HOMEWORK

 

CASE STUDY 

Individuals and a Family as a Client 

Mila Jefferies is a recently widowed 36-year-old mother of two children and the daughter of two aging parents in the southeastern United States. She and her children have recently relocated from an urban neighborhood to a rural town to care for her parents, Robert and Susan. The move involved a job change for Elizabeth, a change in schools for the children, and an increased distance from the family of the children’s deceased father. Mila’s older child is a 5-year-old daughter, recently diagnosed with autism spectrum disorder and dyslexia. The younger of the two children is a 3-year-old boy with asthma that has been difficult to control since the move. Robert is a 72-year-old Methodist minister who recently suffered a stroke, leaving him with diminished motor function on his left side and difficulty swallowing. Susan is 68 years old and suffers from fibromyalgia, limiting her ability to assist with the daily care of her husband. She has experienced an increase in generalized pain, difficulty sleeping, and worsening fatigue since her husband’s stroke. 

Use the Neuman systems model as a conceptual framework to respond to the following: 

• Describe the Jefferies family as a client I system using each of the five variables. 

• What actual and potential stressors threaten the family? Which stressors are positive, and which are negative? Separate the actual and potential stressors that threaten the individual members of the family. Which of the stressors are positive, and which are negative? 

• What additional nursing assessment data are needed considering Robert’s medical diagnoses? What additional data would be helpful for Susan’s medical diagnoses? What about each of the children? 

• What levels of prevention intervention(s) are appropriate for the Jefferies family? Propose potential prevention intervention(s) for each member of the family. 

• Identify your nursing priorities if you were providing care to this family. 

Week 6 Assignment

Directions

Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.

  1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.)
  2. View a short tutorial with tips for completing this assignment: Evidence-Based Practice Change Process Assignment Tutorial (Links to an external site.) or by reading the transcript (Links to an external site.).
  3. Download the EBP Change Process form (Links to an external site.) during Week 1. The use of this specific form is REQUIRED 
  4. Identify a clinical topic and related nursing practice issue you think needs to be changed. 
  5. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.
  6. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
  7. Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
  8. Work on a portion of the process each week, as the illustration unfolds.

Best Practices

  • Please reach out to your instructor for feedback or assistance with your PICOT question as needed.
  • Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews.
  • Please see the grading criteria and rubrics on this page.
  • Please use your browser’s File setting to save or print this page.

Scholarly Sources and Citations

  • Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed.
  • Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Rubric

Week 6: EBP Change Process Assignment Grading Rubric

Week 6: EBP Change Process Assignment Grading RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeSelected Systematic ReviewA systematic review from the CCN Library databases was selected, identified, and was appropriate for the selected nursing change process.25.0 ptsOne systematic review from the CCN Library databases was identified and was clearly appropriate.22.0 ptsA systematic review was selected from the CCN Library databases and was mostly appropriate for a nursing change process.20.0 ptsA systematic review was selected from the CCN Library databases and was fairly appropriate for a nursing change process.10.0 ptsA systematic review was selected, but not from the CCN Library databases and/or was not appropriate for this assignment.0.0 ptsNo systematic review selected or used.

25.0 pts
This criterion is linked to a Learning OutcomeStar Point 1 (Discovery)The topic, nursing practice issue, rationale and scope of the problem were clearly identified and described.25.0 ptsStar Point 1 elements in the first column were thoroughly addressed.22.0 ptsStar Point 1 elements in the first column were mostly well addressed.20.0 ptsStar Point 1 was missing one element in the first column or one lacked detail.10.0 ptsStar Point 1 was missing more than one element in the first column and others lacked detail.0.0 ptsThe ACE Star Model Star Point 1 was not completed.

25.0 pts
This criterion is linked to a Learning OutcomeStar Point 2 (Summary)The NURSING practice problem, NURSING related PICOT question, a systematic review from any database in the Chamberlain Library, and other optional references, evidence summary, strength, and solutions, are listed and described.35.0 ptsStar Point 2 elements in the first column were thoroughly addressed.31.0 ptsStar Point 2 elements in the first column were mostly well addressed.28.0 ptsStar Point 2 was missing one element in the first column or one lacked detail.13.0 ptsStar Point 2 was missing more than one element in the first column and others lacked detail. or were inappropriate.0.0 ptsThe ACE Star Model Star Point 2 was not completed.

35.0 pts
This criterion is linked to a Learning OutcomeStar Point 3 (Translation)Care standards, practice guidelines, or protocols; stakeholders and their roles and responsibilities; the nursing role; rationale for including certain stakeholders, and cost analysis plan are addressed.35.0 ptsStar Point 3 elements in the first column were thoroughly addressed.31.0 ptsStar Point 3 elements in the first column were mostly well addressed.28.0 ptsStar Point 3. was missing one element in the first column or one lacked detail.13.0 ptsStar Point 3 was missing more than one element in the first column and others lacked detail.0.0 ptsThe ACE Star Model Star Point 3 was not completed.35.0 pts
This criterion is linked to a Learning OutcomeStar Point 4 (Implementation)Permission process, education plan, timeline, measurable outcomes, forms, resources, and stakeholder meetings, are addressed.35.0 ptsStar Point 4 elements in the first column were thoroughly addressed.31.0 ptsStar Point 4 elements in the first column were mostly well addressed28.0 ptsStar Point 4 was missing one element in the first column or one lacked detail.13.0 ptsStar Point 4 was missing more than one element in the first column and others lacked detail.0.0 ptsThe ACE Star Model Star Point 4 was not completed.

35.0 pts
This criterion is linked to a Learning OutcomeStar Point 5 (Evaluation)Reporting results, process and next steps are addressed.35.0 ptsStar Point 5 elements in the first column were thoroughly addressed.31.0 ptsStar Point 5 elements in the first column were mostly well addressed28.0 ptsStar Point 5 was missing one element in the first column or one lacked detail.13.0 ptsStar Point 5 was missing more than one element in the first column and others lacked detail.0.0 ptsThe ACE Star Model Star Point 5 was not completed.

35.0 pts
This criterion is linked to a Learning OutcomePresentationInformation was presented clearly and thoughts were well organized and logical.20.0 ptsInformation was presented clearly and thoughts were well organized and logical throughout.18.0 ptsInformation was presented clearly and thoughts were mainly organized and logical throughout.16.0 ptsInformation was presented clearly and thoughts were somewhat organized and logical throughout.8.0 ptsInformation was not consistently clear and/or was not consistently organized and logical.0.0 ptsInformation was disorganized and difficult to understand.

20.0 pts
This criterion is linked to a Learning OutcomeMechanics/APAThe systematic review and any other scholarly resources were properly listed in APA format.
The writing includes error free grammar and spelling, and complete sentence structure.15.0 ptsExcellent mechanics and APA formatting with minimal errors in grammar, spelling, and sentence structure.13.0 ptsGood mechanics and formatting considering the elements listed in the first column12.0 ptsFair mechanics and formatting considering the elements listed in the first column6.0 ptsPoor mechanics and formatting considering the elements listed in the first column0.0 ptsVery poor mechanics and formatting such that information is difficult to read.

15.0 pts
This criterion is linked to a Learning OutcomeAssignment Form Used0.0 pts0 points deductedCorrect assignment form used0.0 pts22.5 points (10%) deductedIncorrect form used resulting in point deduction0.0 pts
This criterion is linked to a Learning OutcomeLate Deduction0.0 pts0 points deductedSubmitted on time0.0 ptsNot submitted on time – Point deduction1 day late =11.25 deduction; 2 days=22.5 deduction; 3 days=33.75 deduction; 4 days =45 deduction; 5 days = 56.25 deduction; 6 days =67.5 deduction; 7 days =78.75 deduction; Score of 0 if more than 7 days late0.0 pts
Total Points: 225.0

Ethics and Standards

As a nurse informaticist, you may be at the forefront of managing patient data, institutional data, and other record-keeping that has reporting requirements. The reporting of accurate and truthful information is critical to policy compliance, and may affect funding, safety ratings, or other crucial measures. In this Discussion, you analyze one such example where informatics and ethics overlap. 

For this Discussion, consider the following scenario:

Imagine that you are a nurse informaticist in an ER department. The manager informs you that the duration from when a patient arrives in the ER reporting cardiac-related symptoms to being seen in the cardiac catheterization lab is above the national standard. She asks if there is a way to “adjust” the report to make the time look better before the next review.

  • Review the resources and reflect on the actions you would take and the decision you would make to meet standards in an ethical manner as it relates to the scenario provided. 
  • Think about what your response to the manager might be.
By Day 3 of Week 11

Post a response that explains how you would comply with policy and maintain ethical nursing practice in the scenario above. Be specific and provide examples. Next, recommend a solution to address the problem described in the scenario. Justify why you would recommend this solution.

Developmental Assessment and the School-Aged Child

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

  1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

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

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

Physical Activity Resource Brochure

Physical Activity Resource Brochure

After reading the websites cited in the Overview and your peer’s Discussion posts develop a one-page Physical Activity Resource Brochure/infographic. Imagine that your peers all live in the same general location. Research one fun and unusual but accessible activity that will meet the physical activity goals of you and your peers.

Remember to search for activities on Living Social, Groupon, Department of Recreation and Parks brochures, club and meetings sections of the newspaper, bulletin boards in your favorite neighborhood coffee shop or grocery store, etc. Develop a one-page infographic as the brochure which offers information on:

  • a description of the activity
  • cost
  • when and where
  • website or copy of the listing location

The activity should be described as above noted with the addition of photos or graphics to enhance the brochure. Pictures and graphics are required.

You may submit your brochure/infographic in PowerPoint, PDF, Word or Microsoft Publisher format. View websites on how to create an 8 X 11.5 color infographic (one-page Word or pdf. document), but do not purchase formatting options. 

Assignment Expectations:

Length: One-page

Structure: One-page colored infographic/brochure

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions.  A minimum of two (2) scholarly sources are required for this assignment. Citations on infographic where used, references at the bottom of infographic.

NOLA PENDER ASSIGNMENT

 

Choose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.

2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.

3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?

4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?