In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

Project topic   { Aggression in schizophrenia}

1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
6. A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

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

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

 

Throughout this course, you will be learning about object-oriented programming and demonstrating what you learn by writing some programs in Java. The first step will be to install and integrated development environment (IDE) that will be where you will write and compile your programs. You will also write your first program using Java to show that you have correctly installed the IDE.

The project instructions and deliverables are as follows:

• Download and install Java JDK and NetBeans IDE using the default installation options
• Run the IDE and take a screenshot.
• Create a console program that prompts the user to enter these three pieces of information:
  • The name of their favorite restaurant
  • The address of the restaurant
  • Their favorite meal at the restaurant
• Store in memory the three pieces of information above, each in a separate variable.
• Display this information on screen, showing each input on a separate line.
• Run your program and take a screenshot.
• Create a document in Word, and add the following:
  • Title page which includes: Course Number, Course Section, Course Name, Project Name (Unit 1 IP), Student Name and Date
  • Screenshot showing the IDE running
  • Screenshot showing the program running
• Create a zip that includes your project folder and Word document and upload it to the portal.

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Required Uniform Assignment: We Can, but Dare We?

PURPOSE

The purpose of this assignment is to investigate smartphone and social media use in healthcare and to apply professional, ethical, and legal principles to their appropriate use in healthcare technology.

Course Outcomes
This assignment enables the student to meet the following course outcomes.

• CO #4: Investigate safeguards and decision‐making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO 4)
• CO #6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, andclient’s right to privacy. (PO 6)
• CO #8: Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care (PO 8)
  DUE DATE
  See Course Schedule in Syllabus. The college’s Late Assignment Policy applies to this activity.
  TOTAL POINTS POSSIBLE
  This assignment is worth a total of 240 points.
  Requirements

1. Research, compose, and type a scholarly paper based on the scenario described below, and choose a conclusion scenario to discuss within the body of your paper. Reflect on lessons learned in this class about technology, privacy concerns, and legal and ethical issues and addressed each of these concepts in the paper, reflecting on the use of smartphones and social media in healthcare. Consider the consequences of such a scenario. Do not limit your review of the literature to the nursing discipline only because other health professionals are using the technology, and you may need to apply critical thinking skills to its applications in this scenario.
2. Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the American Psychological Association, sixth edition, as well as the resources in Doc Sharing if you have questions (e.g., margin size, font type and size (point), use of third person, etc.). Take

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advantage of the writing service SmartThinking, which is accessed by clicking on the link called the Tutor Source, found under the Course Home area.

1. The length of the paper should be four to five pages, excluding the title page and the reference page. Limit the references to a few key sources (minimum of three required).
2. The paper will contain an introduction that catches the attention of the reader, states the purpose of the paper, and provides a narrative outline of what will follow (i.e., the assignment criteria).
3. In the body of the paper, discuss the scenario in relation to HIPAA, legal, and other regulatory requirements that apply to the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations.
4. Choose and identify one of the four possible endings provided for the scenario, and construct your paper based on its implications to the scenario. Make recommendations about what should have been done and what could be done to correct or mitigate the problems caused by the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations.
5. Present the advantages and disadvantages of using smartphones and social media in healthcare and describe professional and ethical principles to the appropriate use of this technology, based on facts from supporting sources of evidence, which must be included as in‐text citations.
6. The paper’s conclusion should summarize what you learned and make reflections about them to your practice.
7. Use the “Directions and Assignment Criteria” and “Grading Rubric” below to guide your writing and ensure that all components are complete.
8. Review the section on Academic Honesty found in the Chamberlain Course Policies. All work must be original (in your own words). Papers will automatically be submitted to TurnItIn when submitted to the Dropbox.
9. Submit the completed paper to the “We Can, but Dare We?” Dropbox by the end of Week 3. Please refer to the Syllabus for due dates for this assignment. For online students, please post questions about this assignment to the weekly Q & A Forums so that the entire class may view the answers.

Preparing for the Assignment

BACKGROUND

Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs, but we must also consider the impact of such technology on privacy and patient care. This technology includes the use of social media applications, such as Facebook, Instagram, MySpace, Twitter, and LinkedIn on smartphones.

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In healthcare today, smartphones are widely used for communication, efficiency, and care. Obviously, a variety of issues (ethical, professional, and legal) from both the personal and hospital perspectives

must be considered. SCENARIO

You are a nurse in the emergency room, working the Friday 7 p.m. to 7 a.m. shift, and your evening has been filled with the usual mix of drunken belligerent teens, wailing babies, chronic obstructive pulmonary disease (COPD) exacerbations, falls, fractures, and the routine, regular congestive heart failure (CHF) patients. Your best friend is texting you from the concert that you had to miss tonight because you were scheduled to work, and you respond to her between care of patients, jealous that she is there and you are not. “What a jerk to torture me like this!” you think to yourself.

It is now 2 a.m., and the medics radio once again, notifying you of an incoming motor vehicle accident victim, ETA of 5 minutes. You sigh and opt to use the restroom, rather than getting that much‐needed cup of coffee, and prepare a room for your next patient. The medics roll in and begin to fill you in. The patient is a 28‐year‐old male, a passenger on a bus that was involved in a crash, leaving the vehicle overturned after rolling over an embankment. There were several fatalities among the bus passengers, and “this victim has remained unconscious, though his vitals are currently” . . . and as you start to focus on the patient, you take a second look. Can it be? It is! The lead singer, Jerod, from the band “Blue Lizards,” who you have adored since you first heard his voice! The band had just left the concert that you had missed last evening when the accident occurred. You quickly text your best friend . . . “Can youbelieve?” and she responds with “Yeah, right. PROVE IT.” So you quickly snap a picture with your smartphone, when alone with the patient, and send it to her. Can’t hurt, right? Celebrities are “public property,” and that’s a part of their life, right? Just for good measure, you snap a few more pictures of the unconscious singer in various stages of undress and then a shot of his home address, phone number, and demographic information from his electronic health record. You sit your phone down on the bedside table for a minute as you continue your assessment of the patient.

At 7:00 a.m., you drag your tired body home and straight to bed after a long but eventful night.

What happens next? Choose an ending to the scenario, and construct your paper based on those reflections:

1. You are the following nurse on the day shift and discover the night nurse’s phone on the bedside table. While trying to figure out to whom it belongs, you open the phone and see the
   photographs taken the night before. Holy moly! What a find, and nobody could trace you to the photos.
2. You receive a call from the gossip paper the Gossip Gazette, offering you $20,000 for the photos you have taken (courtesy of your best friend). Your identity would never be revealed, and you desperately need a new car and are behind on some bills.
3. You go on Facebook, on your day off, and talk about the night you had at work and how youdidn’t really feel as bad having to miss the concert, because you actually got to meet Jerod in person and even “Got his number!” You then post a picture of Jerod on Facebook and

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Instagram, figuring that most of your contacts would never recognize him anyway. It’s your day off and your personal time, so no harm, no foul, right?

4. You receive a message the next morning from a peer at work that there is a big investigation being conducted at work due to a HIPAA violation and that it involved a celebrity who had been admitted to the hospital. The word is that legal action is being taken against the hospital due to some photos that were sold to the Gossip Gazette. Knowing that the photo you sent is safe with your best friend, you reach for your smartphone, but it is nowhere to be found.

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Directions and Assignment Criteria

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Assignment Criteria

Points

%

Description

Introduction 40 points

40

17%

Catches the attention of the reader States the purpose of the paper

Provides a narrative outline of the paper (i.e., the assignment criteria).

HIPAA, Legal, & Regulatory Discussion
40 points

40

17%

Discussion the following as they apply to the use of cellphones and social media in healthcare: o

HIPAA/regulatory requirements
o Other legal requirements appropriate to the

use of this technology
Demonstrate support from sources of evidence included as in‐text citations.

Scenario Ending & Recommendations 50 points

50

21%

Choose and identify one of the four possible endings provided for the scenario.
Make recommendations about what should have been done and what could be done to correct or mitigate the problems caused by the scenario and the ending you chose.

Demonstrate support from sources of evidence included as in‐text citations.

Advantages and Disadvantages 50 points

50

21%

Discuss at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare

Describe professional and ethical principles to the appropriate use of this technology
Demonstrate support from sources of evidence included as in‐text citations.

Conclusion and Reflections 30 points

30

12%

Summarize what you learned
Make reflections about lessons learned to your practice.

Scholarly Writing and APA Format
30 points

30

12%

Title page, running head, & page numbers are correct. Use Microsoft Word and APA (6th ed.) formatting Length is 4‐5 pages (excludes title & reference pages).

At least 3 references are used, listed in APA format References match in text citations in APA format Spelling, grammar, & mechanics are correct.

Total

240

100%

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Grading Rubric

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Assignment Criteria

Outstanding or Highest Level of Performance

A (92–100%)

Very Good or High Level of Performance

B (84–91%)

Competent or Satisfactory Level of Performance

C (76–83%)

Poor, Failing or Unsatisfactory Level of Performance F

(0–75%)

Introduction 40 points

The student catches the reader’s attention, states the paper’s purpose, and provides a narrative outline of the paper’s body.

35–40 points

One of the following is missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.

30–34 points

Two of the following are missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.

26–29 points

Three of the following are missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.

0–25 points

HIPAA, Legal, & Regulatory Discussion 40 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is thoroughly addressed:

• HIPAA/regulatory requirements
• Other legal requirements appropriate to the use of this technology
  Demonstrated support from sources of evidence included as intext citations.
  35–40 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking in one or more component:

• HIPAA/regulatory requirements
• Other legal requirements appropriate to the use of this technology
  or
  Support is not demonstrated adequately from sources of evidence included as in‐text citations.
  30–34 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking in one or more component:

• HIPAA/regulatory requirements
• Other legal requirements appropriate to the use of this technology
  and
  Support is not demonstrated adequately from sources of evidence included as in‐text citations.
  26–29 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking both components: •HIPAA/regulatory requirements • Other legal requirements appropriate to the use of this technology

and

Support is not demonstrated adequately from sources of evidence included as in‐text citations.

0–25 points

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Scenario Ending & Recommendations 50 points

Included all of the following elements sufficiently:
• Identify one of the four possible endings provided for the scenario.

Included all of the following elements but did not develop at least one area substantively :
• Identify one of the four possible endings provided for the scenario.

Included all of the following elements but did not develop at two or more area substantively : • Identify one of the four possible endings provided for the scenario.

Did not included the following elements substantively :
• Identify one of the four possible endings provided for the scenario.

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen.
• Demonstrated support from sources of evidence included as intext citations.

45‐50 points

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending
chosen.
Or
• Did not demonstrated support from sources of evidence included
as in‐text citations.

40‐44 points

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending
chosen.
Or
• Did not demonstrated support from sources of evidence included
as in‐text citations.

36‐39 points

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen.
Or
• Did not demonstrated support from sources of evidence included
as in‐text citations.

0‐35 points

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Advantages and Disadvantages 50 points

Met all of the following criteria: •Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare

• Described professional and ethical principles to the appropriate use of this technology
• Demonstrated support from sources of evidence included as intext citations.

45‐50 points

Did not meet one of the following criteria:
• Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare

• Described professional and ethical principles to the appropriate use of this technology
• Demonstrated support from sources of evidence included as intext citations.

40‐44 points

Did not meet two or more of the following criteria:
• Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare

• Described professional and ethical principles to the appropriate use of this technology
• Demonstrated support from sources of evidence included as intext citations.

36—39 points

Did not meet Three or more of the following criteria:
• Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare

• Described professional and ethical principles to the appropriate use of this technology
• Demonstrated support from sources of evidence included as intext citations.

0‐35 points

Conclusion and Reflections 30 points

Met the following criteria substantively:
• Summarized what you learned •Made reflections about lessons learned to your practice.

25‐30 points

Did not meet at least one of the following criteria substantively: • Summarize what you learned •Make reflections about lessons learned to your practice.

20‐24 points

Did not meet either of the following criteria substantively: • Summarize what you learned •Make reflections about lessons learned to your practice.

16‐19 points

Did not include a formal conclusion paragraph

0–15 points

Scholarly Writing and APA Format 30 points

The following points

• 6 points • 4 points

• 2 point • 6 points• 6 points

are achieved by successful implementation of each scholarly writing/APA element:

Title page, running head, & page numbers are correct. Use Microsoft Word and APA (6th ed.) formatting

Length is 4‐5 pages (excludes title & reference pages). At least 3 references are used, listed in APA format References match in text citations in APA format

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• 4 points Spelling/mechanics & grammar are correct.• 2 point Scholarly writing style is used

Total Points Possible = /240 Points

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   Building a Health History 

Thorough and accurate pediatric history is a challenging and very important to children’s wellbeing that allows nurses and patients to establish a nurse-patient therapeutic relationship. History building is also essential in the interpretation of physical examination (Ball et al., 2019). Completing a comprehensive health history and physical examination is a tool used to document patient medical history, physical examination findings, and diagnosis (Sullivan, 2019). Using good communication skills to obtain this information is very important as communication creat a positive patient relationship. In other to develop this positive patient relationship, the nurse practitioner needs to build on courtesy, connection with the patient/guardian, ensure comfort and provide an opportunity for confirmation of what has been discussed to ensure understanding (Ball et al., 2019). Performing an assessment and history taking in children can bring upon anxiety, so practitioners should try to ease the anxiety by making sure the child is in the room with the parent, especially preschoolers (Ball et al., 2019).

Interview and Communication Techniques 

Children in rural areas face risk factors that are particular to their demographic features. Children living in rural areas are more at risk for health and developmental conditions. Performing an assessment and history taking in children can bring upon anxiety, so practitioners should try to ease the anxiety by making sure the child is in the room with the parent, especially preschoolers (Ball et al., 2019). Gaining confident and building practitioner-patient–caregivers relationship that is based on trust is very important as it facilitates with data collection (Mărginean et al., 2017). The practitioner should be empathetic as this will improve communication, be an active listener and observer to pick up any cues that patients might not share like grimacing, use open-ended questions. The use of questionnaire is encouraged too where the parent fills it out and by freely writing down patient concerns without having to answer the questions in person (Ball et al., 2019). 

 Risk Assessment Tool

According to Chung et al. (2016), 20 percent of US children live in poverty in rural, urban, and suburban, so it is critical to know the social determinant of the health of children to assess them better and provide safe and appropriate care needed (Chung et al., 2016). This social determinant includes family financial support, child maltreatment, and child education. Chung et al. (2016), also continues to explain that children who live in poverty are exposed to adverse childhood experiences like toxic stress, developmental delay, and health conditions like asthma and heart diseases. Rural people are usually poor and experience healthcare disparities. According to the center for disease control and prevention (2016), younger children are more likely to experience fatal abuse and neglect than older kids. Risk factors for victimization include child age and special needs that may be as a result of increased caregiver burden from developmental and intellectual disabilities, mental health issues, and chronic physical illnesses (Center for Disease Control and Prevention, 2016).

Targeted Questions

Does your child have any allergies?

Does your child have a good appetite to eat?

Does your family has enough food?

What is the child living situation, has there being any change in the child living situation within the past one month?

What are your family concerns or needs?

Does your child take vaccinations?

Is there anything I can do for you? 

                                                                                      References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Center for Disease Control and Prevention (2016). Preventing Child Abuse and Neglect: A Technical Package for Policy, Norm, and Programmatic Activities. Retrieved from https://www.cdc.gov/violenceprevention/pdf/can-prevention-technical-package.pdf

Chung, E. K., Siegel, B. S., Garg, A., Conroy, K., Gross, R. S., Long, D. A., Lewis, G., Osman, C. J., Jo Messito, M., Wade, R., Jr, Shonna Yin, H., Cox, J., & Fierman, A. H. (2016). Screening for Social Determinants of Health Among Children and Families Living in Poverty: A Guide for Clinicians. Current problems in pediatric and adolescent health care, 46(5), 135–153. doi:10.1016/j.cppeds.2016.02.004

Mărginean, C. O., Meliţ, L. E., Chinceşan, M., Mureşan, S., Georgescu, A. M., Suciu, N., Pop, A., & Azamfirei, L. (2017). Communication skills in pediatrics – the relationship between pediatrician and child. Medicine, 96(43), e8399. doi.10.1097/MD.0000000000008399

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

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