• The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal. 
  On or before Day 7, of week eight each student will submit his or her final proposal paper to the week eight assignment link in D2L. This formal paper will include and expand upon work completed thus far in prior assignments.
  Essential Components of the Final Project Proposal will include:
  This formal paper will include and expand upon work completed thus far in prior assignments.
  Be sure to use the headings as  listed below. Essential Components of the Final Project Proposal will include:   
• Introduction– Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.
• Overview of the Problem – Discuss the problem,  why the problem is worth exploring and the potential contribution of the proposed project to the discipline of nursing.
• Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
• Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
• PICOt formatted Clinical Project Question(s)– Provide the Population, Intervention, Comparison, Expected Outcomes and Timeframe for the proposed project.
• Literature Review – Provide the search engines used and the key terms used to guide a search for evidence and discuss at least five (5) summaries (this can be the copy and paste lit reviews you did in the last paper) of relevant, credible, recent, evidence-based research studies to support the project proposal.
• Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and what gaps in evidence were found from the appraisal of evidence-based research studies.
  • Add this information at the conclusion of each of the articles you discussed above
• Develop an EBP Standard – Describe  two to three interventions (or a bundle of care) from the evidence and discuss how individual patient preferences or the preferences of others will be considered.
• Implications – Summarize the potential contributions of the proposed project for nursing research, education and practice.

• Expectations

• Length: A minimum of 8 pages and a maximum of 10 pages (excluding the title and reference pages)
• Format: Formal scholarly paper in APA 7th ed format
• Reference Citations: A minimum of five, recent (past five years), peer-reviewed scholarly references cited in APA 7th ed format.
• File name: Save the file with Student First Name_Last Name_SigAssignment
• See USU NUR Research Paper Rubric for additional details and Proposal 
• Revised PICOT Question: For elderly patients above 60 years with pressure ulcers (P) will the negative pressure wound therapy (I) as opposed to standard moist wound therapy (C) improve the healing of the pressure ulcer (O) during their two-week stay at the hospital (T).  
• Attached sample paper with track changes and yellow highlights is to show you the strength /weakness discussion. one thing to remember is that even though an article is level I to III, the weakness may limit the validity of the study to be used in changing practice.
•   FYI please use the first attachment  below as sample paper and the guidelines them the other 3 papers need to be expanded and incorporated in.  On this last paper you are discussing the interventions you would do.
  

Read Chapter 14: Ethics in Professional Nursing Practice

Answer: Think about the ethical theories and approaches in this section and the moral conflicts you have experienced in the past. Have you used one of these approaches to resolve a conflict? Which theory or approach have you used?

Follow the 3 x 3 rule: minimum three paragraphs

Minimum of two references, not older than 2015.

APA style (intext citations and references)

Plagiarism FREE

1)  Write down sample nursing diagnoses, interventions, and expected outcomes for the following client:

Elaina, 27 years old, visits a prenatal clinic to confirm a positive pregnancy test. Elaina tells the nurse that she is not married and has no support system. She also states that she is making minimum wage at a restaurant with no health insurance and cannot afford prenatal care. She intends to keep the baby and would rather not tell her partner because “they don’t have that kind of a relationship.” Elaina asks the nurse “If I take good care of myself, why do I need prenatal care?”

#2) Explain how the fetus is affected by tobacco use during pregnancy.  Keeping in mind the 2020 National Health Goals, what are some things you can do as a nurse to promote these goals and carry your ideas out into the community.

#3) You are asked to perform an assessment of a pregnant  woman and her family. Prior to the assessment, devise a list of interview questions to use to assess the woman’s readiness for parenthood and current health status as well as her goals for the pregnancy.

#4) For each of the following QSEN competencies write a list of nursing interventions for promoting fetal and maternal health related to each competency:

         Patient centered care

        Teamwork and collaboration

         Evidence-based practice

        Quality improvement

         Safety

         Informatics.

#5)  List the four major hormones produced in early pregnancy.  Describe what each one does.

Search entries 

  

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

              

Submit 1 document per part

2)¨******APA norms, please use headers

          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

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 5 references  not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

Case Study 1: Disorders of Hepatobiliary and Exocrine Pancreas Function

Robert is a 68-year-old who has dealt with alcoholism for over 30 years. He has cirrhosis and is anemic. His appetite has declined, and he regularly complains of abdominal pain. Recently, while preparing himself a sandwich, he cut his finger deeply with a knife. The wound bled profusely, and he used a kitchen towel to stop the flow. Refusing to go and seek medical assistance, he put ice on his finger and wrapped the towel around it. He sat down in his recliner with his hand over his head and fell asleep.

1.Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematologic disorders?

2.What gastrointestinal bleed is associated with a high mortality rate in those with advanced cirrhosis? What is the pathophysiology of this condition?3

3.Acute pancreatitis is sometimes seen in alcoholics, particularly after binge drinking. Why are tachycardia and hypotension indications of this condition?

4.Why are women more predisposed to alcoholic liver disease than men?

 

You will write a case study review which includes your critique. This will be worth 30 points total. Create a detailed case study review in an essay APA format and include as your final page a reference list in APA format. Your review should be double-spaced, 2 pages minimum (not including reference list), with correct grammar and spelling. 

The purpose of this summative assignment is to reflect upon the new knowledge you have obtained from this course and apply it to your chosen case study while developing your critical thinking and critique skills. Be sure to consider all information from the course content – discussion board exercises, videos and any additional readings. Revisit readings from your Gilmore text. Put thought into how well you think the case study conducted their assessment, and how you would augment or improve it. Utilizing your knowledge from our course around assessing community needs, provide a detailed description and critique of your case study. Be sure to review your case study carefully to look for any gaps or areas with which improvements could be made, and justify your thinking. Reference additional scholarly resources to reinforce your justification. Be sure to cite your work appropriately.

Provide a brief (1 – 2 paragraph) description of the population and the health concern or issue being addressed. Explain how your chosen case study did, or did not, do in the area of describing the community, justifying the need for conducting the assessment, etc. Describe how your case study did with (or if they omitted) considering learning styles and theories as well as models to promote health education. Describe how your case study assessed groups and/or individuals (if applicable) and if they considered any factors that impact health education. Using your knowledge around each weekly module, discuss three suggestions for improving your case study. You may present an alternative approach or additional steps that you believe would improve the quality of your case study. Consider these prompts as you complete your critique:

• How did the case study identify the issue and explain the importance of the specific topic within the community?
• Did the case study paint a detailed picture of the population?
• Does it include a detailed description including information on demographics, barriers and challenges?
• Does it justify the need to conduct a needs assessment?
• Does it identify and describe community resources and explain why the resources are or are not effective?
• Does it explain any process for collecting data?

Remember to discuss recommendations. As you have done previously in our discussion boards and weekly modules, apply your critical critiquing skills to suggest what improvements are needed. Finish your essay with a summative paragraph which includes your final thoughts around how your suggested improvements would enhance this case study to meet the needs, or “fill in the gaps” and provide assistance to the community or population represented. 

Finally, include in APA format, a list of references. This should include a minimum of 2 references which are scholarly sources of information no previously referenced in the course. You may use any of the resources that were referred to throughout our weekly modules. You may also include your text as a resource in addition to your 2 references.