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2025 Collaborative identification and interpretation of practice problems is a requirement of professional practice AACN
by adminEvidence based practice 2025
Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing literature using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018). Purpose This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources. Course Outcomes This assignment enables the student to meet the following Course Outcomes. CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7) CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8) CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8) CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8) Due Date Submit the completed PPL Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3 . Points This assignment is worth 175 points . Directions 1. Read over each of the following directions. 2. You must read the Assignment Practice Scenario below before completing the PPL Worksheet. 3. Download and use the required PPL Worksheet (Links to an external site.)Links to an external site. . 4. Review the information provided in our library of how to search for journal articles here (Links to an external site.)Links to an external site. . 5. Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.)Links to an external site. . 6. You are required to complete the worksheet using the productivity tools required by University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, 7. Complete each section of the Problem/PICOT/Literature (PPL) Worksheet. For the Clinical PICOT Question , you are required to use one type of question from the American Academy of Ambulatory Care Nursing (AAACN). Please access the template to select the question type from the following link: American Academy of Ambulatory Care Nursing (AAACN). (2018). AAACN research toolkit: Template for asking PICOT questions . Retrieved from https://www.aaacn.org/sites/default/files/documents/misc-docs/1e_PICOT_Questions_template.pdf (Links to an external site.)Links to an external site. 8. Be sure to use the PPL grading rubric to make certain you are meeting all grading criteria of the PPL Worksheet. 9. Use correct grammar, spelling, punctuation, and in-text APA formatting. 10. Submit the completed PPL Worksheet on the Week 3 Assignment page. **Academic Integrity Reminder** College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments. By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page. Please see the grading criteria and rubrics on this page. NOTE: Please use your browser’s File setting to save or print this page. Assignment Practice Scenario Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17). The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018): Quality Safety Patient satisfaction Patient education Falls Non-pharmacological pain management Errors (any). Examples include: · Medication · Patient identification · Communication Readmissions Length of stay Costs Healthcare Associated Infections (HAIs). (Any type) Examples include: · Central Line Associated Blood Stream Infections (CLABSI) · Catheter Associated Urinary Tract Infections (CAUTI) · Ventilator Associated Pneumonia (VAP) · Surgical Site Infections (SSI) Sepsis Discharge Teaching/Coaching Transitions of Care/Level of Care Pressure Ulcers Skin Integrity Your CNE has requested that you are to select one area and complete the PPL Worksheet using that topic. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee. References American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett. Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Hoboken, NJ: Wiley-Blackwell. Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies . Retrieved from http://qsen.org/competencies/pre-licensure-ksas/ NR439 PPL Worksheet Rubric NR439 PPL Worksheet Rubric Criteria RatingsPts This criterion is linked to a Learning Outcome Clinical Nursing Practice Problem Identify one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize the independent clinical nursing practice problem/issue you believe is the most important. Summarize your rationale (why) for choosing the problem. 25.0 pts Clearly identifies one quality and safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes the importance of the problem/issue. Thoroughly summarizes the rationale (why) the problem was chosen. 22.0 pts Criteria from the first column are mostly summarized or one criteria lacks details or is missing. 20.0 pts Criteria from the first column are minimally summarized or two criteria lack details or are not present. 10.0 pts Criteria from the first column are poorly summarized. 0.0 pts Criteria are not discussed. 25.0 pts This criterion is linked to a Learning Outcome Clinical PICOT Question Using the AAACN Template for Asking PICOT Questions located in the assignment guidelines, write out your PICOT question. You must use one type of question from the AAACN template. 20.0 pts PICOT question with all 5 elements correct. 18.0 pts PICOT question with 4 elements correct. 16.0 pts PICOT question with 3 elements correct. 8.0 pts PICOT question with 1-2 elements correct. 0.0 pts PICOT question with no elements correct or no PICOT question present. 20.0 pts This criterion is linked to a Learning Outcome PICOT Elements Identify each of the elements for your PICOT. 20.0 pts All 5 PICOT elements are correctly identified. 18.0 pts 4 PICOT elements are correctly identified. 16.0 pts 3 PICOT elements are correctly identified. 8.0 pts 1-2 PICOT elements are correctly identified. 0.0 pts No PICOT elements are correctly identified or are not present. 20.0 pts This criterion is linked to a Learning Outcome Evidence Retrieval Process Using the Chamberlain College of Nursing library, locate an original nursing report/article of a single nursing study published from a nursing source/journal within the last 10 years that is relevant to your chosen clinical nursing practice problem/issue. Provide a complete APA reference to the study and the permalink. *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used. 20.0 pts All of the five criteria are present or one criteria is missing: 1. Complete study reference is provided in APA. 2. Uses the Chamberlain College of Nursing library by providing the permalink for the study. 3. Study is less than 10 years old. 4. Single original nursing study. 5. Study is from a nursing source/journal *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used. 18.0 pts Missing two criteria from the A column. 16.0 pts Missing three criteria from the A column 8.0 pts Missing four criteria from the A column. 0.0 pts Missing all five criteria from the A column or none of the criteria are present. 20.0 pts This criterion is linked to a Learning Outcome Implications of Literature Evidence Summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. 25.0 pts Thoroughly summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided. 22.0 pts Mostly summarizes the criteria in the first column or one criteria lacks details. 20.0 pts Fairly summarizes the criteria in the first column or one criteria is missing. Fair details are provided. 10.0 pts Poorly summarizes the criteria in the first column. Poor details are provided. 0.0 pts Criteria are not summarized or is missing. 25.0 pts This criterion is linked to a Learning Outcome Literature Search Terms Identifies 4 (or more) relevant searchable terms you used for your search for literature. 25.0 pts Identifies 4 (or more) relevant searchable terms used for the search for literature. 22.0 pts Identifies 3 relevant searchable terms used for the search for literature. 20.0 pts Identifies 2 relevant searchable terms used for the search for literature. 10.0 pts Identifies 1 relevant searchable term used for the search for literature. 0.0 pts No Marks 25.0 pts This criterion is linked to a Learning Outcome Literature Search Strategies Identifies 4 (or more) relevant search strategies you used to narrow/limit your search for literature. 25.0 pts Identifies 4 (or more) relevant strategies used to narrow/limit the search for literature. 22.0 pts Identifies 3 relevant strategies used to narrow/limit the search for literature. 20.0 pts Identifies 2 relevant strategies used to narrow/limit the search for literature. 10.0 pts Identifies 1 relevant strategy used to narrow/limit the search for literature. 0.0 pts No strategies identified or strategies are not present. 25.0 pts This criterion is linked to a Learning Outcome Scholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar 8.0 pts Excellent writing, mechanics, organization, spelling, sentence structure, grammar. 1-2 errors noted. 6.0 pts Good writing, mechanics, organization, spelling, sentence structure, grammar. A few errors noted. 3.0 pts Fair writing, mechanics, organization, spelling, sentence structure, grammar. Some errors noted. 2.0 pts Poor writing, mechanics, organization, spelling, sentence structure, grammar. Many errors noted. 0.0 pts Very poor writing, mechanics, organization, spelling, sentence structure, grammar. Errors throughout are noted. Writing is difficult to understand or follow. 8.0 pts This criterion is linked to a Learning Outcome APA In-Text Formatting for Cited Sentences 7.0 pts Excellent APA formatting. Uses APA in-text citation formatting with no errors. 6.0 pts Good APA formatting. Uses APA in-text citation formatting with 1-2 errors noted. 4.0 pts Fair APA formatting. Uses APA in-text citation formatting with some errors noted or does not use in-text citation formatting. 3.0 pts Poor APA formatting with many errors noted. 0.0 pts Very poor APA with errors noted throughout. 7.0 pts This criterion is linked to a Learning Outcome Assigned PPL Worksheet Used 0.0 pts Assigned PICOT Worksheet form NOT used for this assignment results in loss of 10% (17.5 points) from points possible. 17.5 points deducted 0.0 pts Assigned PICOT Worksheet form used for this assignment. 0 points deducted 0.0 pts Total Points: 175.0
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2025 Using the Practicum Experience for Professional Growth I am personally convinced that one person can be a change catalyst a
by adminUsing the Practicum Experience for Professional Growth 2025
Using the Practicum Experience for Professional Growth “I am personally convinced that one person can be a change catalyst, a ‘transformer’ in any situation, any organization. Such an individual is yeast that can leaven an entire loaf. It requires vision, initiative, patience, respect, persistence, courage, and faith to be a transforming leader” (Covey, 2009, p. 287). Your practicum experiences in NURS 8400 and NURS 8410 have provided opportunities to gain knowledge, perspective, and skills that bolster your specialty area practice. They have laid a foundation for reflecting on your own strengths and challenges as a nurse leader in a dynamic workplace. In this course, you continue to engage in your practicum experience, with specific attention to systems-related issues that contribute to challenges at the aggregate level, the change process, and leadership. This Discussion serves as a springboard for the practicum assignment you are to develop this week. Be sure to view and consider the instructions for this week’s practicum assignment in preparation for the Discussion. To prepare: Reflect on your practicum experiences in NURS 8400 and NURS 8410. Drawing on your knowledge of systems thinking, what problems have you noticed in your practicum setting that may be related to systems issues? How would you outline a viable approach to planning and implementing change to address a systems-related change? What are the essential steps and focal points from beginning to end? What is the role of leadership when it comes to change efforts? Think about the information presented in the Learning Resources, and consider insights you have gained that may be useful as you explore the process of intentional change. Conduct additional research using current literature to further your analysis. Assess the professional growth (including leadership development) you have attained through your practicum experiences during previous courses in the DNP program. Begin to develop your plan for the practicum, including three learning objectives. By tomorrow Tuesday 2/26 6 pm write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below: Post a cohesive response that addresses the following: 1) Describe key aspects of your suggested approach to planning for and implementing change. What are two or three essential steps or strategies that deserve particular attention as you strive to successfully translate evidence into practice? Provide your rationale. 2) Assess the influence of your practicum experiences on your professional growth. Identify areas for improvement to focus on during this course. Given what you have learned in previous courses and through your professional experiences, what questions or concerns do you have regarding how to identify and assess systems-related issues, as well as how to plan for and implement change? 3) Summarize your planned practicum experiences and how you expect these experiences to advance your professional skills. Support your choices with documented evidence from the AACN Essentials, professional standards, and specialty guidelines (see attached file on “The essentials of doctoral education for advanced nursing practice” ESSENTIAL IV). Required Readings White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer. · Review Chapter 3, “Change Theory and Models: Framework for Translation” As you review this chapter (assigned in a previous course), consider the foundational information about change. Also, pay attention to the frameworks and processes described, as they will be valuable as you proceed through this course. What insights arise regarding how you might be able to guide the implementation of change? American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf (see attached file) Use the information in this report to guide the formulation of goals for your practicum experience. Bleich, M. R. (2011). IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health, 34(3), 169-170. doi:10.1002/nur.20433 (see attached file) IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health by Bleich, M. R., in Research in Nursing & Health, Vol. 34/Issue 3. Copyright 2011 by John Wiley & Sons – Journals. Reprinted by permission of John Wiley & Sons – Journals via the Copyright Clearance Center. Pritham, U. P. (2016). Assessing DNP impact using program evaluations to capture healthcare system change. The Nurse Practitioner, (4), 44. Kotter, J. P. (2007). Leading change: Why transformation efforts fail. Harvard Business Review, 85(1), 96-103. Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/76758028/76758030/42e82c2469b7f33387aa79dc5736bb1f In this foundational reading, Dr. John Kotter discusses errors commonly made as organizations undergo change, and he recommends steps leaders can take to help avoid them (see attached file). Moriber, N. A., Wallace-Kazer, M., Shea, J., Grossman, S., Wheeler, K., & Conelius, J. (2014). Transforming Doctoral Education Through the Clinical Electronic Portfolio. Nurse Educator, 39(5), 221-226. doi:10.1097/NNE.0000000000000053 Murphy, M. P., Staffileno, B. A., & Carlson, E. (2015). Original Article: Collaboration Among DNP- and PhD-Prepared Nurses: Opportunity to Drive Positive Change. Journal of Professional Nursing,31388-394. doi: 10.1016/j.profnurs.2015.03.001 Sherrod, B., & Goda, T. (2016). DNP-Prepared leaders guide healthcare system change. Nursing Management, (9). 13. Optional Resources Osters, S., & Tiu, F. S. (n.d.). Writing measurable learning outcomes. Retrieved from http://www.gavilan.edu/research/spd/Writing-Measurable-Learning-Outcomes.pdf (see attached file).
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2025 Discussion Assessing Musculoskeletal Pain The body is constantly sending signals about its health One of the most easily recognized signals
by adminDiscussion: Assessing Musculoskeletal Pain 2025
Discussion: Assessing Musculoskeletal Pain The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provides the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams. In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. To prepare: · By Day 1 of this week, you will be assigned to one of the following specific case studies for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. · Your Discussion post should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case. Case : Ankle Pain A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, · what foot structures are likely involved? · What other symptoms need to be explored? What are your differential diagnoses for ankle pain? · What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottawa ankle rules to determine if you need additional testing? With regard to the case study you were assigned: · Review this week’s Learning Resources, and consider the insights they provide about the case study. · Consider what history would be necessary to collect from the patient in the case study you were assigned. · Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? · Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.
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2025 Discussion Women s and Men s Health Infectious Disease and Hematologic Disorders As an advanced practice
by adminDiscussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders 2025
Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patient’s health needs? What education strategies might you recommend for ensuring positive patient health outcomes?For this Discussion, you will be assigned a patient case study and will consider how to address the patient’s current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes. To Prepare Review the Resources for this module and reflect on the different health needs and body systems presented.Review the complex case asisgned by your Instructor for this Discussion. Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected. Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples. Case Study A 66-year-old, 70-kg woman with a history of MI, HTN, hyperlipidemia, and diabetes mellitus presents with sudden-onset diaphoresis, nausea, vomiting, and dyspnea, followed by a bandlike upper chest pain (8/10) radiating to her left arm. She had felt well until 1 month ago, when she noticed her typical angina was occurring with less exertion. Electrocardiography showed ST-segment depression in leads II, III, and aVF and hyperdynamic T waves and positive cardiac enzymes. BP = 150/90 mm Hg, and all labs are normal; SCr =1.2 mg/dL. Home medications are aspirin 81 mg/day, simvastatin 40 mg every night, metoprolol 50 mg twice daily, and metformin 1 g twice daily. This is the link to download the book: https://www.sendspace.com/file/4y690p
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