Need Help With Assignment: Client System Role-Play Scenario

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improvement.

In this Assignment, you demonstrate skills related to engagement. You are encouraged to practice your engagement skills before recording yourself because practice encourages improvement. However, the video is not expected to be a perfect recording. Real life is not as polished as it may appear in film or television. Stumbling over a word or having to clarify a sentence is a place to demonstrate genuineness and warmth. The goal of recording yourself is to demonstrate current practice skills. You share your video with colleagues in order to have opportunities to learn from one another over the next few weeks. It is now time to record your role-play scenario!

Using the Script Template that’s attached, provide a detailed script that includes verbatim dialogue, identifies non-verbal communication, and identifies practice skills/behaviors used. In the required transcript, include:

  • 1.A description of the fictional agency setting and types of services provided at this agency
  • 2.A description of the client system (depending on the client level you selected—micro, mezzo, or macro)
  • 3.An explanation of the presenting concern
  • 4.A description of the client session scene in which you implement the GIM step and practice skills you have selected for working with this client system
  • 5.A verbatim script of the dialogue, which depicts the techniques you would use to implement the GIM step and the 6.practice skills you selected for the client interaction (column 1 in the template), that occurs between you, as the social work intern, and the client(s)
  • 7.A description of the visual cues or non-verbal communication that both the social worker and the client exhibited during the interaction that support the GIM step and practice skills you selected (column 2 in the template)
  • 8.An identification of specific practice techniques/skills demonstrated (column 3 in the template)
 
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Research and cost benefit analysis

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nstructions:

A. Develop a written proposal by doing the following: 1. Identify a problem or issue related to practice, policy, population, or education that aligns with the

organizational priorities you seek to solve.

The problem: Uncontrolled blood glucose levels in the perioperative (Before and after surgery) setting.

Maintaining strict monitoring and control of patient blood glucose levels before and after surgery for all patients, diabetic or not, and the risks/benefits of strict management of same.

a. Explain the problem or issue, including why it is applicable to the area of practice you chose and

the healthcare environment. 2. Discuss your investigation of the problem or issue.

a. Provide evidence to substantiate the problem or issue (e.g., organizational assessment, national source documents, evidence from a stakeholder).

3. Analyze the state of the situation using current data. a. Analyze areas that might be contributing to the problem or issue.

4. Propose a solution or innovation for the problem or issue. Strict monitoring and control of patient blood glucose levels.

a. Justify your proposed solution or innovation based on the results of your investigation and

analysis. 5. Recommend resources to implement your proposed solution or innovation. Include a cost-benefit

analysis of your proposed solution or innovation. 6. Provide a timeline for implementation based on your proposal.

7. Discuss why each key stakeholder or partner is important for the implementation of the solution or innovation.

a. Summarize your engagement with the key stakeholders or partners, including the input and feedback you received.

b. Discuss how you intend to work with those key stakeholders or partners in order to achieve success.

8. Discuss how your proposed solution or innovation could be implemented, including how the

implementation could be evaluated for success.

B. Explain how you fulfilled the following roles during your process of investigation and proposal development:

1. scientist 2. detective

3. manager of the healing environment

C.

D. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted,

paraphrased, or summarized.

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

JLP Task 1 (0318) Not Evident Approaching Competence Competent

A1. Problem or Issue An identification of the problem or issue is not provided.

The identified problem or issue is not related to practice, policy, population, or education, or it does not align with organizational priorities that are in need of solving.

The identified problem or issue is related to practice, policy, population, or education, and it aligns with organizational priorities that are in need of solving.

A1a. Explanation of Problem or Issue

An explanation of the problem or issue is not provided.

The explanation addresses the problem or issue, but it does not include an appropriate, logical rationale for why the problem or issue applies to the chosen area of practice and the healthcare environment.

The explanation of the problem or issue includes an appropriate, logical rationale for why the problem or issue applies to the chosen area of practice and the healthcare environment.

A2. Investigation A discussion of the investigation of the problem or

The discussion of the investigation of the problem or

The discussion of the investigation of the problem or

issue is not provided. issue is illogical or vague. Or the discussion is trivial or missing key details. Or the discussion of the investigation is irrelevant to the problem or issue.

issue is logical and sufficiently detailed. The discussion of the investigation is thorough and relates to the problem or issue.

A2a. Evidence of Problem or Issue

Evidence to substantiate the problem or issue is not provided.

The provided evidence fails to substantiate the problem or issue because it is not an appropriate form of evidence, or the evidence does not logically support the problem or issue.

The provided evidence substantiates the problem or issue because it is an appropriate form of evidence (e.g., organizational assessment, national source documents, or evidence from a stakeholder), and it logically supports the problem or issue.

A3. Analysis An analysis is not provided. The analysis addresses the state of the situation, but current data is not used to support the analysis. Or the analysis is implausible or is not supported by specific examples.

The analysis addresses the state of the situation using current data, and it is plausible and well supported with specific examples.

A3a. Contributors to Problem or Issue

An analysis is not provided. The analysis is limited to addressing minor areas that contribute to the problem or issue. Or the analysis is implausible or is not supported with specific examples.

The analysis addresses all the areas that potentially contribute to the problem or issue. The analysis is plausible and well supported with specific examples.

A4. Proposed Solution or Innovation

A proposal for a solution or innovation for the problem or issue is not provided.

The proposal of a solution or innovation to the problem or issue is illogical, inappropriate, or missing significant components.

An appropriate solution or innovation is proposed for the problem or issue. The solution or innovation is logical, well reasoned, and includes all significant components.

A4a. Justification of Proposed Solution or Innovation

A justification of the proposed solution or innovation is not

The justification of the proposed solution or

The justification of the proposed solution or

provided. innovation does not make logical connections between the problem and the solution, or it is not based on the results of the investigation or analysis.

innovation makes logical connections between the problem and the solution, and it is based on the results of the investigation and analysis.

A5. Resources and Cost- Benefit Analysis

A recommendation or a cost- benefit analysis is not provided.

The resources recommended for implementation of the proposed solution or innovation are inappropriate for the needs of the solution or innovation. Or the recommendation is missing key resources. Or a cost- benefit analysis is not included, or the analysis is illogical or not an accurate representation of the needs of the proposed solution or innovation.

The resources recommended for implementation of the proposed solution or innovation are appropriate for the needs of the solution or innovation. The recommendation includes all essential resources. A cost- benefit analysis is included, and it is a logical and accurate representation of the needs of the proposed solution or innovation.

A6. Timeline A timeline for implementation is not provided.

The timeline is not accurate or not achievable given the needs of the proposed solution or innovation.

The timeline is accurate and achievable for the needs of the proposed solution or innovation.

A7. Importance of Key Stakeholders or Partners

A discussion is not provided. At least 1 of the stakeholders or partners that are identified in the discussion are inappropriate for the implementation of the solution or innovation. Or essential stakeholders or partners are missing in the discussion. Or the discussion does not address why each identified stakeholder or partner is important for the implementation of the solution

All of the key stakeholders or partners that are identified are appropriate for the implementation of the solution or innovation, and there are no missing essential stakeholders or partners. The discussion also addresses why each identified stakeholder or partner is important for the implementation of the solution or innovation.

or innovation.

A7a. Engagement with Key Stakeholders or Partners

A summary is not provided. The summary of the engagement with the key stakeholders or partners is vague or trivial. Or the summary does not include the input and feedback received from them.

The summary of the engagement with the key stakeholders or partners is sufficiently detailed and meaningful, and it includes the input and feedback received from them.

A7b. Success A discussion is not provided. The discussion ineffectively addresses how to work with the key stakeholders or partners discussed in part A7 in order to achieve success. The discussion is illogical or is missing supportive details.

The discussion effectively addresses how to work with the key stakeholders or partners discussed in part A7 in order to achieve success. The discussion is logical and includes supportive details.

A8. Implementation A discussion is not provided. The discussion ineffectively addresses how the proposed solution or innovation could be implemented. Or the plan for implementation is illogical or missing key details. Or the discussion does not include an appropriate, well-supported, or well-reasoned plan for how the implementation could be evaluated for success.

The discussion effectively addresses how the proposed solution or innovation could be implemented. The plan for implementation is logical and thorough. The discussion includes an appropriate, well- supported, and well-reasoned plan for how the implementation could be evaluated for success.

B1. Role of Scientist An explanation is not provided. The explanation ineffectively addresses how the role of the scientist was fulfilled during the investigation process and proposal development. Or the explanation is vague or lacks specific, relevant examples.

The explanation effectively addresses how the role of the scientist was fulfilled during the investigation process and proposal development. The explanation is detailed and includes specific, relevant examples.

B2. Role of Detective An explanation is not provided. The explanation ineffectively addresses how the role of the

The explanation effectively addresses how the role of the

detective was fulfilled during the investigation process and proposal development. The explanation is vague or lacks specific, relevant examples.

detective was fulfilled during the investigation process and proposal development. The explanation is detailed and includes specific, relevant examples.

B3. Role of Manager of the Healing Environment

An explanation is not provided. The explanation ineffectively addresses how the role of the manager of the healing environment was fulfilled during the investigation process and proposal development. The explanation is vague or lacks specific, relevant examples.

The explanation effectively addresses how the role of the manager of the healing environment was fulfilled during the investigation process and proposal development. The explanation is detailed and includes specific, relevant examples.

C. Verification Form A submission is not provided. The “Professional Verification Form” from the organizational leader advising leadership experience is submitted, but the submission is incomplete.

The submission of the “Professional Verification Form” from the organizational leader advising leadership experience is complete.

D. https://lrps.wgu.edu/provision/ 71484321

The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized.

The submission includes in- text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style.

The submission includes in- text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.

E. https://lrps.wgu.edu/provision/ 27641407

Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.

Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.

Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage,

and grammar promote accurate interpretation and understanding.

Perioperative management of patients blood glucose level is critically important, yet frequently ignored or overlooked by even the most skilled

surgeon and operative staff. Research Documents the delayed healing and increase of infection risk in patients who have poor blood glucose

control in and around the peri operative area.

If a patient is diabetic This Risk is exponentially increased Because of the impaired circulation And poor tissue profusion and tissue

nourishment , wound healing, as a result of their underlying illness.

Patients that are not diabetic, sometimes Have Increase glucose Response due to stress and the trauma of surgery, Creating an opportunistic

environment for any Pathogens that have inadvertently found their way into patient as a result of surgery. All these complications result in

Additional length of stay, increased cost of treatment risk for Sepsis, Risk for organ failure and organ dysfunction And ultimately risk for death.

The cost is negligible to monitor blood glucose levels Before and after surgery and to Maintain strict control of the patient’s blood glucose level

during the same time. We’re talking about the cost of test strips And Having the qualified personnel to Take the blood glucose reading and

communicate that to The appropriate staff for the appropriate treatment. In the event of Patient developing Uncontrolled glucose levels, early

 
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Standardized procedure

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STANDARDIZED PROCEDURE PEDIATRICS 2

STANDARDIZED PROCEDURE PEDIATRICS 11

Standardized Procedure Pediatrics

Name

United States University

Primary Health of Acute Clients/Families Across the Lifespan

Course

Dr. Maria Luisa Ramira

July 4, 2016

Running head: STANDARDIZED PROCEDURE PEDIATRICS 1

Standardized Procedure for Nurse Practitioners: General Policy

I Purpose

A. To establish a standardized procedure, in compliance with the California Board of Registered Nursing (BRN) and the 11 components of the BRN’s guidelines for Nurse Practitioners (NPs) to perform specified functions without the immediate supervision of a Physician.

II Development and Review

A. All standardized procedures are developed through the collaborative efforts of the members of the organization’s established interdisciplinary committee (IDC). The IDC will consist of physicians, nurse practitioners, registered nurses and administrative representatives of the organization.

B. All standardized procedures will be approved through the IDC made readily available and contain signed and dated approval sheets of all professionals covered by the procedures.

C. All standardized procedures will be reviewed every 3 years or more often as necessary by the IDC.

D. All NPs and their supervising physicians will signify agreement to the standardized procedures upon hire, annually and with changes as needed as evidenced by a signed and dated approval sheet.

E. Signature on the statement of approval and agreement implies the following: Approval of all procedures in the document, intent to abide by the procedures and willingness to maintain a collegial and collaborative relationship with all parties. The signed statement of approval and agreement form will serve as the record of those NPs who have been authorized to perform the procedures. The signature page will be kept on file and readily available together with Standardized Procedures.

III Scope and Setting

A NPs may manage those functions outlined in the standardized procedures, within their trained area of specialty and consistent with their experience and credentialing. Such functions include assessment, management and treatment of acute and chronic illness, contraception, health promotion and overall evaluation of health status. Additional functions include the ordering of diagnostic procedures, physical, occupational, speech therapies, diet and referral to specialty care as needed.

B NPs are authorized to practice standardized procedures in the organization’s Outpatient Clinics.

IV Education and Training/Qualifications

A NPs must have the following

1 Current California registered nurse (RN) license

2 Certification by the State of California, BRN as an NP

3 Board certification from the American Nurses Credentialing Center

4 NP furnishing number

5 DEA registration number

6 Current Health Care Provider Card from the American Heart Association

7 Credentialed by the organization’s medical staff

B In addition to the required education and training all NPs will be required to complete competency validation upon hire and annually. The supervising physician is charged with observing the NP and documenting competency validation. The competency validation checklist is managed, maintained and made available by the Office of Medical Staff as a component of the privilege process. Checklist will be reviewed and updated annually by the IDC.

V Supervision and Evaluation

A NP is authorized to implement the approved standardized procedures without the direct or immediate observation or supervision of a physician unless otherwise specified within a particular procedure.

B Supervising physicians will conduct a weekly case review of a minimum of 10% of each NPs cases for the week. The review will be documented within the electronic medical record and must be completed within 30 days of the visit selected for review. Cases will be selected randomly unless a request for review is received by a medical professional.

C No single physician will supervise more than 4 NPs at any one time.

VI Consultations

A Physician consultation is to be obtained as specified in individual procedures or when deemed appropriate.

VII Patient Records

A NPs will be responsible for the documentation of a complete electronic medical record for each patient contact/encounter in accordance with existing clinic and medical staff policies.

Protocol:

Croup initial visit in the outpatient clinic setting

I Rationale

To assist Nurse Practitioners in the outpatient clinic setting in the differentiation between

croup and other upper airway conditions and to establish guidelines for the management of croup in this setting.

II Definition

Swelling and erythema of the upper airway resulting in narrowing of these airways, usually as a result of viral infection and in some instances bacterial. Most cases are usually mild and self-limiting however, children can be seriously ill or at risk for rapid progression of disease leading to further narrowing of the airways and respiratory compromise.

III Epidemiology

A Typically occurs in children between the ages of 6 months to 6 years, with a peak

incidence between 6 and 36 months.

B Most often occurs in the fall and is usually but not limited to parainfluenza type 1 viral infection.

C Cases occurring in winter are usually but not limited to influenza A and B viruses

D Risk factors include familiar history, parental smoking and male gender.

IV History

A Symptoms of upper respiratory infection for several days.

B Rhinorrhea

C Cough

D Low grade fever

E Symptoms occurring most often at night

F Sore throat

G Stridor

H Intermittent barking, seal like cough

V Physical Exam

A Barking seal like cough, stridor

B Tachypnea

C Use of accessory muscles for respiration

D Tachycardia

E Wheezing

F Low grade fever however, can be elevated to 104F

G Visualization of mouth and epiglottis normal

VI Diagnostic tests

A Diagnosis typically made based on clinical presentation

B Plain imaging of soft tissue of the neck may display classic pattern of subglottic narrowing (steeple sign) on posteroanterior view.

C Pulse oximetry

D Laboratory tests are not necessary for the diagnosis of croup however, may be used to assist with differential diagnosis.

1 CBC

2 Viral Serology

3 Tissue culture

VII Differential Diagnosis

A Epiglottitis

B Foreign body aspiration

C Retropharyngeal or peritonsillar abscess

D Compression due to tumors, trauma or congenital malformations

E Angioedema

F Asthma exacerbation

G Bacterial traceitis

VIII Management – According to severity of disease by means of the Westley Croup Score based on the presence or absence of stridor at rest, degree of chest wall retractions, air entry, the presence or absence of pallor or cyanosis and the mental status.

A Mild croup (Westley croup score of ≤2)

No stridor at rest (although stridor may be present when upset or crying), a barking cough, hoarse cry, and either no, or only mild, chest wall/subcostal retractions.

B Moderate croup (Westley croup score of 3 to 7)

Stridor at rest, has at least mild retractions, and may have other symptoms or signs of respiratory distress, but little or no agitation.

C Severe croup (Westley croup score of ≥8)

Significant stridor at rest, although the loudness of the stridor may decrease with worsening upper airway obstruction and decreased air entry. Retractions are severe (including indrawing of the sternum) and the child may appear anxious, agitated, or pale and fatigued.

D Impending respiratory failure (Westley croup score of ≥12)

Fatigue and listlessness

Marked retractions (although retractions may decrease with increased obstruction and decreased air entry)

Decreased or absent breath sounds

Depressed level of consciousness

Tachycardia out of proportion to fever

Cyanosis or pallor

E Treatment

Mild Croup:

1 Single dose of dexamethasone 0.15 to 0.6 mg/kg orally or parentally to a max dose of 10mg.

2 Disposition home with the following instructions:

a Fever management with acetaminophen 15mg/kg po every 4-6hrs as needed not to exceed 75mg/kg/day.

b Anticipatory guidance of potential worsening and instructions on when to seek care.

c Use of humidified air, cool mist or hot stream

d Return for follow-up next day.

Moderate Croup

1 Follow mild croup guidelines

2 Observe patient for up to 4 hours

If improved

3 Disposition home following instructions for mild croup

If no improvement

a Consult with supervising physician and prepare to administer

b Inhaled racemic epinephrine 0.05 ml/kg per dose (maximum of 0.5 ml) of a 2.25% solution diluted with normal saline for a 3ml total volume via nebulizer.

c If pulse oximetry is <92% provide supplemental oxygen at a rate to maintain 02 Sat < 92%

d Refer or disposition child via emergency transport to emergency department

Severe croup and impending respiratory failure

a Activate 911 and provide the following until emergency transport arrives:

b Ensure open airway

c Administer supplemental 02 to maintain 0s sat 92%

d Single dose of dexamethasone 0.15 to 0.6 mg/kg parentally.

e Inhaled racemic epinephrine 0.05 ml/kg per dose (maximum of 0.5 ml) of a 2.25% solution diluted with normal saline for a 3ml total volume via nebulizer.

f Notify supervising physician of need for emergency transport

IX Development and Approval of the Standardized Procedure

This standardized procedure was developed and approved through the organization’s Interdisciplinary Committee and will be reviewed and approved every 3 years or more often as needed.

Revision Date_____________ Review Date______________

X Standardized procedure was approved by the following members of the Interdisciplinary Committee.

_______________________________ Date_______________________

Pediatric Department Chair

_______________________________ Date_______________________

Supervising Physician

_______________________________ Date_______________________

Director of Nursing Practice

_______________________________ Date_______________________

Administration

XI Practitioners authorized to function under this standardized procedure:

This list of Nurse Practitioners will be maintained on file in the department in which Nurse Practitioners practice and hospital administration.

References

An explanation of standardized procedure requirements for nurse practitioner practice. (1998). Retrieved from http://www.rn.ca.gov/pdfs/regulations/npr-b-20.pdf

Bjornson, C., & Johnson, D. (2015). Croup. Retrieved from https://online.epocrates.com/diseases/68111/Croup/Key-Highlights

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric Primary Care (5th ed.). Philadelphia, PA: Elsevier.

Ferri, F. F. (2016). Ferri’s Clinical Advisor. Philadelphia, PA: Elsevier.

Woods, C. R. (2015). Croup. Retrieved from https://www.uptodate.com/contents/croup-approach-to-management?source=see_link&sectionName=Respiratory+care&anchor=H91700#H1

Zoorob, R., Sidani, M., & Murray, J. (2011). Croup: An overview. Retrieved from http://www.aafp.org/afp/2011/0501/p1067.html

 
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CRITICAL APPRAISAL

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As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

· Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.

· Select a healthcare program within your practice and consider the design and implementation of this program.

· Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–3 pages)

In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:

· Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?

· Who is your target population?

· What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

· What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

· What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

· Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

The program I am going for is Psychiatric and mental health Nurse practitioner.

RUBRIC to follow.

ExcellentGoodFairPoor
Program Design In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions.  ·   Tell us about a healthcare program within your practice. What are the costs and projected outcomes of this program? ·   Who is your target population? ·   What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? ·   What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? ·   What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?41 (41%) – 45 (45%)Response provides a clear and complete summary of the healthcare program, including an accurate and detailed description of the costs and projected outcomes of the program.  Response provides a clear and accurate description that fully describes the target population.  Response provides a clear and accurate explanation of the role of the nurse in providing input for the design of the program, including specific examples.  Response provides an accurate and detailed description of the role of the nurse advocate for the target population for the healthcare program selected.  Response provides an accurate and detailed explanation of how the advocate’s role influences design decisions as well as fully explaining impacts to program design.36 (36%) – 40 (40%)Response provides a summary of the healthcare program, including a description of the costs and project outcomes of the program.  Response provides an accurate description of the target population.  Response provides an accurate explanation of the role of the nurse in providing input for the design of the program, including some examples.  Response provides an accurate description of the role of the nurse advocate for the target population for the healthcare program selected.  Response provides an accurate explanation of how the advocate’s role influences design decisions and somewhat explains impacts to program design.31 (31%) – 35 (35%)Response provides a summary of the healthcare program that is vague or incomplete or does not include costs or projected outcomes of the program.  Description of the target population is vague or inaccurate.  Explanation of the role of the nurse in providing input for the design of the program is vague, inaccurate, or does not include specific examples.  Description of the role of the nurse advocate for the target population for the healthcare program selected is vague or inaccurate.  Explanation of how the advocate’s role influences design decisions and impacts to program design is vague or inaccurate.0 (0%) – 30 (30%)Response provides a summary of the healthcare program that is vague and inaccurate, does not include costs or projected outcomes of the program, or is missing.  Description of the target population is vague and inaccurate, or is missing.  Explanation of the role of the nurse in providing input for the design of the program, and specific examples is vague and inaccurate, or is missing.  Description of the role of the nurse advocate for the target population for the healthcare program selected is vague and inaccurate, or is missing.  Explanation of how the advocate’s role influences design decisions and impacts to program design is vague and inaccurate, or is missing.
Program Implementation·  What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? ·   Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why you think this?36 (36%) – 40 (40%)Response provides a clear, accurate, and complete explanation of the role of the nurse in healthcare program implementation.  Response provides an accurate and detailed explanation of how the role of the nurse is different between design and implementation of healthcare programs, including specific examples.  Response provides an accurate and detailed description of the members of a healthcare team needed to implement the program selected.32 (32%) – 35 (35%)Response provides an accurate explanation of the role of the nurse in healthcare program implementation.  Response provides an accurate explanation of how the role of the nurse is different between design and implementation of healthcare programs, and may include some specific examples.  Response provides and accurate description of the members of a healthcare team needed to implement the program selected.28 (28%) – 31 (31%)Explanation of the role of the nurse in healthcare program implementation is vague, inaccurate, and/or incomplete.  Explanation of how the role of the nurse is different between design and implementation of healthcare programs is vague or inaccurate and/or does not include specific examples.  Description of the members of a healthcare team needed to implement the program selected is inaccurate or incomplete.0 (0%) – 27 (27%)Explanation of the role of the nurse in healthcare program implementation is vague and inaccurate, or is missing.  Explanation of how the role of the nurse is different between design and implementation of healthcare programs is vague and inaccurate, or is missing.  Description of the members of a healthcare team needed to implement the program selected is vague and inaccurate, incomplete, or is missing.
Written Expression and Formatting – Paragraph Development and Organization:  Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.  A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.  Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.  Purpose, introduction, and conclusion of the assignment is vague or off topic.0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.  No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards:  Correct grammar, mechanics, and proper punctuation5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.4 (4%) – 4 (4%)Contains a few (1-2) grammar, spelling, and punctuation errors.3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) grammar, spelling, and punctuation errors.0 (0%) – 3 (3%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.5 (5%) – 5 (5%)Uses correct APA format with no errors.4 (4%) – 4 (4%)Contains a few (1-2) APA format errors.3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) APA format errors.0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors.
Total Points: 100

Name: NURS_6050_Module04_Week08_Assignment_Rubric

NOTE: Use all the resources I sent to you last w

 
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CRITICAL APPRAISAL

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Research Critique Guidelines – Part II

Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.

Quantitative Studies

Background

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

1. Discuss how these two articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

1. State the methods of the two articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each study in one or two comprehensive paragraphs.

2. What are the implications of the two studies you chose in nursing practice?

Outcomes Comparison

1. What are the anticipated outcomes for your PICOT question?

2. How do the outcomes of your chosen articles compare to your anticipated outcomes?

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Nursing Research On Falls Qualitive Vs Quantitive

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Note: Please use attached articles provide

Please respond in labeled sections ( ex: A1, 2,3, etc)

A.  Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:

1.  Describe a healthcare problem.

Note: A healthcare problem can be broad in nature or focused.
 

2.  Explain the significance of the problem.

3.  Describe the current practice related to the problem.

4.  Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).
 

B.  Complete the attached “PICO Table Template” by identifying all the elements of the PICO.

1.  Develop the PICO question.
 

C.  Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:

1.  Identify the keywords used for the search.

2.  Describe the number and types of articles that were available for consideration.

a.  Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

Note: Be sure to upload a copy of the full text of the aritcles with your submission
 

D.  Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.
 

Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.
 

Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.

Note: Be sure to upload a copy of the full text of the articles with your submission.
 

E.  Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”
 

F.  Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:

1.  Explain how you would involve three key stakeholders in the decision to implement the recommendation.

2.  Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.

3.  Identify two strategies that could be used to overcome the barriers discussed in F2.

4.  Identify one indicator to measure the outcome related to the recommendation.
 

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

 
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EBP

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Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.

Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.

Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

A brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

 
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Nursing

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Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.

Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence. The below problems should not be used:

*medical/doctor/physician problems such as medications, or medications administration or effects, diagnostics such as EKGs, labs, cardiac catherizations.

*staffing, nurse-to-patient ratios, workforce issues are organizational/system /political/administrative/multi-stakeholder problems which nursing cannot solve independently.

Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.

Write your clinical question in the PICO(T) format for your nursing practice problem. *To write your clinical question in the PICO(T) format, use the NR439_Guide for writing PICOT Questions and Examples found in your required reading or access the following link: ****see attached***

List each of your PICOT elements.

Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence.

 
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Introduction To Communication

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Consider your experiences at work, school, and in your personal life. You have, at some point, been asked to work with a group to achieve a particular goal. It might have been a group research project, a new marketing plan, a learning plan, a schedule to roll out new technology, planning a wedding, or even planning and creating a large family meal. In many collaborative efforts like these, there are disagreements. Select one collaborative experience from your past that involved some disagreements or significant differences of opinion.

Write a short (2-page) paper in APA style discussing the following elements:

  1. Describe the project that you were working on, including the people involved.
  2. Explain the problem that you encountered with the group. How was that problem overcome? What was the end result of encountering and dealing with that problem?
  3. What do you think was the cause of the problem? How much of the problem came from miscommunication, either from you or from other people involved? What did you do to help resolve the problem?
  4. If you were able to relive that experience, how would you change the way that you approached the encountered problem? How would you communicate differently?
  5. How, ultimately, was the conflict resolved?
 
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Art Appreciation Test Ou

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Instructions: On the following slides there are six different images representing different types of art media used to create artwork – painting, drawing, sculpture, photography, mixed media, and printmaking. Using these images, create a PowerPoint presentation (one image on each slide) identifying the type of media used. In the notes section (below slide), write a script for a presentation where you identify the genre and analyze how the different types of media materials affect the style and technique

Art Media Types

Grading Rubric:

Your project will be graded using the rubric below:

F

F

C

B

A

0

1

2

3

4

Did Not Submit

No Pass

Competence

Proficiency

Mastery

Did not identify the genre or analyze how the different types of media materials affect the style and technique for all six images

Identified the genre and provided basic analysis of how different types of media materials affect the style and technique for each of the six images

Identified the genre and provided thorough analysis of how different types of media materials affect the style and technique for each of the six images

Identified the genre and provided advanced and in-depth analysis of how different types of media materials affect the style and technique for each of the six images

Did not write a presentation script in the notes section for all six images

Presentation script is written in a style that is generally appropriate for the intended audience and an attempt is made to use a consistent style

Presentation script is written in a style that is appealing and appropriate for the intended audience and an attempt is made to use a consistent style

Presentation script is written in a style that is exceptional and appropriate for the intended audience and an attempt is made to use a consistent style

 
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