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You have been reflecting on changes you have undergone since beginning this program in each of your Journal entries in this course. Now you will synthesize those reflections, plus any other insights into a paper articulating your RN to BSN educational journey. You will use your module Journal entries as well as examples from other RN BSN courses to construct the Synthesis paper.

Objectives

Synthesis Paper in a reflective activity comprised of your experience in the RN BSN program.

You will address your experiences before the RN BSN program, you as a lifelong learner, you in the continuum of novice to expert in the professional nursing role, an account of your role transition to a professional nurse, and an evaluation of the program.

The Synthesis Paper will reflect your understanding and use of APA format and scholarly writing.

The following rubric will be used to grade the Synthesis Paper. The paper has 6 sections:

Introduction

Before RN-BSN Program

Lifelong Learning

Novice to Expert

Synthesis of Role Transition to Professional Nursing

Evaluation

The paper must have title page, reference page, plus no more than 4 pages that address the 6 sections of the paper outlined in the grading rubric. So with the title page, 4 pages for the body of the paper, and the reference page, the Synthesis Paper must not be more than 6 total pages using 12-point Times Roman font.

The first 2 grading criteria noted in the rubric below apply to all sections of the paper. APA format, scholarly writing, grammar and spelling are graded in each section. Use Spell Check and Grammar Check! 

In-text citations are required to support each section when you discuss the RN BSN courses or the program. Points will be deducted if this information is not detailed and referenced in the document and on the reference page. References need to be evidence-based if you choose to reference literature instead of information in RN BSN courses.

Title page, Reference   page, APA format 6th Edition, and Scholarly writing.

(10 Points)

Each section must   be 3-4   well constructed, grammatically correct sentences supported with in-text citation (current literature) as   required. Includes title and reference page. All sections included.

(10   Points)

Grammar and Spelling (5 Points)

Error-free grammar and spelling 

(5 Points)

Introduction 

(5 points)

Addresses   all these questions:

When   did you start the RN BSN program? Did you take 1 course at a time, or 2 or   more at a time? Did you take classes   each start date? If not, why?

 (5 Points)

Before RN-BSN Program   (5 Points)

Narrative   includes at least   two specific examples of   change in behaviors, attitudes, and/or practices as a result of RN-BSN program

(5   Points)

Before RN-BSN Program

Reference (5 Points)

Includes at least one specific reference to RN-   BSN courses or one reference to   specific   evidence-based research article(s)

(5   Points)

Lifelong   Learning 

(10 Points)

Narrative   includes in depth discussion and highlights new learning about self and describes attitudes, characteristics,   and actions as a lifelong learner

(10   Points)

Lifelong   Learning Examples (5   Points)

Includes   at least two specific examples of change in behaviors, attitudes, and/or practices   as a result of RN-BSN program

(5   Points)

Lifelong   Learning Reference (5   Points)

Includes   at least one specific reference to RN- BSN courses or one reference to   specific evidence-based research article(s)

(5   Points)

Novice to   Expert

(10  Points)

Narrative   includes detailed description of  steps   taken toward becoming an expert/professional, including interest and actions toward   a specific focus area of nursing

(10   Points)

Novice to Expert-   Examples(   5 Points)

Includes   at least two specific examples of change in behaviors, attitudes, and practices   as a result of RN-BSN program

(5    Points)

Novice to   Expert- References (5 Points)

Includes   at least one specific reference to RN- BSN courses or one reference to   specific evidence-based research article(s)

(   5 Points)

Synthesis of Role   Transition

(10 points)

Narrative   synthesizes changes in personal nursing philosophy and image of the role of   nursing

(10   Points)

Synthesis of   Role Transition

Examples (5   points)

Includes   at least two specific examples of change in behaviors, attitudes, and/or practices   as a result of RN-BSN program

(5   Points)  

Synthesis of   Role Transition

References ( 5 Points)

Includes   at least one specific reference   to RN- BSN courses and one reference to   specific   evidence-based research article(s). Must include a reference addressing   Nursing Theory. 

(5   Points)

Evaluation

(10 points)

Narrative   that addresses:

1   aspect of the program that worked for you; 1 suggestion for program   improvement; 1 aspect of the program you would not want to see changed; and,   would you recommend the program to others and why.

(10   Points)

This is a discussion…..not an essay…..please make it understandable and not too formal

As health care consumers, we all expect quality care and positive outcomes. It is important as professionals that we meet these demands of health care consumers. Consider the work of the major theorists you examined in this week’s Resources, and think about how these theories apply to your own experience as a health care customer and/or practitioner.

By Day 3

Post your definition of quality, and apply it to the work of one major quality theorist (e.g., Donabedian, Juran, Deming, Triple Aim (IHI) – Berwick). Identify a practice problem that you have had some experience with as a customer or as a practitioner, and explain how eliminating wasteful practices could have improved the experience. Include how your definition of quality applies to that experience.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

300-350 words. In text citations. Up to 3 references within last 5 years

References from course:

https://search-proquest-com.ezp.waldenulibrary.org/docview/816914442?accountid=14872

can someone please do this by today .

 Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health? 

add references, 250 word

Follow directions on attachment

APA style

3 references (no older than 3 years)

NO PLAGIARISM

Introduction & Conclusion 

Answer all questions 

Prochaska and Diclemente’s model of change behavior is one of the examples of organizational theories. The selected change model I chose is Prochaska and Diclemente’s change theory specifically designed for smoking patients focused on smoking cessation for the first time. This theory has 5 stages which are pre-contemplation, contemplation, preparation, action, and maintenance. Pre-contemplation is where the individuals are not yet ready to accept the change and have very little knowledge of the change and outcome. The contemplation stage is where the individual becomes conscious of the problem yet not ready for the change. In preparation, the individual is focused and take necessary action to address the behavior. Action is the stage where the individual puts all efforts to modify the change and use multiple processes. Maintenance is the final stage that helps to replace the new outcome produced by the change and therefore will maintain the new behavior and this stage takes up to 6 months to bring better clarity and a quality patient outcome (Fidanci, I, et al,. 2017). What makes me choose this model is “change in behavior for anyone is not easy” and that is a true statement, saying that this model helps to evaluate after each stage and keeps motivating to move forward to the next stage to achieve the goal.

Prior to the third stage, it is difficult for patients to stay focused on the change. Therefore, the patients here will choose different strategies to stay in the action plan. Doing another activity with the same hand when they smoke helps to divert the patients, offering a reward at the end of the day, someone to talk to when the patients feel like smoking, to remove any obstacles from their environment that reminds them of smoking, staying strong in their commitment. All these approaches have brought a change in the behavior of patients therefore provided evidence for this model (Fidanci, I, et al,. 2017).

During all phases of this change model, getting input from the stakeholders will help in research and narrow down the actions necessary for this change. The patients in the initial stages need adequate motivation and education on why the change takes place, appointing clinical educators could help the patient to understand the pros of quitting the behavior. The patients when they reach the third stage require someone to talk to and to guide the actions since they started to put the effort into it. Screening centers for example Smoking Cessation at Lung Examination (SCALE) Collaboration can help to screen the patient’s risk for lung cancer (Kathuria, H, et al,. 2017). Nurses should use their critical thinking to identify the decision-making changes by the patient during the third stage because the patients could easily quit the action plan. Family support and community support during the fourth stage is extremely important as this will increase motivation for the patient. The action plan needs a lot of commitment and energy and it should be a collaboration between the patient, health care team, family members, and community. Since this is a cyclic model, the maintenance stage will refer to the screening centers to evaluate the patient’s change in behavior and overall health (Park, E. R. et al,. 2020).

Each stage provides patient evaluation which helps to identify the barriers and do necessary changes in the stages. This would require honesty, encouragement, commitment to keep the process moving on to attain the goal. Patients’ lack of knowledge, not showing interest, lack of motivation to complete the task signifies that the change model is not on a positive attempt. Identifying the needs of the patient at all the stages is important to know the effectiveness and therefore it is the team’s response to address the barrier and provide adequate support for the patient to achieve the behavioral change.  

I need a comment for this post at least 2 paragraphs and 2 sources no later than 5 years. 

• Social Media discussions are designed to promote dialogue between faculty and students, and students and their peers using a social media platform as inspiration. In the social media discussions, students:
  • Demonstrate understanding of concepts for the week
  • Research current data through outside sources and social media postings
  • Engage in meaningful dialogue with classmates
  • Express opinions clearly and logically, in a professional manner
• Use the rubric on this page as you compose your answers.

Discussion Question

Healthcare policies impact all populations. Now, with the use of social media, policies involvement and awareness are rising.

1. Take a moment to review the Twitter feed for compelling Tweets that are related to healthcare policy and are directly impacting your community or those you care for.
2. Give an overview of a policy or potential policy. Include how it could impact your community or those you care for positively negatively.
3. Next, discuss the importance that interdisciplinary collaboration would have related to the policy.
4. Then, identify any ethical concerns it raises for you and why.
5. Compose a 280-character or fewer Tweet that describes what you have shared with the class. Remember Twitter only allows 280 characters (this include spaces, etc.) so you will need to be concise. It should include a hashtag. Include a reference URL if applicable. Share this Tweet in the discussion. (Note: A Twitter account is not required).
6. Your discussion post should look like:
   • Paragraph one: overview of the policy or potential policy. Include how it could impact your community or those you care for positively negatively.
   • Paragraph two: Discuss the importance that interdisciplinary collaboration would have related to the policy.
   • Paragraph three: Identify any ethical concerns it raises for you and why
   • Paragraph four: Compose a Tweet that describes what you have shared with the class.
   • Resources: Where did you find your data?
7. Example Tweet: Medications should be affordable. #pharmaceuticaltransparency #nursesunit #advocate https://www.cms.gov/newsroom/press-releases/cms-takes-action-lower-prescription-drug-prices-and-increase-transparency

Creating a Plan of Care

Utilizing the information, you have gathered over the last four weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.

In a Microsoft Word document of 5-6 pages formatted in APA 7 style, (this page requirement includes the holistic care plan). Include the following in your plan:

• Provide a brief introduction describing the chronically ill group you selected and rationale for selecting this illness and the participants.
  • Clearly identify the Healthy People 2020 topic chosen and why this topic was selected.
• Develop a holistic plan of care including patient, family and friends acceptance      of the diagnosis, coping and impact on plan of care.
• Summarize the information gathered in each week (Weeks 1–4) over 2 to 3 pages. This is not to be copied and pasted from previous assignments.
• Create a care plan for your chronic illness group organized using the following headings:
  • Nursing Diagnoses (at least 3 related to topic and interview results)
  • Assessment Data (objective and subjective)
  • Interview Results
  • Desired Outcomes
  • Evaluation Criteria
  • Actions and Interventions
  • Evaluation of Patient Outcomes
• Identify strategies for the family or caregiver in the care plan and provide your rationale on how they will work.

Support your responses with examples and information from library resources, textbook and lectures.

On a separate references page, cite all sources using APA 7 format.

Please note that the title and reference pages should not be included in the total page count of your paper.

This is a professional nursing case study, please read and follow the rubric when responding to the questions. Don’t have restriction on number of words or required page #, just a case study not term paper. Thanks for helping.