To prepare

• Reflect on the phenomenon of interest and concepts you identified in the Week 2 Discussion. Based on insights you have gained this week, would you like to make any modifications to your phenomenon and/or concepts? If so, you may do so before posting to this Discussion.
• Although you will identify more than one concept for your research, select one primary concept on which to focus for this Discussion. Your concept should be one word or a very short phrase (e.g., “quality of life”).
• Review the literature to see how this concept is defined in various sources. Remember to look at literature across all disciplines in which this concept may be used. Also search for all known definitions of the word in an unabridged dictionary.
• As you do this, consider the following: 
  • Has the concept been developed directly from nursing or health care research or practice, or has it been borrowed or derived from another discipline?
  • To what degree is the concept abstract or concrete?
  • How suitable is this concept for your intended use?
• Formulate a definition of the concept that aligns with your intended research. (Your definition may continue to evolve as you complete your concept analysis for the Assignment introduced this week. In addition, you will likely make adjustments as you proceed through this course and/or later in this PhD program if you continue to address the concept.)

By Day 3 

Post your selected concept and provide a definition of it, as well as context to help your colleagues understand what you are addressing. Summarize at least one article that addresses the concept and discuss how the information presented relates to your own definition of the concept.

Write a 4-6-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

Introduction

In your health care career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then you can analyze the problem and the people and systems it affects. You can examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real-world problem.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.     
  • Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.
• Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.     
  • Analyze a health care problem or issue by describing the context, explaining why it is important and identifying populations affected by it.
  • Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.
• Competency 3: Apply ethical principles and academic standards to the study of health care.     
  • Analyze the ethical implications if a potential solution to a health care problem or issue was implemented.
• Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.     
  • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
  • Write following APA style for in-text citations, quotes, and references.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

1. Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas | Transcript media piece) and provide details about it.     
   • Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.
   • Identify possible causes for the problem or issue.
2. Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.     
   • Identify at least three scholarly or academic peer-reviewed journal articles about the topic.       
     • You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.
     • You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.
     • You may find the applicable Undergraduate Library Research Guide helpful in your search.
   • Review the Think Critically About Source Quality to help you complete the following:       
     • Assess the credibility of the information sources.
     • Assess the relevance of the information sources.
3. Analyze the health care problem or issue.     
   • Describe the setting or context for the problems or issues.
   • Describe why the problem or issue is important to you.
   • Identify groups of people affected by the problem or issue.
   • Provide examples that support your analysis of the problem or issue.
4. Discuss potential solutions for the health care problem or issue.     
   • Describe what would be required to implement a solution.
   • Describe potential consequences of ignoring the problem or issue class=”ice-no-decoration” data-ice-class=”848587″>.
   • Provide the pros and cons for one of the solutions you are proposing.
5. Analyze the ethical implications if the potential solution (the one for which you provide pros and cons) were to be implemented.     
   • Provide examples from the literature to support the points you are making.
   • Discuss the pros and cons of implementing the proposed solution from an ethical principle point of view.
   • Describe what would be required to implement the proposed solution.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 3 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

• Length: 4–6 typed, double-spaced pages, not including the title page and reference page.
• Font and font size: Times New Roman, 12 point.
• APA template: Use the APA Style Paper Template [DOCX] as the paper format and the APA Style Paper Tutorial [DOC] for guidance.
• Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
• Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
• References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
• APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.

Organize your paper using the following structure and headings:

• Title page. A separate page.
• Introduction. A brief one-paragraph statement about the purpose of the paper.
• Elements of the problem/issue. Identify the elements of the problem or issue or question.
• Analysis. Analyze, define, and frame the problem or issue.
• Considering options. Consider solutions, responses, or answers.
• Solution. Choose a solution, response, or answer.
• Ethical implications. Ethical implications of implementing the solution.
• Implementation. Implementation of the potential solution.
• Conclusion. One paragraph.

Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Identify one professional journal and one nursing or health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge.

Most patients with mental health disorders are not aggressive.  However, it is important for nurses to be able to know the signs and symptoms associated with the five phases of aggression, and to appropriately apply nursing interventions to assist in treating aggressive patients.  Please read the case study below and answer the four questions related to it.
Aggression Case Study
Christopher, who is 14 years of age, was recently admitted to the hospital for schizophrenia.  He has a history of aggressive behavior and states that the devil is telling him to kill all adults because they want to hurt him.  Christopher has a history of recidivism and noncompliance with his medications.  One day on the unit, the nurse observes Christopher displaying hypervigilant behaviors, pacing back and forth down the hallway, and speaking to himself under his breath.  As the nurse runs over to Christopher to talk, he sees that his bedroom door is open and runs into his room and shuts the door.  The nurse responds by attempting to open the door, but Christopher keeps pulling the door shut and tells the nurse that if the nurse comes in the room he will choke the nurse.  The nurse responds by calling other staff to assist with the situation.  
In-text citations and all references in APA format.

1. What phase of the aggression cycle is Christopher in at the beginning of this scenario?  What phase is he in at the end of the cycle? (State the evidence that supports your answers).
2. What interventions could have implemented to prevent Christopher from escalating at the beginning of the scenario?   
3. What interventions should the nurse take to deescalate the situation when Christopher is refusing to open his door?
4. If a restrictive intervention (restraint/seclusion) is used, what are some important steps for the nurse to remember?

John Franklin is a 35-year-old African American male who has a history of hypertension and asthma who smokes ½ ppd since the age of eighteen. He began to feel more short of breath after supper today and began to have a persistent non- productive cough. He ran out of his albuterol inhaler two months ago and has audible expiratory wheezing when he comes to the triage window of the emergency department (ED).

John is promptly brought to a room in the ED and you are the nurse responsible for his care.