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Capstone Project Topic Selection and Approval (the topic chosen is After discharge follow up, the facility is Jackson Memorial Perdue Medical Center located in Miami, most of the population in the facility are Haitian and African American with history of stroke, CVA, and accident related injuries. Collaboration with social worker is needed for placement after discharge since most residents are homeless and undocumented, poor class with history of substance abuse)

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

1. The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
2. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
3. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
4. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
5. Significance of the topic and its implications for nursing practice.
6. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.

You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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

This week we are move to learning more about the influences of social determinants of health and the impact of illnesses on population health.  I wanted to include a prezi presentation on social determinants of health to help add to your learning experience.  This presentation ( https://prezi.com/view/nw4a58n819Nci6P2wScA/ ) will give you an outline of the following:  

Social determinants of health (SDOH) and Outcomes: 

·  Defining SDOH and health disparities

·  Outlining the 5 key components of SDOH and impact on health and illness 

·  Timeline view of policies encacted to address health disparities and access to care

Community Health Assessment:

·  Call to Action- an assessment of resources in a county (Mecklenburg County, North Carolina-geopolitical/phenomenological), stakeholders (advisory committee), interventions by health care organizations (community resource) to combat health disparities 

·  Comparison of policies at competing organizations for recommending policy change

Recommendation:

·  In this presentation a model of care was utilized to help prioritize care and needs assessment

·  Healthcare organization in this presentation offers access to hospital and primary care services

·  Healthcare organization policy recommendation to revise policy to reach the masses of patients that fall in the gap still needing access to health care

This presentation is a supplement to your text.  It is optional to view, and post a substantive response for participation credit.  The idea of the presentation is to bridge the gap of last week’s lesson and introduce this week’s lesson.  Please remember to read and use your book and supplemental resources in the syllabus as a resource for learning.  As always, I am here as a resource as well.  

Wednesday 23

N492 Discussion Mod 2:

Discuss the concept of life review. What are the goals and benefits of a life review? How is life review similar and different than ordinary remembering?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

This week, reflect on your perception of healthcare delivery models and the nurse’s role in public health programs as it has evolved over the course of your RN-BSN program at WCU. Identify specific healthcare delivery models you support, and compare and contrast public health programs you are familiar with. How does your academic work support evidence of meeting the following?

Essential III: Scholarship for Evidence-Based Practice

• Outcome #2: Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.
• Outcome #5: Participate in the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes.
• Outcome #6: Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.
• Outcome #7: Collaborate in the collection, documentation, and dissemination of evidence.

Review your past academic work, evaluate your effectiveness at meeting this program essential, and ponder the impact that this proficiency will have on your future.

Identify how you met the essential by referring to the assignment(s) specifically in your response. Additionally, reflect on and make connections between your academic experience and real-world applications. 

Recommended: Refer to work you completed for NURS 561 Health Promotion and Disease Prevention and NURS 350 Research in Nursing, as well as other courses, to gather academic examples and evidence of having met this essential.

Your reflection should be 1-1/2  and APA formatted. Cite at least 1 reference .

Please provide statistical and mathematical answers for each question from 1-6.

After each answer provide 100 words explanation for each response as to how you derived that answer. MUST HAVE EXPLANATION FOR EACH ANSWER. Due in 3 hrs from now. 

the document is attached to this email. THANK YOU.

Closing the knowledge gap is an essential skill for the DNP practice scholar. Reflect upon your application of evidence-based practice and professional formation to consider the following.

• What process do you employ to identify knowledge gaps in your nursing practice (HOSPICE CARE)?
• What strategies will you use to overcome these knowledge gaps?
• As a leader in healthcare, how will you maximize others’ potential as they overcome knowledge gaps?
• How will you lead evidence-based practice at your workplace?  
•  This week our objectives and content focus on learning the difference in types of inquiry, research, QI, and evidence-based practice literature. How does understanding and using the new information you are learning in this course contribute to your practice readiness as a DNP-prepared nurse?  

Instructions:

Use an APA style and a minimum of 350 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website, or blogs should not be used.

Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

As you begin your journey toward achieving your academic and professional goals, you have a great opportunity to network with academics and professionals who can help ensure you do not travel alone. This network can help to clarify your own vision for success and can help guide you now and in the future. To paraphrase Donne, no one is an island.

Begin creating an academic and professional network by identifying which academic and professional connections and resources you need to collaborate with to be successful in your MSN program and as a practicing nurse.

To Prepare:

• Consider      individuals, departments, teams, and/or resources within Walden University      and within your profession that you believe can support your academic and      professional success.
• Identify at      least two academic and at least two professional individuals, colleagues,      or teams to collaborate with to help you be successful in your MSN program      and as a practicing nurse.
• Download the Academic      Success and Professional Development Plan Template.

The Assignment:

Academic and Professional Network

Complete Part 1 of your Academic Success and Professional Development Plan Template. Be sure to address the following:

• Clearly and      accurately identify at least two academic individuals or teams to      collaborate with to be successful in the MSN program and as a practicing      nurse.
• Clearly and      accurately identify at least two professional individuals or teams      to collaborate with to be successful in your MSN program and as a      practicing nurse.
• Clearly and      thoroughly explain in detail why the academic and professional      individuals/teams were selected to support success in the MSN program and      as a practicing nurse.
• Clearly and      accurately explain how the academic and professional individuals/teams      will support success in the MSN program and as a practicing nurse.

Allied health professionals are confronted with different death and dying practices. An effective allied health professional recognizes the importance of understanding different cultural practices, and learns how to evaluate the death, dying, and spiritual beliefs and practices across the cultures.

Read the two specified case histories and choose one for this assignment.

Chapter 4, “Stories of Abby: An Ojibwa Journey” and Chapter 14, “Stories of Shanti: Culture and Karma,” by Gelfland, Raspa, and Sherylyn, from End-of-Life Stories: Crossing Disciplinary Boundaries (2005), from the GCU Library.

Identify your role as a health care professional in supporting Abby’s or Shanti’s dying rituals, and in creating strategies for displaying respect while still providing quality care. Identify communication strategies necessary in caring for your select person. Integrate your strategies as you develop a care plan describing how you would approach the situation and care for the patient. Review the “Care Plan” template prior to beginning.

Include the following in your care plan:

1. Communication: family and patient
2. Treatment options that align with the specific culture
3. Education: family and patient
4. Family roles in the process
5. Spiritual beliefs
6. Barriers
7. Cultural responses
8. Any additional components that you feel would need to be addressed (from your perspective as a health care professional)

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

1. Why is the subject of workplace health and safety of concern to nurses? 

How are these concepts related to patient safety and patient outcomes? 

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? 

• Latex allergies

• Needlestick injuries

• Violence 

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” 

Which concepts discussed in these sections are particularly important to the beginning RN? Why? 

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation 

• Quality of work life within the organization

250 words or more

3 references 

APA citation