In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question.
5. Literature search strategy employed.
6. Evaluation of the literature.
7. Applicable change or nursing theory utilized.
8. Proposed implementation plan with outcome measures.
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:     Exemplify professionalism in diverse health care settings.

2.2:     Comprehend nursing concepts and health theories.

3.2:     Implement patient care decisions based on evidence-based practice.

This is for policy and politics in nursing 

 Compare and contrast the current fee-for-service payment system with the reformed value-based payment system. How will this change improve quality of care, patient outcomes, costs, and the role of the entire healthcare team including nurses? A peer reviewed nursing journal article must be used within the essay

DUE 4/8/18 7 P.M EST 

3 PAGES APA FORMAT NOT INCLUDING TITLE AND REFERENCE PAGE (MIN 3 REFERENCES)

TOPIC: PRESCRIPTION DRUG OVERDOSE

TARGET AUDIENCE: YOUNG ADULTS

Scholars have noted that “marketing, in general, means publicizing your name, program, and service to your target audience. Ethnic marketing employs the personal marketing strategies that best reflect the cultural values, beliefs, and norms of the ethnic audience you are targeting” (Guion, Kent, & Deihl, 2009). According to these authors, there are five keys to successful ethnic marketing:

1. Value the cultural uniqueness of your target group;

2. Value cooperation and bridge-building with community leaders and other organizations working within the community;

3. Value the cultural beliefs, symbols, and practices of your target group;

4. Value differences in languages, accents, practices, and social conduct;

5. Value word-of-mouth and interpersonal communication to spread your message.

Part III: Engage Target Audience/Communities (3 pages)

TOPIC: PRESCRIPTION DRUG OVERDOSE

TARGET MARKETING (YOUNG ADULTS)

INCLUDE SUB HEADINGS IN PAPER

· Briefly describe your target audience or community you selected for your public health campaign

· Briefly explain ways you might involve your target audience in the public health campaign

· Briefly describe two ways you will promote public relations with your target audience or community

· Briefly explain the behavior change you are hoping to facilitate among your target audience and explain the key benefits for the target audience to change their behavior

· Briefly describe potential stakeholders, community leaders, collaborative partners, or gate-keepers who may help you disseminate the message and encourage behavior change

· Briefly explain two ways stakeholders might change or impact the planning or implementation process of the public health campaign

· Briefly describe two potential barriers or challenges to accessing your target audience and explain why they are barriers or challenges

Watch Frontline – Facing Death. (Links to an external site.)  PLEASE WATCH VIDEO FOR THIS ASSIGMENT.

Explain how advances in medical care have complicated the end of life decisions. Be sure to discuss the “broken survivors of intensive care.” This is a rather broad subject so feel free to explore a specific area.

Your explanation should be no less than two pages – double spaced. Be sure to include citations to your sources.

 Testicular Cancer Case Studies A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5) CT scan of the abdomen Enlarged retroperitoneal lymph nodes CT scan of the chest Multiple pulmonary nodules Diagnostic Analysis At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes. Critical Thinking Questions 1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer? 2. What might be the side effects of cytotoxic chemotherapy? 3. What was the purpose of preserving his sperm before chemotherapy? 4. Is this young man’s age typical for the development of testicular carcinoma?