clinical significance 

Thank you Teacher A+ for taking up this assignment.

An oversupply of physicians in many urban regions contrasts with continuing problems of access in rural and inner-city areas. Why does the mal-distribution of physicians persist in spite of the number of physicians graduated?

 Week 7: Signature Assignment – Personal Theoretical Framework for Advanced Practice NursingWeb Page

Points: 320 | Due Date: Week 7, Day 7 | CLO: 3, 5 | Grade Category: Assignments

Assignment Prompt

Discuss a personal nursing philosophy.  Apply what you have learned about nursing theory in this course.  Identify a nursing philosophy that best matches your personal philosophy.  Discuss a nursing framework or theory that fits that philosophy including how it fits your personal philosophy.   Identify a possible situation in which that framework or theory would be a poor fit and discuss why it is a poor fit for that situation.  While it is an important skill to be able to match a theory with a situation, it is also critical to understand when a theory or framework does not fit a situation.

Expectations

• Due: Monday, 11:59 pm PT
• Format: APA 6th edition
• Length: 5 pages, excluding title and reference pages

Attention Wizard Kim. 

     Please pay attention to her questions and instructions, the Journal 1 wasn’t good but I am cool with that. 88/110. Be care with her crazy questions and how she want it. We are almost done with her. She said refer back to Journal 1 and Prepare the log. 

Week 7 discussion: Practicum Project  Progress check  3 pages.

Week 7 Assignment: Journal 2 ( 3 pages) 

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study). 
3. Discussion of study results, including findings and implications for nursing practice, is complete and includes relevant details and explanation.
4.  The setting is indicated for each article. Some detail is needed to fully illustrate the physical, social, or cultural site in which the researcher conducted the study.  
5. The PICOT question will provide a framework for your capstone project.
6. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

Can research this on an APA 7th edition style of writing:

Thesis statement ( main point of the paper) + Transition word (i.e. Because) + 3 supporting arguments / reasons of paper with references. I want the thesis to be Nursing related. And argument is expected to be 5-7 pages. 

For example can you develop an argument, the effect of vitamin C in human body as an antioxidant, immune booster and also diabetes and related causes and all argument that will help such candidate even outside medication. This is guide to follow.

Fill in the Blank1._____ is one of the primary causes of maternal mortality associated with childbearing that may be due to a small section of retained placenta.2.The incomplete return of the uterus to its prepregnant size and shape is referred to as _____.3.To confirm urinary retention, a catheterized amount of _____ is measured.4.Postpartum _____ are a normal accompaniment to birth.5.The 2020 National Health Goals include seeing an increase to at least _____% of the infants being breastfed.6.Infants born with a severe developmental hip dysplasia may be placed in a _____ to try to correct the problem.7._____ occurs when the sternocleidomastoid is injured and bleeds during birth.8.Infants with a meconium ileus should be screened for _____ _____.9._____ is the accumulation of cerebrospinal fluid in the ventricles or subarachnoid space.10.Simple spina bifida occulta is a(n) _____ disorder.True/False1.When establishing expected outcomes for newborns, the outcomes should be consistent with the newborn’s potential.2.It is estimated that between 10% and 15% of newborns require some assistance to begin breathing.3.Newborns should be kept in a neutral-temperature environment.4.Every infant experiences respiratory acidosis until he or she takes a first breath.5.The best “milk” for preterm infants is a commercial formula that best suits their individual situation.

Scenarios1.  You are preparing the discharge care plan for a patient who delivered a healthy son 24 hours earlier. The patient and infant have been doing well with no complications; however, when you enter the room, you notices the patient is diaphoretic and flushed. She is trying to fan herself. Her vital signs reveal a temperature of 100.6°F, heart rate of 90 beats/min, respiratory rate of 24 breaths/min, and blood pressure of 130/88 mmHg.     A What assessments will you do?     B.  What interventions will you implement?     C.  What are you expected outcomes?2.  The patient is a 20-year-old G1P0 who shows up in the emergency department in active labor. She has a strong odor of alcohol on her breath and blood alcohol level measures 1.2. She is evasive about prenatal care but finally admits she has not received any. She also cannot remember the date of her last menstruation period     A.  What are the immediate concerns for this mother and infant?     B.  What potential complications should the nursing staff prepare for?     C.   What nursing diagnoses would be appropriate in this situation?3. You are assessing an infant who was born with a cleft palate. The parents are concerned and want it corrected immediately before taking their baby home     A.  What teaching is necessary before the child and parents go home?     B.  What therapies and/or corrections should the nurse teach the parents?     C.  What nursing diagnoses are appropriate in this case?

Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
• Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support

By Day 7 of Week 10

Submit your completed Role Description.