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Write a research proposal using your clinical question formulated earlier in the course

What is a research proposal?

The purpose of a research proposal is to identify and formulate questions that arise from nursing practice and to design a research project to study the identified problem. The goal of a research proposal is to present and justify a research idea you have and to present the practical ways in which you think this research should be conducted. Research proposals contain extensive literature reviews and must provide persuasive evidence that there is a need for the proposed research study. In addition to providing a rationale for the proposed research, a proposal describes detailed methodology for conducting the research consistent with requirements of the professional or academic field and a statement on anticipated outcomes and/or benefits derived from the study.

Directions

Write a research proposal using your clinical question formulated earlier in the course that was approved by your instructor. This may be either a qualitative or quantitative research proposal. Your proposal must include APA formatting. The proposal should be a 6–10 in length plus appendices cover page, and reference page. The appendices should include your survey instrument created in week 6. You will be presenting your research proposal in a 6–8 minute recorded presentation in week 8.

Introduction

  • Clearly stated problem and purpose of the study
  • Independent and dependent variables
  • Definition of terms
  • Assumptions, hypothesis, or questions (depending on research type)

Theoretical Framework

  • Description of the theoretical framework to be utilized
  • Identification of the concepts to be explored
  • Rationale for choosing framework

Review of the literature

  • At least four scholarly sources included
  • Appropriateness of the review and the proposal focus
  • Inclusion of primary or secondary sources

Methodology

  • Description of study type (quantitative or qualitative)
  • Description of study design
  • Rationale for the use of the selected design
  • Inclusion of sample size, type, sampling method, inclusion/exclusion criteria, setting, data collection method (instrument), and data collection process
  • Method for Protection of Human Subjects (consent)
  • Questionnaire and consent forms must be included as appendices

Data Analysis

  • Data analysis method is appropriate for study design.
  • Method of data analysis is clearly stated.
  • Method for displaying findings is stated.

Applicability to Nursing

  • Research focuses on a problem significant to nursing.
  • Research would contribute to nursing knowledge.
  • Proposal is complete so that another researcher could replicate the study.
  • Statement about areas of nursing that would benefit from this study.

Write a paper (250 to 500 words) that describes a practical problem that emerges from the evidence in the extant literature or professional practice

PURPOSE:

It is important to understand how research can help you in your everyday environment as a nurse. In this assignment, you will identify a practical problem that emerges from the evidence in the extant literature or professional practice.

DIRECTIONS:

Chose a problem that you are encountering in your practice or about which you have read in the current literature.

PURPOSE:

It is important to understand how research can help you in your everyday environment as a nurse. In this assignment, you will identify a practical problem that emerges from the evidence in the extant literature or professional practice.

DIRECTIONS:

Chose a problem that you are encountering in your practice or about which you have read in the current literature.

PURPOSE:

It is important to understand how research can help you in your everyday environment as a nurse. In this assignment, you will identify a practical problem that emerges from the evidence in the extant literature or professional practice.

DIRECTIONS:

Chose a problem that you are encountering in your practice or about which you have read in the current literature.

Write a paper (250 to 500 words) that describes a practical problem that emerges from the evidence in the extant literature or professional practice. The paper should do the following:

  1. Clearly describe the problem.
  2. Provide a rationale for the significance of this problem. The rationale must be supported by the current or seminal literature.

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

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

You are not required to submit this assignment to Turnitin.

Rubric:

Top of Form

Applying Theory to a Practice Problem: Part 1: Introduction and Problem of Practice

Bottom of Form

Top of Form

Applying Theory to a Practice Problem: Part 1: Introduction and Problem of Practice

1
Unsatisfactory
0.00%
2
Less than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content
35.0 % Description of the problem A description of the problem is either missing or not evident to the reader. A description of the problem is present, but incomplete or inaccurate. A description of the problem is presented, but is cursory and lacking in depth. A description of the problem is thoroughly presented and includes all necessary elements. A description of the problem is thoroughly presented with rich detail and includes all necessary elements.
35.0 % Rationale for the significance of the problem A rationale for the significance of the problem is either missing or not evident to the reader. A rationale for the significance of the problem is present, but incomplete or illogical. A rationale for the significance of the problem is presented, but is cursory and lacking in depth. The research cited in the definition is outdated. A rationale for the significance of the problem is thoroughly presented and includes all necessary elements. Some research cited in the definition is outdated. A rationale for the significance of the problem is thoroughly presented with rich detail and includes all necessary elements. The rationale is well supported with current and/or seminal research.
20.0 %Organization and Effectiveness
7.0 % Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 % Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 % Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 % Research Citations (in-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 % Total Weightage

Bottom of Form

. The paper should do the following:

  1. Clearly describe the problem.
  2. Provide a rationale for the significance of this problem. The rationale must be supported by the current or seminal literature.

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

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

You are not required to submit this assignment to Turnitin.

Rubric:

Top of Form

Applying Theory to a Practice Problem: Part 1: Introduction and Problem of Practice

Bottom of Form

Top of Form

Applying Theory to a Practice Problem: Part 1: Introduction and Problem of Practice

1
Unsatisfactory
0.00%
2
Less than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content
35.0 % Description of the problem A description of the problem is either missing or not evident to the reader. A description of the problem is present, but incomplete or inaccurate. A description of the problem is presented, but is cursory and lacking in depth. A description of the problem is thoroughly presented and includes all necessary elements. A description of the problem is thoroughly presented with rich detail and includes all necessary elements.
35.0 % Rationale for the significance of the problem A rationale for the significance of the problem is either missing or not evident to the reader. A rationale for the significance of the problem is present, but incomplete or illogical. A rationale for the significance of the problem is presented, but is cursory and lacking in depth. The research cited in the definition is outdated. A rationale for the significance of the problem is thoroughly presented and includes all necessary elements. Some research cited in the definition is outdated. A rationale for the significance of the problem is thoroughly presented with rich detail and includes all necessary elements. The rationale is well supported with current and/or seminal research.
20.0 %Organization and Effectiveness
7.0 % Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 % Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 % Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 % Research Citations (in-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 % Total Weightage

Bottom of Form

. The paper should do the following:

  1. Clearly describe the problem.
  2. Provide a rationale for the significance of this problem. The rationale must be supported by the current or seminal literature.

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

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

You are not required to submit this assignment to Turnitin.

Rubric:

Top of Form

Applying Theory to a Practice Problem: Part 1: Introduction and Problem of Practice

Bottom of Form

Top of Form

Applying Theory to a Practice Problem: Part 1: Introduction and Problem of Practice

1
Unsatisfactory
0.00%
2
Less than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content
35.0 % Description of the problem A description of the problem is either missing or not evident to the reader. A description of the problem is present, but incomplete or inaccurate. A description of the problem is presented, but is cursory and lacking in depth. A description of the problem is thoroughly presented and includes all necessary elements. A description of the problem is thoroughly presented with rich detail and includes all necessary elements.
35.0 % Rationale for the significance of the problem A rationale for the significance of the problem is either missing or not evident to the reader. A rationale for the significance of the problem is present, but incomplete or illogical. A rationale for the significance of the problem is presented, but is cursory and lacking in depth. The research cited in the definition is outdated. A rationale for the significance of the problem is thoroughly presented and includes all necessary elements. Some research cited in the definition is outdated. A rationale for the significance of the problem is thoroughly presented with rich detail and includes all necessary elements. The rationale is well supported with current and/or seminal research.
20.0 %Organization and Effectiveness
7.0 % Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 % Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 % Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 % Research Citations (in-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 % Total Weightage

Bottom of Form

Locate a model of practice that you could apply to nursing. It does not need to be a nursing model. Models of practice can be found in leadership, business, education, and technology. Explain how you will use the model you chose in your advanced practice role

MN502-3: Evaluate the application of models of practice to the advanced nurse roles.

What is the difference between a model and a theory?

A model demonstrates the researcher’s interpretation of how concepts are related to one another and is developed based on qualitative research. A theory is a hypothesis tested and measured to explain, predict, describe, and prescribe relationships between concepts and is developed through quantitative research.

In short, the difference between a model and a theory is the amount of proof that exists in demonstrating the outcomes they predict.

What do models and theories have in common?

Both models and theories show relationships between concepts. Models often are precursors to theory development.

Directions

Locate a model of practice that you could apply to nursing. It does not need to be a nursing model. Models of practice can be found in leadership, business, education, and technology. Explain how you will use the model you chose in your advanced practice role.

Use the table template to organize your thoughts and present them for this Assignment. In the first column, list the characteristics of the model of practice you chose. In the second column, list your application to your advanced nursing practice role upon graduation. In the first row, in the first column, write the name of your chosen model. An example has been provided in the first rows to guide you. Please remove the examples when entering your information.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements

Before finalizing your work, you should:

  • Minimum requirement of at least 5 sources of support
  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well orderedlogical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition

How to Submit

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

When you are ready to submit your Assignment, submit to unit dropbox. Make sure to save a copy of your work and be sure to confirm that your file uploaded correctly.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project

Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

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

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

write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem. General Guidelines:

Details: Case Report: Application of Theory

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

•This assignment requires that at least three scholarly research articles related to this topic be utilized, and at least one in-text citation from each source be included.

•You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. This is to ensure that each assignment is original in its content.

Directions:

Construct a 2,500-3,000 word (approximately 10-12 pages) case report that includes a problem or situation consistent with a DNP area of practice.

Requirements:

1.Use a minimum of any two theories discussed in the course to develop the case report. (We studied middle range theories, ethical theories, Biophysical and psychosocial theories, and organization and system theories. PICK ANY…….. I PREFER MIDDLE RANGE AND ETHICAL THEORIES AS THEY ARE EASY).

2.Apply one or more theories to describe understanding of the problem or situation of focus.

3.Apply one or more theories to the recommended intervention or solution being proposed.

4.Develop the case report across the entire scenario from the identified clinical or health care problem through proposing an intervention, implementation, and evaluation using an appropriate research instrument.

5.Describe the evaluation of the selected research instrument in the case report.

6.Lastly, explain in full the tenets, rationale for selection (empirical evidence), and clear application using the language of the theory within the case report.

In addition, your case report must include the following:

1.Introduction with a problem statement.

2.Brief literature review.

3.Description of the case/situation/conditions explained from a theoretical perspective.

4.Discussion that includes a detailed explanation of the synthesized literature findings.

5.Summary of the case.

6.Proposed solutions to remedy gaps, inefficiencies, or other issues from a theoretical approach.

7.Identification of a research instrument to evaluate the proposed solution along with a description of how the instrument could be evaluated.

8.Conclusion.

Demonstrate understanding of developmental, cognitive, psychosocial, cultural, and physiological life processes of the woman as she progresses from the onset of menses through the childbearing period, and concluding with menopause.

NR 327 MATERNAL CHILD NURSING

NR327 RUA Discharge Teaching Guidelines.docx 1

Required Uniform Assignment: Discharge Teaching Guidelines of S.I.D.S

 

PURPOSE

The purpose of this assignment is to provide the student an opportunity to practice patient

teaching using information required through the NR321 course.

COURSE OUTCOMES This assignment enables the student to meet the following course outcomes.

CO #1: Demonstrate understanding of developmental, cognitive, psychosocial, cultural, and physiological life

processes of the woman as she progresses from the onset of menses through the childbearing period, and

concluding with menopause. (PO #1)

CO #4: Initiate use of appropriate resources based on health care issues mutually identified with clients and

their family units. (PO #2)

CO #5: Employ communication and therapeutic relationship skills with childbearing clients and their families

during the perinatal period in acute care and outpatient settings (PO #3)

CO #7: Develop a plan to meet personal, professional, and educational goals, including an investigation of

healthcare organizations relevant to these clients. (PO #5)

CO #8: Provide nursing care using multiple nursing roles as appropriate to perinatal clients and their families,

recognizing the holistic approach in facilitating healing (PO #6)

DUE DATE

Refer to Course Calendar for details. The Late Assignment Policy applies to this assignment.

TOTAL POINTS POSSIBLE

100 Points

NR327 Maternal Child Nursing

NR327 RUA Discharge Teaching for S.I.D.S2

PREPARING THE ASSIGNMENT

  • The individual or group will synthesize the research information and develop a

teaching project of their choice, which should include the following.

  • Introduction to the teaching project topic
  • Reference of one statistic validating the importance and impact of topic selection
  • Risk factors and/or benefits related to the selected topic
  • Referral to a professional and/or community‐based resource (i.e., support

group, American Heart Association, AWHONN)

  • Recommendations regarding health promotion strategies for the target audience
  • Complete Outline and submit to dropbox.
  • Follow the presentation guidelines below to meet the expectations for your selected media format.

 

  • Booklet

 Front and back, trifold

 12‐point font

 Reference list must be provided.

  • The project will be graded on quality of the teaching project, accuracy of information,

use of citations, use of Standard English grammar, sentence structure, creativity, and

overall organization.

  • Follow the directions and grading criteria closely; your project will be graded on the criteria

found in the rubric. Any questions about your project should be directed to your faculty.

Total 100 100Total 100 Points

NR327 Maternal Child Nursing

NR321 RUA: Discharge Teaching Guidelines.docx Revised 05/27/2016 CIS NG 7

PEER FEEDBACK FORM

One of the most valuable contributions you can make to your fellow classmates’ learning is providing

constructive feedback. Offering another person your feedback about his or her work indicates that you care

enough about that person to spend your time considering his or her situation and that the person’s work is

worthy of your attention. This activity will also provide you the opportunity to develop essential skills of giving

and receiving feedback, with the goal of enhancing individual and class learning.

  • Examine the criteria for each of the items being evaluated.
  • Be objective in your evaluation and note the criteria that best meet the quality of the project.
  • Indicate your score in the boxes provided.
  • The peer feedback scores will be added toward the overall score for the project.
  • Please include any comments and suggestions in the area provided.

 

Discharge Teaching Peer Feedback Form

 

Peer Feedback Form

One of the most valuable contributions you can make to your fellow classmates’ learning is providing constructive feedback. Offering another person your feedback about his or her work indicates that you care enough about that person to spend your time considering his or her situation and that the person’s work is worthy of your attention. This activity will also provide you the opportunity to develop essential skills of giving and receiving feedback, with the goal of enhancing individual and class learning.

  • Examine the criteria for each of the items being evaluated.
  • Be objective in your evaluation and note the criteria that best meet the quality of the project.
  • Indicate your score in the boxes provided.
  • The peer feedback scores will be added toward the overall score for the project.
  • Please include any comments and suggestions in the area provided.

 

Discuss your ethnic/cultural background (health perception and practices). (American, Caucasian) Nurse for 6 years. Psych nursing and Medical surgical nursing.

There are two topics here each topic needs at least three references and 250 words each.

Topic 1: Getting to Know You and Cultural Competence

First, provide a brief introduction of your professional background. Next, review the Office of Minority Health, National CLAS Standards located in the Web Resources area.

  1. Discuss your ethnic/cultural background (health perception and practices). (American, Caucasian) Nurse for 6 years. Psych nursing and Medical surgical nursing.
  2. Choose a different culture or ethnic group and discuss potential cultural/linguistic needs. Consider your food preferences, rituals, health beliefs, and any religious orientations that may influence patient care. (Attached is a copy of what I have on hispanics it all needs put together please)
  3. Apply at least one CLAS Standard that supports the identified need and discuss the role of the advanced practice nurse in promoting culturally sensitive care. You will find attached information with references on this.
  4. Please list references in APA format.

Topic 2: Healthy People 2020

Healthy People 2020’s commitment to promote health and prevent disease encourages individuals to make healthy lifestyle choices for themselves and their families. Conceptual models and theories play a major role in health promotion and disease prevention. In addition, epidemiological data, such as morbidity and mortality statistics, helps identify health problems common to a particular population.

Select one of the Healthy People 2020 initiatives and discuss available preventative health services (immunizations, health screenings, etc.) relevant to the initiative, as well as health promotion strategies to be implemented by the advanced practice nurse for a selected population/age/ethnic group (neonates, children, adults, pregnant female, older adult). Please consider theoretical concepts and epidemiological data while discussing health promotion strategies.

After exploring the course description, course outcomes, and unit themes and outcomes, complete your SDLP for this course. Not all courses will directly impact your strengths or your areas of development.

Self-Directed Learning Plan

Purpose:

It’s important to develop your professional goals and how you achieve them in this course and your chosen program.

Directions:

To prepare your SDLP for the review, complete the steps outlined below.

After exploring the course description, course outcomes, and unit themes and outcomes, complete your SDLP for this course. Not all courses will directly impact your strengths or your areas of development.

What do you expect to learn in this course that will help you achieve your academic and professional goals? You are encouraged to reflect earnestly about how the course content and experience might serve your goals, as well as about what you might proactively do in the course to develop in your target areas.

If you have determined there are additional areas from which you would benefit, or areas you would like to replace, this is a good time to do so. Remember, this is your learning plan, so design it to help you achieve your unique goals. Integrate feedback (if any) from the Unit 7 SDLP Draft Assignment feedback. You must submit the Unit 9 SDLP Assignment using the SDLP Template You should not submit a written paper for the Unit 9 SDLP Assignment. If you have references to support your SDLP then you should add a heading References at the end of the SDLP Template and add the references in APA format. You do not need to have a title page for this Assignment in APA format.

This Assignment will be graded based on evidence of thoughtful development of your SDLP.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well orderedlogical, and unified, as well as original and insightful; and
  • display superior content, organization, style, and mechanics

American Nurses Association Nursing World. (2016). Patient safety: Rights of registered nurses when considering a patient assignment

How does Negligence and Malpractice Impact The Advance Practice Nurse?

Topic 1The Legal Implications of Acceptance or Refusal of an Assignment

After reviewing the ANA position statement on “Rights of Registered Nurses when Considering a Patient Assignment,” discuss the legal and ethical implications of accepting assignments. When delegating assignments to unlicensed personnel, what considerations need to be considered? What insurance issues come into play? Analyze the legal principle of Respondeat Superior.

Topic 2: Defenses to Malpractice and Risk Management

Take the malpractice case assigned to your group and discuss the defenses that may be raised in that case. Discuss how the incident could have been prevented. What risk management techniques could have been used before and after the adverse patient occurrence? Respond to the other case scenario.

The Malpractice Case is as follows:

Facts: The plaintiff, Mrs. Carpenter, was a 55-year-old woman who underwent a total hip replacement at Caring Memorial Hospital. The physician was Richard Washington, MD. Dr. Washington is an orthopedic surgeon. His nurse practitioner is Judy Gouda, RN, NP. Dr. Washington reviewed the consent with Mrs. Carpenter prior to surgery. Joseph Alsoff, LPN, witnessed the consent and Mr. Carpenter was present. Joseph does not remember the doctor ever mentioning that death could be a result of the surgery. The recovery room nurse is Elizabeth Adelman, RN. The respiratory therapist is David Casler, LRT. The nurse on the post-surgical unit was Kelly Wheeler, RN. The supervising nurse was Mrs. Scale, RN, MS.

The patient had an epidural catheter for a post-operative pain management following an episode of hypotension in the recovery room which was treated with Ephedrine. Judy Gouda made rounds on the patient in the recovery room after the hypotensive event and vital signs were stable. The patient, Mrs. Carpenter, was placed on a medical surgical nursing unit with the epidural. The nurse, Kelly, was assigned to the patient and had not worked on that unit before, but had worked in post-acute critical care units. The nurse’s assignment was to provide patient care on the entire floor for that shift. There was also an LPN, Joseph, on the unit. It was a busy day on the unit. Mrs. Carpenter was not the only post-operative patient.

Kelly assessed the plaintiff upon admission, checked the IVs, asked if the patient was in pain, noted that the patient was responsive and understood where she was, and was stable. She then left to care for other patients.

The licensed practical nurse, Joseph Alcoff, had been working on the unit for several years. It had been rumored that Joseph was an alcoholic. There was no evidence that he had been drinking on the unit. Approximately an hour after the patient arrived on the unit, she was unable to tolerate respiratory therapy that was ordered and she became nauseated and vomited. David Casler administered the respiratory therapy. According to Kelly, the registered nurse, 10 minutes after the vomiting episode, Joseph Alcoff, the LPN, found the patient blue and unresponsive and called a code. Joseph is the only person other than the physician that carries his own liability insurance. The hospital also has malpractice insurance.

The code team responded, along with Kelly, the registered nurse. Mrs. Carpenter was intubated and cardiac resuscitation was initiated. The patient responded to resuscitative efforts and she was transferred to the intensive care unit. Subsequently, Mrs. Carpenter did not do well, was unresponsive, and declared brain dead and taken off the respirator. She did not have a DNR in place.

There is a conflict in testimony between Joseph the LPN and Kelly the RN. Joseph indicated that Kelly found the plaintiff to be unresponsive after the vomiting episode and called the code. The record is not clear as to when the vital signs and epidural site were assessed. Kelly said she did a motor and sensory level assessment and they were fine — it is not charted though. The time elapsed between the vomiting episode and finding the patient is in dispute. The final diagnosis was anoxia encephalopathy due to the time lapse between CPR being initiated. The patient was eventually extubated, breathed independently for a period of time, and then subsequently expired.

The vital signs ordered by the physician were hourly. The hypotensive episode in the recovery room had not been reported to the registered nurse.

The risk manager is Susan Post, JD, who works in collaboration with the quality assurance director Amy Green. Amy had noted when doing chart reviews over the last 3 months prior to this incident that the vital signs taken in the recovery room were not charted, not done, or not reported to the units. She was in the process of collecting data from the different units on this observation. She also noted a pattern of using float nurses to several postoperative units. Prior to this incident, the clinical nurse specialist, Michael Parks, RN, MS, CNS, was consulting with Susan Post and Amy Green about the status of staff education on these units and what types of resources and training was needed.

Reading

Textbook Readings

Essentials of Nursing Law and Ethics

  • Chapter 5: “Defenses to Negligence or Malpractice”
  • Chapter 6: “Prevention of Malpractice”
  • Chapter 7: “Nurses as Witnesses”
  • Chapter 8: “Professional Liability Insurance”
  • Chapter 9: “Accepting or Refusing an Assignment/Patient Abandonment”
  • Chapter 10: “Delegation to Unlicensed Assisted Personnel”
  • Chapter 37: “Staffing Issues and Floating”

Journal Readings

Please retrieve and read the following journal articles. Articles can be located through a search in the CINAHL database, OVID databases in the library.

American Nurses Association Nursing World. (2016). Patient safety: Rights of registered nurses when considering a patient assignment. Retrieved from

American Nurses Association Nursing World. (2009). Patient safety: Rights of registered nurses when considering a patient assignment. Retrieved fromhttp://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/ANAPositionStatements/Position -Statements-Alphabetically/Patient-Safety-Rights-of-Registered-Nurses-When-Considering-a-Patient-Assignment.html

Anselmi, K. K. (2012). Nurses’ personal liability vs. employers’ vicarious liability. MEDSURG Nursing, 21(1), 45–48.