Course reflections

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN- BSN competencies acquired through the NUR3165 course.

Course Outcomes

– The student will be able to produce a complete research paper.
– The student will identify the research methods, sources and application in nursing practice.
Requirements

The Course Reflection is worth 100 points (10%) and will be graded on quality of self- assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.
The length of the reflection is to be within three to six pages excluding title page and reference pages.
APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):
Note: 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).
a. Course Reflection b. Conclusion
Preparing Your Reflection

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR3165 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Explain the interrelationships among theory, practice, and research.
2. Demonstrate an understanding of the basic elements of the research process and models for

applying evidence to clinical practice.
3. Advocate for the protection of human subjects in the conduct of research.

Evaluate the credibility of sources of information, including but not limited to databases and Internet resources.
Participate in the process of retrieval, appraisal, and synthesis of evidence
in collaboration with other members of the healthcare team to improve patient outcomes.
Integrate evidence, clinical judgment, interprofessional perspectives,
and patient preferences in planning, implementing, and evaluating outcomes of care.
Collaborate in the collection, documentation, and dissemination of evidence.
Acquire an understanding of the process for
how nursing and related healthcare quality and safety measures
are developed, validated, and endorsed.
Describe mechanisms to resolve identified practice discrepancies between
identified standards and practice that may adversely impact patient outcomes.” (p. 16).

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Discussion

Discussion Questions

By the due date assigned, post your response to the assigned discussion questions in the below Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

No later than by the end of the week, review and comment on the discussion question responses posted by at least two of your peers. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.

Discussion Question

Formulating the Research Question, Problem Statement, Research Purpose

In the Week 1 discussion forum you had an opportunity to present a potential problem and an innovative solution specific to your role specialization. In addition, you have reviewed the literature to identify qualitative and quantitative research articles and submitted annotated bibliographies to provide evidence supporting the problem.

Considering the feedback provided to you by the faculty member it is now time to prepare your problem statement, research purpose, and research question.

First share your refined problem and proposed solution (given your review of literature this may have changed depending on the evidence you were able to provide). Next, follow the steps to help define your research question.

  1. Craft the problem statement and research purpose.
  2. Design your research question aimed at solving (a part of) the problem and include the following components which will focus the literature review.

PICOT Question:

Patient, Population or Problem

  1. What are the characteristics of the patient or population?
  2. What is the condition or disease you are interested in?

Intervention or exposure

  1. What do you want to do with this patient (e.g. treat, diagnose, observe)?

Comparison

  1. What is the alternative to the intervention (e.g. placebo, different drug, surgery)?

Outcome

  1. What are the relevant outcomes (e.g. morbidity, death, complications)?
  2. Ensure that the research question is answerable, feasible and clinically relevant

The next step in Submissions Area will be to develop a research hypothesis from the research question.

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skin

Answer the following questions using only the powerpoint attached.

1. The integumentary system or the skin is the largest system. Choose 4 pathological conditions and define them.

2. Divide and define three medical terms that can be related to the skin.

3. A lesion is an area of damaged skin. What is the difference between these lesions?

a. Macule and wheal

b. papule and nodule

c. erosion and ulcer?

d. vesicle and cyst?

4. Many combining forms are related to colors. Mention 4 of these combining forms. Give an example of a medical term for each one of these combining forms, divide the term, label it and give its meaning.

5. What do the following abbreviations stand for: SLE, PPD, ABCDE? Explain

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concept in comunity health

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

Chickenpox
Tuberculosis
Influenza
Mononucleosis
Hepatitis B
HIV
Ebola
Measles
Polio
Influenza
Epidemiology Paper Requirements

Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
Describe the social determinants of health and explain how those factors contribute to the development of this disease.
Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.
A minimum of three peer-reviewed or professional references is required.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Treatment of Sleep/Wake Disorders

Discussion: Treatment of Sleep/Wake Disorders

The power of sleep to heal the body cannot be underestimated. Most research indicates that 7–8 hours of sleep are a minimum that people need to stay healthy. Clients who come to the PMHNP’s office frequently complain of sleep problems. It is estimated that 10–20% of patients report some type of sleeping problem.

In this Discussion, you will analyze the diagnostic criteria and evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders.

Learning Objectives

Students will:

· Analyze diagnostic criteria for sleep/wake disorders

· Analyze evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders

· Analyze criteria for referring clients to primary care physicians for treatment of sleep/wake disorders

· Compare differential diagnostic features of sleep/wake disorders

To prepare for this Discussion:

· Your Instructor will have assigned you a sleep/wake disorder, which will be the focus of your original post for this Discussion. Insomnia

· Review the Learning Resources.

By Day 3

Post:

· Explain the diagnostic criteria for your assigned Insomnia disorder.

· Explain the evidenced-based psychotherapy and psychopharmacologic treatment for Insomnia disorder.

· Describe at what point you would refer the client to their primary care physician for an additional referral to a neurologist, pulmonologist, or physician specializing in sleep disorders and explain why.

· Support your rationale with references to the Learning Resources or other academic resource

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Leadership Action Plan

The purpose of this PowerPoint presentation is to present the best plan of action, as a leader, assigned to make a change to a problem or issue in your place of work. If you are not presently working, use information from your prelicensure experience or previous healthcare experience. You will be using the Joint Commission National Patient Safety Goals to align with the problem or issue that you see in your workplace or most recent place of employment. You will prepare a PowerPoint presentation and share how you will meet one of the goals in your place of work that will solve the problem or issue you have selected.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

CO8: Apply concepts of quality and safety using structure, process and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Due Dates

This assignment is to be submitted by Saturday, 11:59 p.m. MT, end of Week 6.

Directions

  1. Develop a PowerPoint slideshow consisting of 8-15 slides. Include the following. Title slide, written speaker notes, and Reference slide. Do not use Voice Over recordings. All information needs to be written in slides and speaker notes. No information in comment section will be graded.
  2. You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.pptx” format. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
  3. As the leader, you have identified a problem or issue related to one of the National Patient Safety Goals 2019 created by the Joint Commission that will lead to quality improvement. You will find the National Patient Safety Goals using this link: https://www.jointcommission.org/assets/1/6/2019_HAP_NPSGs_final2.pdf.  (Links to an external site.)Assess the problem or issue. State the problem/issue and identify three rationales (reasons) that the problem exists. References are used. Scholarly articles must be published within the last 5 years, peer-reviewed, from the Chamberlain library only and must provide the permalink
  4. Review the information provided in our library on how to search for journal articles (Links to an external site.).
  5. Review the information provided in the library on how to locate and copy a journal permalink (Links to an external site.). (Links to an external site.)
  6. Assess the problem or issue. State the problem/issue and identify three rationales (reasons) that the problem exists. References are used.
  7. Determine the people who are involved in the issue and explain three reasons as to how their role will contribute to the problem or issue solution.
  8. Identify three solutions and discuss the purpose, cost and desired outcome.
  9. Pick one solution to share with the director and discuss why this solution was chosen over the others. Use a scholarly reference.
  10. Make an action plan to share the solution with the director and staff.
  11. Summarize issue, plan and desired outcome and purpose for quality improvement on slide.
  12. Reflect on your learning and value of doing the assignment.
  13. Include written speaker notes for all slides except title slide and reference slide.
  14. Submit your PowerPoint slideshow by 11:59 p.m. MT, Saturday, end of Week 6.

Best Practices in Preparing PowerPoint Presentations

The following are best practices in preparing this presentation.

  • Watch tutorial below.
  • Be creative.
  • Incorporate graphics, clip art, or photographs to increase interest.
  • Make easy to read with short bullet points and large font.
  • Review directions thoroughly.
  • Proofread prior to final submission.
  • Spell check for spelling and grammar errors prior to final submission.
  • Abide by the Chamberlain academic integrity policy.

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Assignment

You will become the subject matter expert by conducting research based on your chosen title/topic and then reporting your findings in a potentially publishable manuscript. You do not have to seek approval for your topic. Choose any health/healthcare related topic of your choice that you feel is a significant problem within the United States.

Findings: Briefly introduce your research topic. While this may seem redundant at each section, it is important to remind the reader at the beginning of each section.

The following section will discuss the limitations, use and applications of findings, and recommendations of the research. This section requires one paragraph in length. Limitations Discuss the limitations of your study. Do not leave this paragraph empty; there are always limitations (e.g. time, funding, scope, etc.). This section requires one paragraph in length. Use and Application of Findings Summarize your findings from your research. (For example: The use and application of these findings may contribute to…by….). This section requires one paragraphs in length. There should be at least 3 recommendations (each a separate paragraph).

Recommendation 1: Thinking outside the box, think of what recommendations you can make to improve the problem you have identified previously. Elaborate why your recommendation is appropriate. This section requires one paragraph in length.

Recommendation 2: Thinking outside the box, think of what recommendations you can make to improve the problem you have identified previously. Elaborate why your recommendation is appropriate. . This section requires one paragraph in length.

Recommendation 3: Thinking outside the box, think of what recommendations you can make to improve the problem you have identified previously. Elaborate why your recommendation is appropriate. . This section requires one paragraph in length.

Conclusion Summarize your research study/topic here. Your conclusion may end up being a few pages, depending on the length of your research. This section requires a minimum of two You will become the subject matter expert by conducting research based on your chosen title/topic and then reporting your findings in a potentially publishable manuscript. You do not have to seek approval for your topic. Choose any health/healthcare related topic of your choice that you feel is a significant problem within the United States.

Findings: Briefly introduce your research topic. While this may seem redundant at each section, it is important to remind the reader at the beginning of each section.

The following section will discuss the limitations, use and applications of findings, and recommendations of the research. This section requires one paragraph in length. Limitations Discuss the limitations of your study. Do not leave this paragraph empty; there are always limitations (e.g. time, funding, scope, etc.). This section requires one paragraph in length. Use and Application of Findings Summarize your findings from your research. (For example: The use and application of these findings may contribute to…by….). This section requires one paragraphs in length. There should be at least 3 recommendations (each a separate paragraph).

Recommendation 1: Thinking outside the box, think of what recommendations you can make to improve the problem you have identified previously. Elaborate why your recommendation is appropriate. This section requires one paragraph in length.

Recommendation 2: Thinking outside the box, think of what recommendations you can make to improve the problem you have identified previously. Elaborate why your recommendation is appropriate. . This section requires one paragraph in length.

Recommendation 3: Thinking outside the box, think of what recommendations you can make to improve the problem you have identified previously. Elaborate why your recommendation is appropriate. . This section requires one paragraph in length.

Conclusion Summarize your research study/topic here. Your conclusion may end up being a few pages, depending on the length of your research. This section requires a minimum of two paragraph in length. References Remember that any reference in your reference list must be present in your paper in the form of a citation (Author, year). Likewise, any citation in your paper must be present in your reference list. Refer to your APA Handbook 6th edition for more detailed information on developing a reference list. For your Assignment 4 you need a minimum of Four (4) scholarly references.

For each written assignment make sure you address all required instructions/criteria as noted within each assignment located within the assignment instructions/grading rubric.

There’s no specific amount of pages and or word count for each assignment. Address all questions presented and if the instructions/criteria states a paragraph make sure your paragraphs consist of minimum of five complete sentences in length. References Remember that any reference in your reference list must be present in your paper in the form of a citation (Author, year). Likewise, any citation in your paper must be present in your reference list. Refer to your APA Handbook 6th edition for more detailed information on developing a reference list. For your Assignment 4 you need a minimum of Four (4) scholarly references.

For each written assignment make sure you address all required instructions/criteria as noted within each assignment located within the assignment instructions/grading rubric.

There’s no specific amount of pages and or word count for each assignment. Address all questions presented and if the instructions/criteria states a paragraph make sure your paragraphs consist of minimum of five complete sentences

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Diabetes Prevention In Elderly Population Of My Community.

Primary health Plan focused on preventive services.

Title: Diabetes prevention in elderly population of my community.

APA style, 10 pages long, not including references and presentation page.

Identify a health problem in your community, in which you can develop a preventive program. (I choose Obesity prevention in adolescents of my community).

Create a clinical question using the PICOT (problem/patient/or population, intervention/indicator, comparison, outcome, and time element or type of study).

Objectives of the presentation

· Define preventive services commonly offered to different types of communities, using Healthy People 2020.

· Explain how to develop and write a practical policy for preventive services

· Define the steps to develop Primary Health Plan.

· Explain the evaluation criteria of a primary health plan.

· Explain the commonly used methods for evaluating a preventive health program.

· Identify a health problem in which it is important to develop a preventive health program.

Introduction.

Abstract

Literature that support the project

Description of the proposed solution.

Theory of change.

Problem identification, intended participant, Setting selection.

Objective and goals.

Intervention

Community involvement.

Develop materials and activities

Implementation and monitoring the intervention.

Choose one of the four overarching goals to work on the project:

· Attain high quality, longer lives free of preventable disease, disability, injury, and premature death.
Primary health Plan focused on preventive services.

Title: Diabetes prevention in elderly population of my community.

APA style, 10 pages long, not including references and presentation page.

Identify a health problem in your community, in which you can develop a preventive program. (I choose Obesity prevention in adolescents of my community).

Create a clinical question using the PICOT (problem/patient/or population, intervention/indicator, comparison, outcome, and time element or type of study).

Objectives of the presentation

· Define preventive services commonly offered to different types of communities, using Healthy People 2020.

· Explain how to develop and write a practical policy for preventive services

· Define the steps to develop Primary Health Plan.

· Explain the evaluation criteria of a primary health plan.

· Explain the commonly used methods for evaluating a preventive health program.

· Identify a health problem in which it is important to develop a preventive health program.

Introduction.

Abstract

Literature that support the project

Description of the proposed solution.

Theory of change.

Problem identification, intended participant, Setting selection.

Objective and goals.

Intervention

Community involvement.

Develop materials and activities

Implementation and monitoring the intervention.

Choose one of the four overarching goals to work on the project:

· Attain high quality, longer lives free of preventable disease, disability, injury, and premature death.

· Achieve health equity, eliminate disparities, and improve the health of all groups.

· Create social and physical environments that promote good health for all.

· Promote quality of life, healthy development, and healthy behaviors across all life stages.

Evaluation.

Practice.

Conclusion.

References. Achieve health equity, eliminate disparities, and improve the health of all groups.

· Create social and physical environments that promote good health for all.

· Promote quality of life, healthy development, and healthy behaviors across all life stages.

Evaluation.

Practice.

Conclusion.

References.

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Case Study

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood glucose: 146 mg/dL
  5. Total cholesterol: 250 mg/dL
  6. Triglycerides: 312 mg/dL
  7. HDL: 30 mg/dL
  8. Serum creatinine 1.8 mg/dL
  9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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problem, intervention, comparison and outcome

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.

2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).

3. The PICOT question will provide a framework for your capstone project.

4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRICS: A clinical issue is thoroughly described. The issue relates to nursing practice. A PICOT question is clearly presented. The PICOT question format is applied accurately and presents an answerable and researchable question. Article citations and permalinks are presented. Article citations are accurately presented in APA format. Each article clearly relates to the PICOT question. The articles provide strong support for the PICOT question. Six research articles are presented. Each article meets the assignment criteria for a quantitative, qualitative, or mixed study. An ability to identify the different types of research design used in a study is consistently demonstrated. Purpose statements are accurate and clearly summarized. Research questions are accurate and capture the fundamental question posed by the researchers in each study. Research outcomes are accurate and described in detail for each article. The setting in which the researcher conducted the study is detailed and accurate for each article. The sample is indicated and accurate for each article. A thorough discussion on the method of study for each article is presented. Discussion of study results, including findings and implications for nursing practice, is thorough with relevant details and extensive explanation. Researcher recommendations accurate are thoroughly described for each article. Writer is clearly in command of standard, written, academic English. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

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