Articulate a Practice Problem

Purpose

The purpose of this assignment is to articulate a compelling practice problem. The development of a focused and accurate problem statement is foundational to drive actions and decisions to improve healthcare outcomes. Formulation of a clear and accurate practice problem statement with substantiation from primary peer-reviewed journals supports the professional formation of the DNP scholar.

Course Outcomes

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

1. Investigate practice problems relevant to advanced nursing practice.

2. Appraise practice problems at the micro, meso, and macrosystems levels. 

3. Examine the role of stakeholders in change and translation science. 

5. Compare and contrast differences and similarities in change models, conceptual frameworks, and translation models.

Preparing the Assignment

Follow these guidelines when completing each component of this assignment.

1. The assignment should be no more than four pages (excluding Title and References pages).
2. The assignment will include the following components.
   1. Title Page
   2. Introduction
      1. Purpose Statement
      2. Practice Problem Identification
      3. Role of the DNP Practice Scholar in Influencing Practice Problems
   3. Implications of the Practice Problem at the National Level (Cancer)
      1. Significance
      2. Relevance
      3. Economic Ramifications
   4. Impact of the Practice Problem (cancer)at the National Level on Key Stakeholders
      1. Patients
      2. Families
      3. Nurses
      4. Interprofessional Team Members
      5. Healthcare Organizations
   5. Implications of the Practice Problem at the Local Level (cancer in Miami, Florida)
      1. Significance (INCIDENCE AND PREVALENCE OF CANCER)
      2. Relevance (MORTALITY OF CANCER)
      3. Economic Ramifications (financial data)
   6. Impact of the Practice Problem at the Local Level (cancer in Miami, Florida) on Key Stakeholders
      1. Patients
      2. Families
      3. Nurses
      4. Interprofessional Team Members
      5. Healthcare Organizations
   7. Conclusion
      1. Summation of the Impact of the Practice Problem at the National Level (CANCER IN USA)
      2. Summation of the Impact of the Practice Problem at the Local Level(cancer in Miami, Florida) Summation of the Role of the DNP Practice Scholar on Influencing a Practice Problem
   8. APA Style and Organization
      1. APA Standards for Scholarly Papers. use level 1 header*
   9. Grammar and Mechanics
      1. Paper is four pages (excluding Title and References pages)
      2. Five minimum scholarly, primary sources
      3. Level I Headings are included
3. Selects and reviews a minimum of five primary peer-reviewed journals to substantiate the Problem Statement.
4. To complete this paper, please search from the library home page at https://library.chamberlain.edu (Links to an external site.). Click the Search Everything tab to search on your keywords. Using this search field pulls from over 50 large databases. Federal and other open access sources are not included in the search function and must be searched individually. See the list of open access article databases at https://library.chamberlain.edu/az.php?t=9617. (Links to an external site.) For help, contact a librarian through http://chamberlain.libanswers.com/ask. (Links to an external site.) For additional search help, consider making an appointment with a librarian at https://library.chamberlain.edu/Appointments. (Links to an external site.)
5.  This written assignment will be screened for originality by Turnitin.

Introduction requirements:
1. Includes a focused purpose statement
2. Identifies selected practice problem in general terms
3. Identifies the role of the DNP practice scholar in influencing practice problems

 Implications of the Practice Problem at the National Level requirements:
1. Describes the significance of the practice problem at the national level.
2. Discusses the relevance of the practice problem at the national level.
3. Discusses the economic ramifications of the practice problem at the national level.

 Impact of the Practice Problem at the National Level on Key Stakeholders requirements:
1. Describes the impact of the problem on patients/families at the national level.
2. Discusses the impact of the problem on nurses/nursing care at the national level.
3. Describes the impact of the problem on interprofessional team members at the national level.
4. Discusses the impact of the problem on healthcare organizations at the national level.

 Implications of the Practice Problem at the Local Level Requirements:
1. Describes the significance of the practice problem at the local level.
2. Discusses the relevance of the practice problem at the local level.
3. Discusses the economic ramifications of the practice problem at the local level.

 Impact of the Practice Problem at the Local Level on Key Stakeholders Requirements:
1 Describes the impact of the problem on patients/families at the local level.
2 Discusses the impact of the problem on nurses/nursing care at the local level.
3 Describes the impact of the problem on interprofessional team members at the local level.
4 Discusses the impact of the problem on healthcare organizations at the local level.

 Conclusion Requirements:
1. Includes a summation of the impact of the practice problem at the national level
2. Includes a summation of the impact of the practice problem at the local level
3. Includes a summation of the role of the DNP practice scholar in influencing a practice problem.

 References Requirements:
1. Cites and references a minimum of 5 scholarly primary peer-reviewed journals

 APA Style and Organization Requirements:
1. Uses APA Standards for Scholarly Papers
2. Grammar and Mechanics are free of errors
3. Paper is 4 Pages (excluding Title and Reference Pages)
4. Uses required Level I Headings.

 Additional Resources

American Association of Colleges of Nursing. (2004). AACN position statement on the practice doctorate in nursing. Washington, DC: Author.American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author.American Association of Colleges of Nursing. (2017). The DNP fact sheet. Washington, DC: Author.

The Local Burden of Disease (LBD)

These websites explore the local burden of disease.

• View the U.S. State Burden Topic Profiles at http://www.healthdata.org/node/6444 (Links to an external site.).
• Download the GBD report, Rethinking Development and Health: Findings From the Global Burden of Disease at http://www.healthdata.org/results/country-profiles (Links to an external site.).
• View main findings by country at http://www.healthdata.org/results/country-profiles (Links to an external site.).
• Explore the GBD Compare data visualization at http://vizhub.healthdata.org/gbd-compare/ (Links to an external site.).
• Read about the GBD research study at www.healthdata.org/gbd (Links to an external site.).
• The U.S. Burden of Disease Collaborators. (2018). The State of U.S. health, 1990-2016 burden of diseases, injuries, and risk factors among U.S. states (Links to an external site.). JAMA, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158

The Role of the Stakeholder When Designing a Practice Change

Cluzeau, F., Wedzicha, J. A., Kelson, M., Corn, J., Kunz, R., Walsh, J., & Schünemann, H. J. (2012). Stakeholder involvement: How to do it right: Article 9 in integrating and coordinating efforts in COPD guideline development (Links to an external site.). Proceedings of the American Thoracic Society, 9(5), 269–273. https://www.atsjournals.org/doi/full/10.1513/pats.201208-062ST

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change (Links to an external site.). The American Journal of Nursing, 111(3), 54-60. https://doi.org/10.1097/10.1097/01.NAJ.0000395243.14347.7e

Please review the substantive posting requirements posted in the forum and announcements: When you post responses to your peers the response needs to be “substantive” to receive credit. Substantive posting criteria includes: Acknowledge what your peer stated (agree or disagree). Include additional information. End the post with an open-ended follow up question. This is important to encourage further discussion.

 

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000 word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

  

Module 1 Assignment: Case Study Analysis

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

Photo Credit: Getty Images/Hero Images

An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
 

In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems.

Case study; Week 2

Scenario 4: A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon. 

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

The U.S. population is aging, which brings unique nutritional needs and concerns for older adults. Using the knowledge you have gained this semester, you will complete this assignment as a final assessment of your understanding of the foundations of nutrition and how they apply to a specific demographic – our aging population.

Instructions

Assume you work at a senior center and have been asked to develop a Tip Sheet for Seniors about nutrition. Many of these seniors live at home, prepare their own meals, and are on limited incomes. The senior center is a congregate meal site. This tip sheet will be distributed to the seniors themselves as well as their family members and other people in the community that may assist the seniors.

When writing your tip sheet, please address:

• hints for assessing and improving nutrient density of meals
• hints for saving money when grocery shopping or eating at restaurants
• hints for making meals more enjoyable
• cultural, social, and psychological factors that may influence an older adult’s ability to obtain adequate nutrition
• potential problems associated with nutrition for this population
• health problems that could result from high or low nutrient intakes
• how the seniors or their family members can recognize potential nutrition related problems quickly, and what can be done. Be sure to do this tactfully and professionally.

Things to Consider

Be sure to think about presentation as well as the information you will include. Present the information in a way that seniors will both read and understand. Be creative!

Thoroughly address each instruction given above. Your tip sheet should be a minimum of 2 pages in length.

Draw upon the course materials for this assignment.

Include your name on your submitted assignment and BE SURE to cite all sources quoted or used in any way (even if it is just our textbook). Always give credit where credit is due.