Details:

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

Background

Problem statement

Purpose of the change proposal

PICOT

Literature search strategy employed

Evaluation of the literature

Applicable change or nursing theory utilized

Proposed implementation plan with outcome measures

Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment (PICOT Statement Paper) and Topic 6 assignment (Literature Review). Use the feedback to make appropriate revisions to the portfolio components before submitting.

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 required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Assignment: Applying Current Literature to Clinical Practice

Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients. For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice.

Learning Objective

· Evaluate the application of current literature to clinical practice

To prepare:

· Review and evaluate the psychodynamic therapy article attached in the file and reflect on the insights they provide.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

· Provide an overview of the article you selected.

· What population is under consideration?

· What was the specific intervention that was used? Is this a new intervention or one that was already used?

· What were the author’s claims?

· Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

· Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Note: The presentation should be 5-10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

BELOW ARE THE ARTICLE TO SELECT FROM

Select one of the following articles on psychodynamic therapy to evaluate in your Assignment:

Aznar-Martinez, B., Perez-Testor, C., Davins, M., & Aramburu, I. (2016). Couple psychoanalytic psychotherapy as the treatment of choice: Indications, challenges, and benefits. Psychoanalytic Psychology, 33(1), 1–20. doi:10.1037/a0038503

Karbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art. Psychoanalytic Psychology, 33(supplement 1), S153–S172. doi:10.1037/a0037332

LaMothe, R. (2015). A future project of psychoanalytic psychotherapy: Revisiting the debate between classical/commitment and analytic therapies. Psychoanalytic Psychology, 32(2), 334–351. doi:10.1037/a0035982

Migone, P. (2013). Psychoanalysis on the Internet: A discussion of its theoretical implications for both online and offline therapeutic technique. Psychoanalytic Psychology, 30(2), 281–299. doi:10.1037/a0031507

Tummala-Narra, P. (2013). Psychoanalytic applications in a diverse society. Psychoanalytic Psychology, 30(3), 471–487. doi:10.1037/a0031375

Read chapter 8 and 9 of the class textbook and review the attached Power Point presentation. Once done, answer the following questions;

1. Give an overview of the Appalachian and Arab heritage related to their healthcare beliefs and mention if there is any similarity in both cultures. Give an example.
2. How the Appalachian and Arab heritage view the process of death and explain if there is any similarity in any of them?
3. Explain is there is any similarity in the healthcare beliefs of the Appalachian and Arab heritage with the evidence based nursing care that is provide.

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “Week 4 discussion questions”. A minimum of two evidence based references no older than 5 years old besides the class textbook are required. 500 words are required.

Details:

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:

Evidence-Based Solution

Nursing Intervention

Patient Care

Health Care Agency

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.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Apply Rubrics

PICOT Statement Paper

                                           1

                                   Unsatisfactory

                                     0.00%                                                                                   2

                                   Less than Satisfactory

                                     75.00%                                                                                  3

                                   Satisfactory

                                     79.00%                                                                                  4

                                   Good

                                     89.00%                                                                                  5

                                   Excellent

                                     100.00%                                             80.0 %Content     30.0 % Identification of Clinical Problem/Issue                                                                                   Clinical problem/issue is not identified, and resolution is not addressed.                                                                                  Clinical problem/issue is identified with little discussion of resolution or patient outcome.                                                                               Clinical problem/issue is identified but not  supported with clinical observations or evidence. The identified  problem/issue can be resolved, or a patient outcome shows minimal  improvement.                                                                                 Clinical problem/issue is identified based  on clinical observation experience or evidence in literature. Articles  are cited to support the need for change in nursing practice. The  identified problem/issue can be resolved, or a patient outcome can be  improved using nursing interventions.                                                                                 Clinical problem/issue is identified based  on key concepts that define evidence-based practice or clinical  experience. Articles are cited to support the need for change in nursing  practice. The identified problem/issue can be resolved, or a patient  outcome can show a marked improvement through a nursing intervention.   30.0 % Clinical  Problem/Issue, Including Description, Evidence-Based Solution, Nursing  Intervention, Patient Care, Health Care Agency, and Nursing Practice                                                                                  Clinical problem/issue is not described with  clarity and the corresponding elements are not included.                                                                                  Clinical problem/issue description includes a  basic understanding of the problem/issue and setting, with few of the  following elements explained: evidence-based solution, nursing  intervention, patient care, health care agency, and nursing practice.                                                                                 Clinical problem/issue description includes a  basic understanding of the problem/issue, the setting, and the patient  population. The following elements are explained: evidence-based  solution, nursing intervention, patient care, health care agency, and  nursing practice. Minimal rationale is provided to support the  resolution of the clinical problem/issue.                                                                               Clinical problem/issue description includes a  thorough understanding of the problem/issue, the setting, the patient  population, and why it is a problem/issue. The following elements are  explained in detail: evidence-based solution, nursing intervention, and  patient care consistent with specific health care agency and nursing  practice. Sound rationale is provided supporting the clinical  problem/issue resolution.                                                                                Clinical problem/issue description includes a  developed and thorough explanation of the problem/issue, the setting,  the patient population, and the rationale for why it is a problem/issue.  The identified clinical problem/issue explains the following elements  with detail and clarity: evidence-based solution, nursing intervention,  and improved patient care consistent with specific health care agency  resulting in nursing practice change. Sound rationale is provided in the  discussion of the clinical problem/issue resolution.   10.0 % PICOT Statement Focused on Resolution, Improvement, Application, and Intervention                                                                                PICOT statement does not focus on resolution  of a problem/issue, improvement of patient care or application of a  nursing intervention.                                                                                PICOT statement discusses a clinical problem/issue without a focus on improvement or intervention.                                                                                  PICOT statement focuses on the resolution of  a clinical problem/issue that improves patient care through the  application of a nursing intervention.                                                                               PICOT statement focuses on the resolution of  a clinical problem/issue, with discussion of improving patient care  through the application of an evidenced-based nursing intervention.                                                                                  PICOT statement clearly focuses on the  resolution of a clinical problem/issue and aims at improving patient  care through the application of an evidenced-based nursing intervention.   10.0 % PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time                                                                                  Population, Intervention, Comparison, Outcomes, and Time are not included.                                                                                  Population, Intervention, Comparison,  Outcomes, and Time are present, but lack detail or are incomplete.                                                                               Population, Intervention, Comparison, Outcomes, and Time are present.                                                                               Population, Intervention, Comparison, Outcomes, and Time are clearly provided and well developed.                                                                               Population, Intervention, Comparison,  Outcomes, and Time are comprehensive and thoroughly developed with  supporting details.   15.0 %Organization and Effectiveness     5.0 % Presentation                                                                                Paper lacks any discernible overall purpose or organizing claim.                                                                                Thesis is insufficiently developed or vague. Purpose is not clear.                                                                                  Thesis is apparent and appropriate to purpose.                                                                                  Thesis is clear and forecasts the  development of the paper. Thesis is descriptive and reflective of the  arguments and appropriate to the purpose.                                                                                 Thesis is comprehensive and contains the  essence of the paper. Thesis statement makes the purpose of the paper  clear.   5.0 % 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 or  sentence construction is used.                                                                                Frequent and repetitive mechanical errors  distract the reader. Inconsistencies in language choice (register),  sentence structure, or word choice are present.                                                                                 Some mechanical errors or typos are present,  but they are not overly distracting to the reader. Correct sentence  structure and audience-appropriate language are used.                                                                                Prose is largely free of mechanical errors,  although a few may be present. A variety of sentence structures and  effective figures of speech are used.                                                                                 Writer is clearly in command of standard, written, academic English.   5.0 %Format      2.0 % Paper Format  (use of appropriate style for the major and assignment)                                                                                 Template is not used appropriately or documentation format is rarely followed correctly.                                                                                Template is used, but some elements are  missing or mistaken; lack of control with formatting is apparent.                                                                                  Template is used, and formatting is correct, although some minor errors may be present.                                                                                 Template is fully used; There are virtually no errors in formatting style.                                                                                  All format elements are correct.    5.0 %Format      3.0 % Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)                                                                                  Sources are not documented.                                                                                 Documentation of sources is inconsistent or  incorrect, as appropriate to assignment and style, with numerous  formatting errors.                                                                               Sources are documented, as appropriate to  assignment and style, although some formatting errors may be present.                                                                                Sources are documented, as appropriate to assignment and style, and format is mostly correct.                                                                                   Sources are completely and correctly  documented, as appropriate to assignment and style, and format is free  of error.     100 % Total Weightage

Patient has to be less than 18 years old

In addition to Journal Entries, SOAP Note submissions are a way to reflect on your Practicum experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to this week’s Learning Resources for guidance on writing SOAP Notes.

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:

Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.

Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.

Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?