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.

PLEASE FOLLOW ALL INSTRUCTIONS!! 

ALL 8 ARTICLES NEED TO BE PEER-REVIEWED AND NO OLDER THAN 5 YEARS OLD

MY TOPIC IS ON: FACILITATING HAND-OFFS: IMPROVING COMMUNICATION IN THE PACU

PLEASE ANSWER ALL QUESTIONS

no more than 21% plagiarims

To prepare:

Review the information in the Practicum Project Plan Overview document as needed. The overview describes the elements that must be included in your plan.

Reflect on the development of your Practicum Project Plan thus far. Address any questions you have and/or identify areas in need of further consideration or improvement. How can you craft your proposal objectively yet persuasively?

Develop any outstanding components of your Practicum Project Plan. For instance, you may need to continue your review of the literature that justifies your project and create your project timeline.

Review the information on scholarly writing in this week’s Learning Resources; be sure to integrate these principles as you develop your Practicum Project Plan. 

Write a 4- to 6-page scholarly paper in which you formulate a detailed plan for the problem or issue you are examining at your practicum site. Your paper should include the following:

Title: cancer screening guidelines

Paper type Coursework

Paper format APA

Course level Master

Subject Area

# pages 1   ( or 300 words Minimum)

Spacing Double Spacing

# sources 3

Paper Details

Find two screening guidelines for testicular cancer or prostate cancer.

Discuss the similarities/differences in the screening guidelines and find available resources to help encourage adherence to screening guidelines in the target population.

Your response should include evidence of review of the course material, websites, and literature through proper citations using APA format.

 Your third assignment will be an analysis of the place and price decisions of a health services organization. You might have to seek out some information on the organization by visiting its website, or if it is an employer interviewing someone who has knowledge of the pricing and distribution decisions.  After you have completed your research, answer each of the following questions in turn following all the general guidelines or written assignments posted in the syllabus.  

1. Brief overview of the organizations service/products and a description of their target market.  This is important to ensure that your analysis considers the needs of the target market in evaluating their pricing and channel decisions.
2. How do you think the organization arrives at its price?  Refer to the Week 6 Overview for a framework of some of the pricing considerations and discuss those that appear relevant to your organization. 
3. Do you think the pricing strategy is appropriate?  Can it be improved to better meet its customer’s needs?
4. Is the organization hindered or helped in their pricing decisions by government or payer restrictions.  If so, how do these restrictions impact their pricing strategy?
5. What kind of value delivery network does the organization employ, e.g. horizontal or vertical, and what is their distribution strategy, e.g. exclusive, intensive or intensive? What factors influence the distribution strategies of this organization?  Are they customer-focused?   If possible, outline all of the channel members and what function they perform to serve the customer?
6. Can you recommend any changes to the value delivery network that would serve customer needs better?  

 Please follow the instructions below

Zero plagiarism

4 references

The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.

In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.

Learning Objectives

Students will:

• Evaluate comprehensive integrated psychiatric assessment techniques
• Recommend assessment questions

To Prepare for the Discussion:

• Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.
• Watch the Mental Status Examination video.
• Watch the two YMH Bostonvideos.

 https://www.youtube.com/watch?v=pQy-jwiu7gM

Based on the YMH Boston Vignette 4 video, post answers to the following questions:

• What did the practitioner do well?
• In what areas can the practitioner improve?
• At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
• What would be your next question, and why?

This assignment is due tomorrow……. must have done by tomorrow…… no late work please….. 

Do the following……… follow all instructions……  select topic from the list below to write about…… 

Choose a topic from the  list below that is of interest to you and review two scholarly articles that explores different aspects of your topic.  (your textbook may not be used as one of your sources ). 

For example, if your topic is asthma, you might find an article that discusses where elementary school age children should store  inhalers;  in their backpacks or the nurse’s office.  You may find a different article that suggests there are more cases of children with asthma from lower income levels  compared to children in other income levels.   Some information will be the same, what is asthma, causes of asthma, etc.  Each article will also contain article specific information, inhalers and income levels.  

Scholarly Resources that may be helpful

• Look for publications from a professional organization.
• Use databases such as JSTOR (Links to an external site.) that contain only scholarly sources.
• Use databases such as Academic Search Complete (Links to an external site.) or other EBSCO databases that allow you to choose “peer-reviewed journals”.
• See whether Ulrich’s Periodicals Directory (Links to an external site.) indicates that it is a Refereed Journal.

Your report,

• Identify each article by title, author(s), periodical or journal, issue, date.
• Give a summary of each article.  Include definitions and various perspectives on the topic.
• In what ways do the article relates to the other.   Identify how the articles agree or disagree on various aspects of the topic?  
• Summarize how each article broadened your understanding of your topic of interest.

Your report needs to be between 2 1/2 – 4 pages in length and double spaced.

Choose a topic of interest from the list below: 

Designer babies (manipulating DNA)

DNA use in identification

Identical twins raised in different homes

Identical twins and Fraternal twins 

Newborn sleeping patterns

Colic

Breastfeeding vs. bottle feeding

What does high quality out-of-home infant care look like

The effects of alcohol-abuse on a developing fetus

Reading to infants

Natural childbirth vs. use of epidurals (pain management)

Hospital birth or home birth

Pink or blue- gender stereotyping from the beginning

 Preterm (premature) babies

Childproofing your home

Well infant doctor visits

Immunizations

Teen mothers

Johnathan, age 7, presents to the office with symptoms of worsening cough and wheezing for the past 24 hours. He is accompanied by his mother, who is a good historian. She reports that her son started having symptoms of a viral upper respiratory infection 2 to 3 days ago, beginning with a runny nose, low-grade fever of 101.0 degrees F orally, and loose cough. Wheezing started on the day before the visit, so Johnathan ‘s mother started administering albuterol metered-dose inhaler (MDI) two puffs before bed and then two puffs at around 2 AM. The cough and wheezing appear worse today, according to the mother. He had difficulty taking deep-enough breaths to inhale this morning’s dose of albuterol, even using the spacer.

Johnathan has been a patient at the clinic since birth and is up to date on his immunizations. His growth and development have been normal, and he is generally healthy except for mild intermittent asthma. This is his first asthma exacerbation of the school year, and his mother expresses a concern about sending him to school with an inhaler.

Johnathan is afebrile with a respiratory rate of 36 and a tight cough every 1 or 2 minutes. He weighs 45 pounds (20.5 kgs.). The examination is all within normal limits except for his breath sounds. He has diffused expiratory wheezes and mild retractions. Pulse oximetry readings have been 93% of oxygen saturation.

1. What are the appropriate pharmacological therapies to be prescribed for Johnathan?
2. What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?
3. What is an appropriate clinical assessment tool to be use with Johnathan?
4. What are the classification of asthma?
5. How would you as the NP address his mother’s concern regarding providing an inhaler at school?
6. What is an appropriate plan of care for Johnathan?
7. EXAMPLE IS UPLOAD 

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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.

Use of Resources in Healthcare Setting