Overview

This assignment must be completed on the template provided. This assessment requires you to explore the literature to find 2 research articles that are examples of 2 different levels on the levels of evidence hierarchy. The pyramid that illustrates the levels of hierarchy is on page 13 in your textbook. Please read about the levels of evidence to ensure you understand them before selecting your articles.

Objectives

• Understand the research levels of evidence hierarchy (pyramid)
• Demonstrate effective data base search strategies
• Identify studies by level of evidence

Due Date: Sun, Jun 6 by 11:59 p.m. Eastern Standard Time (EST) of the US.

Point Value: 30

Instructions

To be successful, complete the following steps in order:STEP 1. Review the instructional materials and finish learning activities in module 4STEP 2. Click here to download the rubric. Click here to download the template. 

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter 4
• Minimum of 3 scholarly sources (in addition to the textbook)

Instructions
As part of the discussion this week, you made a brief exploration of a work of art to understand its subject, meaning, and intent. In this assignment, you will explore an artwork in more depth to consider the context in which it was created. Choose any painting, and address the following:

• Explain the artistic movement associated with the work of art.
• Describe the style of the artist (How is the artist unique within the movement?)
• Examine in some depth the influences that shaped the work. Address at least 2 of the following:
  • Stylistic influences
  • Subject/content influences
  • Cross-disciplinary influences such as literature, philosophy, music, science, technology, etc.
  • Historical influences
  • Political influences

• Reflect on your learning.
  • How did your research enhance your appreciation of the artwork?
  • How does understanding the context of a work help in interpreting it?

Include the following in your paper:

• Name of the painting
• Name of the artist
• Date created
• Image of the painting

Writing Requirements (APA format)

• Length: 1.5-2 pages (not including title page, references page, image, or caption for artwork)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 3 scholarly sources)

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

1. The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.

2. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.

3. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.

4. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.

5. Significance of the topic and its implications for nursing practice.

6. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.

You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment

Rubric

The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal is clearly and logically presented. Support and rationale are evident.

The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed is logically presented. Support and rationale are evident.

A detailed description of the project topic is clearly and logically presented. Support and rationale are evident.

Effect of the identified problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project is clearly and logically presented. Support and rationale are evident.

Topic and criteria are clearly and logically presented. Support and rationale are evident.

Eight peer-reviewed articles are presented, and each article clearly meets the assignment criteria.

An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.

Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in 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 the 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 scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

Assignment (2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following

• The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.

Submit your Case Study Analysis Assignment 

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

Week 2 Discussion

• Choose two concepts in the theory you choose last week and describe:
  • How are the concepts defined in general (from other references)? 
  • How does the theorist define each of the concepts you have chosen?
  • How do those concepts apply to your clinical practice? Give concrete examples. To support your work, use the textbooks from your course and also use the South University Online Library, citing your sources in your work and providing references for the citations in APA format.

Remember to list two concepts – and remember that theories are derived from conceptual models and are comprised of concepts and propositions. The only concepts that are common to all nursing theories, in some shape or form, are patient, nurse, health, and environment – which we discussed last week.

This week, select two concepts that are unique to your selected theory from last week – but they CANNOT be one of the four metaparadigm concepts – person, nurse, health or environment.

This is weeks one discussion please use this as a reference like stated above 

Basic four metaparadigms’ concepts

A metaparadigm is an arrangement of thoughts or speculations that structure the way a training works. These hypotheses consist of four essential ideas for a nursing discipline that address the patient all in all, the health and environment of the patient, the condition of the patient and the nursing duties. While there are a few distinctive nursing hypotheses, these four vital nursing metaparadigms point to an all-encompassing care perspective where four intelligent parts are associated with the prosperity and restorative health of a man.

Patient:

The patient component of the metaparadigm focuses on the patient. In any event, in addition, the individual association includes relatives and various meetings vital to the patient. The care structure considers the otherworldly and social needs of the individual and the needs of medical services as well. How the individual collaborates with these physical and social associations is credited with the subsequent health outcome. The preface is that the individual is involved with constructive individual associations in dealing with his health and prosperity with pride and self-protection.

Environment:

The environment portion of nursing metaparadigms environment and society that affects the patient. The earth is made up of internal and external impacts, and fights that there is a health and health heading for how a man constantly communicates with his environment. Collaborations with families, partners and other people, as well as physical and social factors such as monetary conditions, geographical areas, culture, social associations and innovation, are a part of the world. In order to improve her health status, this metaparadigm segment conjectures that a person can change her ecological components.

Health:

The fourth metaparadigms in the health segment allude to the level of health and human services a patient has. This health component is described as one in a consistent state of motion with distinct measurements. Health covers the life expectancy and hereditary cosmetics of a man, and how physical, passionate, scholarly, social and other-worldly prosperity for the most extreme medical benefits is incorporated into human services. The hypothesis is that these factors influence the state of prosperity of the patient.

Nurse:

The nursing component of the metaparadigm includes the transmission of the patient’s ideal health outcomes through a common relationship in a sheltered and mindful condition. The nursing segment applies learning standards, skills, innovation, coordinated efforts, competent judgment and correspondence to fulfill duties and responsibilities in achieving the most ideal quiet health outcome situation. This nursing part appreciates a high level of administration and coordinates for persistent prosperity with other metaparadigm segments.

Theory:

Practice theory is used in nursing to consider the duality of practice and atmosphere and establish a proposal within that interpretation that asserts the interdependence of the metaparadigm realms of nursing practice and environment. In a discipline, the Metaparadigm principles comprise the core problems. Fawcett has described human beings (patients as a whole), the environment, health and nursing as the four core principles of nursing that need to be comprehensively established. The human portion of the metaparadigm reflects on the treatment recipient. The treatment structure addresses the person’s spiritual and social interests as well as clinical care needs. The environmental component of nursing metaparadigms reflects on the patient’s climate. This metaparadigm aspect theorizes that a person may change her environmental factors to enhance her health status. The wellbeing portion of the four metaparadigms relates to the level of access to health and health services that a patient has and includes the lifetime and genetic composition of an individual, and how physical, physiological, behavioral, social and spiritual well-being is implemented for full health benefits into health care. The nursing part of the metaparadigm includes supplying the patient with optimum health effects in a shared partnership in a healthy and caring atmosphere (Dupree, 2018). 

References:

Dupree D. (2018, December 27). Four basic Metaparadigm concepts in nursing. Career Trend. https://careertrend.com/13373959/fourbasic-metaparadigm-concepts-in-nursing

DELIKTAS, A., KORUKCU, O., AYDIN, R., & KABUKCUOGLU, K. (2019). Nursing StudentsʼPerceptions of Nursing Metaparadigms. Journal of Nursing Research, 27(5), 1. https://doi.org/10.1097/jnr.0000000000000311