I have 20 questions need to be answered a few sentences each 

• Submit your 20–25-page final capstone project that synthesizes the work you completed in the previous four assessments

  Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

• Assessment Instructions
• Instructions
  Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.
  For your final capstone project submission you will synthesize the work you completed in the previous four assessments. Please make sure that you have made relevant revisions as suggested by your instructor, as well as relevant additions that you uncovered during your practicum experience. The only brand-new content that you will need to create for this assessment is an Abstract and an Introduction.
  This final submission will be graded using the seven program outcomes (POs) for the Master’s of Science in Nursing program. As a reminder they are:
  1. Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
  2. Evaluate the best available evidence for use in clinical and organizational decision making.
  3. Apply quality improvement methods to impact patient, population, and systems outcomes.
  4. Design patient- and population-centered care to improve health outcomes.
  5. Integrate interprofessional care to improve safety and quality and to decrease cost of care.
  6. Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care.
  7. Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.
  8. In addition, you will be assessed on how well you incorporated the feedback you received from your instructor on your previous work in this course via the following criterion:
  • Integrate writing feedback to improve the clarity and quality of final product.
  • You will also be assessed on the completion of hours toward your practicum experience.
  • Demonstrate completion of hours toward the practicum experience.
  • See the scoring guide for specific grading criteria related to these requirements.
    Please carefully review the outline below to see which parts of the final submission will align to which program outcomes. (Note: The bullet points in the outline correspond to the grading criteria from your previous assessments. It may be worth putting in some extra revisions on the material related to criteria on which you did not previously score as well as you would have liked. You may also wish to read the Guiding Questions: Final Project Submission document to better understand how each aspect of your submission will be assessed.) It is important to remember that if you do a quality job addressing the points below, you will meet all of the program outcomes. The alignment is provided for transparency, but do not become preoccupied with how each point will feed into the scoring guide.
    Abstract
  • Summarize the purpose, approach, and any relevant findings of the final capstone project submission (PO #1).
  • Introduction
  • Summarize your need, target population, and setting (PO #1).
  • Provide a high-level overview of your intervention plan (PO #4).
  • Justify the importance of your need and intervention plan (PO #1).
  • Provide a high-level overview of your implementation plan (PO #4).
  • Provide a high-level over view of your evaluation plan (PO #4).
  • Reminder: these instructions are an outline. Your heading for this this section should be Problem Statement and not Part 1: Problem Statement.
    Part 1: Problem Statement
    Need Statement
  • Analyze a health promotion, quality improvement, prevention, education or management need (PO #1).
  • Population and Setting
  • Describe a target population and setting in which an identified need will be addressed (PO #4).
  • Intervention Overview
  • Explain an overview of one or more interventions that would help address an identified need within a target population and setting (PO #3).
  • Comparison of Approaches
  • Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting. (PO #5).
  • Initial Outcome Draft
  • Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education or management need (PO #4).
  • Time Estimate
  • Propose a rough time frame for the development and implementation of an intervention to address and identified need (PO #1).
  • Part 2: Literature Review
  • Analyze current evidence to validate an identified need and its appropriateness within the target population and setting (PO #2).
  • Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need (PO #7).
  • PART 3: INTERVENTION PLAN
    Intervention Plan Components
  • Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need (PO #4).
  • Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components (PO #4).
  • Theoretical Foundations
  • Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan (PO #6).
  • Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices (PO #2).
  • Stakeholders, Policy, and Regulations
  • Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan (PO #7).
  • Ethical and Legal Implications
  • Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan (PO #1).
  • Part 4: Implementation Plan
    Management and Leadership
  • Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan (PO #5).
  • Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs (PO #1).
  • Delivery and Technology
  • Propose appropriate delivery methods to implement an intervention which will improve the quality of the project (PO #3).
  • Evaluate the current and emerging technological options related to the proposed delivery methods (PO #6).
  • Stakeholders, Policy, and Regulations
  • Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan (PO #5).
  • Propose existing or new policy considerations that would support the implementation of an intervention plan (PO #7).
  • Timeline
  • Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation (PO #1).
  • Part 5: Evaluation of Plan
  • Define the outcomes that are the goal of an intervention plan (PO #4).
  • Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need (PO #3).
  • Part 6: Discussion
    Advocacy
  • Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care (PO #1).
  • Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan (PO #5).
  • Future Steps
  • Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety (PO #6).
  • Reflection on Leading Change and Improvement
  • Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions (PO #1).
  • Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts (PO #3).
  • Address Generally Throughout
  • Integrate resources from diverse sources that illustrate support for all aspects of the project as appropriate throughout the final submission (PO #2).
  • Clearly, concisely, and cohesively articulate a health care need, population, setting, stakeholders, supporting evidence, intervention, and evaluation (PO #6).
  • Integrate writing feedback to improve the clarity and quality of final product.
  • Length of submission: 20–25 pages (including references).
  • Written communication: Written communication is free of errors that detract from the overall message.
  • Number of resources: Minimum of 12–18 resources.
  • APA formatting: Resources and citations are formatted according to current APA style.
  • Font and font size: Times New Roman, 12 point.

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

Understanding the health care system at the local level is important to consider when planning an EBP implementation because it gives you an indication of what you can expect as far as demographics and availability of resources. According to my course preceptor, when any evidence-based implementation has taken place at her facility, such as the changed from paper charting to electronic medical records (EMR) has been a difficult endeavor that has required much planning and implementation. To promote use of research evidence in clinical and administrative health care decision making, multifaceted implementation strategies are needed (Moloney, Taylor & Ralph, 2016). Implementation strategies also need to address both the individual practitioner and organizational perspective. In addition to a shared vision, effective leadership is needed for change to be successful.

The key to transformational change or any change is to have leadership that is able to understand it, support it, explain it, and move the organization to commit to it (Cowell, Gillespie, Cheung & Brown, 2018). Although full schedules, distracting events, fear of change, and apathy are obstacles to change, the real enemy of change is complacency and having the will to change is vital even groups that seek change may be complacent and not committed to follow through.

 

1) Minimum 8  full pages (Follow the 3 x 3 rule: minimum three paragraphs per page)

              

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 5 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

 Dorothy Johnson: Behavioral Systems Model and Virginia Henderson: Definition of Nursing 

1. An introduction, including an overview of both selected nursing theories

2. Background of the theories

3. Philosophical underpinnings of the theories

4. Major assumptions, concepts, and relationships

5. Clinical applications/usefulness/value to extending nursing science testability

6. Comparison of the use of both theories in nursing practice

7. Specific examples of how both theories could be applied in your specific clinical setting

8. Parsimony

9. Conclusion/summary

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
  • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life. 

Resources:

 

1. Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186

 Note: You will access this article from the Walden Library databases.

2. Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396

Note: You will access this article from the Walden Library databases.

 

3. Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483

Note: You will access this article from the Walden Library databases.

4. Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x

Note: You will access this article from the Walden Library databases.

 

Forum Wk9

11 unread reply.11 reply.

Five decades after the murder of Civil Rights leader the Rev. Dr. Martin Luther King, Jr., America finally had its first Black President in Barack Obama.  But many see among the forces that elected Donald Trump as our current President a reactionary regression to white nationalism and fanning the flames of racism.  They see America as more divided today than it has been in some time.  Others see it differently and say it’s all about “making America great again.”

Whatever your politics may be, let’s ask ourselves about racism and other forms of discrimination in America today.

Consider the 2012 case of the 17 year old unarmed Trayvon Martin who was shot and killed by George Zimmerman who regularly watched for suspicious persons in the Sanford Florida neighborhood where Trayvon lived. Zimmerman was later acquitted of all criminal charges in this killing.  Or consider another case that same year of the 47 year old software engineer Michael Dunn who confronted four Black teens about their loud rap music in their SUV at a Florida convenience store. Dunn claimed he felt threatened and fired 10 shots into the SUV killing 17 year old Jordan Davis. Dunn fled the scene but later reported the incident to the police, claiming self-defense. On February 15, 2014, Dunn was convicted of attempted murder against the three surviving teens but the jury could not reach a verdict on the charge of his murdering Jordan Davis.  He was later retried and sentence to life without parole for the killing.

For this week’s discussion on equality and discrimination, please answer just ONE of the following two questions and then post at least two reply postings to others in the discussion:

[1] What do you see as the difference between individual racism and systemic racism and which if any are at work in the killings of Trayvon Martin or of Jordan Davis? Explain your position. Discuss the case you choose with two different people, preferably at least one of them being a person of color. Do they see racism at work in this case, and, if so, do they see it as individual racism or systemic racism or both? 

Another appalling form of discrimination and abuse is sexism.  Many thought that the access Hollywood tape that came out last fall showing the sexism of Donald Trump would sink his chance of becoming President but it did not.  Sexism is widespread today.  One would hope we have made progress against sexism but now we have the news of the accusations against the filmmaker Harvey Weinstein, which many are saying is not news because his alleged history of sexual harassment and abuse against women was known.   And others say this is only the tip of the iceberg regarding what is all too common today in many places.  Here’s a news clip on the accusations against Weinstein: LINK (Links to an external site.).

[2] Do you believe that sexism, sexual discrimination, and sexual abuse are systemic problems in today’s world or can they be viewed and judged on an individual basis as individual problems of certain people?  And if one concludes they are systemic problems, does this mitigate the individual responsibility of those who practice it?  Or if it is purely an individual problem, how can we explain its prevalence around the world and in so many parts of our own society? 

  Nursing Philosophy/QEP Writing Assignment The personal philosophy must include the following domains: Nursing, Environment, Health and Person. You should include your personal definition of each domain and how these fit into your philosophy of nursing. In preparing your philosophy the faculty require that you review the philosophies of at least one hospital. A limit of 1 to 2 pages is acceptable in APA format. The guidance of the assignment rubric should be utilized to achieve maximum points.   

 Pick one of the following diseases: Scabies, Dermatitis, Influenza, or Pneumonia.

Must use the sample template for your soap note.
 

Follow the MRU Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 20% or will not be accepted for credit. Final submission will be accepted if less than 20%. Copy paste from websites or textbooks will not be accepted or tolerated.

The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

 

• During this week’s textbook reading, we took a look at the dynamics of working in interprofessional teams. Reflect back on your experiences working with interprofessional teams. Is there a particular situation in which you should have spoken up for your patient, but did not? Explain. What kept you from speaking up?
•  1 page reference not older than 2015