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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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

boarding patients in emergency room

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

2)¨******APA norms

          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 6 references per part not older than 5 years (No blogs or web pages- Only official webs: FDA, CDC…)

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

Topic: Food and drug regulation

Purpose : 

To investigate & integrate knowledge of advanced nursing practice, scholarly inquiry, & leadership by examining a policy at the level of clinical practice, health care systems, or public/social health policy. 

You must strictly follow the following scheme. You must use titles and subtitles.

Introduction (Maximum 1 pages): 

1. Generally define & describe the policy issue to be addressed. 

2. Identify the purpose of analysis, the targeted level of policy (i.e., clinical practice, health care systems, or public/social health) & significance of topic.

3. Identify questions the policy analysis is intended to address.  

Background:

1. Provide details of the issue or problem, including its nature/scope,

relevant literature & history, & the context within which the issue

exists.

2. Describe existing policy addressing the issue, if any.

3. Discuss strengths & shortcomings in existing policy.

4. Identify & describe key stakeholders (individuals & groups) that

are or will be affected by the policy & why

Analysis 

1. Identify alternative policies to achieve objectives. 

2. Establish/identify criteria that will be used for selection of “best” policy. 

3. Evaluate each alternative & its potential impact relative to the healthcare & patient outcomes. 

4. Assess the trade-offs between alternatives. 

Recommendations  

 1. Based on the analysis, identify the “best” alternative to address the current issue & policy situation. 

2. Provide rationale for selection. 

3. Describe possible strategies to implement selected alternative. 

4. Identify barriers to implementation of selected alternative. 

5. Describe methods to evaluate policy implementation.  

Discussion (1 page) 

1.  Discuss analysis & recommendations relative to the original questions identified, & the level of policy it is intended to address (i.e., clinical practice, health care systems, or public). 

2. Identify limitations of analysis. 

3. Discuss implications for practice, education, research, & policymaking.  

Conclusion ( minimum 1/2 page) 

1. Summarize findings & recommendations of analysis 

2. Identify questions to be addressed in future studies or policy analyses 

Directions. Using Chapters 12, and the DRI tables (pp A, B) in your textbook as a reference, answer the following questions. Please include the questions with your answers. Be sure to put your name on your document. Your answers should be thoughtful, complete, and in Standard English. Credit will not be given for answers copied from online sources.

You are to select and interview a professional in the medical field. You are to complete the interview in person or by phone. At the beginning of the interview, you will explain the P.R.I.C.E. elements to the interviewee and then ask these questions:

• Have you seen the impact of applying these elements in your career?
• Which element(s) is/are the most important in your career field?
• In what situations are these elements the most challenging to utilize?
• Would you add or subtract from this list of elements if you could?
• Do you feel these elements are applicable for careers in this field in the future?

While you have been given the questions for the interviewee to answer, you still need to take some time to be prepared in advance of the interview.  Be sure to either take notes during the interview or ask permission and tape responses so you can remember what was said while completing the Unit 1 worksheet.

Be sure to complete the Unit 1 worksheet.

Write a 5 page research paper about the effects of breastfeeding in the baby and the mother. 

Answer the following questions:

– What are the negative effects of breastfeeding?

– What are the advantages of breastfeeding?

Include an introduction, a conclusion, and 3 references within the last 5 years.

Everyone should have an approved topic for your final paper on an ethical dilemma of your choosing. This week’s assignment is to write the first, and most important, part of your paper ( my topic is  Incompetent/Impaired Nurses )

This is the Introduction—Summary of What is Known about the Issue (See Grading Rubric for Final Paper)

1. Why is this topic important to investigate?
2. What is the scope, context and significance of the topic as an ethical dilemma?
3. Highlight the importance of the problem/issue and make general statements about the problem/issue
4. Summarize the current understanding and background information about the topic
5. Include one referenced source that will support your introductory thoughts about your topic.
6. APA 7th edition format; full sentences, attention to grammar

Complete a 2-year professional career development plan.

  o Include your short- and long-term objectives and goals.

  o Evaluate your present position in relation to these goals and create a list of your current experience and    skills.

  o Identify your strengths and weaknesses and those areas that need further development.

  o Prepare a plan of action to achieve your goals.

    • Write a 2-3 page paper in APA format, include a cover page.

 I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

Diagnosis from Diagnostic and Statistical Manual of Mental Health Disorders, DSM-5 and justification

The most likely DSM diagnosis for the patient is Major Depressive Disorder, recurrent episode, severe with psychotic features.

I diagnosed the patient with Major Depressive Disorder, recurrent episode, severe, with psychotic features because of the symptoms she is exhibiting like being sad, anxious, depressed most of the time, cutting self ,suicide attempts by overdose on acetaminophen. He continues to be withdrawn to self. According to the American Psychiatric Association (2013), this diagnosis can be specific if the patient exhibits signs of anxiety, with melancholic features; or mixed with atypical features and mood-incongruent psychotic features. Also, if the patient has during the same 2-week period shown five or more of the following symptoms: In the case study the patient continues to manifest

Depressed mood example, feeling sad, empty, or hopeless (most of the day, nearly every day) 

 clearly diminished or loss of interest or pleasure in all, or almost all, activities most of the day, nearly every day

-Feelings of worthlessness as stated by patient after the breakup.

-Fatigue and loss of energy nearly every day

-Insomnia nearly every day.

-Recurring and persistent suicidal ideation without or a suicide attempt or a precise plan for committing suicide.
The above symptoms enumerated are based on what is specific on the patient from the list in the DSM-5 because this is what the patient presents with (American Psychiatric Association, 2013). Also, Oyama and Piotrowski (2013), states that depression is mostly used to express diverse feeling.

Explain group Therapeutic Approaches you might use with this Client

CBT is the treatment modality I will use to treat the client through cognitive restructuring and positive self-talk to eliminate negative thoughts. It attempts to correct cognitive distortions, particularly negative conceptions of one’s self.

Possible ways of coping with these feelings discussed along with activities that may help to reduce the symptoms.

Explain Expected Outcomes for the client based on these Therapeutic approaches

Open Communication with therapist and staff about depression

Improved sleep patterns

Reduced Anxiety

Legal and/or ethical implications related to counseling each client

            Ethically both the child and parents should be involved in the child’s healthcare decisions. According to Vitello (2013the parents give legal consent for treatment and thus the physician ought to carry the parent along with treatment plans, and medication management. Communication is important because any misunderstanding between parent and prescribers’ instruction can be harmful to the child. Effective communication between the parent and the provider is important because the parent is accountable to guarantee that the child is medicated as ordered and to report any adverse effect. Purnell (2014) advices that understanding communication styles, the cultural variances and values, and other communication competencies is important to be acquainted with the patients from different cultures.  

References

American Psychiatric Association. Task Force on DSM-IV. (2013). Diagnostic and statistical      manual of mental disorder: DSM-IV. Washington, D.C.: American Psychiatric.

Oyama, O. P., & Piotrowski, N. P. (2013). Depression. Magill’s Medical Guide (Online Edition).

Purnell, L. D. (2014). Guide to culturally competent health care. F.A. Davis.

Vitello, B. (2013). How effective are the current treatments for children diagnosed with    manic/mixed bipolar disorder? CNS Drugs, 27(5), 331-333. doi:10.1007/s40263-013-     0060-3 https://mym.cdn.laureate-  media.com/2dett4d/Walden/NURS/6630/02/mm/therapy_for_pediatric_clients_with   mood disorders/1.html

1. Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including: ( I leave in Maryland)
   • Level of independence of practice 
   • Prescribing authority 
   • Any limitations of practice 
   • Process for obtaining licensure in your state 
   • Certification and education requirements for licensure. 
2. If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers?  For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?   
3. How does access to NPs impacts any healthcare disparities?  

• Consider how patient care has been impacted in your local community by these practice barriers.
  • For instance, is the ED used for primary care?
  • Are the EDs overcrowded with long wait times?
  • Are there urgent care clinics readily available?
  • Is there adequate access to primary care?
  • Are your rural communities adequately served?
  • What healthcare limitations are present in your communities?
• Consider how unrestricted, independent practice of the APRN resulted in improved patient access to healthcare?
• Include in your discussion how access to NPs impacts any healthcare disparities. 
  • Be sure you clearly understand the concept of “health disparities” as you address this portion of the discussion.

As a reminder, all writing submitted should reflect graduate student quality and APA writing rules. All writing informed by outside sources should include APA formatted citations and associated scholarly, current references.

Buppert, C. (2017). Nurse practitioner’s business practice & legal guide (6th ed.). Burlington, MA: Jones & Bartlett.

• Chapter 8 – Risk Management

Letz, K. (2017). The NP guide: Essential knowledge for nurse practitioner practice. (3rd ed.). American College of Nurse Practitioner Faculty. Las Vegas, NV.

• Chapter 11 – Justifying and promoting the profession

Teitelbaum, J. B., & Wilensky, S. E. (2017). Essentials of health policy and law (3rd ed.). Burlington, MA: Jones & Bartlett Publishers.

• Chapter 13 – Public Health Preparedness policy