Step 1 Read the article in Appendix A “Example of a Randomized Clinical Trial” (Nyamathi et al.,2015),Step 2 Discuss the following questions related to the article found on ~p. 162 under Critical Appraisal Criteria:1. Is the type of design used appropriate? Your rationale?2. What are the threats to internal and external validity?3. Is the design appropriately linked to the evidence hierarchy?
Also, for the skin disorder, you will chose a skin disorder, You will give CC one sentence. HPI example: A 75 yo woman presents today with itchy red rash. Give location, description, onset, assorciating or alleviating factors. You can also use the soap note template that is attached as guide, PMH, allergies, meds. ROS ect. Please let me know if you have any questions or concerns.Your soap note template can also be found in the resource under week 4 which is to the right of the page. One can chose which ever picture. Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.The Lab AssignmentChoose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources. Also, please access your grading rubric..By Day 7 of Week 4soap note template.docxProperly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.To PrepareReview the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.Consider which of the conditions is most likely to be the correct diagnosis, and why.Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.The Lab AssignmentChoose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.
Assignment: National Organization of Nurse Practitioner Faculties (NONPF) CompetenciesThe National Organization of Nurse Practitioner Faculties (NONPF) has determined core competencies that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF has represented them within nine broad areas of core competence. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This synthesis course has had the overarching objective of preparing you to be able to synthesize knowledge gained throughout the program and be prepared to apply each of the nine core competencies within your selected areas of practice and your representative communities.The nine broad areas of competency are:Scientific FoundationsLeadershipQualityPractice InquiryTechnology and Information LiteracyPolicyHealth Delivery SystemEthicsIndependent PracticeThe AssignmentFor each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet it (for a total of at least nine paragraphs). Then, propose and explain how you plan to engage in social change in your community as a nurse practitioner. Be specific and provide examples.Need 3 scholarly references within 6 years.Some links to helphttps://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.pdfhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397912/https://www.nursepractitionerschools.com/faq/what-are-the-np-core-competencies/
Head-to-Toe AssessmentFor this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following:Topical headings to delineate systems.For any system for which you do not have equipment, explain how you would do the assessment.Detailed review of each system with normal and abnormal findings, along with normal laboratory findings for client age.An analysis of age-specific risk reduction, health screen, and immunizations.Your expectation of normal findings and what might indicate abnormal findings in your review of systems.The differential diagnosis (disease) associated with possible abnormal findings.A plan of care (including nursing diagnosis, interventions, evaluation).Client and age-appropriate evidenced based practice strategies for health promotion.Pharmacological treatments that can be used to address health issues for this client.Provide your answers in a 6- to 7-page Microsoft Word document.Support your responses with examples.On a separate references page, cite all sources using APA format.Use this APA Citation Helper as a convenient reference for properly citing resources.This handout will provide you the details of formatting your essay using APA style.You may create your essay in this APA-formatted template.Submission Details
NURS 6565: Quality and Cost MeasurementsAs nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several challenges that advanced practice nurses face to provide quality care and meet productivity goals of an organization. This week it is important to explore the connection of quality care and performance measures. Some questions to consider as we discuss this topic are:Why are quality measures important?What is the difference between quality measures and performance indicators?What performance measures are used for NP productivity?Why are incentive plans used in clinical organizations?To prepare:Read the article, An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015), , Buppert , C. 2015 Measuring Nurse Practitioner Performance and other articles providedExplore quality measures and identify at least one clinical performance measure, such as the Agency for Healthcare Research and Quality (AHRQ)To CompletePost 1 to 2 pages on : An explanation of the importance of quality measures using the clinical performance measure you identified as an example.Then, identify the performance measures used for NP productivity in Rhodes, Bechtle, and McNett (2015) article.Finally, share your opinion on incentive payment for care, including external motivators and at least one business model.REFERENCESRhodes, C. A., Bechtle, M., & McNett, M. (2015). An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes. Nursing Economics, 33(3), 125-131.Buppert, C. (2015). Measuring Nurse Practitioner Performance. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (469 – 478). Burlington, MA: Jones & Bartlett.Hain, D., & Fleck, L. M. (2014). Barriers to NP practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2).Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Evidence-Based Practice. In Advanced Practice Nursing: An Integrative Approach (5th ed.) (237-262). St. Louis, MO: Elsevier Saunders.Stanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., . . . Weiner, J. P. (2013). The Quality and Effectiveness of Care Provided by Nurse Practitioners. Journal for Nurse Practitioners, 9(8), 492-500. doi:10.1016/j.nurpra.2013.07.004
Course Project: Developing a Strategic PlanSection 5: Proposed Core Team of Change ChampionsIn Week 4, you examined the benefits of stakeholder involvement and the negative consequences that may arise if this is not sufficiently addressed during strategic planning. This week you have been considering how to leverage the influence of change champions and facilitate team building to promote the successful implementation of a proposed change.How would you create a core team of change champions for the change you are proposing through your Course Project?To prepare:Reflect on the results of your SWOT analysis (submitted in Week 7) and other elements of your strategic plan.Think about how effective stakeholder involvement would promote the successful adoption and implementation of your proposed change.Consider the following:What strategies would help you to develop a core team to generate buy-in for this change?Which stakeholders should be included in the process as change champions? How and when should they become involved?Begin to write a 1- to 2-page description of your core team of change champions.Section 6: Evaluation PlanCreating an evaluation plan is a critical part of developing a strategic plan. How would evaluation allow you to determine the cost benefits and effectiveness of your proposed change?To prepare:Reflect on the elements of your Course Project that you have developed thus far. Review the information on evaluation presented in the Learning Resources, and reflect on any insights you have gained from this week’s Discussion. (Week 11 Discussion)How would you evaluate the implementation of your strategic plan? Develop an evaluation plan that includes a timeline for evaluation. Be sure to incorporate refreezing.To complete:Write a 1- to 3-page explanation of your evaluation plan. Include the timeline for evaluation, and explain how you will incorporate refreezing.Note: This will be submitted as part of your Course Project this week.Section 7: Executive SummaryAs your development of a strategic plan comes to a conclusion, it is time to develop foundational pieces for your Course Project, including an executive summary.An executive summary provides an overview of your proposed change and allows your target audience to become acquainted with the essential elements of the strategic plan. Your executive summary should be informative and persuasive, delineating the business case for your proposed change.To prepare:Review the information in the Learning Resources related to developing an executive summary.Craft an executive summary that appeals to your target audience and presents key information related to your strategic plan. Be sure to describe the unmet need you are addressing and convey the urgency or significance of this problem. Clearly state your proposed change and substantiate your recommendation.To complete:Write an executive summary for your strategic plan.Note: This will be submitted as part of your Course Project this week.Section 8: ReferencesThe inclusion of a reference list not only allows you to credit others’ work appropriately but also provides the information readers would need to read resources of interest to them and learn more about the underpinnings of your strategic plan.To prepare:Develop and/or refine the list of the resources cited in your strategic plan.To complete:Create your reference list to accompany your strategic plan.Comprehensive Course Project: Developing a Strategic PlanOver the past several weeks of this course, you have been developing elements of a strategic plan. As you prepare to submit your Course Project, reflect on what you have learned throughout this process. Also think about how you would like to convey the results of your analysis and planning to your target audience.Your Course Project must include information related to each section of the Course Project assigned in Weeks 6–11; however, you have some flexibility in terms of how you present it. You may wish to compare strategic plans from various groups and organizations and then develop a format that best suits your plan.Note: Your comprehensive Course Project serves as your Portfolio Assignment for this course.To complete:Create a strategic plan that includes essential information related to the following:Section 1: Summary of the IssueSection 2: SWOT AnalysisSection 3: Balanced ScorecardSection 4: Budgeting and Timeline ToolsSection 5: Proposed Core Team of Change ChampionsSection 6: Evaluation PlanSection 7: Executive SummarySection 8: ReferencesSECTION 1 – 2 – 3 – 4 are attached.PLEASE COMPLETE OTHER SECTIONS and need one comprehensive project submitted including each section.THis paper is worth 500 points and depending on this paper is my pass or fail.
You are an acute Care Nurse Practioner create a 10 slide PowerPoint presentation (not including title and references slides) that addresses a patient scenario related to the assigned DRT topic. Prepare your presentation by addressing the following:A patient with Obstructive Shock in the setting of a pulmonary embolusProvide three differential diagnosis of a patient with obstructive shockDescribe the management of the patient.Discuss necessary consults, referrals and follow-up suggestions for the patient.Discuss geriatric, legal or ethical considerations for the scenario.APA reference in 7th edition apa style
As a nurse engaged in evidence-based practice, it is important to recognize how statistics and other data analysis tools are used to generate and assess evidence. Most nurses need only a foundational understanding of statistical tools and terminology to understand the majority of research studies. As a nurse, you should be able to recognize the most commonly used statistical tests, how and when they are used, and how significance is determined.In this Discussion, you examine different types of statistics and statistical tests, when and why these particular tests would be selected for use, and, most importantly, what the results indicate. To this end, you will be assigned to a group by Day 1 of this week. Each group will be assigned one of the five chapters listed in this week’s Learning Resources and will develop a study sheet on their chapter that will be shared with the other groups.Review the information in your assigned chapter.As a group, develop a 1-page study sheet that includes the following:The key concepts of the chapter: Focus on the basic concepts that are important for nurses to understand as they review research studies.A description of the statistical methods covered in the chapter, what they measure, and under what circumstances they are used. Identify examples of how the statistical methods have been used in research studies.An explanation of the key statistical tests and how they measure significance (if applicable).Note: This should be a collaborative effort, with each member of the group making contributions to the design and content of the study sheet. Use the Groups link on the left navigation bar to collaborate with your group. When you have developed your 1-page study sheet, select one member to post it to the Week 9 Discussion Forum so that the rest of your colleagues can access it.To prepare:Post your group’s study sheet. Discuss why it is important for nurses to understand the basics of these statistical methods.I AM ASSIGNED CHAPTER 17
Details:Throughout the course, students will engage in weekly reflection and scholarly activities. These assignments are presented in Topic 1 to allow students to plan ahead, and incorporate the deliverables into the Individual Success Plan if they so choose.The weekly reflective journals and scholarly activities will not be submitted in LoudCloud each week; a final, culminating submission will be due in Topic 10. No submission is required until Topic 10.Professional Capstone and Practicum Reflective JournalStudents are required to maintain weekly reflective narratives throughout the course to combine into a final, course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. This course-long journal assignment will be due in Topic 10.In each week’s entry, you should reflect on the personal knowledge and skills gained throughout the Professional Capstone and Practicum course. Your entry should address a variable combination of the following, dependent on the specific practice immersion clinical experiences you encountered that week:New practice approachesIntraprofessional collaborationHealth care delivery and clinical systemsEthical considerations in health carePopulation health concernsThe role of technology in improving health care outcomesHealth policyLeadership and economic modelsHealth disparitiesIn the Topic 10 submission, each of the areas should be addressed in one or more of the weekly entries.This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how they met competencies and course objectives.Scholarly ActivitiesThroughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.In Topic 10, you will submit a summary report of your scholarly activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.NRS-490-RS-ScholarlyActivitySummary.docx
Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10-15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:1. Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.2. Explain how the nursing theory incorporates the four metaparadigm concepts.3. Provide three evidence-based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide.xFqQiK
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