NURSING

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Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you've defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5–7 page analysis of your intervention.

Please submit both your solution/intervention and the 5–7 page analysis to complete Assessment 4.

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Introduction

In your first three assessments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem.

Preparation

In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:

· Creating an educational brochure.

· Producing an educational voice-over PowerPoint presentation or video focusing on your topic.

· Creating a teaching plan for your patient, family, or group.

· Recommending work process or workflow changes addressing your topic.

Plan to spend at least 3 direct practicum hours working with the same patient, family, or group.

In addition, you may wish to complete the following:

· Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.

· Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence.

Note: As you revise your writing, check out the resources listed on the Writing Center’s 

Writing Support
 page.

Instructions

Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.

Part 1

Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.

Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:

· Leadership.

· Collaboration.

· Communication.

· Change management.

· Policy.

· Quality of care.

· Patient safety.

· Costs to the system and individual.

· Technology.

· Care coordination.

· Community resources.

Part 2

Submit your proposed intervention to your faculty for review and approval.

In a separate written deliverable, write a 5–7 page analysis of your intervention.

· Summarize the patient, family, or population problem.

· Explain why you selected this problem as the focus of your project.

· Explain why the problem is relevant to your professional practice and to the patient, family, or group.

In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

· Define the role of leadership and change management in addressing the problem.

· Explain how leadership and change management strategies influenced the development of your proposed intervention.

· Explain how nursing ethics informed the development of your proposed intervention.

· Include a copy of the intervention/solution/professional product.

· Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.

· Identify the patient, family, or group.

· Discuss the benefits of gathering their input to improve care associated with the problem.

· Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.

· Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.

· Cite the standards and/or policies that guided your work.

· Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.

· Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.

· Cite evidence from the literature that supports your conclusions.

· Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.

· Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.

· Cite evidence from the literature that supports your conclusions.

· Write concisely and directly, using active voice.

· Apply APA formatting to in-text citations and references.

Additional Requirements

·
Format: Format the written analysis of your intervention using APA style. 

APA Style Paper Tutorial [DOCX]
 is provided to help you in writing and formatting your paper. Be sure to include:

· A title page and reference page. An abstract is not required.

· Appropriate section headings.

·
Length: Your paper should be approximately 5–7 pages in length, not including the reference page.

·
Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.

·
Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Portfolio Prompt: Save your intervention to your 
ePortfolio. After you complete your program, you may want to consider leveraging your portfolio as part of a job search or other demonstration of your academic and professional competencies.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 1: Lead people and processes to improve patient, systems, and population outcomes.

· Define the role of leadership and change management in addressing a patient, family, or population health problem and includes a copy of intervention/solution/professional product.

· Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.

· Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.

· Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.

· Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.

· Competency 5: Analyze the impact of health policy on quality and cost of care.

· Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.

· Competency 6: Collaborate interprofessionally to improve patient and population outcomes.

· Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.

· Competency 8: Integrate professional standards and values into practice.

· Write concisely and directly, using active voice.

· Apply APA formatting to in-text citations and references

Assigment .Apa seven . All instructions attached.

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Learning Activity Content

1.

Top of Form

During this week's learning activity we will begin to develop your PICCO question.

Choose a topic that you would like to research in nursing. You may use a topic previously used in the assignments for this week. 
Develop a literature review abstract list (1 for each source) of 3 or more sources that support this topic. This means you will cite your article and write 1-2 paragraphs on how this research study/article supports your PICO question.

The PICO Question is Due this week and is a required assignment. Submit it with your Literature Review [with this assignment].

Here is a very useful link on how to write a literature review and complete a literature review.


How to write a Literature Review


How to write a PICO Question

Please review the rubric prior to submission.

  Criteria

  Excellent 100%

  Satisfactory 75%

  Unsatisfactory 50%

  Poor 25%

  Learning activity questions 

 

50 % 

  The learning activity questions are answered comprehensively. The word count if applicable has been met, and it is accurate, non-evaluative, coherent, readable, and concise. All the following elements are included: a. The problem or issue you are presented and clearly explained, and b. the author's conclusions are clear and concise are explained.

  The learning activity questions are not answered comprehensively. The word count is 50 words short of meeting the required count, and it is accurate, has some non-cohesive thoughts, readable, and is concise. All the following elements are included: a. The problem or issue you are presented and clearly explained, and b. the author's conclusions are clear and concise are explained.

  The learning activity questions are not answered comprehensively. The word count is 50 words short of meeting the required count, but it is not clear and accurate, has some non-cohesive thoughts, and struggles to be coherent, readable, and concise. All the following elements are included: a. The problem or issue you is not presented and clearly explained, and b. the author's conclusions are not clear and concise are explained.

  The learning activity questions are not answered comprehensively. The word count is more than 50 words short of meeting the required count, but it is not clear and accurate, has some non-cohesive thoughts, and struggles to be coherent, readable, and concise. All the following elements are included: a. The problem or issue you is not presented and clearly explained, and b. the author's conclusions are not clear and concise are explained.

  Grammar, Spelling, APA 

25%

  Minimal spelling, APA, and/or grammar mistakes.

  Some spelling, APA, and or grammar mistakes.

  Noticeable spelling, APA, and/or grammar mistakes.

  An unacceptable number of spelling and/or grammar mistakes.

  Reference Page 25%

All sources 3 are current within 5 years and are cited following APA format.

At least 1 source is NOT current (within 5 years) but ALL are cited following APA format.

More than 2 sources are NOT current (within 5 years) and some are cited NOT following APA format.

All sources are NOT current (within 5 years) and some are cited NOT following APA format.

   

  

  

  

  

Studying for the Boards

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Please see the attachment for instructions

NUR 435 Week 1 Discussion: Exploring Your Management Style

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Step 1 Read and respond to the scenario.

You are interviewing for an assistant nurse manager position with the nurse manager of your unit. She asks you to answer the following questions:

  • Explain a time you had to take charge, formally or informally, on your clinical unit (be specific).
  • Describe the management style you used and the type of power you had.
  • Discuss whether your management style was effective and what you would have done differently.
  • Would you use a different management style in the future in the same situation? If so, which one and why?
  • Which management style would you choose to use going forward, and why

Discussion 7

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Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific

illnesses such as cancer, diabetes, and hypertension.  Share your opinions about holistic and allopathic care.

Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?

Instructions: 

Post your discussion to the Moodle Discussion Forum.  Initial post must be made by Day #3.  Word limit 500 words. Please make sure to provide citations and references (in APA, 7th ed. format) for your work.  

improved team communications

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improved team communications, patient and family centered care, and disparities and inequities in care, into your practice

cover letter

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see attachment 

AURP

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Total points possible: 100 points

Preparing the assignment
1. Research the literature and obtain two to three resources for current,
evidence-based information related to Tapinarof
2. Develop a teaching brochure and one page paper following these guidelines.

a. Brochure for nurses- Focus on nurses for literacy level
• Key/Relevant Drug Information (30 points/30%)

o Drug Class
o Mechanism of Action
o Drug Administration and Dosage
o Drug Interactions
o Lab effects/interference

• Patient Education Considerations (35 points/35%)
o Nursing Management
o Patient Education Considerations (special considerations)- provide examples
specific to client age needs- geriatric, pediatric and pregnant client
o Patient Assessment
o Side Effects/Adverse Effects/Toxicities
o Special considerations- provide examples specific to client age needs-
geriatric, pediatric, and pregnant clients
o Visual Effects/Creativity (10 points/10%)
o Developed per the required standard
o Appropriate for the intended audience (focus on nurses for literacy level)
o Graphics enhance the purpose of the brochure
o Brochure is visually appealing

b. One Page Paper (15 points/15%)
• Describes intended use of brochure (focus on nurses for literacy level)
• Includes:

o Name
o Date
o Class
o Reference page

• Describe how brochure information would be revised if intended brochure
audience had a low health literacy level.

c. APA Format (5 points/5%)
• Includes no more than 3 unique errors with APA format (current ed.)
• At least two (2) scholarly, primary sources from the last 5 years, excluding the
textbook, are provided

d. Writing and Mechanics (5 points/5%)

• Clearly written
• Includes no more than three unique errors of grammar
• Includes no more than three unique errors in writing mechanics
• Paper is one page, excluding references and title page

assessment 1 4050

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Assessment 1

Preliminary Care Coordination Plan

Instruction

Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

Introduction– The first step in any effective project is planning. This assessment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

NOTE: You are required to complete this assessment before Assessment 4.

Preparation- As you begin to prepare this assessment, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the assessment. Completing formatives is also a way to demonstrate engagement.

Scenario

Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents.

To prepare for this assessment, you may wish to:

· Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.

· Allow plenty of time to plan your chosen health care concern.

Instructions- Note: You are required to complete this assessment before Assessment 4.

Develop the Preliminary Care Coordination Plan

Complete the following:

· Identify a health concern as the focus of your care coordination plan. In your plan, please include physical, psychosocial, and cultural needs. Possible health concerns may include, but are not limited to:

· Stroke.

· Heart disease (high blood pressure, stroke, or heart failure).

· Home safety.

· Pulmonary disease (COPD or fibrotic lung disease).

· Orthopedic concerns (hip replacement or knee replacement).

· Cognitive impairment (Alzheimer's disease or dementia).

· Pain management.

· Mental health.

· Trauma.

· Identify available community resources for a safe and effective continuum of care.

Document Format and Length

· Your preliminary plan should be an APA scholarly paper, 3–4 pages in length.

· Remember to use active voice, this means being direct and writing concisely; as opposed to passive voice, which means writing with a tendency to wordiness.

· In your paper include possible community resources that can be used.

· Be sure to review the scoring guide to make sure all criteria are addressed in your paper.

· Study the subtle differences between basic, proficient, and distinguished.

Supporting Evidence

Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Preliminary Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

· Analyze your selected health concern and the associated best practices for health improvement.

· Cite supporting evidence for best practices.

· Consider underlying assumptions and points of uncertainty in your analysis.

· Describe specific goals that should be established to address the health care problem.

· Identify available community resources for a safe and effective continuum of care.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

· Write with a specific purpose with your patient in mind.

· Adhere to scholarly and disciplinary writing standards and current APA formatting requirements.

Additional requirements– Before submitting your assessment, proofread your preliminary care coordination plan and community resources list to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan. Be sure to submit both documents.

Portfolio Prompt: Save your presentation to your ePortfolio.

Course Competencies- By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 1: Adapt care based on patient-centered and person-focused factors.

· Analyze a health concern and the associated best practices for health improvement.

· Competency 2: Collaborate with patients and family to achieve desired outcomes.

· Describe specific goals that should be established to address a selected health care problem.

· Competency 3: Create a satisfying patient experience.

· Identify available community resources for a safe and effective continuum of care.

· Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

Scoring guide

Preliminary Care Coordination Plan Scoring Guide

CRITERIA

NON-PERFORMANCE

BASIC

PROFICIENT

DISTINGUISHED

Analyze a health concern and the associated best practices for health improvement.

Describe specific goals that should be established to address a selected health care problem.

Identify available community resources for a safe and effective continuum of care.

Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.