• In the Chapter 7 summary, Staggers and Nelson state, “In a way all of us are already informatics nurses.” Reflect on this summary statement and describe a scenario from your clinical experience where you manipulated data, information, and knowledge to make a wise decision. Focus specifically on the key concepts of data, information, knowledge and wisdom.  
• What do you believe are the advantages and disadvantages of having a single shared consensus-driven model of terminology use? How can a single agreed model of terminology use (with linkages to a single terminology) help to integrate knowledge into routine clinical practice?
• Hospital C is looking to implement an EHR. It has been suggested that a NIS be hired. This position does not involve direct patient care and the administration is struggling with how to justify the position. How can this position be justified?

In this assignment, you will assess the impact of health legislation on nursing practice and communicate your analysis to your peers. GovTrack.us provides a list of federal health bills that are currently in process in Congressional Committees.

1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.)
2. View a short tutorial with tips for completing this assignment: Healthcare Policy Assignment Tutorial (Links to an external site.)
3.  (Links to an external site.)This assignment will be in the format of a PowerPoint presentation (Bullet points may be used).
4. You are educating your peers through this presentation regarding a federal bill you believe may be of interest to nurses.
5. Go to https://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)
6. Choose a health-related federal bill of interest. Read through the bill and develop a summary in your own words. Include the bill number and name.
7. Here is a link to our U.S. legislative process (bill to law) for review, if needed: https://www.congress.gov/legislative-process (Links to an external site.)
8. For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft Office 365 Training (Links to an external site.) may be helpful.
9. Include the following information in your presentation
   • Title slide (Your name, NR451, session, Healthcare Policy assignment)
   • Bill name and number (indicate either H.B. or S.B.)
   • Bill summary (in your own words)
   • Address how this bill might impact professional nursing practice standards if passed? If not passed?
   • How might the bill impact your own nursing practice?
   • How might you communicate your concerns about or support for this bill based on nursing practice, standards, or patient outcomes?
   • How might this bill impact your community?
   • References slide to include the Bill source in APA format.
   • No more than 12 slides

Template

There is no required form or template for this assignment. Please use PowerPoint best practices throughout your presentation.

Cite all sources on the appropriate slides with (author, year) as well as on the Reference slide.

CASE STUDY 3

A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.

CASE STUDY 1

The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) 

1. Explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). 

2. Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. 

3.Justify your response using at least three different references from current evidence-based literature.

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

5 REFERENCES

ZERO PLAGIARISM

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selec

• Overview:
• Develop a 5–9-page problem statement that presents information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. 

  Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

• For the first section of your final capstone project you will develop a proposal for an intervention plan to fulfill a need within a specific population. This assessment is meant to capture your initial thoughts about the need and impacting factors to help focus your in-depth analysis later on in the course.
  First you will brainstorm and crystallize some of your ideas for this assessment, specifically ideas around needs, a target population, and some initial support from the literature and other sources of evidence. The problem statement is an important part of your capstone project as it will help illustrate the importance of your project, as well as help to clarify your project’s scope.
  By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
  • Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care. 
    • Explain an overview of one or more interventions that would help drive quality improvement related to an identified need within a target population and setting.
  • Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making. 
    • Analyze a health promotion, quality improvement, prevention, education, or management need.
    • Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
  • Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes. 
    • Describe a quality improvement method that could impact a patient, population, or systems outcome.
  • Competency 4: Design patient- and population-centered care to improve health outcomes. 
    • Propose a rough time frame for the development and implementation of an intervention to address an identified need.
  • Competency 5: Integrate interprofessional care to improve safety and quality and to decrease cost of care. 
    • Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting.
  • Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost. 
    • Evaluate and synthesize resources from diverse sources illustrating existing health policy, health care technologies, or other communications that could impact the approach taken to address an identified need.
  • Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care. 
    • Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.
  • Note: You will also be assessed on two additional criteria unaligned to a course competency:
  • Communicate problem statement and literature review in a way that helps the audience to understand the importance and validity of a proposed project.
  • Demonstrate completion of hours toward the practicum experience.
  • See the scoring guide for specific grading criteria related to these additional requirements.
    Competency Map
• Assessment Instructions
• Instructions
  Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.
  Your problem statement will focus on presenting information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. You will also present a brief literature review that supports the need you identified in your problem statement and the appropriateness of your broad intervention approach. Provide enough detail so that the faculty member assessing your problem statement will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as into the final draft of your project.
  At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Problem Statement (PICOT) document (linked in the Resources) to better understand how each criterion will be assessed.
  Reminder: these instructions are an outline. Your heading for this this section should be titled Problem Statement and not Part 1: Problem Statement.
  Your Problem Statement (PICOT) should be structured as follows:
  PART 1: PROBLEM STATEMENT (2–3 PAGES)
  Need Statement (1 paragraph).
  • Analyze a health promotion, quality improvement, prevention, education or management need.
  • Population and Setting (1–2 paragraphs).
  • Describe a target population and setting in which an identified need will be addressed.
  • Intervention Overview (1–2 paragraphs).
  • Explain an overview of one or more interventions that would help address an identified need within a target population and setting.
  • Comparison of Approaches (1–2 paragraphs).
  • Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting.
  • Initial Outcome Draft (1 paragraph).
  • Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.
  • Time Estimate (1 paragraph).
  • Propose a rough time frame for the development and implementation of an intervention to address and identified need.
  • PART 2: LITERATURE REVIEW (10–15 RESOURCES, 3–6 PAGES)
  • Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
  • Evaluate and synthesize resource from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need.
  • ADDRESS GENERALLY THROUGHOUT
  • Communicate problem statement and literature review in way that helps the audience understand the importance and validity of a proposed project.