In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question.
5. Literature search strategy employed.
6. Evaluation of the literature.
7. Applicable change or nursing theory utilized.
8. Proposed implementation plan with outcome measures.
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

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.

PLEASE FOLLOW RUBRICS

 Background of clinical problem are clearly and logically presented. Relevant support and rationale are evident. 

 Clinical problem statement is clearly and logically presented. Relevant support and rationale are evident. 

 Purpose of the change proposal in relation to providing patient care in the changing health care system is logically presented. Relevant support and rationale are eviden 

 Topic and criteria are clearly and logically presented. Relevant support and rationale are evident. 

 Topic and criteria are clearly and logically presented. Relevant support and rationale are evident. 

 Evaluation of literature is clearly and logically presented. Relevant support and rationale are evident. 

 Change or nursing theory is logically presented. Relevant support and rationale are evident. 

Implementation plan and outcome measures are clearly and logically presented. Relevant support and rationale are evident.  

 Use of evidence-based practice in intervention plan is clearly and logically presented. Relevant support and rationale are evident. 

 Plan for evaluating proposed nursing intervention is clearly and logically presented. Relevant support and rationale are evident. 

 Potential barriers and plan to overcome barriers are clearly and logically presented. Relevant support and rationale are evident. 

 Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 

 Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 

 Writer is clearly in command of standard, written, academic English. 

Exercise 2.5  

Diabetes affects a growing number of Americans. You have been invited to join a collaborative of community agencies interested in tackling diabetes from a community perspective.  I reside in Maryland, in Howard county.

1) What resources will you use to identify different outcomes related to diabetes? 

2) What outcomes related to diabetes are of most interest to community members? 

3) How will you compare the outcomes you select to monitor at the local level with state and national outcomes?

The objectives for Week 1 are:

Integrate key terms of epidemiology and population health to the Advanced Practice Nurse role.

Recommend primary, secondary, and tertiary prevention strategies as related to the objectives of HP2020.

Plan for inter-professional collaborations aimed at achieving HP2020 goals and objectives.

Compare and contrast sources of epidemiological data that are used to inform levels of prevention.

The last weekly objective, #4, uses the word “sources”. This correlates to Exercise 2.5’s use of the word “resources”. By this it means, where can a provider find data that inform them regarding outcomes? What is this data, what are the outcomes? Consider morbidity, mortality, incidence, prevalence, cases, various cultural populations such as racial or socioeconomic information. 

Data sources include but are not limited to these examples: State level public health departments, state-level health, and human services or task forces, federal level agencies, CDC, HP2020, Office of Minority Health

What resources will you use to identify different outcomes related to diabetes? 

I think it is helpful, to begin with defining population health outcomes. The next piece is to clearly understand how these outcomes are different than individual outcomes. What terms are used to describe population health-based outcomes?

After clearly identifying those pieces, the next step is to know where a provider can find that information. Please respond to these questions in your reply post using the course textbook and Canvas readings to support the content.

Find an article in the library that is about population health outcomes. This can be outcomes for any health issue, diabetes, obesity, kidney disease, etc. It should be for the US. Please provide a link to the article in your reply along with a brief summary.

respond with a minimum of three (3) paragraphs each. 

You should address each bullet point in the exercise. 

Your work should have in-text citations integrating at a minimum one scholarly article from this week’s readings and course textbook. (  Curley, L. A., & Vitale, A. P. (2016). Population-based nursing: Concepts and competencies for advanced practice (2 nd Ed.). New York; NY, Springer Publishing Company).

APA format should be utilized to include a reference list. 

Correct grammar, spelling, and APA should be adhered to when writing, work should be scholarly without personalization or first-person use. 

 in addition to your textbook, Data sources include but are not limited to these examples: State level public health departments, state-level health, and human services or task forces, federal level agencies, CDC, HP2020, Office of Minority Health

Nursing Case study and pamphlet due 10/30/2020 

Case study

A few weeks ago you were hired as Director of Patient Education for a regional medical center

located in the Midwest. The medical center includes three community hospitals ranging from 175 to

321 beds, four outpatient clinics, and five centers of excellence. The five centers of excellence are

located at two of the hospitals and focus on heart disease, cancer care, care of the aging,

neuromuscular disorders, and women’s health.

In your position you are responsible for coordinating patient education across the medical

center, including all programs and print materials. Your staff includes three BSN-prepared nurses,

one located at each of the hospitals. As one of your initial steps in this new position, you have

completed an assessment of the current educational offerings and staff satisfaction with the quality

of the current programs. One area of need stands out: The professional staff report that a growing

number of patients have been joining online social networking sites. One staff member said, “I think

they are all helping each other get online.” These patients are now raising new and sometimes

difficult questions about treatment options. None of the staff has explored any of the online sites,

and they are afraid to join for fear that they could become involved in some sort of violation of the

Health Insurance Portability and Accountability Act (HIPAA).

Discussion Questions

1. 400 words. Describe how you would develop a staff education program and create an outline of key points that you would include.

2. 200 words Develop a patient handout that the staff can use to educate patients on the effective use of

online social media materials. Within the pamphlet speak on key information regarding the program and the benefits of various form of social media in health promotion and disease prevention. Include pictures in the pamphlet to appeal to your customers. 

A template is provided as an attachment. 

ALL READ: The Evolution of TIGER article is found here and in the course resources. 

Shaw, T., Sensmeier, J., & Anderson, C. (2017). The evolution of TIGER. CIN: Computers, Informatics, Nursing, 35(6),278-280. doi: 10.1097/CIN.0000000000000369

TIGER Initiative  (Minimum of 250 words and three references)

Access the HIMSS TIGER Initiative website using this link     

http://www.himss.org/professionaldevelopment/tiger-initiative?%2Ftiger%2F (Links to an external site.)=

Read the information provided on the website page to gain a base knowledge of what TIGER is all about.  View the video supplied on this webpage.

Discuss the following:

1) History of TIGER

2) International Informatics Competency Synthesis Project

3) TIGER Definitions

4) Reflect on this portion of the initiative and what you found interesting and of value to nursing informatics.