wk7691B

/in /by

1

Week 7: Change Project Final Paper

Your final paper will encompass all assignments you have completed thus far. At this

point, you will have submitted each section individually and a comprehensive rough

draft. You have received extensive feedback. An attempt to incorporate all previous

assignment feedback should be evident. 


The paper should be between 20 and 30 pages in length, not including the cover page,

references, and any appendices. It must follow the current APA manual style and

format. Each section of the paper should be clearly identified using proper headings.

The final paper should be professionally written in a manner suitable for publication.

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based

Change Project Paper Rubic (Final))

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based Change Project Paper

Rubic (Final))

Criteria Ratings Pts

This criterion is linked to a
Learning Outcome
Introduction and
Background

15 to >12.3 pts

Meets Expectations

The change project topic is introduced. All

background information is included. Project

importance within the field or significance for

the designated facility is described.

15 pts

2

This criterion is linked to a
Learning Outcome
Problem Identification and
Description in PICOT
Format

15 to >12.3 pts

Meets Expectations

Presents a thorough and insightful analysis of the

chosen topic/problem. Describes the problem

thoroughly, including the target population

description and history/background information

at the assigned clinic or hospital. The significance

and applicability to nursing is included and well

presented. Includes an appropriate topic

identification related to an advanced practice

nursing issue or practice problem of concern.

Population is fully defined and present in the

research question. Includes specific

interventions, identifies comparisons, and

presents appropriate outcomes in a timely

manner for the question. Overall, the question is

well-built using the PICOT format.

15 pts

This criterion is linked to a
Learning Outcome Critical
Appraisal/Literature
Review

18 to >14.76 pts

Meets Expectations

The minimum requirement of peer-reviewed

articles, books, or limited non-research literature

(tool kits or standardized procedures) are

present. Literature is supported by scientific

evidence that is credible and timely. Subtopics

are used to support the main topic. In-text

citations are present and correctly formatted.

Presents a thorough and insightful analysis of

significant findings related to the change project

topic. Ideas are synthesized and professionally

sound and creative. Insightful and

comprehensive conclusions and solutions are

present.

18 pts

3

This criterion is linked to a
Learning Outcome Project
Aims, Values, and Desired
Outcomes

18 to >14.76 pts

Meets Expectations

The project, aims, values, and desired outcomes

are well-developed. They are clear and thorough.

Aims include examples of projected features and

functions. Values include implementation

benefits for specific stakeholders. Desired

outcomes state the purpose, have a quality

focus, and describe the benefits that will occur

as a result of implementation.

18 pts

This criterion is linked to a
Learning Outcome
Theoretical Framework

18 to >14.76 pts

Meets Expectations

Identifies independent theories or conceptual

models that relate to the change project topic

and describes how they will be applied to the

change project. Thoroughly discusses how each

element of the phenomenon applies to the

framework. Clearly applies each element of the

theory to the elements of the phenomenon

under study. Develops the rationale for the

sample selection criteria, and expertly discusses,

analyzes, and critiques pertinent research that

uses the framework.

18 pts

4

This criterion is linked to a
Learning Outcome
Intervention

18 to >14.76 pts

Meets Expectations

Provides keen insight into obstacles and

proposes sound, creative solutions or

interventions based on the literature review

findings. Expertly compares other views on the

problem and solutions with detail. Uses

examples to thoroughly address the FNP role in

the intervention and discusses implications for

clinical practice. Thoughtfully discusses the

implications of the change project and its

significance to the nursing profession and filling

gaps in knowledge. Accurately categorizes and

thoroughly explains specific methods of data

collection to be used. Explains in detail how data

will be analyzed and used. Provides a sound

justification for subject selection and sampling

procedure. Accurately and thoroughly describes

potential limitations to data collection and

control.

18 pts

This criterion is linked to a
Learning Outcome
Recommendations and
Conclusion

18 to >14.76 pts

Meets Expectations

Provides an insightful and thorough summary of

the project, main points, and details the

significance of the project to the advanced

practice nursing profession. Provides detailed

and creative recommendations for future

research and implications for clinical practice.

Discusses limitations of the study in detail.

Suggests specific directions for future research.

Insightfully considers changes in theoretical

construct and provides reasonable and creative

suggestions for public policy and/or changes in

educational practice. Expertly ties the theoretical

framework to the overall product.

18 pts

5

This criterion is linked to a
Learning Outcome
Mechanics and APA

30 to >24.6 pts

Meets Expectations

Writing is clear, concise, formal, and organized.

Information is well organized and clearly

communicated. The assignment is free of spelling

and grammatical errors. All the requirements

related to format, length, source citations, and

layout are followed. A complete reference page is

included and formatted using correct APA format. If

applicable, appendices and tables are complete and

appropriate.

30 pts

Total Points: 150

  • Week 7: Change Project Final Paper

OFF-LABEL DRUG USE IN PEDIATRICS

/in /by

Please see attached.

Nursing Assignment

/in /by

Week 3 assignments

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

/in /by

 If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided? 

50S

/in /by

Introduction

This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with a selected health care problem.

NOTE: You are required to complete this assessment after Assessment 1 is successfully completed.

Preparation

You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

To prepare for your assessment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss how the plan includes elements of 

Healthy People 2030
.

Instructions

Note: You are required to complete Assessment 1 before this assessment.

For this assessment:

· Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan.

Document Format and Length

Build on the preliminary plan document you created in Assessment 1. Your final plan should be a scholarly APA-formatted paper, 5–7 pages in length, not including title page and reference list.

Supporting Evidence

Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

· Design patient-centered health interventions and timelines for a selected health care problem.

· Address three health care issues.

· Design an intervention for each health issue.

· Identify three community resources for each health intervention.

· Consider ethical decisions in designing patient-centered health interventions.

· Consider the practical effects of specific decisions.

· Include the ethical questions that generate uncertainty about the decisions you have made.

· Identify relevant health policy implications for the coordination and continuum of care.

· Cite specific health policy provisions.

· Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.

· Clearly explain the need for changes to the plan.

· Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document.

· Use the literature on evaluation as guide to compare learning session content with best practices.

· Align teaching sessions to the Healthy People 2030 document.

· Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Additional Requirements

Before submitting your assessment, proofread your final care coordination plan to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan.

Portfolio Prompt: Save your presentation to your 
ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

Context

Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.

cultural diversity 2

/in /by

 

Select one of the discussion prompts below and respond to it with an initial post by Day #4 of the unit week. Your initial post needs to thoroughly address all parts of the selected prompt and be supported by at least one scholarly source. Then, respond to at least two threads on two additional days to drive the weekly discussions. All posts must demonstrate critical thinking and effective written communication including proper spelling, grammar, professional language, and APA formatting of references and in-text citations. All posts must also be submitted no later than the last day of the unit week.

Discussion 

1

Discuss a time when you may have had difficulty discussing an issue related to oppression, privilege, or intersectionality due to struggles with using the terminology. In this situation, what sort of uncertainty or struggle did you face? What was the outcome? What did you learn during this unit that can help you overcome the struggle with discussing the issue?

(USLO 2.1) 

2

Please watch the following video that is comprised of several short clips demonstrating stereotypes, microaggressions, and instances of prejudice and discrimination: “Power of One” (Thomas, 2007).

After you’ve watched the short video, answer the following questions:

  1. Have you or someone you have known ever experienced or witnessed similar instances of what happened in the clips?
  2. How did it feel to witness someone else act against the instances of prejudice and discrimination?
  3. Do you think you could combat these prejudices, microaggressions, and stereotypes as the people did in the clips? Would you feel comfortable doing this with a family member? A friend? What if you heard an older person make a stereotypical or prejudiced statement?
  4. What advice would you give to someone who has experienced stereotyping, discrimination, and prejudice?

(USLO 2.3)

4

What does it mean to be an “American?” Is there an overriding definition of what it means to be an American? How would we encompass the multitude number of races, ethnicities, cultures, religions, and various more identities into one single national identity? Is that even possible? What is the danger behind pushing for a single “story?” Reflect on these questions critically in your answer.

(USLO 2.4)

5

Discuss the privileges ‘natural’ born U.S. citizens enjoy that people with different immigrant and migrant identities do not. What institutional or systemic factors give rise to nationalism for in-groups and oppression of the non-citizen groups?

(USLO 2.6)

6

Immigrants, migrants, and asylum seekers belong to various race, gender, age, religion, and more identities. How does the intersectionality of multiple identities affect these non-citizen groups? Provide a couple of examples and discuss ways to mitigate the detrimental effects and trauma these groups face in the host country.

(USLO 2.4)

7

In recent times, there is a growing fear of diversability regarding people with immigrant identities. Historically, the U.S. is a nation formed with groups of people who fled their countries due to various threats to their lives and safety. Then, on what basis is the current fear of immigrants, migrants, and refugees, justified? How would you change the narrative to mitigate such fears?

(USLO 2.5)

8

Despite the immigrant, migrant, and undocumented workers’ contributions to the U.S. economy, the groups experience various socio-economic, political, and legal barriers to inclusion. Why is immigrant inclusion vital to a nation? What are the critical challenges to inclusive practices for these groups? And as a society, what can we do to ensure equitable access to resources for the immigrant groups?

Hum Ecology & Environment w2

/in /by

Hum Ecology & Environment

Week 2 discussion: Food security.

Instructions

Pick any one question and respond in an original discussion post by midnight, Day 4 of Week 2.

After the initial post, you must also provide substantive responses to at least 2 of your classmates’ posts and remain active on at least 
2 additional days during Week 2.

1. Are the causes of food insecurity and food scarcity the same? Discuss in detail with examples. Are the causes individual or systemic, and which actors (production, distribution, consumption, or disposal) impact food security the most? Next, what is the relationship between food justice and racial justice? How can nurse professionals detect the food insecurities in their patients’ lives and help alleviate them? (USLOs 2.2, 2.3, 2.4)

OR

2. You or someone you know may have a lived experience of food insecurity. If you are comfortable, can you share the situations the food insecurity presents to the person or family without referring to any names or relations? Do you think environmental issues caused them? Explain. What are the root causes of “hunger” issues, and how can they be eliminated? Next, how would nursing professionals help with the food insecurity issues of their patients? (USLOs 2.2, 2.3, 2.4)

 

Each week, your discussion will be graded on a point scale. To successfully complete each weekly discussion assignment, you must address all items included in the discussion topic/question in the initial post.

All posts should be thoughtful, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, assigned readings, lectures, or course materials in APA format.

Your input should be in your own words (to avoid plagiarism), demonstrating your understanding and comprehension of the topic. Be sure to support all your posts (initial post + responses) with specific references to the assigned readings, lecture material, and other relevant research you find appropriate in APA format.

Discussion Week 3

/in /by

 Within the Discussion Board area, write 500-1000 words that respond to the following questions with your thoughts, ideas, and comments. Your primary response is the foundation for future discussions by your classmates. You are required to use two scholarly resources from peer-reviewed journals no more than 3-5 years old, in addition to your course textbooks. Be substantive and clear, and use examples from the literature to reinforce your ideas.

For the past 100 years, nursing education has been the focus of numerous reports (e.g. the Flexner Report, the Institute of Medicine, the QSEN Initiative, the Carnegie Report) and academic organizations (e.g. AACN, NLN) have issued position statements and/or developed guidelines regarding where nursing education should take place and what its focus should be. Please answer the following:

Relative to the current trends in nursing education, how would you construct a curriculum that is innovative and relevant, able to fully engage learners and facilitate student growth, reflect evidence-based practices, and reflects are a collaborative experience?

Consider the following in your response:

  • The primary diver for the development of professional knowledge and how that is embedded in the standards of patient care.
  • The identification of competencies.
  • The benefits and drawbacks of competency-based v. traditional curricula in nursing programs.

Nursing Pathophysiology case study assignment

/in /by

  

Assignment #1: Musculoskeletal Conditions 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study 

Mrs. L is a 63-year-old woman who reports constant back pain. Further inquiry into her medical history revealed that over the past 3 years, she has suffered fractures of her femur and wrist after minor falls. She experienced menopause at age 49. Mrs. L has a secretarial job, drives to work, and she “does not have time for exercise.” She reports that she consumes 8 to 10 cups of coffee a day and has been a smoker most of her adult life. She has not seen her physician recently nor had a recommended bone density test because of the time and cost involved.

Questions

. Relate Mrs. L’s history to the diagnosis of osteoporosis. What risk factors are present,

  and how does each predispose to decreased bone density?

. Explain the cause of pathological fractures in this patient.

. How could osteoporosis have been prevented in Mrs. L? 

. Discuss the treatments available to the patient.

Assignment  #2: Cardiovascular system 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study: 

Mr. K. is a 57-year-old man who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of his discomfort.

Questions

. Discuss the development of atherosclerosis, including the predisposing factors in this 

case and the pathophysiological changes. 

. Discuss the complications that might develop in this patient.

. Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of the atherosclerosis, maintaining circulation in the leg, and treating complications.

Assignment #3: The Central Nervous system 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study 

Ms. J, a 19-year-old college student, has been living in a dormitory on campus. She began experiencing severe headaches, neck pain, and nuchal rigidity, along with irritability and nausea. She noticed that when lying with her hips flexed, she found it very hard to stretch out her legs. Within a day her condition deteriorated, she experienced a tonic-clonic seizure, and she was quickly admitted to the hospital. Tests revealed increased intracranial pressure, fever, and leukocytosis. Bacterial meningitis was suspected, and a lumbar puncture was scheduled.

Questions

. Describe the pathophysiologic changes associated with bacterial meningitis.

. Discuss the diagnostic tests available for identifying meningitis. What are the likely 

characteristics of the CSF to be found in this case?

. Which signs indicating elevated intracranial pressure are likely to be present?

. Discuss the treatments available to help this patient and possible long-term 

complications.

Assignment #4: Shock 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study 

Ms. L, a 19-year-old woman with no previous medical history, was involved in a serious automobile accident in which her best friend died. Examination by EMT personnel first on the scene revealed she had only minor scrapes and bruises and no sign of head trauma. While in route by ambulance to the hospital, Ms. L complained of thirst and appeared restless. Further examination indicated a rapid pulse and respirations, with her blood pressure now at 100/60 mm Hg. She appeared less responsive to the paramedics. She was slipping into circulatory shock as they checked her again for internal injuries.

Questions

. Discuss the contributing factors to shock in this case and the pathophysiologic 

changes causing the changes in vital signs. 

. Discuss the signs and symptoms of shock, including the rationale for each, as seen in 

the early stage, and as compensation mechanisms respond.

. Discuss emergency and follow-up treatment for shock and for complications that may

 arise if not treated quickly.

. Compare the types of shock, giving a specific cause, classification, and any significant 

changes in onset or manifestations.

Journal

/in /by

search for a professional journal article related to a health and aging issue of interest to

the student.  For example, a student who wants to be a Physical Therapist may wish to

research a Physical Therapy journal and gain insight into a recent study on stroke

rehabilitation while a Nursing student may wish to research quality of care in acute care

settings. You are free to choose a journal article on a topic of your choosing that also

relates to health issues among the older population.  will be responsible for the

following: