Discussion

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In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

Nursing

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Experiential Nursing Learning Planning Proposal
Assignment

 20 points 


Overview and Instructions:
 Demonstrating the student’s ability to effectively collaborate with nursing leaders and community health nurses for the upcoming public/community health clinical experience, while using leadership skills as a means to prepare for the upcoming NURS 450 experiential nursing learning experiences, the student will submit an experiential learning planning proposal paper by 6-25-23.

During this course (410), you will plan your experiences that will take place during the NURS 450 course. Prior to due date, you will be responsible for contacting a BSN (or higher) preceptor for 24 hours in a public/community health clinical site for your upcoming NURS 450 course. The clinical site must offer community/population-based services, with the primary preceptor being a BSN (or higher) prepared nurse working in a clinical setting providing community or population-based care, while using nurse leadership skills. You will also arrange for 11 additional volunteer hours in a different public/community health setting. Within this module, you will find a list of potential experiential learning (clinical) sites that have been used by previous nursing students. This is not an all-inclusive list but does give the student an idea of previously used sites. Your precepted and/or volunteer experiential nursing learning (clinical) site does not need to be included in this list, as other public/community health sites can be arranged as well.

Experiential Nursing Learning Planning Proposal Grading Rubric

Criterion

Excellent

Satisfactory

Unsatisfactory

Determine the experiential nursing learning (clinical) precepted site

(5 pts.)

a. Description of the clinical site is clear and relevant, including location and demographics of location (include either community/county/city demographic data such as age, race, ethnicity, gender, income, education, etc.) and population served (2.5 pts.)

b. Describes appropriateness of the clinical site to a community/population health focus as well as application to professional nursing practice (2.5 points)

a. Minimally describes the clinical site (1.25 pts)

b. Minimally describes the appropriateness of the clinical site to a community/population health focus as well as application to professional nursing practice (1.25 pts.)

a. Description of the clinical site is unclear and/or irrelevant (0.625 – 0 pts.)

b. Does not describe the appropriateness of the clinical site to a community/population health focus as well as application to nursing practice (0.625 – 0 pts.)

*May receive (0) if description of clinical site and/or appropriateness is missing

Describe the role of the BSN preceptor

(5 pts.)

a. Describes the role of the proposed BSN preceptor as a community/ population-based BSN prepared nurse and nurse leader (2.5 pts.)

b. Describes the value of the nursing student having an experience with a BSN prepared nurse preceptor in general, and specifically with the proposed preceptor, integrating nursing standards of practice and how this relates to their role in adhering to the Standards of Practice while completing the nursing process during this public/community health clinical experience.

c. (2.5 pts.)

a. Minimally describes the role of the proposed BSN preceptor as a community/population-based BSN and nurse leader (1.25 pts.)

b. Minimally describes the value of the nursing student having an experience with a BSN preceptor, does not integrate public health nursing standards of practice (1.25 pts.)

a. Does not describe the role of the proposed BSN preceptor as a community/population-based BSN and nurse leader (0.625 – 0 pts.)

b. Does not describe the value of the nursing student having an experience with a BSN preceptor (0.625 – 0 pts.)

*May receive (0) if description of the role of the BSN prepared preceptor and/or public health nursing standards of practice are missing

Explain the community service and volunteer public/community health setting

(2.5 points)

a. Explains the appropriateness of the community service/volunteer setting to a community/population health focus (2.5 points)

a. Minimally explains the appropriateness of the community service/volunteer setting to a community/population health focus (1.25 pts)

a. Does not explain the appropriateness of the community service/volunteer setting (0.625 – 0 pts.)

Included
at least one professional/research nursing journal article to support rationale (2.5 pts.)

a. Includes at least one professional research
nursing journal article (hint- use CINAHL) (2.5 pts.)

a. Includes article that lacked professional credibility (1.25 pts.)

a. Fails to include professional journal article (0.625 – 0 pts.)

Experiential Learning (clinical)agency/contact information for preceptor (2.5 pts.)

a. Includes agency/contact information for BSN preceptor, including preceptor name, clinical site name, phone contact, address, and email contact (2.5 pts.)

a. Includes partial agency/contact information for BSN preceptor (1.25pts.)

a. Does not provide any agency/contact information for BSN preceptor (0.625 – 0 pts.)

Writing Mechanics and APA formatting (2.5 pts.)

*Must include American Nurses Association (2013).
Public health nursing: Scope and standards of practice (2nd ed.) reference

a. Demonstrates information literacy and proper writing mechanics through formatting, citing, and documenting a reference list for resources while displaying a proficient understanding of how to appropriately organize his/her work using headings per 7th ed. APA formatting. Must include

· Title Page

· Body of paper

· Reference list

(2.5 pts)(No page length requirements. Suggested page length of paper for the body of the paper is one to two pages in length.)

a. Demonstrates information literacy through formatting, citing, and documenting relevant material but does not organize work using headings per 7th ed. APA formatting. Includes partial paper requirements. (1.25 pts.)

a. Incorrect use of information literacy in formatting, citation, and documentation. Multiple errors in APA formatting. (0.625 – 0 pts.)

Total Points

20 points

To understand the role that effective communication practices will play in your career

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NURSING CAREER 

APA FORMAT 

THEY CHECK FOR PLAGERISM/AI 

SEE INSTRUCTIONS IN ATTACHMENT

Chapter 16 Assignment

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Graded Icon

Instructions:

  1. Read the Article – Meeting the Challenges of Nursing Staff Education, and then answer the following questions:
    1. List the unit you are working in (if not working, then use ICU as the model)
    2. Considering the unit you are working in presently, what educational needs do you think that you or any nurse working on the unit would need in the next two years (State requirements every two years + certifications (hint: AACN website- pick at least one)
    3. What other training would you anticipate that you would need?
  2. Your paper should be:
  3. One (1) page
    • Typed according to APA Writing Style for margins, formatting, and spacing standards.
    • Typed your paper in a Microsoft Word document, save the file, and then upload the file.

pn 11 clinical quetion

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Clinical Question – Formulate a clinical question using the PICOT format.

P: Patient Population

I: Intervention or area on Interest

C: Comparison intervention or group

O: Outcome

T: Time

Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?”

Project 3

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You are the Nurse Leader/Administrator at a long-term care facility (not hospital). The rates of resident falls have been increasing over the last 6 months to a year in your facility causing some serious injuries for some of the residents. You, as a doctorate of nursing prepared leader, have to adequately describe the issue & create a Process Improvement project using the Six Sigma (DMAIC) process to address and solve the problem. During this part, you will address the DMA – Define, Measure & Analyze stages. A MINIMUM of 5 relevant evidence based sources (best are peer-reviewed articles) should be used and published within the last 5 years. Below are the (DMA) relevant issues to include in your Process Improvement Project:

DEFINE:

•Define the issue: What process are you trying to improve? 

•Describe the team and stakeholders

•Plan out the project

•Make a plan for the change 

MEASURE:

•What metrics will you measure 

•How will you measure success

•How will you collect baseline data

ANALYZE:  

•How will you analyze the data you collect

•What will you use to display data

•What is the reason for your wastes, delays, etc

Community health

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Use the internet and other resources (including health department and agency annual reports) to complete the table below. Compare the demographic and health data from the target community to city, state and national data.

Data Table 1:

Community Indicators

Target Community

[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Demographics

Age

Race

Gender

Education level
(may need to divide this into two or more categories)

Income level (
again, may need categories)

Percent living at or below FPL
(federal poverty line)

Unemployment rate

Data Table 2:

Health Status Indicators

Target Community
[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Life expectancy

Infant mortality;

Maternal/ child health outcomes

Morbidity and mortality data

(i.e., prevalence of diseases, causes of death; include several categories)

Data Table 3:

Physical/Social Environment

(Tailor to your target problem, include at least 5 indicators)

Target Community
[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Liquor store density

School readiness/reading proficiency

School absenteeism

Homicide rate

Youth homicide rate

Vacant lot density

Food desert
(percentage assigned)

The Target Community is “Annapolis Family support center”. Please google it to see what they do and fill out the above table as you search for the information on the internet.

critical thinking

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Module 01 Content

1.

Top of Form

Read the following articles:

·

Censoring Student Newspapers: An Overview

·

Student Newspapers Are Part of a Curriculum, Not Forums for Free Speech

·

School Administrators Have No Right to Censor Student Newspapers

Choose either of the two following arguments:

School newspapers should be subject to censorship by faculty and/or school officials.

Or

School newspapers should have full First Amendment freedoms.

Compose a short (1-2 page) essay addressing your chosen argument.

· Use any information you find valid to support your side.

· Use
evidence and
reason to support your argument.

· Avoid emotional appeals as much as possible.

Write your essay in a Word document. Be sure to proofread for grammar and spelling. Include at least two sources in addition to those provided above. Add your sources in APA formatting on a separate page.

Bottom of Form

Nursing Assignment

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Week 2 Ethical Frameworks Essay

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below).  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice? 

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases


Medical Indications: The Principles of Beneficence and Nonmaleficence

· What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

· What are the goals of treatment?

· In what circumstances are medical treatments not indicated?

· What are the probabilities of success of various treatment options?

· In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?


Patient Preferences: The Principle of Respect for Autonomy

· Has the patient been informed of benefits and risks, understood this information, and given consent?

· Is the patient mentally capable and legally competent, and is there evidence of incapacity?

· If mentally capable, what preferences about treatment is the patient stating?

· If incapacitated, has the patient expressed prior preferences?

· Who is the appropriate surrogate to make decisions for the incapacitated patient?

· Is the patient unwilling or unable to cooperate with medical treatment? If so, why?


Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy

· What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?

· On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?

· Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?

· What ethical issues arise concerning improving or enhancing a patient’s quality of life?

· Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?

· What are plans and rationale to forgo life-sustaining treatment?

· What is the legal and ethical status of suicide?


Contextual Features: The Principles of Justice and Fairness

· Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

· Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?

· What are the limits imposed on patient confidentiality by the legitimate interests of third parties?

· Are there financial factors that create conflicts of interest in clinical decisions?

· Are there problems of allocation of scarce health resources that might affect clinical decisions?

· Are there religious issues that might influence clinical decisions?

· What are the legal issues that might affect clinical decisions?

· Are there considerations of clinical research and education that might affect clinical decisions?

· Are there issues of public health and safety that affect clinical decisions?

· Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

20 to >17.2 pts

Proficient

The writer clearly and effectively responds to the assignment.

17.2 to >15.0 pts

Approaches Proficiency

The response to the assignment is generally adequate, but may not be thorough.

15 to >0 pts

Does Not Meet Expectations

The writer does not respond to the assignment.

20 pts

This criterion is linked to a Learning OutcomeFocus and Detail

18 to >15.48 pts

Proficient

There is one clear, well-focused topic. Main ideas are clear and are well supported by detailed and accurate information.

15.48 to >13.5 pts

Approaches Proficiency

There is one clear, well-focused topic. Main ideas are clear but are not well supported by detailed information.

13.5 to >0 pts

Does Not Meet Expectations

The topic and main ideas are not clear.

18 pts

This criterion is linked to a Learning OutcomeOrganization

14 to >12.04 pts

Proficient

The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong.

12.04 to >10.5 pts

Approaches Proficiency

The introduction states the main topic and provides an overview of the paper. A conclusion is included.

10.5 to >0 pts

Does Not Meet Expectations

There is no clear introduction, structure, or conclusion.

14 pts

This criterion is linked to a Learning OutcomeMechanics and APA

8 to >6.88 pts

Proficient

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

6.88 to >6.0 pts

Approaches Proficiency

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.

6 to >0 pts

Does Not Meet Expectations

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing.

8 pts

Total Points: 60

Nursing

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Instructions:

1.
Topic Selection: Select a topic that interests you and that is relevant to nursing Pediatric practice. Your topic should be broad enough to allow for an in-depth exploration but narrow enough to be manageable within the scope of a 
500-650 word research paper. You may select a topic related to patient care, nursing education, health promotion, or any other area of nursing practice that interests you. 

2.
Searching for Literature: After choosing a topic and 
obtaining my approval for the topic, use the Library page at the FNU.edu website to search for scholarly sources related to your topic. You must utilize 
at least 3 scholarly sources that have been published 
within the last 5 years. You may use databases such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library. Be sure to use appropriate keywords and to apply search filters to limit your search to 
scholarly, peer-reviewed articles.

3.
Evaluating Sources: Once you have identified potential sources, be sure to identify if they are relevant to your topic, written by credible authors, and based on rigorous research methods.

4.
Writing the Paper: Your research paper should follow 
APA 7 guidelines and include an 
introduction and 
conclusion. Be sure 
references are cited throughout the paper and included in a 
reference list at the end of your paper.

5. Please keep in mind that the paper will be checked for plagiarism, and 
similarity above 25% that is not cited will not be accepted for submission. 

6. Please refer to the evaluation rubric for evaluation criteria 

Topic: breastfeeding vs formula feeding.