NUR 4636 – DB 4.4

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Answers must:

·  Be 100 words or more

·  Use the stand English grammar and spelling

·  References are cited (if necessary)

·  APA Format

Read the case study below and answer the following questions

Behavioral Health in the Community

The principal escorted Audrey, aged 13, an overweight girl with long blonde braids into the rural middle school nurse’s office. “Ms. Schmitz will help you, Audrey.” The principal signaled for the girl to sit down and then handed Ms. Schmitz, RN, a note and left. The note bulleted three lines: “Disruptive, fighting, teacher requests a home visit.”

Ms. Schmitz extended a wet facecloth while assessing Audrey’s appearance. Audrey wiggled on the wooden chair wearing torn and too small clothing, tennis shoes with holes, and a full backpack. “Place this on your eyes, and see if it helps.” The crying child’s tongue poked out the right side of her mouth and she swallowed several times as she reached for the cloth. “Are you hurt?” asked the nurse.

Audrey shook her head. “I have a sore throat though.” She shrugged her shoulders. “I wish I were dead. I could jab a pencil in my eye and bleed to death. That would fix them.”

“You sound pretty upset. Tell me what happened.”

“Brian made fun of my tics. I can’t help it. I am so tired of people laughing at me, my clothes and my mother. I hit him with a book because he wouldn’t stop. I bet he never thought I would hit him. I am not a bully, Brian is.” A fresh bout of sobbing doubled the girl in half.

The nurse read Audrey’s health record. Learning disabilities, ADHD, Tourette’s disorder, prenatal drug exposure, R. 20/80 and L. 20/100 vision, a normal scoliosis screening, and free lunch eligibility. The nurse searched for a telephone number. “I need to call your mother.”

The school secretary said, “There is no phone. I can give you the case worker’s contact.”

“Momma is sick,” said Audrey and swallowed. “She won’t answer the door”.

 

1. What will be included in the school nurse’s assessment plan?

2. What resources should be explored?

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Week 1 Q2

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Part 1: Discuss Morphology of cells and the factor it plays in general function and structure.

TOPIC: An 18 year old male presents with ADHD, small testes and learning disabilities. After a workup it is determined that he has a kerotype 47 XXY.

  1. Discuss meiosis and mitosis.
  2. Are the concepts of diffusion, active transport or osmosis implicated in various genetic conditions?  If so, how? If not, explain.
  3. Can genetics conditions be reversed, why ore why not?

Expectations

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

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Discharge Teaching Guidelines- Postpartum Hemorrhage

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The topic for my Assigment is Postpartum Hemorrhage

Please only section 6,  I need 5 slides powepoint 4-6 min presentation apa format

Section 6- Referral to Professional and Community‐Based Resources – 10 points/10%

• Provide one referral to each of the following:
o A professional organization
o A community-based resource
o Include contact information for these resources (i.e., phone number, e-mail, website or link)
o Include a statement describing the role, resources, and/or services of the organizations or resources

and their potential impact on the selected topic

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Week 2 Discussion: Change Theory Versus Motivational Interviewing

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Initial Post

For this discussion, compare and contrast principles of Change Theory and Motivational Interviewing and how these principles inform therapeutic interventions. You will gain a greater understanding of the theoretical underpinnings of the use of Change Theory and Motivational Interviewing used across clinical practice situations and settings.

Replies

Reply to at least two of your peers. Respectfully critique your peers’ posts noting any agreement or differences of opinion.

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Literature Evaluation Table

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Topic 5: Capstone Project Change Proposal Implementation Plan I

Apr 11-17, 2022

Max Points:70

Students must formulate an evidence-based and financially feasible strategic plan for their change proposal. Development of a written plan requires an assessment of the organization’s culture, stakeholders, potential challenges, barriers, and obstacles to the implementation of the change proposal. In this topic, students will develop their understanding of cultural aspects related to the organizational environment.

Objectives:

1. Assess the organization and community for key stakeholders.

2. Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention.

3. Create a strategic plan defining how the nursing practice intervention would be implemented in the capstone project change proposal.

4. Integrate reflective practice into the practicum reflective journal.

5. Demonstrate interprofessional collaboration throughout the creation of the capstone project change propos

 

 

 

DQ1

 

Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your change proposal, and how you will go about securing that support?

 

 

 

DQ2

 

 

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

 

 

 

Strategic Plan Summary

SUBMIT ASSIGNMENT

 

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.

Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrit

 

 

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DNP

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DNP Discussion Guidelines

Purpose

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.

Due Date

The initial posting to the graded collaborative discussions is due by Wednesday, 11:59 p.m. MT. Peer and faculty responses are due by Sunday, 11:59 p.m. MT. All posts for Week 8 are due by the close of class on Saturday, 11:59 p.m. MT. Please note that the late assignment policy does not apply to the collaborative discussions.

Discussion Criteria

Review the discussion criteria:

Application of Course Knowledge

· The student post contributes unique perspectives or insights gleaned from personal experience or examples from the healthcare field. The student must accurately and fully discuss the topic for the week in addition to providing personal or professional examples. The student must completely answer the entire initial question.

Engagement in Meaningful Dialogue

· The student responds to a student peer and course faculty to further dialogue.

· Peer Response: The student responds substantively to at least one topic-related post by a student peer. A substantive post adds content or insights or asks a question that will add to the learning experience and/or generate discussion.

· A post of “I agree” with a repeat of the other student’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.

 

 

 

 

· The peer response must occur on a separate day from the initial posting.

· The peer response must occur before Sunday, 11:59 p.m. MT.

· The peer response does not require a scholarly citation and reference unless the information is summarized and/or direct quotes are used, in which APA style standards then apply.

· Faculty Response: The student responds substantively to at least one question by course faculty. The faculty question may be directed to the student, to another student, or to the entire class.

· A post of “I agree” with a repeat of the faculty’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.

· The faculty response must occur on a separate day from the initial posting.

· Responses to the faculty member must occur by Sunday, 11:59 p.m. MT.

· This response does not require a scholarly citation and reference unless the information is summarized and/or direct quotes are used, in which APA style standards then apply.

Integration of Evidence

· The student post provides support from a minimum of at least three (3) sources which may include assigned readings, or weekly module content, or outside scholarly sources. The scholarly source when used is: 1) evidence-based, 2) scholarly in nature, 3) published within the last 5 years, and 4) an in-text citation. The student initial response to the graded discussion must include at least 1 source. Responses to peer and/or faculty, citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards then apply.

· It is important that student utilizes support from the literature that is grounded in the literature providing sources relevant to the discussion posting. One source may come from the online weekly content.

· Scholarly Sources

· Two (2) scholarly sources should be used in the discussion board assignments across the week.

· These include peer-reviewed publications.

· Textbooks are not considered scholarly sources. However, in some assignments, support from textbooks may be used on a limited basis when accompanied with additional scholarly sources if specified in the assignment guidelines or with instructor approval.

· Scholarly sources may be present in the weekly readings and students may choose to utilize these.

· Wikipedia, Wikis, .com website or blogs should not be used.

· Sources should be no more than five years old unless they are historical or seminal references or approved by your instructor.

· Literature Sources:

· Grey literature is scholarly but not peer-reviewed. These resources can be used but do not meet requirements for peer-reviewed sources.

 

 

· Refer to the assignment guidelines to determine which grey literature sources (e.g., professional organization website, white papers) are appropriate to be used for discussions or assignments and would constitute receiving full credit for using this resource in the paper or discussion.

· Government reports are actually part of the grey literature – they are not peer reviewed and the government’s main purpose is not the publication of literature.

· Internet resources on dissertations, a form of grey literature, provide additional views on the scholarly level of this literature

· Papers written for Chamberlain College of Nursing should be the student’s original work and contain no more than one short quotation for every three pages or as designated in the assignment guidelines. Quotations should be avoided if possible.

(Chamberlain Guidelines for Writing Professional Papers, 2020)

Professionalism in Communication

· The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.

Wednesday Participation Requirement

· The student provides a substantive response to the graded discussion question(s) or topic(s), posted by the course faculty (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.

Total Participation Requirement

· The student provides at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.

 

Rubric

Discussion Criteria

 Highest Level Performance: A Very Good or High Level of Performance: B Acceptable Level of Performance: C Failing Level of Performance: F
Left blank 10 points 9 points 8 points 0 points
Application of Course Knowledge:

Answers initial discussion question(s)/ topic(s), demonstrating knowledge, understanding of weekly concepts.

 Addresses all aspects of the initial discussion question(s) applying experiences, knowledge, and understanding. Addresses most aspects of the initial discussion question(s) applying experiences, knowledge, and understanding.

 

 Addresses some aspects of the initial discussion question(s) applying experiences, knowledge, and understanding.

 

 Does not address the initial question(s).

 
Engagement in Meaningful Dialogue with Peers and Faculty:

The student responds to a student peer and course faculty to further dialogue.

 Responds to student peer AND course faculty furthering dialogue by providing more information and clarification, adding much depth to discussion. Responds to a student peer AND course faculty furthering the dialogue by adding some depth to the discussion. Responds to a student peer and/or course faculty, adding minimal depth to the discussion. No response post to another student or course faculty.
Integration of Evidence:

Includes assigned readings, or weekly module content, or outside scholarly sources.

Includes three sources to support weekly concepts.

A scholarly source is defined on page 2 of these guidelines. These sources may be evident across the 3 postings.

 Sources are credited.*

At least 3 sources to support posts.

 Sources are credited.*

At least 2 sources to support posts.

 Sources are credited.*

At least 1 source to support posts.

 No scholarly source provided to support posts.

 

 

Professionalism in Communication Presents information using clear, concise language in organized manner (0-1 error patterns in English grammar, spelling, syntax, and punctuation). Presents information using clear, concise language in organized manner (2-3 error patterns in English grammar, spelling, syntax, and punctuation). Presents information using understandable language; information is not organized

4-5 error patterns in English grammar, spelling, syntax, and punctuation).

 Presents information that is not clear, logical, professional, or organized; reader has difficulty understanding the post; 6 or more error patterns in English grammar, spelling, syntax, punctuation).

 

 

Participation

Left blank 5 points 0 points
Participation Wednesday Response: Responds to initial discussion question(s) by Wednesday, 11:59 p.m. MT. Posts substantive response to initial discussion question(s) by Wednesday, 11:59 p.m. MT. Does not post substantive response to initial discussion question(s) by Wednesday, 11:59 p.m. MT.
Total Participation

Responses: Participates in discussion thread at least three times on at least 2 different days.

 Posts in discussion at least three times

AND on two different days during discussion week.

 Posts fewer than three times

OR does not participate on at least two different days during discussion week.

 

NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Saturday.

A zero is the lowest score that a student can be assigned.

Faculty may submit any collaborative discussion posting to Turnitin in order to verify originality.

 

* Using APA style and formatting, in text citations are included for all sources. Matching references are included for all in-text citations. Due to the formatting constraints of Canvas, references included in the discussion must include complete information. Canvas will not allow a hanging indent; it is not required.

 

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Assessment and Health and Illness Beliefs

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discuss how health and illness beliefs can influence the assessment process. You can use your textbook or any other evidence-based sources. Include how belief structure might impact how a client responds to an assessment interview and how culture might influence physical findings. Your assignment must have accurate spelling and grammar and use APA Editorial Format.

You must include a title and reference page, running head, and page numbers.

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Summative Assignment: Critique of Research Article

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A research critique demonstrates your ability to critically read an investigative study. For this assignment, choose a research article related to nursing.

  • Articles used for this assignment cannot be used for the other assignments (students should find new research articles for each new assignment).
  • The selected articles should be original research articles. Review articles, concept analysis, meta-analysis, meta-synthesis, integrative review, and systemic review should not be used.
  • Mixed-methods studies should not be used.
  • Dissertations should not be used.

Your critique should include the following:

Research Problem/Purpose

  • State the problem clearly as it is presented in the report.
  • Have the investigators placed the study problem within the context of existing knowledge?
  • Will the study solve a problem relevant to nursing?
  • State the purpose of the research.

Review of the Literature

  • Identify the concepts explored in the literature review.
  • Were the references current? If not, what do you think the reasons are?
  • Was there evidence of reflexivity in the design (qualitative)?

Theoretical Framework

  • Are the theoretical concepts defined and related to the research?
  • Does the research draw solely on nursing theory or does it draw on theory from other disciplines?
  • Is a theoretical framework stated in this research piece?
  • If not, suggest one that might be suitable for the study.

Variables/Hypotheses/Questions/Assumptions (Quantitative)

  • What are the independent and dependent variables in this study?
  • Are the operational definitions of the variables given? If so, are they concrete and measurable?
  • Is the research question or the hypothesis stated? What is it?

Conceptual Underpinnings, Research Questions (Qualitative)

  • Are key concepts defined conceptually?
  • Is the philoosoophical basis, underlying tradition, conoceptual framework, or ideological orientation made explicit and is it appropriate for the problem?
  • Are research questions explicitly stated? Are the questions consistent with the study’s philosophical basis, underlying tradition, conceptual framework, or ideological orientation?

Methodology

  • What type of design (quantitative, qualitative, and type) was used in this study?
  • Was inductive or deductive reasoning used in this study?
  • State the sample size and study population, sampling method, and study setting.
  • Did the investigator choose a probability or non-probability sample?
  • State the type of reliability and the validity of the measurement tools (quantitative only)

Qualitative studies (answer the following questions in addition to those above except the last bulleted item)

  • Were the methods of gathering data appropriate?
  • Were data gathered through two or more methods to achieve triangulation?
  • Did the researcher ask the right questions or make the right observations and were they recorded in an appropriate fashion?
  • Was a sufficient amount of data gathered?
  • Was the data of sufficient depth and richness?

Were ethical considerations addressed? Were appropriate procedures used to safeguard the rights of study participants?

Data Analysis

  • What data analysis tool was used?
  • Was saturation achieved? (qualitative)
  • How were the results presented in the study?
  • Were the data management (e.g., coding) and data analysis methods sufficiently described? (qualitative)
  • Identify at least one (1) finding.

Summary/Conclusions, Implications, and Recommendations

  • Do the themes adequately capture the meaning of the data?
  • Did the analysis yield an insightful, provocative and meaningful picture of the phenomenon under investigation?
  • Were methods used to enhance the trustworthiness of the data (and analysis) and was the description of those methods adequate?
  • Are there clear explanation of the boundaries/limitations, thick description, audit trail?
  • What are the strengths and limitations of the study?
  • In terms of the findings, can the researcher generalize to other populations? Explain.
  • Evaluate the findings and conclusions as to their significance for nursing (both qualitative and quantitative).

(  Pay close attention to the questions that pertain to your type of study chosen to critique. Only one study is critiqued; you choose, either quantitative OR qualitative original nursing research studies (no mixed studies, no literature reviews, no dissertations), published within the last 5 years. If you forget what a term means, consult the glossary of your textbook and consult the index of your textbook to help you determine whether the finding is a strength or weakness/limitation.  If you have any questions, you may also contact me for clarification.  I also recommend verification of research report articles to be certain you have an appropriate study.  The Librarian or I can verify it is a study that is original or primary single nursing research.  For a video on searching: Searching EBSCO Host ).

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Week 2 interactive case journal

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After you view the case study, reflect upon what you have learned and how it is related to the learning materials. Compare the case study to your nursing practice and give a similar example from your experience in which you might have run into staffing issues.

Submit your entry by Sunday, 11:59 p.m. (Pacific time). Your reflection content should be a minimum of 500 words, equal to five to six paragraphs, and is worth 50 points.

APA 7th edition the link for the case journal is below. The scenario is about understaffing nurses causing fatigue and needing To provide the best quality of care

https://webapps.srm-app.net/CanvasContent/SF/WCU_NURS_440_OL_TEMPLATE/Presentations/Nurs440%20Overstaffing/story_html5.html

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Pediatric illness

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· A 6-month-old male patient presents to your clinic with his mother. The mother’s chief complaint is that the baby has had a fever and diarrhea for several days and is not nursing as much as usual. The infant is quiet and warm, lung sounds are clear, heart sounds normal. No medical history, born healthy at 39 weeks 5 days via uncomplicated vaginal delivery, he is exclusively breastfed and is up-to-date on his vaccinations.

· What are 5 questions you would ask the mother next?

· What additional signs/symptoms would alert you that this infant may need to be transferred to the ER?

· What are your top 3 differential diagnoses

· this paper will have a conclusion

·

·

· Expectations

Research: Citations required with APA 7th Edition

· See USU NUR Research Paper Rubric for additional details and point weighting.

 

 

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