Discuss the process of Advanced Practice Nurse (APN) business planning from a system approach. 

 Submission Instructions:

• The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be 2-3 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style
• Must have an abstract

Reflections: Make sure that you are utilizing proper APA format. This includes a title page in the beginning and a reference page at the end. A running head and page number should be on the top of each page. Don’t forget to cite your resources within the text, as well as at the end on your reference page. Make sure that you are reviewing the rubric for the assignment, so that you know what is expected. It is important that you understand what the assignment is asking you to do. Make sure to demonstrate an understanding of the main issues by comparing the different points of views and utilizing supporting evidence. Utilizing outside resources assists in demonstrating a comprehension of the issues that are being discussed. Lastly, be careful of your grammar and wording. Make sure that your writing is clear and is not difficult to understand. The writing center is available to review your paper before submitting so that you can gain the best possible score.

Make sure to answer these questions in your Reflection Papers:

1)What are the key points of contention on this topic? 

2)What side of the argument (stance) do you take on this topic?  

3)What strong points does the other side of this topic have?  

Support bothsides with outside resources

4)What were the three most important things you took away from the topic?  

5)Which ethical theory (of the 6 approved ones ONLY – Kant; Act Utilitarianism; Rule Utilitarianism; Care Ethics; Virtue Ethics; and Social Contract) would you apply to this topic to defend your stance? Explain fully. 250 words. 

1. In this reflection you must first define the key terms of the debate (for example, define what Euthanasia/Abortion/Stem Cell/Public Health/PreNatal Testing/Animal Research/Health Care, etc. means and what are the different types depending on which topic you are discussing) 
2. Define and explain the ethical theory you chose (show me you know exactly what the theory is and does – in your own words) 
3. Present the evidence both pro and con and follow up how using your ethical theory is the best way to determine whether or not your stance is really ethical 
4. Conclusion – any final thoughts and opinions would go here 
5. 2 pages with correct APA format and 2 references
6. the debates between two doctors will be uploaded in files as well as the topic of debate there debating about

I have already chosen the Research article and Non-research article to be used for this paper (please see attached). 

Please see the assignment rubric below:

A.  Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects.

1.  Identify the following PICO components of the clinical practice problem:

•   patient/population/problem (P)

•   intervention (I)

•   comparison (C)

•   outcome (O)

2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A1.

Note:  Refer to “Appendix B: Question Development Tool” for information on the creation of an EBP question.

B.  Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal.

1.  Discuss the background or introduction (i.e., the purpose) of the research article.

2.  Describe the research methodology.

3.  Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: The article you select should not be more than five years old. 
Note:  Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to level a research-based article.

4.  Summarize how the researcher analyzed the data in the article.

5.  Summarize the ethical consideration(s) of the research-based article. If none are present, explain why.

6.  Identify the quality rating of the research-based article according to the JHNEBP model.

Note:  Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to establish the quality rating.

7.  Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question.

C.  Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal.

1.  Discuss the background or introduction (i.e., the purpose) of the non-research article.

2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline).

3.  Identify the level of evidence using the JHNEBP model.

Note: The article you select should not be more than five years old. 
Note:  Refer to “Appendix F: Non-Research Evidence Appraisal Tool” for information on how to level the non-research-based article.

4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.

5.  Discuss how the author’s recommendation(s) in the article helps to answer your EBP question.

D.  Recommend a practice change that addresses your EBP question using both the research and non-research articles you selected for Part B and Part C.

1.  Explain how you would involve three key stakeholders in supporting the practice change recommendation.

2.  Discuss one specific barrier you may encounter when implementing the practice change recommendation.

3.  Identify one strategy that could be used to overcome the barrier discussed in part D2.

4.  Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change.

E.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

F.  Demonstrate professional communication in the content and presentation of your submission.

Read the scenario in the case study and answer the writing prompts. Provide rationale for each answer. All posts must contain at least (2) professional references, properly cited in the current APA format. Minimum of 250 words.

Case Study Description

J.P. is a 15-year-old African American adolescent who lives with his mother and father and was diagnosed with sickle cell disease 3 years ago. He is in the 10th grade. He is a honor roll student and is on the track team of his school. J.P. presents to the emergency department with deep muscle pain in both his legs, related to sickle cell crisis. Rates his pain at 8/10. He is 5 feet 6 inches and weighs 140 lb. On admission his vital signs are T: 37°C, P: 80 beats/min, R: 18 breaths/min, BP: 140/68 mmHg

Writing Prompts

1. What other assessments should be included for this patient?
2. Identify the various types of pain.
3. What type of pain does this patient describe?
4. What standards of assessing pain will be applied to this patient’s plan of care, including impact that culture has on pain and assessment?
5. What teaching should the nurse consider from the problems list?
6. What interventions should be included in the plan of care for this patient?