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.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

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.

1) Minimum 5 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page  

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: Minimum 1 page

              Part 5: Minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

    Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 4 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:  Policy Organization and Financing Healthcare 

Nurse-managed health centers and clinics are providing care at more convenient locations. 

1. Explain the need for this change, benefits, and possible solutions to any obstacles.

Part 2:  Physical Assessment in Health Care

 A patient is being seen in the health clinic for treatment of a seizure disorder. 

1. Discuss areas of information that would be important for the nurse to address when gathering a history on this patient.

Part 3:  Physical Assessment in Health Care 2

 Prostate cancer is the leading cancer diagnosed in U.S. men.

 1. Discuss the primary risk factors associated with this type of cancer.

2. Discuss screening measures for prostate cancer. 

Part 4: Pharmacology 1

1. Discuss the use of narcotic/opioid/barbiturate/sleep medication in the United States

2. Including the change in patterns over the past 15 years, and the implications for health, insurers, and prescribers.

Part 5: Pharmacology 2

1. Discuss the practice patterns for controlling type 2 diabetes

2. Discuss the expected health outcomes, and the outcomes for different populations. 

Literature Review Paper
  

The purpose of this assignment is to evaluate your ability to formulate a SIGNIFICANT Clinical question and to summarize, critique, and synthesize current research. This assignment will be a review of the literature directly related to the topic or problem under questioning, followed by an explanation of how your clinical question gets answered out of that review. The purpose of the literature review is to know what others have discovered before you begin your investigation of your own, in order to establish a foundation for the topic (or question) being reviewed. In addition, you will be considering the clinical application of this research to professional nursing practice.  This Literature Review will be based upon your individual clinical interest. Each student will choose a problem faced by clients in your practice area that you think is important and would like to learn more about (You may use the topic of your final EBP group paper). Students will turn in a 3-4page literature review paper (excluding cover page and references) on the standing knowledge of the chosen question. The purpose of this assignment is to demonstrate your ability to complete an online literature search on a topic of interest. You will locate, retrieved and summarize at least eight (8) research studies that research articles, which meet the following criteria:

1. Original research studies preferably published from 2013 to the present.
2. At least six of the eight studies should be quantitative research.
3. Two studies may be qualitative (but this is not a requirement).
4. You may also use systematic reviews, metanalysis or clinical practice guidelines. 

Make sure that in your paper address the scope of the problem. Including, what is that you are trying to achieve (purpose). In addition, include a description of search strategy you used, including search terms and databases that help you retrieve the material. This assignment should be preparatory work for your practice improvement paper and poster presentation. Follow APA style rules.Outline for writing your literature review: (see Presentation How to write an EBP paper)

1. Introduction
2. Methods
3. Results
4. Discussion
5. Conclusion
6. References

The purpose of this assignment is to demonstrate your ability to complete an outline literature search on a topic of interest. This assignment is preparatory work and practice for your EBP Quality  Improvement Group paper and poster.

Instructions:

1. Choose a problem faced by clients in your practice area that you think is important and would like to learn more about. 
2. You may use your PICOT questions.
3. Write a five (5) page literature review paper on the standing knowledge of the chosen question.
4. Include a minimum of five (5) journal articles, at least three (3) from nursing journals.

Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents. 

• Explain why a developmental assessment of children and adolescents is important. 
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults.  
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.

References that must be used

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 2, “Contributions of the Psychosocial Sciences” (pp. 93–130)
• Chapter 6, “Classification in Psychiatry” (pp. 290–299)
• Chapter 31, “Child Psychiatry” (pp. 1107–1152)

Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents. 

• Explain why a developmental assessment of children and adolescents is important. 
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults.  
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.

References that must be used

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 2, “Contributions of the Psychosocial Sciences” (pp. 93–130)
• Chapter 6, “Classification in Psychiatry” (pp. 290–299)
• Chapter 31, “Child Psychiatry” (pp. 1107–1152)