provide consisted symptom based triage and maintain processes in timely manner during software downtime. This procedure provides nurse triage with general guidelines for handling calls during scheduled or unscheduled downtime.

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Nurse Triage Contact Center

Nurse Triage Contact Center

Purpose

To provide consisted symptom based triage and maintain processes in timely manner during software downtime.
This procedure provides nurse triage with general guidelines for handling calls during scheduled or unscheduled downtime.

Standard

1.    In the event of Epic Downtime, scheduled or unscheduled, nurses triage is expected to immediately inform his/her manager of the event.
2.    The Nurse Triage manager carries responsibility of conforming the downtime with IT support services and communicating back to the team.
3.    There two types of Epic scheduled and unscheduled downtime, Shadow Read only and shadow Read Write.
4.    Calls are triaged using Schmitt Thompson protocols, which are maintain in hard copy and are located on carts behind nurse triage desk.
5.    In the event of Shadow read only
Nursing triage may not triage symptoms based calls without protocols.
There are three forms are used by nurse triage during downtime scheduled or unscheduled of shadow ready only and they kept in the business continuity and downtime

folder and in each desktop of nurse triage computer.

5.1    Downtime Nurse Triage Call Log which contains the call time, name of caller, and reason for call.
5.2    Downtime Nurse Triage Patient Encounter Form which contains caller demographic data and the nursing assessment questionnaire.
5.3    Downtime Nurse Triage Call Back Form which contains information for follow-up on calls; reason, phone number, and message.
After Epic downtime recovered all downtime forms scanned into Epic.

6.    In the event of shadow Read Write: nurse triage caregivers can document normally into Epic and data will be synced to the live environment at the end of the

downtime.

Oversight and Responsibility
1.    The Contact Center manager, Nursing Quality and Clinical Nursing is responsible for the oversight of this policy.
2.    The Contact Center Lead Triage Nurse is responsible for updating the Business Continuity and Downtime folder.
3.    All Contact Center Nurse Triage staff RNs are responsible for implementing this policy within the contact Center.

Definitions

1.    Downtime:  Time during which the electronic information system is unavailable.

2.    Scheduled Downtime:  Planned system outage for maintenance or upgrade, which is scheduled and communicated in advance.

3.    Unscheduled Downtime:  Unforeseen outage due to a system failure.

4.    Shadow Read Only (SRO) environment: Back-up read only snapshot of Epic that allows nurse triage to review Epic but all documentation must be done on paper.

5.    Shadow Read Write (SRW) environment: A back-up snapshot of live environment will allows caregivers to document normally into Epic, and later at the end of

downtime data will be synced into Epic.

References
1.    CCAD Downtime Policy
2.    Protocol Software Downtime, Cleveland clinic Ohio, 20th may 2014 reviewed.

Institute / Department / Committee Involved in Protocol Development / Revision
Contact Center Nurse Triage Team

Contact for Questions / Clarifications
Nurse Triage Team

Related or Supporting Documents

 

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Discuss briefly the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature.  Outline the evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.

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Percutaneous Coronary Intervention

Percutaneous Coronary Intervention

Essay Case :  Adult following Percutaneous Coronary Intervention: Balloon Angioplasty and Intracoronary Stent
Michael is a 56 year old male who has returned to the high dependency acute cardiac care unit following a Balloon Angioplasty and insertion of an Intracoronary Stent.

He has a history of Type 2 Non-insulin dependent diabetes and manages this with Metformin.  He is on telemetry and is to lie flat for 3 hours post procedure.  The

femoral artery sheath was removed in theatre, the site compressed and an opsite dressing applied  to the site on his left inguinal region.  He is currently on half

hourly circulation observations.  He has an IV of 0.9% Sodium Chloride (1L) / 24 hourly infusing.  His initial return to ward observations were HR 80/min, RR 18/min,

BP 120/80, Temp 36.9°C.  When you perform your next set of observations 30 minutes later Michael’s observations are HR 110/min, RR 20/min, BP 100/70 and Temp 37° C.

He reports that he has pain in his groin and has a pain score of 4/10.  He also says “I really want to pee but I can’t while I’m lying down.”  His feet and hands feel

pale, clammy and cool. You lift up the sheet to inspect the catheter site and there is a large pool of fresh blood all over the sheet under Michael and a visible

leakage from the site.

Once you have selected:
There are at least three (3) priority problems that the patient is experiencing currently. List three priority problems you have identified from the above data and

history. For each problem identified, list as many nursing interventions as you have discovered in your research of the literature. Include a one to two line rationale

for each intervention. Submit this one page list with your essay.
Please be aware that the main focus should be the essay itself and not this one page list which is essentially a map or plan of your thinking about the case. We have

asked for this page as sometimes students choose incorrect priority problems so this page will allow us to see if it was a problem with identification or

prioritisation. As with any academic writing it should be referenced and you can include these references in your main essay reference list. Your main focus should be

the essay.
For your essay, you must prioritise the problems you identified and select the two highest priority problems from your list.

The 2000- word essay

• State an overview of the patient’s condition and identify the TWO priority nursing problems. Give a brief plan for the essay topics.
•        For the first problem (850 words): Briefly explain how it relates to the patient’s assessment data. You will need to draw on your understanding of pathophysiology to explain the link between the problem and the patient’s signs and symptoms. Identify TWO priority nursing interventions to address the problem.

Discuss briefly the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature.  Outline the evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.
•        For the second problem (850 words): Briefly explain how it relates to the patient’s assessment data. You will need to draw on your understanding of

pathophysiology to explain the link between the problem and the patient’s signs and symptoms Identify TWO priority nursing interventions to address the problem.

Discuss briefly the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant positive or

negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature.  Outline the evaluation

criteria/data that would indicate that each intervention is improving or resolving the identified problem.
•        Conclusion (150 words): Briefly restate the patient’s condition and problems and how the nursing interventions can benefit the patient’s health.

You need to discuss at least one independent nursing intervention in your essay.  For any collaborative nursing interventions you use you must discuss the nursing

responsibilities and actions in relation to this collaborative intervention. Medications cannot be both of your chosen collaborative interventions for a problem.  If a

medication is one of your collaborative interventions you must identify an appropriate drug that is likely to be/or has been prescribed by the doctor (in the case

options some medications have already been prescribed). You must also consider and discuss the nursing responsibilities associated with the medication (action, dose,

side effects, prevention and management of same, administration requirements, evaluation).

 

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Assignment requirements 1.    Conduct an external audit in which the company operates (PESTLE). All sections should be completed and contain Harvard referenced evidence. There must be a minimum of two factors in each section of your PESTLE. Explain: i.    What is happening in the external environment? ii.    Does it pose threats or opportunities to your company? iii.    What impact do these factors have on your business strategy and corporate objectives?

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Transitioning From Closed to Open Systems

You are Head of Marketing at Ryanair and have been tasked by the Board to produce a report as a starting point for discussion on the position Ryanair should adopt over

the next three years.

Your assignment MUST be in report format ONLY and MUST include all sources of information in a ‘References’ section using Harvard APA Referencing. Students must use

tables/diagrams and bullet points wherever possible to present the key elements of a professional business report.
Students should refer to appropriate theory learned to demonstrate their knowledge and understanding and have read the set book. Not all subject areas will be covered

in lectures and seminars, students are expected to study independently and read/research extensively.
The word count is 1500 words.
Please note the weighting for each task and divide the word count up appropriately.
Assignment requirements
1.    Conduct an external audit in which the company operates (PESTLE).
All sections should be completed and contain Harvard referenced evidence.
There must be a minimum of two factors in each section of your PESTLE.
Explain:
i.    What is happening in the external environment?
ii.    Does it pose threats or opportunities to your company?
iii.    What impact do these factors have on your business strategy and corporate objectives?    20

2.    From the PESTLE, conduct a SWOT analysis on the organisation (10).
Students should analyse the information and be able to draw a conclusion from the SWOT analysis (10).    20

3.    From the SWOT analysis, identify the four fundamental areas within which marketing objectives may be defined (8).
Give four SMART marketing objectives which the company could pursue in priority order (12).    20

4.    Give two examples of the various types of marketing strategies that the company could adopt (6).
Then identify which type(s) of strategy the company will adopt and why you have chosen that strategy (4)    10

5.    Marketing programmes – Draw up a series of 4 planned marketing actions which you have identified from the marketing strategies (5).
Outline why you have chosen these actions (5).     10

6.    Transferable skills: Business Report format, tables/diagrams labelled, spelling and grammar (10).
APA Referencing (10)    20

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Order Description

Nursing issue- Staffing and Floating between hospitals with a multi-system hospital organization.

•Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
•Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
•Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system

perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

Post on or before Day 3 a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then,

describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health

care outcomes.

References:
Marquis, B. L., & Huston, C. J. (2012). Leadership roles and management functions in nursing: Theory and application (Laureate Education, Inc., custom ed.).

Philadelphia, PA: Lippincott, Williams & Wilkins.
McCormack, B., Manley, K., & Walsh, K. (2008). Person-Centred Systems and Processes. In K. Manley, B., McCormack, & V. Wilson (Eds.), International practice

development in nursing and healthcare (pp. 25-29). Oxford, England: Blackwell.
Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.

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Identify the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting.

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Caring for Populations: Milestone1: Community Windshield Survey Form

Caring for Populations: Milestone1: Community Windshield Survey Form
Directions: Please refer to the Milestone 1: Community Windshield Survey Guidelines
Type  your answers below directly on this form. Click Save as and save the file with the assignment name and your last name (e.g., “NR443 Windshield Survey

Form_SmithYour Name:     Date:
Your Instructor’s Name:
Criteria    Your response
1. Community introduction:
Identify the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting.
2. Windshield survey
a. vitality
b. Indicators of social and economic conditions
c. Health resources
d. Environmental conditions related to health
e. Social functioning
f. Attitude toward healthcare
3. Conclusion:
Provide a summary of your findings and your conclusion. What problems did you identify?
4. References:
OPTIONAL: List any references that you cited.

NR443 Guidelines for Caring for Populations
Milestone 1: Community Windshield Survey
PURPOSE
The purpose of this assignment is to complete a direct observational assessment of a community in your area. This windshield survey will be the initial step in

uncovering a community health problem in your area and identifying community dynamics. This problem will be further assessed in the following two assignments.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO #2. Integrate clinical judgment in professional decision-making and implementation of the nursing process through analysis of community health nursing practice. (PO

#4)
CO #5. Analyze the nursing roles in the community health setting. (PO #7)
CO #7. Accept accountability for personal and professional development as part of the life-long learning process. (PO #5)
.    DIRECTIONS . You will type your answers directly onto this Word document. Your form does NOT need to follow APA formatting; however, you are expected to use

correct grammar, spelling, syntax and write in complete sentences.
1.    Introduction to the Community: Identify the community you will be using for this assignment and provide a brief one to two paragraph description of the

community. Your community should be the area where you live or the area surrounding your work setting.
2.    Windshield Survey: Assess your community by doing an informal windshield survey. Information about the components of a windshield survey is located in your

textbook, Nies & McEwen (2011) on page 97 (Box 6-2). Drive through the area and report your observations by describing each of the following six areas using the

questions in the text as your guide (one to two paragraphs each):
a.    Community vitality
b.    Indicators of social and economic conditions
c.    Health resources
d.    Environmental conditions related to health
e.    Social functioning
f.    Attitude toward healthcare

It is helpful to conduct this assessment at least two different times: during the day or evening, on a weekday and/or on the weekend. If possible, plan on asking

someone to drive during your survey so that you can take notes.
3.    Conclusion: Provide a summary of your findings. The information gathered during the windshield survey should assist you to identify a community health problem

that will be further assessed in the next assignment.
4.    References: The purpose of this assignment is to document your observations of your community. Outside sources are not required. However, if sources are used,

these sources must be cited within the form and listed in the Reference section.
BEST PRACTICES IN PREPARING THE FORM
The following are best practices in preparing this project:
•    Make sure all elements of the form are included.
•    Review directions and grading rubric below thoroughly.
•    Cite any outside references as above (these are optional).
•    Proofread prior to final submission.

 

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1.    This is a scholarly work that must represent the breadth, depth, and original thinking of the author(s).You must adhere to the principles of APA (6th ed.). 2.    Use the following headings for this paper:  Introduction, Historical evolution, Identification of Issues, Concept Analysis, Summary, and References. You may also include subheadings (optional).

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Phenomenon of interest (Title)Influence of Lived Experiences on Non-Adherence to Prostrate Cancer Screening: A Phenomenal Interpretive Case Study of Jamaican men in South Florida

Phenomenon of interest (Title)Influence of Lived Experiences on Non-Adherence to Prostrate Cancer Screening: A Phenomenal Interpretive Case Study of Jamaican men in

South Florida

I.     CONCEPT ANALYSIS: STATE OF THE KNOWLEDGE PAPER    50%

Objective: To develop, describe, and analyze the structure of a selected phenomenon of interest in nursing.  Page numbers are limited to 12-15 double-spaced (12 font)

pages (excluding title page, abstract, and references).  If pages go over 15 pages, additional pages will NOT be read and you will NOT receive credit for that section.

This paper this will include six sections with explanations in the guidelines. Please note details on the grading rubric.

Components of the Concept Analysis: State of the Knowledge Paper
1.    Abstract (3 points)
2.    Introduction of the idea/concept (relate the concept to one or more theories) (7 points)
3.    Historical evolution of the concept in various disciplines (25 points)
4.    Key issues (25 points)
5.    Build a concept analysis. Use steps 4-7 of the Rodgers approach to concept     analysis/development as  outlined in Rodgers and Knafl (2000), page 44. (30

points)
6.    Summary (10 points)
7.    References

Writing guidelines for the Concept Analysis: State of Knowledge Paper

1.    This is a scholarly work that must represent the breadth, depth, and original thinking of the author(s).You must adhere to the principles of APA (6th ed.).
2.    Use the following headings for this paper:  Introduction, Historical evolution, Identification of Issues, Concept Analysis, Summary, and References. You may

also include subheadings (optional).
3.    Provide an abstract.  Must be one page (may be single spaced—APA exception).  Must follow the title page.  Use the same headers used in the paper for the

abstract which are: Introduction, Historical evolution, Identification of Issues, Concept Analysis, and Summary.
4.    You may include figures or graphs (place in appendices) as appropriate to illustrate major points
5.    Your paper should not exceed 15 pages, excluding title page, abstract, references, and appendices.

Grading rubric for Concept Analysis: State of the Knowledge Paper

Students’ Name: ________________________________________________Date____________

Criteria    Possible Points     Points Earned
Abstract. Presented an abstract per the guidelines of the assignment.
Professor comments:    3
Introduction of the concept.  The introduction described the phenomenon and provided a brief outline of the major areas to be presented.
Professor Comments:    7
Historical evolution. The paper clearly addressed the historical evolution from the viewpoint of different disciplines as well the discipline of nursing. This

discussion should include different periods of history.
Professor comments:    25
Key issues. Clearly identified and discussed at least 3 to 5 conceptual or theoretical issues/frameworks that have arisen in evolution of the phenomenon.
Professor comments:
25
Concept analysis. The student clearly presented a beginning concept analysis using steps 4-7 of the Rodgers approach to concept analysis/development as outlined in

Rodgers and Knafl (2000), page 44.
Professor comments:

30
Summary. A summary addressing the state of the science with respect to the phenomenon in general and implications for research addressing the concept in particular was

clearly presented.
Professor comments:
10
Content, clarity, and organization of ideas
The paper clearly explicated the state of the knowledge/science of a particular phenomenon of interest. The paper should be in APA (6th ed.) format with title page,

abstract, and references with a majority of primary sources. The paper should not exceed 15 pages, excluding title page, abstract, references, tables, and any figures.

(Place tables, figures, etc. in the appendices).The paper should be free of grammatical errors.
Professor comments:

References:  If you decide to use direct quotes (I suggest you NOT do this often if at all!), you should see APA for the pages about quotes in order to avoid

plagiarism.  Your references should be mostly primary sources but may include some secondary sources as appropriate.  These citations should follow precise APA and for

students not following APA throughout the paper and on the reference as much as 10 points may be subtracted from the final paper.

Textbooks used in the class.. (References)

Chinn, P.L. & Kramer, M.K. (2012). Intergrated knowledge and theory development in
nursing. (8th ed. ). St. Louis: Elsevier.
Rodgers, B. L., & Knafl, K. A.  (2000). Concept development in nursing:  Foundations,
techniques, and applications.  Philadelphia:  Saunders.

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How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

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Transitioning From Closed to Open Systems

Transitioning From Closed to Open Systems

Order Description

Nursing issue- Staffing and Floating between hospitals with a multi-system hospital organization.

•Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
•Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
•Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system

perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

Post on or before Day 3 a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then,

describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health

care outcomes.

References:
Marquis, B. L., & Huston, C. J. (2012). Leadership roles and management functions in nursing: Theory and application (Laureate Education, Inc., custom ed.).

Philadelphia, PA: Lippincott, Williams & Wilkins.
McCormack, B., Manley, K., & Walsh, K. (2008). Person-Centred Systems and Processes. In K. Manley, B., McCormack, & V. Wilson (Eds.), International practice

development in nursing and healthcare (pp. 25-29). Oxford, England: Blackwell.
Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.

 

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Read the assigned case study and formulate searchable, clinical questions in the PICO(T) format. There are several potential questions that could be asked. Identify if the focus of your question is assessment, etiology, treatment, or prognosis. Remember to integrate references. Here is an example of a PICOT.

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Research 3

Research 3

Order Description

Read the assigned case study and formulate searchable, clinical questions in the PICO(T) format. There are several potential questions that could be asked. Identify if

the focus of your question is assessment, etiology, treatment, or prognosis. Remember to integrate references.

Here is an example of a PICOT.

P: male patients who are breadwinners for their families, newly diagnosed with heart failure
I: participation in a twice monthly family support group that addresses fears and concerns
C: individual family counseling related to fears and concerns twice per month
O: decreased concerns about man’s ability to provide for his family
T: first three months following diagnosis

Preferred Reference OR any other:

Houser, J. (2015). Nursing research: Reading, using, and creating evidence (3rd ed.). Sudbury, MA: Jones & Bartlett.
Chapter 2: The Research Process and Ways of Knowing, pp. 29–43

CHAMBERLAIN COLLEGE OF NURSING NR 439: WEEK 2 CASE STUDY FOR TD
NR439 Week 2 Case Study 2/12/13 jm 1
Week 2 Case Study for Threaded Discussion
John is a 56-year-old male who was initially diagnosed six months ago with Heart Failure. He was treated via a three-day stay in the hospital and sent home with a drug

regime and since then has been seen in the ER two times and now re-hospitalized with shortness of breath, pedal edema, and weight gain. He does not understand why the

medications are not working. He cannot miss anymore days at work or he will lose his job and medical insurance for him and his family. His wife is a stay at home mom

for their three boys.
John is a construction worker and does take his medications as directed but continues to eat what he wants.
He states he cannot exercise because he works six days a week and is just too tired when he gets home. He is always tired, up all night going to the bathroom, and is

extremely worried about his health issues and the future. His wife Kathy is also very worried because she is a stay at home mom and has not worked since the birth of

their first child who is 16 years old.
During this hospital stay, another cardiac catheterization reveals that the ejection fraction of his heart is only 40. The doctor has told him he needs to change his

lifestyle, continue with his meds, and monitor his vital signs at home.
John’s wife, Kathy, is 40 years old and finds herself overwhelmed with the diagnosis and is worried that she may have to go back to work if John is not able to

continue working. She wants to know what she can do to help John. She will do anything but she is not sure what will help John. The nurse came in and handed her a

bunch of papers about diet and exercise and said a home health nurse would set him up for home monitoring. He will need to stay at home for monitoring and cardiac

rehabilitation for six weeks.
Formulate searchable, clinical questions in the PICO(T) format using the material is this case study.
There are several potential questions that could be asked, but you only need to identify two. Determine if the focus of each question is assessment, etiology,

treatment, or prognosis.

A C Asia Case RC Research Centre THE UNIVERSITY oF none KONG Peon Kam Kai Series BENJAMIN YEN We ltmre 2V: billion Hang Kong dollars worth ofspare port’s on our

shelves. Mmuging these: ware part3 qflecth’eli’ is inst‘rumet‘nal in ensuring the efi’iciem operations

 

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Among Pregnant women, between tele-monitoring and conventional methods of blood pressure monitoring, which one is more effective in screening/identifying clients at- risk for hypertension or hypotension go through all the instructions for this assignment before completing it. The writer needs to indicate in the paper publications reviewed (minimum of 3) that is relevant, and provide the best, unbiased answer to the question

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Among Pregnant women, between tele-monitoring and conventional methods of blood pressure monitoring, which one is more effective in screening/identifying clients at- risk for hypertension or hypotension

Among Pregnant women, between tele-monitoring and conventional methods of blood pressure monitoring, which one is more effective in screening/identifying clients at-

risk for hypertension or hypotension

go through all the instructions for this assignment before completing it. The writer needs to indicate in the paper publications reviewed (minimum of 3) that is

relevant, and provide the best, unbiased answer to the question. APA format is very essential to this assignment.

This is part of the instructions for the Literature review assignment. There’s no way the writer can complete this assignment without going through the guidelines very

carefully. Please note that this assignment carries 40% of my final mark in this course. It’s important that the writer completes this assignment carefully. I school

in Saskatchewan Canada, I’m a second year nursing student. This course is called nursing research methods. APA format is VERY vital to this assignment. You need to

indicate in the paper how many publications you reviewed (minimum 3) that is relevant and provide the best unbiased answer to the question. The paper must follo this

order: Title, Abstract, Introduction (which include methods systematic review,      findings and discussion of findings, conclusion, and reference list. The author has

to use the data abstraction table in this assignment, please check under quality assessment and critically appraisal of studies in the guidelines to know what to do.

Meta-analysis, meta-synthesis, systematic review and integrative review, please note that one of these has to be reflective in the assignment. For the literature

review search you must select specific inclusion and/or exclusion criteria eg empirical publication, in peer-reviewed journals, published during specific time frame,

using specific key words. Please make sure you send me a mail if you have further clarifications.

 

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For this assignment, you will be further defining your Phenomenon of Interest within a theoretical and ethical framework. The same Phenomenon of Interest (POI) identified in your first written paper should also be used for this assignment. You will begin this paper by providing a concise description of your POI, this information should be a short summary of information your presented in your first paper.

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Phenomenon of Interest: Polypharmacy and its Potential Effects in Elderly Patients

Phenomenon of Interest: Polypharmacy and its Potential Effects in Elderly Patients

Order Description

Instructions
For this assignment, you will be further defining your Phenomenon of Interest within a theoretical and ethical framework. The same Phenomenon of Interest (POI)

identified in your first written paper should also be used for this assignment. You will begin this paper by providing a concise description of your POI, this

information should be a short summary of information your presented in your first paper.

Next, you will discuss the Fawcett’s Meta-paradigm of Nursing and relate the paradigm directly to your POI. How do the four concepts within the meta-paradigm relate to

your POI? Is one more important? Do all four have the same level of importance? You should support this section with peer reviewed references as appropriate.

Specifically identify the components of the meta-paradigm within your discussion. Be sure to reference the meta-paradigm appropriately.

Then, you will select both a Grand nursing theory as well as a Middle range nursing theory. Take time to review several examples of each type of theory as the selected

theories need to “fit” your POI…and work well together.

Grand theory discussion: identify and discuss the inter-related concepts from your selected theory. What aspects of the nursing meta-paradigm are addressed by your

grand theory? Then provide information about how you will view your POI through the lens of the grand theory. How does the theory guide your assessment of the POI? How

does the theoretical framework chosen categorize or define your POI? How does the theoretical framework effect your perception of the POI?

Middle range theory discussion: identify and discuss the inter-related concepts within the middle range theory. What aspectsof the nursing meta-paradigm are addressed

in the mid-range theory? How will this theory guide your assessment/perception of the POI? How does this mid range theory relate to your grand theory?

Complexity science: how does complexity science relate to your POI? Depending on the nature of your POI, this conversation may have different foci for different

students. For example, if your POI is glycemic management of the peri-operative patient, this discussion would center on the complex responses of the human body as a

Complex Adaptive System. If your POI is focused on a policy change issue, the focus may be on organizational complexities with communication, change, etc.

Ethical framework: you should discuss your specific POI in the context of ethical principles. Basic principles include autonomy, justice, beneficence, and non-

maleficence. Is your POI in violation of a core ethical principle? Is it possible it may be in violation? What ethical principles do you need to be sure to safeguard?

Conclusion: this section should not contain any new information but should only provide a summary of what what discussed in the paper.

A few important points:

Since you are going to be discussing theories within this paper, it is very important to provide the PRIMARY source when referencing the theory either in text and on

the reference list. Who wrote the theory? And when was it published? Answer those questions and that is who the citation should be. For example, Roger’s theory of

unitary beings should be cited to Rogers, not to a text book or journal article that discusses the theory. If you are having problems locating the original source for

the theory, refer to the reference lists with articles or in books that your are reviewing. You will almost certainly find the original source referenced within the

article or textbook.
This is a scholarly assignment which means it should be liberally referenced with peer reviewed literature. Support what you say with evidence from the literature.

There is no “hard and fast” rule for the number of references to include, but for an assignment of this magnitude, I would say that 10-12 references would be a

minimum. There a number of potential references provided for you in the Required readings and resources of this Lesson’s Unit. This should be a great start, but

searching the literature for further resources is also going to be required.

Grading criteria Points
Introductory paragraph. There must be a thesis statement that tells the reader what will be discussed in the paper. /1
Phenomenon of Interest: give a brief description of the Phenomenon of Interest that will be the basis of the discussion for this paper. This should be a short summary

of the information presented in the first paper for this course and should be supported with peer reviewed references. /2
Nursing Meta-paradigm: discuss the meta-paradigm of nursing as it relates specifically to your POI. What concepts within the meta-paradigm does your POI speak to?

Support this discussion with peer-reviewed references as appropriate. /3
Grand Nursing theory: select a grand nursing theory. Provide a succinct discussion of the inter-related concepts identified within the nursing theory. Discuss your POI

within the framework provided by the grand nursing theory. How will the selected theory guide your assessment and perception of the identified POI? Be sure to use the

PRIMARY source when citing, referencing the nursing theory. /6
Middle range nursing theory: select a middle range nursing theory. Provide a succinct discussion of the inter-related concepts identified within the middle range

theory. How does your middle range theory “fit” with your grand nursing theory? Discuss your POI within the context provided by the middle range theory. How will the

selected theory guide your assessment and perception of the POI? Be sure to use the PRIMARY source when citing/referencing the middle range theory. /6
Complexity science: discuss your POI within the framework of complexity science. Depending on your POI, this discussion may have organizational, leadership, or

physiologic focus. /3
Ethical framework: Identify and discuss ethical principles that have direct application to your POI. This may include such principles as autonomy, justice,

beneficence, etc. /3
Conclusion: this section should summarize the information presented in your paper.
/1
Total points
/25

 

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