Nursing Philosophy/QEP Writing Assignment in APA format and citing sources
The personal philosophy must include the following domains: Nursing, Environment, Health and
Person. You should include your personal definition of each domain and how these fit into your
philosophy of nursing. In preparing your philosophy the faculty require that you review the
philosophies of Miami Dade College, Benjamin Leon School of Nursing and at least one hospital.
Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations
Assessment 1 Instructions: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations
In a 5-7 page written assessment, define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective. Plan to spend approximately 2 direct practicum hours meeting with a patient, family, or group of your choice to explore the problem and, if desired, consulting with subject matter and industry experts.
Nurses in all professional roles work to effect positive patient outcomes and improve organizational processes. Professional nurses are leaders in problem identification, planning, and strategy implementation—skills that directly affect patient care or organizational effectiveness.
Too often, change agents jump to a conclusion that an intervention will promote the envisioned improvement. Instead, the ideal approach is to determine which interventions are appropriate, based on an assessment and review of credible evidence. Interventions could be patient-facing or involve a change in policy and process. In this assessment, you’ll identify and make the case for your practicum focus area, then explore it in depth from a leadership, collaboration, communication, change management, and policy perspective.
This assessment lays the foundation for the work that will carry you through your capstone experience and guide the practicum hours needed to complete the work in this course. In addition, it will enable you to do the following:
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
In this assessment, you’ll assess the patient, family, or population health problem that will be the focus of your capstone project. Plan to spend approximately 2 hours working with a patient, family, or group of your choice to explore the problem from a leadership, collaboration, communication, change management, and policy perspective. During this time, you may also choose to consult with subject matter and industry experts about the problem (for example, directors of quality or patient safety, nurse managers/directors, physicians, and epidemiologists).
To prepare for the assessment, complete the following:
In addition, you may wish to complete the following:
Note: Remember that you can submit all, or a portion of, your draft assessment to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
Complete this assessment in two parts.
Define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective and establish your evidence and research base to plan, implement, and share findings related to your project.
Connect with the patient, family, or group you’ll work with during your practicum. During this portion of your practicum, plan to spend at least 2 hours meeting with the patient, family, or group and, if desired, consulting with subject matter and industry experts of your choice. The hours you spend meeting with them should take place outside of regular work hours. Use the Practicum Focus Sheet [PDF] provided for this assessment to guide your work and interpersonal interactions.
Complete the NURS-FPX4900 Volunteer Experience Form in CORE ELMS. Include a description of your relationship to the patient, family, or group in the Volunteer Experience comments field.
The assessment requirements, outlined below, correspond to the scoring guide criteria, 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.
The following article provides an in-depth review of the effect of transformational leadership in nursing:
The following article presents a mental model of effective health care leadership competencies, using a concept mapping approach:
The following article presents a comprehensive review of the literature related to decision making in nursing:
Watch the following videos:
This website provides a search function to assist you in finding individual state nurse practice acts.
Use the following resources to begin exploring patient, family, or population health problems that you might choose as the focus of your capstone project. They provide information on a number of problems common to today’s health care systems.
Use the following resources to facilitate your research and review of the literature:
Click the linked Assessing a Health Problem 1 title above to complete a brief multimedia exercise that will help you in completing the first assessment. In this exercise, you’ll explore a patient, family, or population health problem from a leadership, collaboration, communication, change management, and health policy perspective.
Nursing Student Preceptorship Program
Create a change project for a new nurse preceptorship program based QSEN
teamwork/collaboration. The problem identified is staff nurses reluctance to precept nursing
students.
The change project must demonstrate the student’s ability to synthesize and apply the knowledge
and skills acquired in this academic program to real-world nursing issues and problems. This final
project will affirm one’s ability to think critically and creatively, to solve practical problems related to
nursing practice or the facilitation of patient-centered care, to make reasoned and ethical decisions,
to propose change and to demonstrate both oral and written communication effectively with peers,
nursing staff and members of the health care team.
Objectives:
Integrate Lewin’ s Change Theory in human systems when identifying the practice problem or issue
Propose an innovative solution or change to a system-related patient care problem identified on the
unit where the student is practicing.
Analyze the outcomes of nursing interventions using research-based evidence and data.
Formulate evidence-based conclusions and recommendations related to the problem identified.
Directions
Identify a practice/problem/policy on your assigned unit. Be specific as to how this affects the unit
you are working on.
Find evidence to support this practice/policy change. You may use research articles, meta-analysis
and integrative reviews from peer-reviewed journals.
Summarize the evidence from at least five professional sources. These sources should be organize
in a summary table.
You must create an appendix in your paper that includes: any surveys, the summary table of
sources, and any additional resources such as visual aids or tools created for this project.
Evaluate the evidence. Is the evidence strong enough to change practice/policy or support a curren
practice/policy?
Does the evidence support the practice/policy?
Make recommendations based on the evidence. How could you apply your recommendations on
your unit?
Unknown bacteria project
Please see fill attached and there is a work sheets to fill in they data
Rising Rates of Hepatitis
Prepare a communication document that:
Explains the selected communicable disease’s impact or potential impact on public health.
Analyzes data using correct epidemiologic terminology on the communicable disease (from the surveillance sources’ websites provided below).
Explains the potential impact on the population if this communicable disease is not addressed, with a focus on the social impact and the emotional distress to the community.
Examines nursing interventions that have been proven effective in similar communities.
Details the action steps that can be taken by public health nurses to prevent and control the communicable disease, including education strategies.
Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammjvzar in the communication document.
Characterize the risk factors and describe the development of coronary artery disease (CAD).
PICO(T) Questions and an EvidenceBased Approach
Adult Nurse Practitioner Advanced Practice Role
Describe the preparation, demand, salary, and regulations for an advanced practice role.
Discuss the role of the master’s prepared nurse in the healthcare delivery system.
Identify how the master’s prepared nurse utilizes technology and information management
to improve patient outcomes.
Advocate for the role of the professional nurse
PERSONAL NURSING PHILOSOPHY PAPER
This assignment involves writing a statement (as soon to be nurses) on your values, beliefs, and ethics regarding the care and treatment of patients. A philosophy of nursing begins by identifying and highlighting the beliefs that you believe are essential to the nursing profession.
Although you are not yet a nurse and your philosophy will evolve over time, writing your personal nursing philosophy can be a valuable educational and reflective experience. To complete this assignment, first explore the nursing metaparadigm, which includes four key concepts that nurses agree make the profession unique: Person, environment, health, and nursing. Next, write a three (3) page (double-spaced, APA
format without a cover page) paper that includes: (1) the four key concepts; (2) nursing as an art and a science; (3) a relevant nursing theory that will serve as a guide to your patient practice in a clinical setting.
Nursing Care of Physiologic and Psychologic Disorders PowerPoint Presentation
PowerPoint Presentation
Discuss the Nursing care of age-related Physiologic or Psychologic Disorder.
Present the age-related Physiologic or Psychologic Disorder
Choose from one: Integumentary function, Urinary function, Musculoskeletal function or Endocrine function.
Describe the age-related changes and common problems and conditions.
Summarize the nursing management appropriate for your Physiologic or Psychologic Disorder chosen
Submission Instructions:
Presentation is original work and logically organized.
Followed current APA format including citation of references.
Power point presentation with 4-6 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Journal articles and books should be referenced according to current APA style.
Discussion board on Psychedelic Drugs / Bipolar Disorder
Main Book to Use and quote from:
Prus, A. (2018). Drugs and neuroscience of behavior: An introduction to
psychopharmacology (2nd ed.). Sage Publications
Please elaborate more on any question/answer of your choice
Discussion board on Psychedelic Drugs / Bipolar Disorder.
After reading chapter 12:
1. Describe the cognitive deficits that have been observed in people who are chronic users of MDMA.
2. Discuss how long term potentiation is related to memory.
After reading chapter 13:
3. Elaborate on presenting clinical subjective signs/symptoms Differentiate between bipolar one and bipolar two.
4. Elaborate on etiology and epidemiology of bipolar disorders.
5. Elaborate on medications, mechanism of action, side effects and implications for monitoring. The major pharmacological drug categories (mood stabilizer,anticonvulsants,Antipsychotics, Antidepressants) and the major drugs in each category
Pancreatitis Septic Shock Case Study
The following case study is a short answer assignment. Consider the weight of marks as a guide to the detail required for each answer. Please copy the assignment questions and include your answer under each question. APA format. references for each question must be included with your work as well as a reference page at the end of your case study.
Total reference- 6
mandatory reference
Urden, L. D., Stacy, K. M., & Lough, M. E. (2018). Critical care nursing, diagnosis and management (8th ed.). St. Louis, Mo: Elsevier/Mosby. you can use 2017 edition as well.
Case Study Phase 1
Mr. Jones, a 57 year old male, arrived in the Emergency Department at 2030 hours and is complaining of acute abdominal pain. The pain has been present for approximately 2 days but has increased in severity over the last 8 hours. The pain is localized to the upper-left abdominal quadrant with some radiation to the back. Mr. Jones vomited four times in the last 8 hours with no relief from pain. Mr. Jones has a history of hypertension and heavy alcohol use. He is accompanied by his wife and children; two daughters and one son, all in their mid to late twenties.
Vital Signs: BP 131/77, HR 75 bpm, respirations 22 breaths/minute, temperature 38.1° Celsius.
At 0200 hours
Mr. Jones becomes anxious, unsettled and indicates that the pain in his abdomen has increased. Mr. Jones then proceeds to vomit 125 mL of brown liquid emesis.
Vital Signs:
BP 105/61, HR 95 bpm, respirations 28 breaths/minute, temperature 38.6 Celsius
Mr. Jones is admitted to the Critical Care Unit post diagnostic tests. Diagnosis is pancreatitis.
Questions
1. Discuss nursing priorities of the patient related to the clinical manifestations of pancreatitis. (4 marks)
2. What blood work and diagnostic tests would you expect to be ordered for Mr. Jones and why? (4 marks)
Case Study Phase 2
0400 hours
Mr. Jones is conscious but confused at times. Vital signs on the last assessment indicate a change in condition.
Vital Signs: BP 88/56, HR 120, respirations 30/minute, O2 sat 93% on 6 litres via nasal prongs, temperature 39.9° Celsius.
The most responsible physician (MRP) is notified and has not yet returned the call.
0500 hours
Just prior to the MRP’s arrival Mr. Jones becomes difficult to rouse.
Vital Signs: BP 78/52, HR 125 bpm, respirations 32 breaths/minute, O2 sat 89% via facemask,
temperature 36.9° Celsius, WBC is 32.
Mr. Jones receives a normal saline fluid bolus of 500 mL with little effect. He is started on vasopressors to maintain a BP systolic of 90 or a mean arterial pressure of 70. ABGS are drawn — pH 7.48, PCO2 40 mm Hg, P02 84 mm Hg HC03- 30mmol/L and he is subsequently intubated and ventilated.
3. Interpret the arterial blood gases. (total 2 marks)
4. Explore the medical management for a patient diagnosed with septic shock? (4 marks)
Case Study Phase 3
The physician orders intra-abdominal pressure (IAP) monitoring for Mr. Jones. His IAP readings are 22 and 28 mm Hg on two separate measurements.
5. Intra-abdominal pressure monitoring three part question (total 5 marks)
a. Why might this patient require IAP monitoring? (one mark)
b. Explain how the gastrointestinal system might be impacted by increased intra-abdominal hypertension (IAH) and/or abdominal compartment syndrome (ACS). (2 marks)
c. Explain how the cardiac system might be impacted by increased intra-abdominal hypertension (IAH) and/or abdominal compartment syndrome (ACS). (2 marks)
6. Mr. Jones’s cardiac monitor alarms and the following cardiac rhythm is noted. Interpret the following cardiac rhythm and describe appropriate nursing priorities. (You may wish to refer to your Cardiac book. Urden, L. D., Stacy, K. M., & Lough, M. E. (2018). Critical care nursing, diagnosis and management (8th ed.). St. Louis, Mo: Elsevier/Mosby.
(1 mark for naming the rhythm, 2 marks for nursing priorities–total 3 marks.)
7.
Mr. Jones’s 12 Lead EKG shows the following (see below). Interpret this 12 Lead ECG using the 8 step systematic approach for ECG interpretation (from learning in the Cardiac Course text book Urden , stacy). Please include rhythm, axis, voltage, transition, BBB, hypertrophy, MI location and stage of MI.) (8 marks)
8.
Mr. Jones is remains hemodynamically unstable and his creatinine continues to rise. A decision is made to start continuous renal replacement therapy (CRRT). Discuss the nursing considerations for Mr. Jones. (5 marks)
9.
Mr. Jones condition is very poor and has a poor prognosis. Discuss key inter-professional priorities related to end-of-life care for Mr. Jones and his family. (You may wish to refer to the End-of-Life section in your Critical Care text book urden stacey.)
(5 marks)
Professional Capstone and Practicum Reflective Journal + PICOT Question
Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).
In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.
New practice approaches
Interprofessional collaboration
Health care delivery and clinical systems
Ethical considerations in health care
Practices of culturally sensitive care
Ensuring the integrity of human dignity in the care of all patients
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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.
You are not required to submit this assignment to LopesWrite.
PICOT question: Compared to standard practice, what evidence-based nursing intervention can be implemented that can reduce rates of falls among elderly in 10 weeks’ time frame?
Falls are recurrent in nature and the impairments such as fractures, social, emotional, psychological, economic, and behavioral consequences associated with falls account to chronic
causes of morbidity in elderly. The risk is further increased with prior history of falls and presence of cognitive decline. Therefore, it becomes vital to explore strategies that can help
reduce incidence of falls.
For this 4-5 pages assignment, you will conduct a focused health history and physical assessment based upon your Practice Experience work in Shadow Health
For this 4-5 pages assignment, you will conduct a focused health history and physical assessment based upon your Practice Experience work in Shadow Health. Particularly, you will complete a focused assessment on Esther, an elderly patient who is complaining of abdominal discomfort. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment.
Submission Parameters:
For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 4-5 pages, which does not include the cover page and reference page(s).
In regards to APA format, please use the following as a guide:
| Competency | 20 | 18 | 16 | 0 | Points Earned |
| Focus of the Assessment is identified with Special Considerations including Documented Focused Health History | Documentation clearly shows student has completed a focused assessment with identified special considerations including a well-documented focused health history. | Documentation supports the student has completed the focused assessment with minimal identification of special concerns. The focused health history is documented. | Documentation supports the student has completed the focused assessment without identification of special concerns. The focused health history is documented and lacks depth and specificity of weekly topic. | Documentation supports the student attempted to complete the focused assessment without identification of special concerns. The focused health history is briefly documented and lacks depth and specificity of weekly topic. | /20 |
| 20 | 18 | 16 | 0 | ||
| Documented Physical Examination Findings including Techniques of Examination | Documentation clearly shows student has completed the physical examination and accurately describes the techniques of examination for the week. | Documentation supports the student has completed the physical examination and describes the techniques of examination for the week. | Documentation supports student completed some of the physical examination for the focused assessment of the week. Documentation is accurate but lacks depth. | No evidence that the student is applying read concepts of advanced focused physical assessment. Documentation lacks depth and may lack coherence for understandability of tasks completed in this week. | /20 |
| 20 | 18 | 16 | 0 | ||
| Documented Evidence to Support Clinical Reasoning with External Course Resources | Discourse clearly shows the student has studied the topic and has given thought to the focused assessed topic and documentation for the week. | Discourse supports the student has studied the topic and has given thought to the focused assessment topic and documentation for the week. | Discourse supports student studied some of the topic for the focused assessment topic this week. Discourse is accurate but lacks depth. | No evidence that that student has read or studied the topic. Discourse lacks depth. May be presented in a rambling manner. Content is inaccurate &/or is unclear. |
/20 |
| 20 | 18 | 16 | 0 | ||
| Individualized Plan of Care Based Upon Clinical Findings | Accurately presents an individualized plan of care based upon clinical findings. | Presents an individualized plan of care based upon clinical findings. Some minor omissions are noted. | Presents a plan of care that is not individualized based upon the clinical findings. | A plan of care is not presented or the plan of care presented lacks demonstration of competency or is irrelevant to the clinical findings. | /20 |
| 5 | 4 | 3 | 0 | ||
| Developmentally and Culturally Specific | Accurately documents a developmentally and culturally specific assessment and plan of care for the selected patient. | Documents a developmentally and culturally specific assessment and plan of care. | Presents a developmentally and culturally specific assessment or plan of care and one or both are not based upon the selected patient. | A developmentally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. | /5 |
| 5 | 4 | 3 | 0 | ||
| Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice | Compliance with the ethical and legal standards of professional nursing practice is explicitly stated in the documentation of the focused physical assessment. | Compliance with the ethical and legal standards of professional nursing practice is stated in the documentation. | Compliance with the ethical and legal standards of professional nursing practice is briefly implied in the documentation of the focused physical assessment or inaccuracies are evidenced in the written assessment. | Compliance with the ethical and legal standards of professional nursing practice is not included in the documentation of the focused physical assessment. | /5 |
| 10 | 9 | 8 | 0 | ||
| Grammar, Spelling, and Punctuation APA Format | APA Format, grammar, punctuation and spelling is accurate with errors. | APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. | APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. | APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. | /10 |
| COMMENTS: | TOTAL: | /100 | |||
Neuroanatomy Assignment
To receive the points, the paper must be peer-reviewed, from a scholarly journal and relate to some aspect of the special topics listed above. In addition, you must briefly explain the relevance of the paper and the findings, answering these questions:
1) What aspect of neuroscience is addressed in the paper?
2) What methods were used to conduct the study?
3) What were the main results (what did they find in one sentence); and
4) What did they conclude from the results (what is the significance of the reported research)? Attach the file link.
To receive the points, the paper must be peer-reviewed, from a scholarly journal and relate to some aspect of Neuroanatomy/Neurophysiology. In addition, you must briefly explain the relevance of the paper and the findings, answering these questions:
1) What aspect of neuroscience is addressed in the paper?
2) What methods were used to conduct the study?
3) What were the main results (what did they find in about one sentence)
4) What did they conclude from the results (what is the significance of the reported research)? Attach the file link.
To receive the points, you must explain why you found the aid useful, the subject to which it pertains, and the link must be functional. Provide the link and explanation in the message box.