Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

2. Population health concerns

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

 Question

Felicia Walker is a 14-year-old female who presents to your school-based teen clinic. She is complaining of daily stomachaches for the past several weeks. She states that she has been complaining about them but everyone tells her it’s just stress from moving and it will get better after she makes some friends. Felicia is new to your school this year and her record notes that she frequently misses her first class of the day. She lives with her aunt and uncle, who are her legal guardians. (Your clinic has private rooms that each person goes into; so there is no waiting room but they are assured privacy).

You ask her more information such as her living arrangements, how things were at her previous school, whether she likes this school (possible social issues contributing to her pain anxiety?

Decision Point Two

Felicia states that if she eats something it is better, but if she gets hungry it’s worse. As you discuss her symptoms more, she relates that she is often late in the morning because she’s been so tired recently. She states she’s feeling better and doesn’t want to miss her next class.

She decides to leave for her next class. Your next step is;

ask her to come back another time to discuss her symptoms and issues further with her since shes opening-up

Decision Point Three

Felicia comes back during her lunch break. You find out that she is also worried because she has not had her period since moving in with her aunt and uncle 3 months ago. She likes living with them but they are very religious and are at church three or four times a week.

As you talk with her more, you find she was removed from her mother’s care due to drug use, and her mother’s boyfriend was found to have drugs in the home. She says she’s glad to be away from him because he’s a “pig.

Ask Felicia why she called her mother’s boyfriend a pig…Her reason is below…

Decision Point Four

She says he’s a pig because he smells like one. Upon further discussion, she tells you that he would come into her room at night and touch her. She is reluctant to go further with this conversation and starts crying.

To gain more information, you reflect on and clarify what she has told you, and you ask if this is one reason she is concerned about stomachaches and missed periods….

Decision Point Five

Upon additional questioning, Felicia says she is concerned that’s why she hasn’t gotten her period and just thinking about it makes her nauseous. She says she can’t sleep at night because she thinks her aunt and uncle won’t want her if they know. You do a urine pregnancy test and the result comes back positive. She states she doesn’t want this baby in her. You find out that the mother’s boyfriend is 40 years old, and Felicia feels safer now that she’s in a different city than him.

 Looking at this case Scenario,

being a mandated reporter and how the laws may allow a teen to make her own choices with regard to her reproductive health? What ethical dilemmas and/or other issues do you need to consider?

• Ethical issues
• Psychological issues
• Physical issues
• Financial issues
• What is your differential diagnosis? 
• Why did you make this diagnosis decision?
• What is your treatment plan?

Provide at least 4 references
 

Formative and summative assessments should align with instructional objectives and provide instructors with a variety of ways to measure learning. Instructors have the responsibility to create a test blueprint before creating the assessment to guide them in item writing.

The purpose of this assignment is to create a test blueprint based on the health care practice you selected in Topic 2 and the objectives you created in Topic 3. After the blueprint is developed, create a summative assessment that consists of five multiple-choice questions. Following each question, include a short narrative that addresses the following:

1. The domain of knowledge each question addresses.

2. A rationale for strategies used in the development of your test blueprint and multiple-choice questions.

3. An explanation of how the test blueprint guided the development of your summative assessment based on learning objectives. 

4.  

Include the test blueprint, summative assessment, and associated narratives as one Word document. Add your test blueprint and summative assessment to your Nurse Educator Electronic Portfolio.

APA style is not required, but solid academic writing is expected.

Topic 2 The  healthcare practice that I have selected is the private healthcare practice.

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

 Case Study 3 & 4

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. “No Straight forward / Simple answer will be accepted”. 

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have the references cited “in the text” for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

Discussion #1:

Title: Community Health Assessment Process: Six Common Phases 

Link: https://www.youtube.com/watch?v=vKNHzb-ww-M&feature=youtu.be

 Video Details: Gayle Shirley, Communications and Systems Improvement Manager for Lewis and Clark Public Health, and St. Peter’s Hospital Director of Marketing and Public Relations Katy Peterson discuss the outcomes of the 2015 Community Health Needs Assessment.

Course required chapter readings for discussion #1:

• Chapter 7:  Process Theory for Program Implementation
• Chapter 8: Monitoring Implementation through Budgets and Information Systems

Directions: 

A) After reading Chapters 7 and 8, and watching the videos, answer the discussion board questions using ONE (1) of the presentation methods below:

• 2-3 pages essay summary (Response to all of the initial discussion board questions below)
• PowerPoint presentation or Prezi (10–15 slides). (Response to all of the initial discussion board questions below)
• Infographic: (Response to all of the initial discussion board questions below)
• Educational/training packet or guide: (Response to all of the initial discussion board questions below)
• Brochure: (Response to all of the initial discussion board questions below)
• 5–7 minute recorded PSA (public service announcement) (Response to all of the initial discussion board questions below)
• Create a thread and respond to all parts of the discussion board questions(s).

Discussion Board Questions:

Address ALL the following questions below:

For the first (1st) question below, please pick one of the following health issues identifies as salient in Bowe County’s most recent community health needs assessment: vaccination, adolescents’ pregnancy, gunshot wounds, or type 2 diabetes.

1.  (Refer to Chapter 7): Draft a logic model for the program (health needs assessment of choice): See example picture below.  

A logic model is a graphic depiction (road map) that presents the shared relationships among the resources, activities, outputs, and outcomes/impacts for your program. It depicts the relationship between your program’s activities and its intended effects, in an implicit ‘if-then’ relationship among the program elements — if I do this activity, then I expect this outcome. Among other things, a logic model helps clarify the boundary between ‘what’ the program is doing and ‘so what’—the changes that are intended to result from strong implementation of the “what.”

Logic Models often include 5 core components of the program action:

INPUTS: resources, contributions, investments that go into the program

OUTPUTS: activities, services, events, and products that reach people who participate or who are targeted

OUTCOMES: results or changes for individuals, groups, communities, organizations, communities, or systems

Assumptions: the beliefs we have about the program, the people involved, and the context and the way we think the program will work

External Factors: the environment in which the program exists includes a variety of external factors that interact with and influence the program’s action.

1. (Refer to Chapter 8): Imagine that your healthcare organization is starting a health program for chronic illness prevention (i.e., diabetes, obesity, asthma, etc.). You have been charged with leading a team to address the health information technology issues related to that program. What steps would you take? What would be your top three (3) concerns? 
2. Choose one article pertaining to your topic that you submitted for assignment #1 

Prepare an annotated bibliography of one source you will use in developing your proposed program. In this way, each of you will have a few key citations related to program planning that may be useful for future reference. You MUST one article about evidence-based successful programs that are as similar to the one you will design. No exceptions are allowed. 

REQUIRED COMPONENTS for Annotated Bibliography: Specifically prepare an annotated bibliography, which is a list of citations in appropriate APA format with 2-4 sentences that summarize the main idea(s) of the item and 1-2 sentences that relate the material to your topic. They must be articles from scholarly/peer-reviewed journals.

See example:

ANNOTATED BIBLIOGRAPHY 

AuBuchon, J. P. (2005). Meeting transfusion safety expectations. Annals of Internal Medicine, 143(7), 537-8. Retrieved from: Pro Quest (Links to an external site.)

This journal argues the steps needed to understand the risks associated with virologic transmission in our blood supply, and the importance of meeting blood transfusion safety for the public and the health care industry needs to constantly reexamine its procedures. AuBuchon (2005) makes a good case for those in the public health care services, to be aware of the impacts on transfusion recipients’ morbidity and mortality; and gives us examples in which we have to change the way we handle blood and blood products. With the appearance of West Nile virus in 2002, there has been a rapid adaptation of nucleic acid testing systems in order to maintain the safety of our blood, but at what cost, and how can we improve the quality when the donors’ health history statements have turned out to be unreliable. James P. AuBuchon MD is affiliated with Dartmouth-Hitchcock Medical Center, in Lebanon, NH.

4. A minimum of one reference is required to support your response to the discussion question. You may cite the course required textbook and or other sources from which you have used content. Make sure your references are in APA format.