Mental Disorders

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Topic: Vulnerable Population: Mental Disorders

Capstone Project Milestone 2

Design for Change Proposal 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

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. (PO #1)
  • 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. (PO #2)

Due Date

Milestone 2 consists of the proposal for your Design for Change Capstone Project. Submit this assignment to the Dropbox by the end of Week 4.

Points

Milestone 2 is worth 225 points.

Directions

  • Create a proposal for your Design for Change Capstone Project. Open the NR451_Milestone2_Design_Proposal_ template in Course Resources to create 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.
  • The format for this proposal will be a paper following the Publication manual of APA 6th 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.
    • 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 Referencesmust 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.

Grading Criteria: Design for Change Capstone Project

CategoryPoints%Description
Introduction2511%Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified.
Change Model Overview5022%Practice issue is identified and is nursing focused. An overview of the ACE Star model is given. The need for change is evident. Stakeholders are identified. Practice area, team members and their role are identified and discussed. Scope of the problem is identified. State how nurses should use this model as a guide to facilitate change.
Evidence5022%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?
Translation5022%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? How do you inform staff? What is your plan of action to pilot the plan? What is the timeline?
Conclusion2511%Clear, solid summary summarizing the key points and steps of the change plan is included; ways to sustain the change plan are described.
APA Format2511%Minimal errors.
Total225 points100%

Grading Rubric: Capstone Project Milestone 2

Assignment CriteriaA (100%)ExceptionalOutstanding or highest level of performanceB (88%)ExceedsVery good or high level of performanceC (80%)MeetsCompetent or satisfactory level of performanceNI (38%)Needs ImprovementPoor or failing level of performanceF (0%)DevelopingUnsatisfactory level of performance
Introduction25 pointsIntroduction to the plan is nursing focused, andevidence-based.Potential interventions clearly identified.25 points ☐Introduction to the plan is nursing focused, and evidence-based solutions identified but not clear.22 points ☐Introduction to the plan is provided; however, the plan is not nursing focused and evidence-based solutionsarenot convincing.20 points ☐Introduction lacks evidence to support need for change and/or potential solution is not evidenced-based.10 points ☐Introduction is missing.0 points ☐
Change Model Overview50 pointsPractice issue is nursing focused.Overview of the ACE Star model is given. Rationale for change is present.Stakeholders are identified. Practice area, team members and role are discussed.Scope of problem is identified.50 points ☐Practice issue is nursing focused.Overview of the ACE Star model is given. Rationale for change is not present.Stakeholders are identified. Practice area, team members and role are discussed.Scope of problem is identified.44 points ☐Practice issue is nursing focused.Overview of the ACE Star model is given. Rationale for change is not present.Stakeholders are not identified. Practice area, team members and role are discussed but without detail.Scope of problem is identified.40 points ☐Practice issue is nursing focused.Overview of the ACE Star model is given. Rationale for change is not present.Stakeholders are not identified. Practice area, team members and role are not discussed.Scope of problem is identified.19 points ☐Change Model Overview is missing0 points ☐
Evidence50 pointsEvidence is thoroughly provided thru basic 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.50 points ☐Evidence is briefly provided thru basic 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.44 points ☐Evidence is vaguely provided thru basic 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.40 points ☐Evidence is provided thru basic nformation of the current problem but is not convincing.Interventions discovered in Evidence Summary are not used in planning for change.19 points ☐Evidence is not provided thru basic information of the current problem; there is no indication of change; there no interventions listed from the Evidence Summary.0 points ☐
Translation50 pointsActivities to achieve final steps of change are fully described.Ways to translateevidence into practice is discussed.Methods to inform staff, activities planned for plan of action and timeline are discussed.50 points ☐Activities to achieve final steps of change are fully described.How to translate evidence into practice is discussed but is not clear.Methods to inform staff, activities planned for plan of action and timeline are discussed.44 points ☐Activities to achieve final steps of change are fully described.How to translate evidence into practice is not discussed.Methods to inform staff, activities planned for plan of action but timeline is not mentioned.40 points ☐Activities to achieve final steps of change are described but not in detail.How to translate evidence into practice is not discussed.Methods to inform staff, activities planned for plan of action but timeline is not mentioned.19 points ☐Activities for final change plan is missing.Translation of evidence into practice is missing.0 points ☐
Conclusion25 pointsDetailed summary of main points.Ways to sustain plan are thoroughly described.25 points ☐Summary of main pointsis brief.Ways to sustainplan are briefly described.22 points ☐Summary of main points is vague.Ways to sustainplan are vaguely described.20 points ☐Summary of main points is vague.Ways to sustain change are not described.10 points ☐Summary ismissing.There is no plan tosustain change.0 points ☐
APA formatting, scholarly writing25 pointsAPA format sixth edition.Grammar, sentence structure, punctuation, and spelling correct.References, citations correct.Paper formatted in APA format.No errors to one error.25 points ☐Two to three errors.22 points ☐Four to five errors.20 points ☐Six to seven errors.10 points ☐More than seven errors.0 points ☐
Total Points
 

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Case Study Ethical Legal Dilemma Advanced Practice Nursing

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Case Study Ethical Legal Dilemma Advanced Practice Nursing

Course outcomes addressed in this Assignment:

MN506-1: Apply theoretical frameworks and concepts to ethical dilemmas in the advanced practice role.

PC 2.3: Demonstrate integrity through the application of relevant codes of conduct and social responsibility within one’s profession.

Instructions:

1.Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education. Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.

2.Include one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.

3.Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.

4.Describe the legal principles and laws that apply to the ethical dilemma.

5.Support the legal issues with prior legal cases or state or federal statutes.

6.Analyze the differences between ethical and legal reasoning and apply an ethical-legal reasoning model in the case study to create a basis for a solution to the ethical-legal dilemma.

7.List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented.

8.Based on the issue you presented and the rules of the law, apply the laws to your case and come up with a conclusion.

Note:

•This is a fact-based Assignment that will not include your opinion.

•This will require research and support for what is written.

•The Assignment should be in your words after reading the scholarly and fact-based publications and have proper citations. There should be no quotations. The professor wants to hear your voice as a masters trained nurse.

Description

In the Unit 2 topic 1 Discussion, you will choose an ethical-legal dilemma that would cause the advanced practice nurse moral distress. You will write the introductory paragraphs for the Unit 4 Assignment in the Unit 2 topic 1 Discussion Board and post it for your peers to comment on.

You will continue working on the topic you have chosen and submit the paper using the most recent version of APA format. The paper should have a minimum of seven citations and some of these should be case law or applicable statutes. The Kaplan Library has Westlaw Campus Research database where you can find case laws that relate to your topic.

Unit 4 Individual Paper

Advanced Practice Nursing Decisions that Cause Moral Distress (End of Life)

As an advanced practice nurse, we will sooner or later come across an issue or more than one issue that will cause us moral distress.According to Westrick, moral distress occurs when there is a mismatch or disequilibrium between moral obligations and principles, and the ability to implement them, (2014 p. 310).As a nurse practitioner working in a hospital setting we will come across issues of how to advocate for our patients when it comes to quality of life rather than quantity of life.“Every day nurses make great moral decisions in their workplace, but in practice they cannot always act according to their moral obligations,” (Williams, Wang, & Kitchen, 2014,p.7).One thing that we must assist the patient and family member is to understand and choose the proper treatment.The physicians should speak to the patient and family member about the disease and the prognosis, also be able to answer questions about death, and pain relief.

Patients and families are still under the impression that if they sign up with hospice that the patient will only be alive for a few hours or days.“Accepting and preparing for death is sometimes unbearably frightening for families,” (Bülbül et. al., 2015 p. 1242).Hospice even today is underutilized and family members will only agree to it when death is imminent.As an advance practice nurse caring for a terminally ill patient, who is suffering it will increase your moral distress.Families and patients should also be explained that there is the choice of Palliative care which it’s goal is to prevent or treat the symptoms and side effects of the diseasebesides the social and spiritual problems.According to Williams, Wang, and Kitchen, the terms ‘palliative’ and ‘end-of-life’ care are often used interchangeably by researchers and health practitioners, (2014, p.188).Palliative care will not cure the disease but it provides comfort and supportive care, and management of the symptom.

Ethical Dilemma

Ethical Principle and Law

Preventing Violation of Principle/Law

Legal Principles and Law

Legal Cases

Ethical and Legal Reasoning

Recommendations

Conclusion

References:

Ameri, M.; Safavibayatneed, Z.; Kavousi, A.; (2016),Moral distress of oncology nurses and morally distressing situations in oncology units, Australian Journal of Advanced Nursing

Bülbül, S.; Sürücü, M.; Karavaizoğlu, C.; & Eke, M.; Limitations in the approach health caregivers can take in end-of-life care decisions, Child: Care, Health & Development, Nov2015; 41(6): 1242-1245. 4p.

Westrick, S.J.; (2014), Nursing Law and Ethics,Edition 2ndJones & Bartlett

Williams, A.M.; Wang, L.; and Kitchen, P.; (2014) Differential impacts of care-giving across three caregiver groups in Canada: end-of-life care, long-term care and short-term care, Health and Social Care in the Community 22(2), 187–196 doi: 10.1111/hsc.12075

 

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State one preventable disease your adult participant is at risk for developing (obesity, etc.), based on the information you have gathered during this course.

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Using the information gathered in your Genetic Family History and Milestone 1 assignments, you will identify and research one modifiable risk factor. You will develop an evidence-based teaching plan that promotes health, with the aim of improving patient outcomes related to this modifiable risk factor.

  1. Introduction (1 paragraph): The introduction should be interesting and capture the reader’s attention.
    • State one preventable disease your adult participant is at risk for developing (obesity, etc.), based on the information you have gathered during this course.
    • Introduce one modifiable risk factor (diet, smoking, sedentary lifestyle, etc.) associated with the preventable disease you described.
    • Clearly state the purpose of your paper. The purpose statement should relate to developing a patient teaching plan.
  2. Preventable Disease Overview (1-2 paragraphs): Please use course materials and scholarly sources to complete this section. Be sure to paraphrase and include citations as needed!
    • Describe briefly the preventable disease you identified in the introduction.
      • What are the signs and symptoms associated with this disease?
      • How is it diagnosed? Notable information from Health History and General Survey? Signs and symptoms? Risk assessments? Lab values?
      • What physical assessment findings would be associated with this disease?
    • How did you identify your adult participant’s risk for this disease?
      • Specific information gathered in the Genetic Family History?
      • Specific information gathered in the Milestone 1 assignment?
  3. Evidence Based Intervention (1-2 paragraphs):
  • Choose and describe one evidence based intervention related to the modifiable risk factoryou have chosen. (One that has been shown to be effective at reducing an individual’s risk for developing the preventable disease.)
  • Describe this intervention in detail, and provide rationale for your intervention utilizing:
    • At least one scholarly peer-reviewed journal article. Search peer reviewed journals to find a scholarly article that discusses interventions associated with the modifiable risk factor you have chosen as the focus of your paper. Summarize what you learned from this article and cite the source in the text and reference page (Author, year). The article must be less than 10 years old. You may include and cite your textbook or other scholarly sources as well, but they do notcount as the scholarly journal article.
    • You must summarize and analyze the information from your sources in your own words. Avoid direct quotations. If you do include a short quotation, be sure to cite it properly.
  • List short and long term goals you have for your participant related to this intervention.
  1. Implementation: Teaching Plan (1-2 paragraphs):
    • Discuss in this section what methods you will use to teach your participant how to implement the intervention.
    • What is it that you are asking them to do? (For example, if your intervention is “quit smoking”, what specific steps will you recommend your participant take to achieve this goal?)
    • Describe any resources you would provide to the participant to help them understand and be successful (websites, community services, handouts, etc.).
  2. Evaluation (1 paragraph):
  • Describe at least one method (weight, lab values, etc.) you would use to evaluate whether your intervention was effective.
  • How would you revise you plan if it proved to be unsuccessful?
  1. Summary (1 paragraph):
    • Summarize the main points of your paper.
    • Reiterate what you hope to accomplish by implementing this intervention.
    • End with a concluding statement.
  2. Reference Page:
    • The Reference Page should start on a new page (insert a page break).
    • All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page.
    • A URL link alone is not an adequate reference.

Rubric

CriteriaRatingsPts
This criterion is linked to a Learning OutcomeIntroductionThe introduction -catches the reader’s attention, -states one preventable disease -correctly identifies one modifiable risk factor associated with the disease -includes a purpose.20.0 ptsThe introduction catches the reader’s attention, states one preventable disease, correctly identifies one modifiable risk factor associated with the disease, and includes a purpose.18.0 ptsThe introduction is missing one of the elements listed in the first column.16.0 ptsThe introduction is missing two elements listed in the first column.8.0 ptsThe introduction is missing three elements listed in the first column.0.0 ptsNo introduction is present.20.0pts
This criterion is linked to a Learning OutcomePreventable Disease OverviewCorrectly identifies a preventable disease and provides a brief description including signs and symptoms, how it is diagnosed, and how the adult participant was identified to be at risk.30.0 ptsCorrectly identifies a preventable disease and provides a brief description including signs and symptoms, how it is diagnosed, and how the adult participant was identified to be at risk.26.0 ptsAll elements in the first column included but discussion of one or more items lacks detail.24.0 ptsOne of the elements in the first column is missing.11.0 ptsTwo of the elements in the first column are missing.0.0 ptsThere is no preventable disease overview.30.0pts
This criterion is linked to a Learning OutcomeEvidence Based InterventionOne evidenced based intervention (related to the modifiable risk factor) is described thoroughly AND rationale for the intervention is supported by one relevant peer reviewed journal AND short term and long term goals are listed.40.0 ptsOne evidenced based intervention (related to the modifiable risk factor) is described thoroughly AND rationale for the intervention is supported by one relevant peer reviewed journal AND short term and long term goals are listed.35.0 ptsAdequately describes the evidence based intervention, peer reviewed article is relevant and shows support for the intervention and short and long term goals are present.32.0 ptsOne of the elements in the first column is missing.15.0 ptsTwo of the elements in the first column are missing.0.0 ptsThere is no evidence-based intervention provided.40.0pts
This criterion is linked to a Learning OutcomeTeaching PlanMethods for teaching the participant how to implement the intervention are described in detail, including resources to be provided to the participant.40.0 ptsMethods for teaching the participant how to implement the intervention are described in detail, including resources to be provided to the participant.35.0 ptsMethods of teaching the participant how to the implement the intervention are described adequately, including resources to be provided. 35 points ☐32.0 ptsMethods of teaching the participant how to the implement the intervention are adequately described, but with no mention of resources to be provided.15.0 ptsThere is brief mention of a teaching plan, with no mention of resources to be provided.0.0 ptsA teaching plan is not discussed.40.0pts
This criterion is linked to a Learning OutcomeEvaluationShort term and long term goals restated AND at least one appropriate method of evaluation is described in detail AND a plan is described if the adult participant was unsuccessful.30.0 ptsShort term and long term goals restated AND at least one appropriate method of evaluation is described in detail AND a plan is described if the adult participant was unsuccessful.26.0 ptsShort term and long term goals restated, and adequately describes an evaluation plan, including if participant is unsuccessful.24.0 ptsOne of the elements in the first column is missing or not addressed with sufficient detail.11.0 ptsTwo of the elements in the first column are missing or not addressed with sufficient detail.0.0 ptsAn evaluation plan is not discussed.30.0pts
This criterion is linked to a Learning OutcomeSummaryMain points of the paper are summarized, including reiteration of what is hoped to be accomplished. Ends with a concluding statement.20.0 ptsMain points of the paper are summarized, including reiteration of what is hoped to be accomplished. Ends with a concluding statement.18.0 ptsSummary mostly reiterates the main points of the presentation and concludes with a description of what is hoped to be accomplished. Ends with a concluding sentence.16.0 ptsBrief summary captures a few of the main points, briefly describes what is hoped to be accomplished. Concluding sentence may or may not be present.8.0 ptsSummary is present but fails to capture the main points and lacks a description of what is hoped to be accomplished. Lacks concluding sentence.0.0 ptsSummary is not present.20.0pts
This criterion is linked to a Learning OutcomeMechanics and organizationExcellent mechanics and organization with minimal errors of the following: well organized and logical, correct grammar, punctuation, and spelling, professional wording is used, uses complete sentences, paragraphs are linked together logically, and main ideas expressed clearly.25.0 ptsExcellent mechanics and organization with minimal errors of the following: well organized and logical, correct grammar, punctuation, and spelling, professional wording is used, uses complete sentences, paragraphs are linked together logically, and main ideas expressed clearly.22.0 ptsGood mechanics and organization considering the elements listed in the first column. A few errors noted.20.0 ptsFair mechanics and organization considering the elements listed in the first column. Some errors noted.10.0 ptsPoor mechanics and organization considering the elements listed in the first column. Many errors noted.0.0 ptsVery poor mechanics and organization considering the elements listed in the first column such that it is difficult to follow or understand.25.0pts
This criterion is linked to a Learning OutcomeAPA FormatExcellent APA formatting with minimal errors of the following: all sources cited in the assignment in APA format, all references listed on the reference page in APA format, title page in general APA format, headings present and in APA format, 12-point font, double spaced, 1 inch margins, paragraphs indented, no more than one short quotation, and length four pages or less20.0 ptsExcellent APA formatting with minimal errors of the following: all sources cited in the assignment in APA format, all references listed on the reference page in APA format, title page in general APA format, headings present and in APA format, 12-point font, double spaced, 1 inch margins, paragraphs indented, no more than one short quotation, and length four pages or less18.0 ptsGood APA formatting considering the elements listed in the first column. A few APA errors noted.16.0 ptsFair APA formatting considering the elements listed in the first column. Some APA errors noted.8.0 ptsPoor APA formatting considering the elements listed in the first column. Many APA errors noted.0.0 ptsVery poor APA formatting such that paper is difficult to read. Numerous APA errors noted.20.0pt
 

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Community Settings

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Week 4: Community Settings

This week’s graded topics relate to the following Course Outcomes (COs).
• CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (POs 4 and 8)
• CO5: Analyze the nursing roles in providing comprehensive care in a variety of community health settings. (PO1)
Community health nurses practice in a variety of settings. Choose one of the following CH settings, and describe what you have learned about the setting and the role(s) of the nurse in that setting (see Nies & McEwen, 2019, Chapters 30-34). Please do not choose faith community nursing for this discussion because your paper is on faith community nursing.

• School nursing
• Home health nursing
• Occupational health nursing
• Forensic Nursing
• Hospice nursing
• Correctional nursing

Next study levels of prevention in this week’s lesson (primary, secondary, and tertiary). Note that the term primary is used differently than in normal conversation.


• Describe one of the levels of prevention, and discuss how a community health nurse (CHN) in the setting you discussed can implement this level of prevention.


Nies, M. A., & McEwen, M. (2019). Community/Public health nursing: Promoting the health of populations (7th ed.). St. Louis, MO: Saunders/Elsevier.

 

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Explain why you feel it is the most viable and appropriate solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management.

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This is the review:

Ashford General Hospital is a 263-bed regional hospital located in California, serving its community for more than 50 years. The hospital maintains the only 24-hour emergency department in the area and an “extended hours” urgent care clinic. Similar to other hospitals in the United States, Ashford General Hospital is encountering a nursing shortage. Sixty-eight percent of the nursing staff is over the age of 45, facing retirement. The retention rate on nurses is 61%, compared to 65% nationwide.  Many of the nursing staff find the work too physically demanding and have a feeling of emotional burn-out as well.  In the past two years, the hospital has used both per diem nurses and traveling nurses who sign short-term contracts to fill individual shifts and accommodate short-term staffing needs arising from staff vacations or medical leaves.  This has not only driven up personnel costs but also resulted in lower scores on patient satisfaction surveys. Ashford General Hospital faces significant challenges in nurse staffing ahead as it grapples with these issues, and the hospital board is very concerned. They know there must be some changes made in order to prevent a major financial and human resources crisis in the future. As the newly hired CEO, you are asked to present a proposal in the next board meeting. 

Instructions for the final paper:

For your Final Paper, you will create a 10 to 15 page proposal (excluding title and reference pages) for the Ashford General Hospital Board of Directors. In your proposal, you will:

  • Include an executive summary.
  • Research and describe solutions implemented at five other hospitals in the US that were dealing with these same issues.
  • Based on your research, describe two solutions that are the most viable for Ashford General Hospital to implement within the next two years.
  • Create a total of two stakeholder group analyses for two solutions you select. Each analysis should include at least five stakeholder groups involved (e.g. patients, hospital executive administration, accounting, Human Resources (HR), marketing, third-party payers, etc.). As part of your analysis, address the following questions:
    • Who is impacted?
    • What change processes may be required?
    • What fiscal impact would occur?
    • What are the ethical, legal, and diversity risk factors involved?
  • Based upon the stakeholder group analyses, recommend the best solution for Ashford General Hospital with detailed justification. Explain why you feel it is the most viable and appropriate solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management.
  • To prepare your board proposal, including the textbook, utilize at least 10-to-12 scholarly and/or peer-reviewed sources that were published within the past five years, as well as hospital or foundation websites. All sources must be cited according to APA style. 
    .

Assignment:

Review the instructions for your Final Paper located in Week Six of your online course. As part of your Final Paper, you are asked to research and identify solutions implemented at five other hospitals in the U.S. that were dealing with the same issues. Create an outline illustrating five solutions implemented at five other hospitals, including key details.  Use the “Guide to Creating an Outline” for assistance.   

Your outline must be formatted according to the guidelines as stated in the.  Your paper must be two to three double-spaced pages (excluding title and reference pages) and formatted according to APA style  Including the textbook, utilize a minimum of five scholarly and/or peer-reviewed sources from published within the last five years. Document all references in APA style

 

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Smoking Cessation

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Smoking Cessation: The concept of health risk behaviors as it relates to unhealthy lifestyles such as smoking cigarettes is one of the important issue nationwide. As nurses, we have to promote disease prevention and health promotion. Using studies such as this concept analysis about ways to help adolescents/young adults quit smoking in our practice, will benefit in preventing many diseases such as chronic obstructive pulmonary disease, heart disease, lung cancer, asthma, throat cancer and ultimately save thousands of lives.

“There have been a few questions about the paper so just to clarify, what makes this a mini-concept analysis is that you only need one case example of the concept instead of multiple examples- no need for borderline, related, contrary or illegitimate cases. You will just write about a model case which should contain the attributes, antecedents and consequences of the concept. This case example can be adapted from the related articles or can be from your own experience/observation or created by you to describe how the concept “looks” in practice. “

This topic must have to support with following primary articles given below: …along with others relevant articles. please find the attached files for details.(total articles at lease 5 and above and must include given below primary articles – all articles must> 2008 and above… not older than 2008)

(please see the attached files for RUBRICS – APA style)

Primary Articles:

Heale, R., & Griffin, M. T. Q. (2009). Self-efficacy with application to adolescent smoking cessation: A concept analysis. Journal of Advanced Nursing, 65(4), 912-918. doi:10.1111/j.1365-2648.2008.04953.

AND

Lawson, P. J., & Flocke, S. A. (2009). Teachable moments for health behavior change: A concept analysis. Patient Education and Counseling, 76(1), 25-30. doi:10.1016/j.pec.2008.11.002.

I need to do get full points in this Paper ………..Thank you!

 

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Evidence-Based Practice Change

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no plagiarize, spell check, and check your grammar. Please only use the references below. APA Format

B. Evaluate a primary, qualitative research, peer-reviewed journal article (suggested length of 5 pages) that has healthcare implications by doing the following:

Task 2: Evidence-Based Practice Change

. Describe how the researcher addresses the following four areas in the selected journal article:

  • background or introduction (e.g., the purpose of the study)
  • review of the literature (e.g., research used to support the study)
  • data analysis (e.g., how the researcher analyzed the data)
  • methodology (e.g., research type and sampling methods)

2. Evaluate whether the evidence presented in each of the four areas of the journal article from part B1 supports the outcome of the study and implications for future research.

3. Explain how the protection of human subjects and cultural considerations were addressed by the researcher, using specific information from the journal article from part B.

4. Identify one strength and one limitation of the study.

5. Describe how the evidence from the article in part B informs current nursing practices.

C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

D. Demonstrate professional communication in the content and presentation of your submission.

Reference

Hill, E., & Fauerbach, L. A. (2014). Falls and Fall Prevention in Older Adults. Journal of Legal Nurse Consulting, 25(2), 24–29. Retrieved from http://search.ebscohost.com.proxy-library.ashford….

 

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Identify the significance and relevance of the topic to you as the author and what is the specific issue/problem/disagreement you intend to focus on.

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I will provide sample on Annotated and bibliography please check

Peer reviewed articles Three in Bibilography and six in term paper

Term Paper on the same Topic INCLUDE TITLE PAGE + SIX PAGES PAPER+REFERENCE PAGE SO TOTAL IN 8PAGES

PAPER HAS TO BE WELL WRITTEN, SPELLING CHECK, SENTENCE STRUCTURE, PLAGIRISIM FREEAttachment preview

PATIENT SAFETY focus on Medication administration, positive patient ID and workoverload 

1. Annotated bibliography worksheet to be completed attached please read the instructions carefully. 

Begin a preliminary library search of your topic and identify three academic articles written after 2012 that are relevant to the focus of your draft topic idea.  

Term Paper Guidelines 

Articulating the Issue (Paragraph 1)  

–
Articulate the central topic by bringing the reader towards your topic. Be
accurate, objective and compelling 

–
Establish the context of the topic, identify perspective from relevant academic
research – Identify the significance and relevance of the topic to you as the
author and what is the specific issue/problem/disagreement you intend to focus
on.  

Background (Paragraph 2) 

– Provide background information about the issue  

– Draw in current literature about the scope, nature and magnitude of the issue by
reviewing relevant  literature to the
topic and researchers in the field. 

– Describe the issue, define terms, characteristics and context of the issue in Canadian
nursing practice. In this paragraph you do not provide supporting arguments
here, but rather prepare to put forward a thesis statement 

– End the paragraph with an articulated thesis statement sentence. 

Your aim is to write the thesis statement (your opinion) so that it is clearly worded,
concise, and identifies the dilemma of the topic or the aspect of the topic
that is controversial. The thesis statement is the focal point of your essay. A
thesis is a proposition put forward and supported by arguments. A well -developed
thesis statement takes an assertive stance on the identified issue and is debatable
(i.e., there is an opposite thesis to the one that you have proposed). The
thesis statement is to be the final sentence of this second paragraph. 

D. Analyzing the Issue
(Paragraphs 3, 4 and 5)  

Each of the next three paragraphs is a separate reasoned analysis and evidence that
supports the thesis. Paragraphs 3 and 4 provide different arguments to support
the thesis. After stating your argument, defend it in the rest of the paragraph
by using critical analyses and examples. Consider arguments such as historical,
ethical, legal, social, cultural or political. However, each argument must be
clearly distinct, relevant to the original thesis statement. 

Paragraph 5 is to provide an opposing view (with accurate referencing), that is different
from the perspective you have put forward as the author 

E. Conclusion/Reinforcement
(Paragraph 6)  

This final paragraph is a summary of the key arguments and makes a final statement
about the thesis. Consider describing additional scope or direction of the
topic for further study. Your final sentences should include the significance
of the issue to nursing and should leave the reader with some “food for
thought” or a consideration to ponder. 

Things to remember 

1) Students are to include a minimum number of 8 references for this assignment
from at least 6 academic sources. APA 6th edition format is to be used with
attention placed on accurate referencing from a variety of sources. Additional
research resources may also include appropriate authored websites and community
organizations.  

2) Sentences must be grammatically correct, no bullets or point form. Large direct
quotes are to be avoided. Content within quotations will not be considered for
grading. Emphasis is placed on a student’s ability to review literature and
develop claims and analysis of the topic focus supported by accurate
referencing.  

3) The term paper should be 5 pages in length (no more then 6), plus the cover page
and reference page.  

The final essay is to consist of six paragraphs. Please review the detailed guidelines
and marking rubric which are designed specifically for each paragraph of this
assignment. 

4) The final version of this paper must be submitted to SafeAssign in a Word file
-digital format. Please ensure that you have reviewed the Course Policies on
Plagiarism outlined in the syllabus  

 

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Evidence-Based Practice

/in /by

For this assignment, consider the concept of inter-professional teamwork and patient outcomes.
Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)
Apply the components of the iCARE concept to inter-professional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page).
iCARE components are:
C ompassion

A dvocacy

R esilience

E vidence-Based Practice (EBP)

How could you contribute to an inter-professional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?
Select one scholarly nursing article from CINAHL as a resource for your paper. Additional scholarly sources can be used but are optional.
Use APA format throughout, particularly in citations and on the References page.
Please paraphrase throughout. One short quote is permitted.
The prepared paper template is RECOMMENDED for this assignment.

 

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