project   topic

You are required to retrieve and assess a minimum of 8 peer-reviewed   articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to LopesWrite.