Internal factors can impact every aspect of the curriculum development process. When developing and seeking approval for staff trainings, academic courses, or entire nursing programs, it is imperative

Internal factors can impact every aspect of the curriculum development process. When developing and seeking approval for staff trainings, academic courses, or entire nursing programs, it is imperative that nurse educators are cognizant of the internal environment of the parent institution or agency. Recognizing internal politics, budgetary and resource allocations, faculty/staff characteristics, and the organizational structure of the setting can help nurse educators better prepare for the development process. In addition, aligning the program to the overarching mission, vision, and philosophy of the institution can help nurse educators undergo a smoother approval process.

In this Discussion, you explore the development and approval processes used in an academic or clinical setting with which you are familiar. You then determine how internal factors may have impacted these processes.

To prepare:

• Consider how curriculum is developed and approved. How might approval at a large institution differ from that at a small institution? How might approval for an academic institution differ from that of a clinical agency?
• Select a curriculum (seminar, training, course, or program) offered through a workplace or academic institution with which you are familiar.
• Review Chapter 3, “Needs Assessment: The External and Internal Frame Factors,” in the Keating text. Examine how internal factors might have impacted the development and approval of this curriculum.

By Day 3

Post a brief description of the curriculum and setting that you selected. Provide an overview of the curriculum development and approval processes applicable to your selected setting. Explain how internal factors can impact the development and approval of this curriculum and why.

Please read the following introduction and complete the following steps for your initial discussion post:There are a number of methods for classifying theory in nursing.  These include classification

Please read the following introduction and complete the following steps for your initial discussion post:

There are a number of methods for classifying theory in nursing.  These include classification based on range/scope or abstractness (metatheory, grand, middle-range, and practice) and type or purpose of the theory (descriptive, explanatory, predictive, and prescriptive).

Address the following:

• Identify one theory that relate to your area of practice.
• Discuss the type of the selected theory according to scope and purpose.
• Provide an example of how the selected theory can be applied to your area of practice.  The example should include core elements of the theory and demonstrate its practical application.
• Be sure to supplement your discussion with your personal and professional experiences.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format. 

(4pages)please view this short video:Case Management Nursing And Utilization Review Practicehttps://www.youtube.com/watch?v=bfz4jzqeUQICase management programs are usually considered to be an element

(4pages)

please view this short video:

Case Management Nursing And Utilization Review Practicehttps://www.youtube.com/watch?v=bfz4jzqeUQI

Case management programs are usually considered to be an element of the Quality Assurance Program. However, some health care professionals believe that they may be more interested in managing costs rather than quality of care. Considering this issue please respond to the following questions in a 4page paper:

1. Do you believe that case management programs are more concerned with reducing costs or improving the quality of care? Please justify your position.
2. Discuss the limitations of a typical case management program and their strengths.
3. Do you believe that case management programs will become a medical program necessity in the future? Justify your position.
4. In your opinion, how important are “gatekeepers” to the case management process?

EVIDENCE-BASED PRACTICE & APPLIED NURSING RESEARCH Competencies:724.8.5: Foundations of Inquiry – The graduate differentiates between quality improvement processes, evidence based practice, and resea

EVIDENCE-BASED PRACTICE & APPLIED NURSING RESEARCH 

Competencies:724.8.5: Foundations of Inquiry – The graduate differentiates between quality improvement processes, evidence based practice, and research.724.8.6 Literature Review and Analysis – The graduate demonstrates knowledge of the process and outcomes of conducting a literature review.724.8.7: Ethics and Research – The graduate demonstrates understanding of the ethics of nursing research, particularly human subjects’ protections, informed consent, and alignment with patient and family values and preferences.724.8.8: Patient Outcomes – The graduate discriminates between identified standards and practices that do not provide improvements in patient outcomes utilizing relevant sources of evidence and the application of nursing theory.724.8.9: Data Collection, Analysis, and Dissemination – The graduate describes the process of data collection, analysis, and implementation of evidence that can improve clinical practice from an interprofessional perspective.

Task 2: Evidence-Based Practice 

Introduction: 

In this task, you will identify a healthcare problem and develop a PICO question that can be answered using evidence. You will identify a single intervention and then search for five research articles and two non-research articles that support that change practice. 

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A.  Write a summary of the significance and background of a healthcare problem by doing the following:

1.  Describe a healthcare problem that can be used to develop a PICO question.

Note: You may use the same topic and the same research articles that were used in Task 1 provided they support the proposed intervention. Or you may choose a different topic and select articles focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, and hand hygiene and infections in hospitals. 

2.  Explain the significance of the problem from part A1.

3.  Describe the current healthcare practices related to the problem from part A1.

4.  Discuss how the problem affects the organization and patients’ cultural background (i.e., values, health behavior, and preferences). 

B.  Complete a literature review by searching for a total of seven articles consisting of fiveresearch articles and two non-research articles related to the healthcare problem from part A1, and describe the search strategy you used to conduct the literature review by doing the following: 

1. Discuss two research evidence sources and two nonresearch evidence sources that you considered.

Note: Please do not use the same primary author for more than two articles. Articles must not be more than five years old.

C. Use your research articles to develop a PICO (patient/population, intervention/indicator, comparison/control, and outcome) question based on the topic.

D.  Complete the attached “Evidence Matrix,” using the five research evidence sources from scholarly journal sources you located during the literature review in part B. For eacharticle, address the following points: 

Note: You may submit your completed matrix as a separate attachment to the task, or you may include the matrix within your paper, aligned to APA formatting standards.

Note: Upload a copy of the full text of the articles with your submission. 

• author, journal name, and year of publication 
• research design (e.g., quantitative, qualitative, mixed design, systematic review)
• sample size (e.g., numbers of study participants, number of articles, number of control group participants)
• outcome variables measured (e.g., identify what the research is measuring)
• quality (using the following scale: A, B, C)
• results/author’s conclusions (e.g., briefly summarize the outcome) 

E.  Recommend a practice change that addresses the PICO question, using the evidence collected in the attached “Evidence Matrix.” You must use all five research articles from the “Evidence Matrix” attachment to support this recommendation via in-text citations.  

F.  Describe a process for implementing the practice change from part E in which you do the following:

1.  Explain how you would involve three key stakeholders in the decision to implement the recommendation from part E.

2.  Describe two specific barriers you may encounter when implementing the practice change from part E in the nursing practice setting.

3.  Identify two strategies that could be used to overcome the barriers described in part F2.

4.  Identify one indicator to measure the outcome (the O in PICO question) of the recommended change practice from part E. 

G.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

H. Demonstrate professional communication in the content and presentation of your submission. 

CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormali

CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)

CO3 Utilize effective communication when performing a health assessment. (PO 3)

Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.

Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).

Medications:

Lopressor

Lisinopril

Plavix

Metformin

Novolin R per sliding scale *NEW*

Multivitamin

Colace

Zithromax *NEW*

Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.

Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.

What, if any, concerns related to Millie’s skin and nutritional status do you have?

What nursing interventions will you include in the plan of care to address these concerns?

What teaching strategies will you use to educate Millie and Fred on the new medications?

Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.

Professors advise: “This scenario is not such an unusual one.  While people are living longer and many times maintain independence into their 80’s, their situations can be tenuous at best.    If you were caring for this couple, what would your concerns be?   Be creative with your responses.”