Tag: Clinical-Nursing

Research Article Critique Paper

Research Article Critique Guidelines

Purpose

The purpose of this assignment completed as an APA Paper is for the student to learn to examine, analyze, critique, and summarize an original research article. 

Course Outcomes

Through this assignment, the student will demonstrate the ability to meet the following course outcomes:

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)

CO4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs 4 and 8)

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CO5: Recognize the role of research findings in evidence-based practice. (POs 7 and 8)

Requirements

Through this assignment, the student will:

Critique the required article found below and in your own words, describe the research question, sample, design of study, data collection method, findings, and limitations of each. (CO 1, CO2,)

Summarize the research article and evaluate the significance to nursing. Do not just quote the author’s words. Paraphrase the information. (CO 4, CO5). Research Article Critique Paper.

You are required to use the article below or you will earn a “0” for the assignment. In addition, assignments that do not follow the current guidelines and use the required article will be evaluated for evidence of an academic integrity violation. Research Article Critique Paper.

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

Guidelines to Writing the Paper

This assignment is completed as an APA paper.

Download the required article for analysis:

Lesiuk, T. (2015). The effect of mindfulness-based music therapy on attention and mood in women receiving adjuvant chemotherapy for breast cancer: A pilot study. 
Oncology Nursing Forum, 42
(3), 276-282. Research Article Critique Paper.

https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000354233000010&site=eds-live&scope=site (Links to an external site.)Links to an external site.

Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.

Provide a brief description of the research article to be discussed.

Discuss the purpose of your paper. The purpose statement of the paper should relate to the research article reviewed and the implications that it has to evidence based nursing practice.

You will need to summarize and analyze the information from the article in your own words

Describe the research question for this study in a paragraph.

Describe the research in greater detail.

Include your observations about this question.

Discuss events or trends that could have affected this question.

You will need to summarize and analyze the information from the article in your own words

Describe the research design of this study, and in your own words discuss the design.

Discuss the research design of the study.

Discuss the strengths and weaknesses of the type of design and hypothesize why the author utilized the design as opposed to others.

You will need to summarize the information from the article in your own words

Describe the sample.

Briefly describe the sample size used for this study

Make a judgment as to whether the sample size was adequate and defend your answer.

Describe the number or participants and determine if the number of participants was adequate compared to the research question and the intent of the study.

Are these numbers adequate? Discuss gaps in that you identified.

You will need to summarize and analyze the information from the article in your own words

Describe the data collection method(s)’

Who collected the data?

What tools were used?

What were the ethical considerations addressed and discuss gaps you identified.

You will need to summarize and analyze the information from the article in your own words

Describe the limitations of the study. Research Article Critique Paper.

Identify the limitations within the study

Describe how the limitations could be overcome in subsequent studies

Comment on why limitations are important to list and discuss within a study

You will need to summarize and analyze the information from the article in your own words

Describe the findings reported in the study.

Describe the findings reported in the study

Discuss whether the findings of the study answered the research question posed within the study

Discuss the credibility of the findings. Research Article Critique Paper.

If the findings do not support the research question posed within the study, what do you believe is the reason?

You will need to summarize and analyze the information from the article in your own words. Research Article Critique Paper.

Summary

Summarize important points from the body of your paper including the key components of the paper.

Include a statement about the research question and the findings.

Discuss the probability of implementation into practice. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice, or an idea for practice?

End with a concluding statement. Research Article Critique Paper

The Nurse as Advocate Essay Assignment Paper

Whether nurses are advocating for their patients, health care, and/or policies that improve people’s lives, the advocacy processes have commonalities that transcend the subject of their advocacy. There are also differences, although these differences may be more nuanced than obvious. The Nurse as Advocate Essay Assignment Paper

Tasks:

Write a 5-page brief to answer the following questions. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

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Read the following chapters from your course textbook:

Taking Action: Nurse, Educator, and Legislator: My Journey to the Delaware Senate

Taking Action: A Nurse in the Board Room

Answer the below questions:

Describe what you believe to be the drivers for each of the individuals? What factors led them to become advocates?

Discuss the challenges that each of them identified in their writings. The Nurse as Advocate Essay Assignment Paper

Analyze these drivers and challenges and compare them with your own experience to date as an advocate. In what ways do you believe that you can expand your advocacy skills within the next five years? The Nurse as Advocate Essay Assignment Paper.

Submission Details:

Submit your response in a 5-page Microsoft Word document.

Submit your document to the Submissions area by the due date assigned.

Cite sources in the APA format on a separate page. The Nurse as Advocate Essay Assignment Paper

NR506 HEALTHCARE POLICY – Planning Your Visit

Planning Your Visit (Part A)

Guidelines and Grading Rubric

Purpose

The purpose of this assignment is to: (a) identify communication strategies that support an effective policy making-presentation/visit; (b) deliver a message and make recommendations, and (c) communicate ideas in a clear, succinct, and scholarly manner. nr506 healthcare policy planning your visit.

Due Date
: Sunday 11:59 p.m. MT at the end of Week 5

Total Points
: 100 points

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Requirements

Assignment Criteria for Presentation

Introduce your chosen policy issue, the current status, and an overview of your plan for a legislative visit.

Articulate key communication strategies involved in your approach to the legislator including plan, message, and recommendations; see Worksheet 2 and again, the focus is on evidence-based communication techniques for effective healthcare policy visit to the legislator. nr506 healthcare policy planning your visit.

Provide an analysis of empirical evidence of effective communication strategies and techniques to support an effective visit and follow-up to the legislator.

Provide specific examples of the impact and/or importance of a successful visit/presentation to nursing.

Provide concluding statements summarizing the content. nr506 healthcare policy planning your visit.

Paper will be 2-3 pages, excluding title and reference pages, and in APA format 6
th

Five non-text book references are required as minimum.

Preparing the nr506 healthcare policy planning your visit Paper

Following completion of Planning Your Visit Ungraded Worksheet 2
, target communication strategies that support an effective policymaking visit. Include a minimum of five (5) classic references or current references (published within the past 5 years) that support your policy plan, the message, recommendations, and follow-up.

 

Category

Points

%

Description

Introduction and Conclusion

10

10

Introduction briefly identifies your healthcare policy-priority issue, the policy itself and legislator with a plan for the policymaker visit/presentation. Concluding statements summarize content.

Empirical Evidence

50

50

Empirical evidence identifies effective communication strategies and techniques with follow-up supporting your visit to the legislator.

Specific Examples

20

20

Provide specific examples of the impact and/or importance of a successful visit/presentation to nursing. nr506 healthcare policy planning your visit

APA Format

10

10

Text, title page, and references are consistent with APA format 6
th
edition. nr506 healthcare policy planning your visit

Writing Quality

10

10

Rules of grammar, word usage, sentence and paragraph format, and punctuation are followed. Paper length appropriate.

Total

 100

100

A quality assignment will meet or exceed all of the above requirements.

 

 

Grading Rubric

Assignment Criteria

Exceptional

(100%)

Outstanding or highest level of performance

Exceeds

(88%)

Very good or high level of performance

Meets

(80%)

Competent or satisfactory level of performance

Needs Improvement

(38%)

Poor or failing level of performance

Developing

(0)

Unsatisfactory level of performance

Content Possible Points = 100 Points

Introduction and Conclusion. nr506 healthcare policy planning your visit

10 Points

9 Points

8 Points

4 Points

0 Points

Introduction briefly identifies your healthcare/policy-priority issue, policy itself, and legislator with a plan for the policymaker visit/presentation. Concluding statements summarizing content have no inaccuracy.

Introduction of your healthcare/policy-priority issue, policy itself, and legislator with a plan for policymaker visit/presentation has rare inaccuracy. Concluding statements lack occasional important element or specificity.

Introduction of your healthcare/policy-priority issue, policy itself, and legislator with a plan for policymaker visit/presentation lacks occasional important element or specificity. Concluding statements lack occasional important element or specificity.

Introduction of your healthcare/policy-priority issue, policy itself and legislator with a plan for a policymaker visit/presentation has multiple instances of inaccuracies or is lacking content. Concluding statements have multiple instances of inaccuracies or lacks content.

nr506 healthcare policy planning your visit. No attempt at introduction or conclusion.

 Empirical Evidence

50 Points

44 Points

40 Points

19 Points

0 Points

Empirical evidence of effective communication strategies and techniques with follow-up supporting your healthcare policy-priority visit to the legislator is clearly articulated.

Empirical evidence of effective communication strategies and techniques with follow-up supporting your healthcare policy-priority visit to the legislator has a few inaccuracies.

Empirical evidence of effective communication strategies and techniques with follow-up supporting your healthcare policy-priority visit to the legislator has multiple instances of inaccuracies or lacks detail/articulation.

Empirical evidence of effective communication strategies and techniques with follow-up supporting your healthcare policy-priority visit to the legislator is missing.

No attempt at providing Empirical evidence.

 Specific Examples. nr506 healthcare policy planning your visit

20 Points

18 Points

16 Points

8 Points

0 Points

Provides specific examples of the impact and/or importance of a successful visit/presentation to nursing and has no inaccuracy and is clearly articulated.

Provides specific examples of the impact and/or importance of a successful visit/presentation to nursing and lacks occasional important elements or specificity and/or lacks clarity.

Provides specific examples of the impact and/or importance of a successful visit/presentation to nursing and has multiple instances of inaccuracies and/or lacks clarity.

No specific examples of the impact OR importance of a successful visit/presentation to nursing.

No specific examples of the impact AND importance of a successful visit/presentation to nursing.

Content Subtotal_____of 80 points. nr506 healthcare policy planning your visit

Format Possible Points =  20 Points

APA Format:

10 Points

9 Points

8 Points

4 Points

0 Points

Text, title page, and reference page(s) are completely consistent with APA format.

There are 1–2 APA format errors in the text, title page, and/or reference page(s).

There are 3–4 APA format errors in the text, title page, and/or reference page(s).

There are 5 APA format errors in the text, title page, and/or reference page(s).

There are 6 or more APA format errors in the text, title page, and/or reference page(s).

Writing Quality.

10 Points

9 Points

8 Points

4 Points

0 Points

Paper is appropriate in length. References include the minimum of five (5) scholarly references, excluding the course text. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work. nr506 healthcare policy planning your visit

Paper is short or long in length and/or contains fewer than 5 but more than 1 scholarly reference, excluding course text, or references utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work with1–2 exceptions.

Paper is short or long in length and contains only 1 scholarly reference. Additional references are not scholarly. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work with 3–4 exceptions.

Paper is two or more pages short or long in length and does not contain scholarly references. References utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are not followed with 5 errors

Paper is two or more pages short or long in length and does not contain scholarly references. References utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are not followed with 6 or more errors.

Format Subtotal_____of  20 points

NR506 HEALTHCARE POLICY – Planning Your Visit

NR451 Milestone2 Rubric

Criteria

Ratings 

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Pts

This criterion is linked to a Learning Outcome Introduction

Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified.). NR451 Milestone2 Rubric

25.0 pts

Introduction to the plan is nursing focused, and evidence-based. Potential interventions clearly identified.

22.0 pts

Introduction to the plan is missing one of the elements listed in the first column.

20.0 pts

Introduction to the plan is missing two elements listed in the first column.

10.0 pts

Introduction lacks evidence to support need for change and/or potential solution is not evidenced-based.

0.0 pts

Introduction is missing.NR451 Milestone2 Rubric

25 pts

This criterion is linked to a Learning Outcome Change Model Overview

An overview of the ACE Star model as a guide for change is given. Scope of the problem is identified. Stakeholders are identified. Team members and their roles and practice area are identified and discussed. State how nurses should use this model as a guide to facilitate change.

50.0 pts

Overview of the ACE Star model is given. Scope of problem is identified. Rationale for change is present. Stakeholders are identified. Practice area, team members and role are discussed.

44.0 pts

All elements in the first column are included but discussion of one or more items lacks details.

40.0 pts

Overview is missing one of the elements from the first column.

19.0 pts

Overview of the ACE Star model is given. Scope of problem is not identified. Rationale for change is not present. Stakeholders are not identified. Practice area, team members and role are not discussed.

0.0 pts

Change Model Overview is missing all elements of the first column.

50 pts

This criterion is linked to a Learning Outcome Evidence

Evidence is provided thru basic information that indicates a change is needed. For example, there have been 6 urinary tract infections over the last two months and there were none present the last two years at the same time period. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use?

50.0 pts

Evidence summary is thoroughly provided with information of the current problem in the work setting indicating a change is needed. Interventions discovered in Evidence Summary are used in planning for change.

44.0 pts

Evidence summary contains all elements in the first column, however, one or more items lacks detail.

40.0 pts

Evidence is vaguely provided through information of the current problem in the work setting indicating a change is needed. Some of the interventions discovered in Evidence Summary are used in planning for change.

19.0 pts

Evidence is provided through information of the current problem but is not convincing. Interventions discovered in Evidence Summary are not used in planning for change.

0.0 pts

Evidence summary is not provided. NR451 Milestone2 Rubric

50 pts

This criterion is linked to a Learning Outcome Translation

Activities to achieve the final steps of change are fully described. What is needed to achieve? How do you translate what information you have gathered into practice? Include measurable outcomes. How do you inform staff? What is your plan of action to pilot the plan? What is the timeline?

50.0 pts

Activities to achieve final steps of change are fully described. Ways to translate evidence into practice are discussed (outcomes). Methods to inform staff, activities planned for plan of action and timeline are discussed.

44.0 pts

Activities to achieve final steps of change are adequately described.

40.0 pts

Activities to achieve final steps of change are briefly described.

19.0 pts

Minimal description of the activities to achieve final steps of change.

0.0 pts

Activities for final change plan are missing. Translation of evidence into practice is missing.

50 pts

This criterion is linked to a Learning Outcome Conclusion

Clear, solid summary of the key points, ACE Star model and steps of the change plan are included; ways to sustain the change plan are described.

25.0 pts

Detailed summary of main points using ACE Star model. Ways to sustain plan are thoroughly described.

22.0 pts

Summary of main points/model is brief. Ways to sustain plan are briefly described.

20.0 pts

Summary of main points/model is vague. Ways to sustain plan are vaguely described.

10.0 pts

Summary of main points/model OR ways to sustain plan are not described.

0.0 pts

Summary is missing. There is no plan to sustain change.

25 pts

This criterion is linked to a Learning Outcome Mechanics

APA format 6th edition. Grammar, sentence structure, punctuation, and spelling correct. References, citations correct. Paper formatted in APA format. 0-1 errors

25.0 pts

APA format 6th edition. Grammar, sentence structure, punctuation, and spelling correct. References, citations correct. Paper formatted in APA format. 0-1 errors

22.0 pts

Two to three errors in elements from the first column.

20.0 pts

Four to five errors in elements from the first column.

10.0 pts

Six to seven errors in elements from the first column.

0.0 pts

More than seven errors.

25 pts

NR451 Milestone2 Rubric

Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

Purpose

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone 1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.

Course Outcomes

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This assignment enables the student to meet the following course outcomes.

CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO1)

CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO2)

Due Date

Milestone 2 consists of the proposal for your Design for Change Capstone Project. Use the Turnitin Inbox to submit this assignment by the end of Week 4.

Rubric

Click to view and download the NR451 Milestone 2: Design for Change Proposal Rubric (Links to an external site.)Links to an external site. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

Points

Milestone 2 is worth 225 points.

You are required to use one of the required articles from the Week 3 Milestone 1 assignment or you will earn a ”0” for the assignment. In addition, assignments that do not follow the current guidelines or use the required article will be evaluated for evidence of an academic integrity violation. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

Directions

A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=b0c912eaf53b4aabb1347a026466c60e (Links to an external site.)Links to an external site.

Review the feedback you received from your instructor for Milestone 1, and use it to develop this milestone. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

Create a proposal for your Design for Change Capstone Project. Open the recommended assignment specific Milestone 2 Design Proposal Template (Links to an external site.)Links to an external site.. Use this to write your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

The format for this proposal will be a paper following the Publication manual of APA 6 th edition.

The paper is to be four- to six-pages excluding the Title page and Reference page.

As you organize your information and evidence, include the following topics.

Introduction:
Write an introduction but do not use ”Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.

Change Model Overview:
Overview of the ACE Star model (the model we have been discussing this session); define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.

Evidence:
Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.

Translation:
develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

Conclusion:
Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.

Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, ”How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.

Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change

Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

NR451 Milestone2 Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome Introduction

Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified.) Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

25.0 pts

Introduction to the plan is nursing focused, and evidence-based. Potential interventions clearly identified.

22.0 pts

Introduction to the plan is missing one of the elements listed in the first column.

20.0 pts

Introduction to the plan is missing two elements listed in the first column.

10.0 pts

Introduction lacks evidence to support need for change and/or potential solution is not evidenced-based.

0.0 pts

Introduction is missing.

25 pts

This criterion is linked to a Learning Outcome Change Model Overview

An overview of the ACE Star model as a guide for change is given. Scope of the problem is identified. Stakeholders are identified. Team members and their roles and practice area are identified and discussed. State how nurses should use this model as a guide to facilitate change.

50.0 pts

Overview of the ACE Star model is given. Scope of problem is identified. Rationale for change is present. Stakeholders are identified. Practice area, team members and role are discussed.

44.0 pts

All elements in the first column are included but discussion of one or more items lacks details.

40.0 pts

Overview is missing one of the elements from the first column.

19.0 pts

Overview of the ACE Star model is given. Scope of problem is not identified. Rationale for change is not present. Stakeholders are not identified. Practice area, team members and role are not discussed.

0.0 pts

Change Model Overview is missing all elements of the first column.

50 pts

This criterion is linked to a Learning Outcome Evidence

Evidence is provided thru basic information that indicates a change is needed. For example, there have been 6 urinary tract infections over the last two months and there were none present the last two years at the same time period. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use?

50.0 pts

Evidence summary is thoroughly provided with information of the current problem in the work setting indicating a change is needed. Interventions discovered in Evidence Summary are used in planning for change.

44.0 pts

Evidence summary contains all elements in the first column, however, one or more items lacks detail.

40.0 pts

Evidence is vaguely provided through information of the current problem in the work setting indicating a change is needed. Some of the interventions discovered in Evidence Summary are used in planning for change.

19.0 pts

Evidence is provided through information of the current problem but is not convincing. Interventions discovered in Evidence Summary are not used in planning for change.

0.0 pts

Evidence summary is not provided. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

50 pts

This criterion is linked to a Learning Outcome Translation

Activities to achieve the final steps of change are fully described. What is needed to achieve? How do you translate what information you have gathered into practice? Include measurable outcomes. How do you inform staff? What is your plan of action to pilot the plan? What is the timeline?

50.0 pts

Activities to achieve final steps of change are fully described. Ways to translate evidence into practice are discussed (outcomes). Methods to inform staff, activities planned for plan of action and timeline are discussed.

44.0 pts

Activities to achieve final steps of change are adequately described.

40.0 pts

Activities to achieve final steps of change are briefly described.

19.0 pts

Minimal description of the activities to achieve final steps of change.

0.0 pts

Activities for final change plan are missing. Translation of evidence into practice is missing.

50 pts

This criterion is linked to a Learning Outcome Conclusion

Clear, solid summary of the key points, ACE Star model and steps of the change plan are included; ways to sustain the change plan are described.

25.0 pts

Detailed summary of main points using ACE Star model. Ways to sustain plan are thoroughly described.

22.0 pts

Summary of main points/model is brief. Ways to sustain plan are briefly described.

20.0 pts

Summary of main points/model is vague. Ways to sustain plan are vaguely described.

10.0 pts

Summary of main points/model OR ways to sustain plan are not described.

0.0 pts

Summary is missing. There is no plan to sustain change.

25 pts

This criterion is linked to a Learning Outcome Mechanics

APA format 6th edition. Grammar, sentence structure, punctuation, and spelling correct. References, citations correct. Paper formatted in APA format. 0-1 errors

25.0 pts

APA format 6th edition. Grammar, sentence structure, punctuation, and spelling correct. References, citations correct. Paper formatted in APA format. 0-1 errors

22.0 pts

Two to three errors in elements from the first column.

20.0 pts

Four to five errors in elements from the first column.

10.0 pts

Six to seven errors in elements from the first column.

0.0 pts

More than seven errors.

25 pts

Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

NR 601 Week 1 Discussion Post

Background

L.J. is a 65-year-old Hispanic male who presents to the office with increased shortness of breath that has gotten worse over the last few months. He reports that having shortness of breath is nothing new, but he has recently started to feel shortness of breath when he is performing his daily activities. He denies any fever, contact with any sick individuals or any weight loss. Other than the shortness of breath, he indicates that he has a chronic cough that is occasionally productive of whitish sputum. He has a 65-pack-year history of cigarette smoking. He is in the clinic today because of his concern about his worsening shortness of breath.

PMH

L.J. has a history of hypertension, cataracts, and osteoarthritis

Current Medications

Ibuprofen 600 mg po TID

Lisinopril 20 mg po QD

Hydrochlorthiazide 25 mg po QD

Simvastatin 20 mg po QD

Meloxicam 7.5 mg QD

Surgeries

Left knee arthroplasty in 2013

Allergies
: No know allergies

Social History
: 65 pack year history of cigarette smoking; denies alcohol intake or illicit drug use; is married and recently retired

Family history:
Father has history of HTN; Mother has history of “mild” stroke; Brother has a history of hyperlipidemia.

Discussion Questions Part One:

• Describe the patient symptoms that concern you on today’s visit. What other aspects of the patient history also concern you?

• Provide OLDCARTS and ROS questions needed to develop the differential diagnosis (DD) list.

• Provide a minimum of three differential diagnoses (DD) with rationale for each.

• Based on the patient data provided, choose two geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. NOTE: one of the assessment tools must focus on assessing the patient’s respiratory status. Provide a rationale for why you are choosing these tools.

NR 601 Week 1 Discussion Post

Benchmark Assignment – Nursing Leadership Health Policy Paper

The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change.  A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance the leader takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals.

This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public.  Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

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Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc
.

In 750-1,000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

The policy must 
not
 be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan. Benchmark Assignment – Nursing Leadership Health Policy Paper.

Include a specific section for the exact wording for the bill or change in wording of the law.

Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.

Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change?

Resources:

Review different pieces of legislation for ideas on wording.

Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

Benchmark Assignment – Nursing Leadership Health Policy Paper 

 

1

Unsatisfactory

0.00%

2

Less than Satisfactory

80.00%

3

Satisfactory

88.00%

4

Good

92.00%

5

Excellent

100.00%

75.0 %Content

 Benchmark Assignment – Nursing Leadership Health Policy Paper

10.0 %Rationale/purpose/overall presentation addresses an analysis of a public policy. Description of a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that student believes needs to be changed and why.

Rationale/purpose lacks any discernible overall purpose or organizing claim, and does not adequately address the policy process that is actually conducted for a public health policy. Rationale for topic selection, purpose, and objectives of presentation is not described. Ideas are not focused.

Rationale/purpose is insufficiently developed and/or vague; purpose is not clear. Rationale for topic selection, purpose, and objectives of presentation is minimally delineated.

Rationale/purpose is appropriate. Rationale for topic selection, purpose, and objectives of presentation is partially delineated. Benchmark Assignment – Nursing Leadership Health Policy Paper

Rationale/purpose is clear, descriptive, and reflective of the arguments and appropriate to the purpose. There are few inconsistencies

Rationale/purpose is comprehensive, supports the purpose of policy process that is actually conducted for a public health policy, and clearly shows logical progression of how development took place. Purpose and objectives of presentation are clearly delineated. At least three learner objectives are stated in behavioral terms.

20.0 %Paper includes a specific section for the exact wording for the bill or change in wording of the law.

Paper lacks the ability to communicate wording for the proposed health policy change.

Paper insufficiently addresses the wording for the proposed health policy change.

Paper appropriately addresses the wording for the proposed health policy change.

Paper is clear and successfully addresses the wording for the proposed health policy change.

Paper completely addresses the beginning wording for the proposed health policy change.

15.0 %Presentation of the legislative process for state to propose new legislation.

Paper lacks the ability to communicate the process.

Paper insufficiently addresses the legislative process.

Paper is appropriate. Minimal information is presented on the legislative process.

Paper is clear and presents substantial information on the legislative process.

Paper completely addresses the key legislative process.

15.0 %Paper implementation plan including who would be the champion for the bill/law change from state legislators/federal legislators/local or national state nursing organizations. Are these individuals also influential in making changes occur?

Paper lacks the ability to communicate the implementation plan.

Paper insufficiently addresses the implementation plan. Benchmark Assignment – Nursing Leadership Health Policy Paper

Paper is appropriate. Minimal information is presented in the implementation plan.

Paper is clear and presents substantial information addressing the implementation plan.

Paper completely addresses the implementation plan Presentation is specific and easily understood.

15.0 %Style

Paper lacks unity and coherence. No connections are apparent between slides. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

The paper is generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between the paragraphs is apparent. The paper exhibits a unity, coherence, and cohesiveness.

There is a sophisticated construction of the presentation paper. Ideas universally progress and relate to each other.

10.0 %Organization and Effectiveness

 

5.0 %Mechanics of Writing (includes spelling, punctuation, and grammar)

Paper errors are pervasive enough that they impede communication of meaning.

Frequent and repetitive mechanical errors that distract the reader.

Some mechanical errors or typos are present, but are not overly distracting to the reader.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in control of standard, written American English.

10.0 %Organization and Effectiveness

 Benchmark Assignment – Nursing Leadership Health Policy Paper

5.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Inappropriate word choice, lack of variety in language use. Writer appears to be unaware of audience. Use of ?primer prose? indicates writer either does not apply figures of speech or uses them inappropriately.

Some distracting inconsistencies in language choice (register) and/or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

Language is appropriate to the targeted audience for the most part.

The writer is clearly aware of audience; uses a variety of appropriate vocabulary for the target audience, and uses figures of speech to communicate clearly.

The writer uses a variety of sentence constructions, figures of speech, and word choice in unique and creative ways that are appropriate to purpose, discipline, and scope.

15.0 %APA and Documentation

 

15.0 %valuating and Documenting Sources (includes use of appropriate style, correct citation format in-text and in Reference section related to APA format)

Paper has no title page, no References section, and no correctly cited references within the body of the paper and no reference page. APA format not used.

Title page is incomplete or inaccurate. References section includes sources, but many citation errors. Citations within the body of the paper are included, but with many citation errors including major issues on References section.

Title page has major errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the paper, but References section includes with major errors.

Title page has minor errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the paper, but with some citation errors. References section is mostly free of errors.

Title page is complete. References section includes correctly cited sources. Citations within the body of the paper and in the Reference section are included and correctly cited.

100 %Total Weightage

 

REFERENCES

H.R.2392 – Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017

https://www.congress.gov/bill/115th-congress/house-bill/2392?r=9 Benchmark Assignment – Nursing Leadership Health Policy Paper

NR 601 Week 1 Part 2 discussion

Physical Exam

Vital signs
: BP 138/88; HR 88 (regular), RR 18, T 98.8 height 5’7″, weight 175 pounds

General appearance:
Thin and mildly dyspneic

Lungs
: Mild end-expiratory wheezing. Pursed-lip breathing noted and has a prolonged expiratory phase. Heart: S1 and S2 RRR with distant heart tones. No murmurs

Abdomen:
Soft, non-tender with positive bowel sounds. No abdominal bruits

Extremities:
Full ROM of all extremities. No edema. All pulses 2+

Labs/diagnostics:
Chest x-ray shows pulmonary hyperinflation, flattening of the diaphragm; Pulmonary function test:

Prebronchodilation:
FEV1/FVC ratio 53%, FEV1 50% of predicted value

Postbronchodilation
with 2 puffs albuterol—FEV1/FVC ratio 0.60, FEV1 60% of predicted value

Discussion Questions Part Two:

Post your SOAP note for this patient’s encounter.

Review the SOAP note format for the course. Summarize the history and results of the physical exam. Include one evidence-based journal article that supports your rationale for all diagnoses with ICD 10 codes and include a complete treatment plan that include medications, further diagnostics, patient education, referral and plan for follow-up. Each step of the plan must include an in-text citation to a scholarly source. Review the Reference Guidelines document in Course Resources.

NR 601 Week 1 Part 2 discussion

The Affordable Care Act (ACA) – Nurse Staffing

Background-We have this problem at my place of work,so with the must of insurance for all, it means more patients to care for with the already short staffing. The Affordable Care Act (ACA) has requirements for the hospitals as well.

Attached are the rubrics/ articles

ORDER A PLAGIARISM-FREE PAPER NOW

The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change.  A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance the leader takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals.

This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public.  Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc. The Affordable Care Act (ACA) – Nurse Staffing

In 750-1,000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

The policy must 
not
 be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.

Include a specific section for the exact wording for the bill or change in wording of the law.

Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.

Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change?

Resources:

Review different pieces of legislation for ideas on wording.

Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 
Benchmark Assignment – Nursing Leadership Health Policy Paper 

 

1

Unsatisfactory

0.00%

2

Less than Satisfactory

80.00%

3

Satisfactory

88.00%

4

Good

92.00%

5

Excellent

100.00%

75.0 %Content

The Affordable Care Act (ACA) – Nurse Staffing

10.0 %Rationale/purpose/overall presentation addresses an analysis of a public policy. Description of a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that student believes needs to be changed and why.

Rationale/purpose lacks any discernible overall purpose or organizing claim, and does not adequately address the policy process that is actually conducted for a public health policy. Rationale for topic selection, purpose, and objectives of presentation is not described. Ideas are not focused.

Rationale/purpose is insufficiently developed and/or vague; purpose is not clear. Rationale for topic selection, purpose, and objectives of presentation is minimally delineated.

Rationale/purpose is appropriate. Rationale for topic selection, purpose, and objectives of presentation is partially delineated.

Rationale/purpose is clear, descriptive, and reflective of the arguments and appropriate to the purpose. There are few inconsistencies

Rationale/purpose is comprehensive, supports the purpose of policy process that is actually conducted for a public health policy, and clearly shows logical progression of how development took place. Purpose and objectives of presentation are clearly delineated. At least three learner objectives are stated in behavioral terms.

20.0 %Paper includes a specific section for the exact wording for the bill or change in wording of the law.

Paper lacks the ability to communicate wording for the proposed health policy change.

Paper insufficiently addresses the wording for the proposed health policy change.

Paper appropriately addresses the wording for the proposed health policy change.

Paper is clear and successfully addresses the wording for the proposed health policy change.

Paper completely addresses the beginning wording for the proposed health policy change.

15.0 %Presentation of the legislative process for state to propose new legislation.

Paper lacks the ability to communicate the process.

Paper insufficiently addresses the legislative process.

Paper is appropriate. Minimal information is presented on the legislative process.

Paper is clear and presents substantial information on the legislative process.

Paper completely addresses the key legislative process.

15.0 %Paper implementation plan including who would be the champion for the bill/law change from state legislators/federal legislators/local or national state nursing organizations. Are these individuals also influential in making changes occur?

Paper lacks the ability to communicate the implementation plan.

Paper insufficiently addresses the implementation plan.

Paper is appropriate. Minimal information is presented in the implementation plan.

Paper is clear and presents substantial information addressing the implementation plan.

Paper completely addresses the implementation plan Presentation is specific and easily understood.

15.0 %Style

Paper lacks unity and coherence. No connections are apparent between slides. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

The paper is generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between the paragraphs is apparent. The paper exhibits a unity, coherence, and cohesiveness.

There is a sophisticated construction of the presentation paper. Ideas universally progress and relate to each other.

10.0 %Organization and Effectiveness

 

The Affordable Care Act (ACA) – Nurse Staffing

 

5.0 %Mechanics of Writing (includes spelling, punctuation, and grammar)

Paper errors are pervasive enough that they impede communication of meaning.

Frequent and repetitive mechanical errors that distract the reader.

Some mechanical errors or typos are present, but are not overly distracting to the reader.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in control of standard, written American English.

10.0 %Organization and Effectiveness

 

5.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Inappropriate word choice, lack of variety in language use. Writer appears to be unaware of audience. Use of ?primer prose? indicates writer either does not apply figures of speech or uses them inappropriately.

Some distracting inconsistencies in language choice (register) and/or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

Language is appropriate to the targeted audience for the most part.

The Affordable Care Act (ACA) – Nurse Staffing

 

The writer is clearly aware of audience; uses a variety of appropriate vocabulary for the target audience, and uses figures of speech to communicate clearly.

The writer uses a variety of sentence constructions, figures of speech, and word choice in unique and creative ways that are appropriate to purpose, discipline, and scope.

15.0 %APA and Documentation

 

15.0 %valuating and Documenting Sources (includes use of appropriate style, correct citation format in-text and in Reference section related to APA format)

Paper has no title page, no References section, and no correctly cited references within the body of the paper and no reference page. APA format not used.

Title page is incomplete or inaccurate. References section includes sources, but many citation errors. Citations within the body of the paper are included, but with many citation errors including major issues on References section.

Title page has major errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the paper, but References section includes with major errors.

Title page has minor errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the paper, but with some citation errors. References section is mostly free of errors.

Title page is complete. References section includes correctly cited sources. Citations within the body of the paper and in the Reference section are included and correctly cited.

100 %Total Weightage

 

REFERENCES

H.R.2392 – Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017

https://www.congress.gov/bill/115th-congress/house-bill/2392?r=9. The Affordable Care Act (ACA) – Nurse Staffing

NR 601 Week 2 Part 1 Discussion

B.J., a 70-year-old black female has been seen in the clinic several times. The last time she was in for a check-up was 6 months ago to get her prescriptions refilled. She has returned to the clinic today because she “ran out of blood pressure medicine” and would like to get her prescriptions renewed. She has not taken any prescription medicine in approximately 6 months

Background:

The patient indicates that she has noticed shortness of breath, especially when she is playing with her grandchildren. But, it goes away once she sits down to rest. She reports that she is also bothered by shortness of breath that wakes her up at night, but it resolves after sitting upright on 3 pillows. She also tells you that “I noticed over the last week that my legs and ankles have been swollen”. She also indicates that she often feels light headed and faint while going up the stairs, but it subsides after sitting down to rest.

PMH:

Hypertension

Previous history of MI in 2010

Current medications:

Coreg 6.25 mg PO BID

Colace 100 mg PO BID

K-dur 20 mEq PO QD

Furosemide 40 mg PO QD

Surgeries:

2010-Left Anterior Descending (LAD) cardiac stent placement

Allergies
: Amoxicillin

Vaccination History:

She receives an annual flu shot. Last flu shot was this year

Has never had a Pneumovax

Has not had a Td in over 20 years

Has not had the herpes zoster vaccine

Other:

Last colorectal screening was 11 years ago

Last mammogram was 5 years ago

Has never had a DEXA/Bone Density Test

Last dilated eye exam was 4 years ago

Labs from last year’s visit: Hgb 12.2, Hct 37%, K+ 4.2,

Na+140 Cholesterol 186, Triglycerides 188, HDL 37, LDL 190, TSH 3.7

Blood pressure on day of visit: 150/90

Social history:

She graduated from high school, and thought about college, but got married right away and then had kids a short time later. Her son lives in another state,

Family history:

Both parents are deceased. Father died of a heart attack; mother died of natural causes. She had one brother who died of a heart attack 20 years ago at the age of 52.

Habits:

She drinks one 4-ounce glass of red wine daily. She is a former smoker that stopped 20 years ago.

Discussion Part One:

• Summarize the important data from the patient’s history and reason for the visit today.

• Provide a minimum of three differential diagnoses (DD) with rationale for the chief complaint.

• Include OLDCARTS and additional ROS questions needed to develop DD.

• Based on the LDL level above, indicate if you need to order a statin for this patient? Provide a rationale for your decision based on evidence based clinical guidelines.

• What other patient risk factors put the patient at risk for arteriosclerotic coronary vascular disease (ASCVD)? Reference the guidelines in your response.

• Based on the patient data provided, choose two geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.

NR 601 Week 2 Part 1 Discussion