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NRS-490 Week 9 Assignment Benchmark – Capstone Project Change Proposal Portfolio – 2025 In this assignment students will pull together the change proposal project components they
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NRS-490 Week 9 Assignment Benchmark – Capstone Project Change Proposal Portfolio – 2025
In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a coursework portfolio inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Students will develop a 1,250-1,500-word paper which includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the Change Proposal:
Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components 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 Turnitin. Please refer to the directions in the Student Success Center.
Discussion: Sexually Transmitted Infections – 2025 Discussion Sexually Transmitted Infections The Centers for Disease Control and Prevention estimates that
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Discussion: Sexually Transmitted Infections – 2025
Discussion: Sexually Transmitted Infections
The Centers for Disease Control and Prevention estimates that there are 19 million new cases of sexually transmitted infections every year in the United States (CDC, 2010b). STIs may present serious health implications for infected patients—especially for those who are unaware of their health condition. Studies show that women are not only at greater risk of contracting these infections, but they also tend to have more severe health problems resulting from infections than men (U.S. Department of Health and Human Services, 2009b). As an advanced practice nurse, you must educate female patients and emphasize the importance of prevention and STI testing for all women regardless of marital status, race, ethnicity, or socioeconomic status. For this Discussion, consider STI education strategies for the three patients in the following case studies:
Case Study 1:
A 19-year-old Asian American female comes into the clinic for a well-woman checkup. She states that about three weeks ago she had a non-tender sore on her labia that resolved without treatment. Her gynecologic exam is normal but she has maculopapular lesions on her trunk, neck, palms, and soles of her feet. The remainder of her exam was unremarkable.
Case Study 2:
A 31-year-old African American female is concerned about a white vaginal discharge. She has self-treated in the past with over-the-counter vaginal creams with some success. She has had no relief thus far for this episode.
Case Study 3:
A 21-year-old nulligravida comes to see you concerned about vague lower abdominal pain for two days associated with a yellowish, nonodorous, vaginal discharge. Past history reveals regular menstrual periods and no previous surgeries or significant medical problems. Her last menstrual period was normal and ended two days ago. She had a similar episode about eight months ago for which she did not seek care because of lack of health insurance. She is currently sexually active with one partner and has had two partners in the past year. She is not using any type of contraception. On physical exam you note a temperature of 38º C, a regular pulse of 100, and a BP of 110/65. Her abdomen is diffusely tender in both lower quadrants. Pelvic exam reveals a yellowish cervical discharge with cervical motion tenderness and a tender fullness in both adnexa.
To prepare:
Review Chapter 20 of the Schuiling and Likis text and the Centers for Disease Control and Prevention article in this week’s Learning Resources.
Review and select one of the three provided case studies. Reflect on the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the sexually transmitted infection you identified as your primary diagnosis.
By Day 3
Post an explanation of the differential diagnosis for the patient in the case study you selected. Provide a minimum of three possible diagnoses, and list them from highest priority to lowest priority. Explain which is the most likely diagnosis for the patient and why. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients on the sexually transmitted infection.
Change Model – 2025 Research the various change models used by organizations today After assessing these models create
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Change Model – 2025
Research the various change models used by organizations today. After assessing these models, create a change model conducive to your field, and that will work within your organization’s culture. This model should serve to implement a strategic process that can help your organization integrate a change and respond to the internal or external driving forces that affect organizational success. ( I will choose thee change model and the area in my field that needs to be addressed
Create a visual representation of your model using a graphic organizer of your choice (flow chart, concept map, etc.). The design of your model will be unique and relevant to your organization, based on a critical analysis of its culture and behavior. However, your model must demonstrate the necessary steps for realistic implementation. Your model will be assessed on the quality of strategic implementation you design, the support you present for your model, and inclusion of the following concepts:
1.Methods to evaluate the need for change
Methods used to evaluate the need for change are extremely thorough and include extensive explanation and numerous supporting details.
2.Approach and criteria for choosing individuals or teams necessary for a change initiative
Approach and criteria for choosing individuals or teams necessary for a change initiative are expertly crafted.
3.Communication strategies
Communication strategies are extremely detailed and well explained and align seamlessly with the organizational culture and behavior.
4.Strategies to gather stakeholder support and overcome resistance
Strategies to gather stakeholder support and overcome resistance are expertly crafted.
5.Implementation strategies
Implementation strategies are extremely detailed and well explained and align seamlessly with the organizational culture and behavior.
6.Sustainability strategies
Sustainability strategies are extremely detailed and well explained and align seamlessly with the organizational culture and behavior.
Once you have created your model, prepare a 10-12 slide PowerPoint presentation to present your model and demonstrate how this model is relevant to your organization and why it will work well within your organization’s culture. In conclusion, discuss why this model will lead to sustainable change when most change initiatives fail. You will utilize this change model for your final paper.
Model is Lewin’s Model
Slides to wrap around Lewin’s Model and address problem identified:
Problem:
•Lack of on time start of procedure (Impact on day, discharge, and patient perception of physician)
•Hours lapse between end of case and when physician provide patient and loved ones with results of procedure
•Poor HCAHPS (Patient Satisfaction)results
•What do I do with the time between case completed and physician deliver results? (Explanation to patient)
•How to communicate patients dissatisfaction with physician
Provide graph etc to show number of late starts, hours between case and discussion of results with patient’s and family. Also graph to trend number of cases booked in a day etc
Thinking of signs like, “I’m scared, please don’t forget to come and tell me my results when you are finish.”
“Thank you for performing my procedure, the suspense is killing me, can you please tell me what you found?
“I’m petrified, how much longer before it’s my turn to have my catheterization?”
“Waiting for the results is worse than the procedure”.
EBP – 2025 In order to formulate your evidence based practice EBP you need to assess your organization
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EBP – 2025
In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550.
Section A: Organizational Culture and Readiness Assessment
It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation.
Section B: Proposal/Problem Statement and Literature Review
In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following:
General Guidelines:
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
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.