PLEASE FOLLOW THE INSTRUCTIONS  BELOW

4 REFERENCES 

ZERO PLAGIARISM

As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, your plan must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice.

For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. In this practicum experience, when developing your goals and objectives, be sure to keep PMHNP clinical skills in mind.

To Prepare

• Review your Clinical Skills Self-Assessment Form you submitted last week, and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims? There may be overlap between your skills goals and your PEP goals.
• Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be: 
  • Specific  
  • Measurable  
  • Attainable  
  • Results-focused  
  • Time-bound 
  • Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)  
• Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.
• Select one nursing theory and one counseling theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.
• Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.

The Assignment

Record the required information in each area of the Practicum Experience Plan template, including three to four (3–4) measurable practicum Learning Objectives you will use to facilitate your learning during the practicum experience. 

Topic: Coding Qualitative Data 

The purpose of this assignment  is to practice interpreting qualitative interview transcripts by  recognizing patterns. This is called coding and it is an important skillset for public health professionals.

For  this assignment, code the “Interview Transcript” document. Use the  “Coding Qualitative Data Worksheet” to document your results from the  “Interview Transcript” and to provide a summary of your findings. ATTACHED

APA style is not required, but solid academic writing is expected.

Read “Comparison Between Qualitative Research and Quantitative Research,” in Chapter 6 and read Chapter 8 in GCU Doctoral Research: Quantitative and Qualitative Research Concepts.

This textbook references an assigned dissertation. You are not required to complete a dissertation for this course. URL: http://www.gcumedia.com/digital-resources/grand-canyon-university/2015/gcu-doctoral-research_quantitative-and-qualitative-research-concepts_ebook_1e.php

Read “A Review of Qualitative Data Analysis Practices in Health Education and Health Behavior Research,” by Raskind et al., from Health Education and Behavior (2019), available as authors manuscript from PubMed Central (PMC), located on the National Center for Biotechnology Information (NCBI) website. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386595/pdf/nihms-990092.pdf.

Review “Quantitative and Qualitative Methods for Public Health,” from PH717 Module 1B – Descriptive Tools: Descriptive Epidemiology and Descriptive Statistics, located on the Boston University Medical Campus, School of Public Health website (2019). URL: https://sphweb.bumc.bu.edu/otlt/MPH-Modules/PH717-QuantCore/PH717-Module1B-DescriptiveStudies_and_Statistics/PH717-Module1B-DescriptiveStudies_and_Statistics9.html

Read “Lessons Learned in Promoting Evidence-Based Public Health: Perspectives From Managers in State Public Health Departments,” by Allen et al., from Journal of Community Health (2018). URL: https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/docview/2009849333?accountid=7374

Read “Section 15: Qualitative Methods to Assess Community Issues,” from “Chapter 3: Assessing Community Needs and Resources,” of the Community Assessment toolkit, located on the Community Tool Box website. URL: https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and

Read “Focus Groups Inform a Mobile Health Intervention to Promote Adherence to a Mediterranean Diet and Engagement in Physical Activity Among People Living With HIV,” by Henry, Quintana, Moore, Garcia, and Montoya, from BMC Public Health (2019). URL: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-6386-5

I need the following questions answered in about 150 words each

DQ-1

Review “Criticism and Judgment: A Critical Look at Scientific Peer Review,” located in topic materials.

Discuss the importance of incorporating feedback from a peer review process and dealing with the experience of uncertainty it may create for both the author and the reviewer. You may share whatever information from your peer review that you are comfortable sharing.

Why is peer review so important and how can we use peer review or the professional critique offered to us to improve our scholarly position?

RESOURCES

Hope, A. A., & Munro, C. L. (2019). Criticism and judgment: A critical look at scientific peer review. American Journal of Critical Care, 28(4), 242–245.

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137294238&site=ehost-live&scope=site

DQ-2

View “Privacy & Health Research in a Data-Driven World” located in topic materials.

After viewing the video, discuss how you plan to protect your patient’s privacy within your project.

RESOURCES

View “Privacy & Health Research in a Data-Driven World,” located on the NIH Videocasting website.

URL:https://videocast.nih.gov/summary.asp?Live=33360&start=182&duration=8224&bhcp=1

DQ-3

Review “Why Causal Inference Matters to Nurses: The Case of Nurse Staffing and Patient Outcomes,” located in topic materials.

How would you define and imply causal inference relative to your quasi-experimental designed project and separate it from bias and other factors that may influence it?

RESOURCES

Costa, D. K., & Yakusheva, O. (2016). Why causal inference matters to nurses: The case of nurse staffing and patient outcomes. Online Journal of Issues in Nursing, 21(2), 1. doi-org.lopes.idm.oclc.org/10.3912/OJIN.Vol21No02Man02

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=hch&AN=116288407&site=eds-live&scope=site&custid=s8333196&groupid=main&profile=eds1

DQ-4

Review “Information Bias in Health Research: Definition, Pitfalls, and Adjustment Methods,” located in topic materials.

Using your project proposal, provide an example of each of the types of errors described in the article.

RESOURCES

Althubaiti, A. (2016). Information bias in health research: Definition, pitfalls, and adjustment methods. Journal of Multidisciplinary Healthcare, 2016(1), 211–217. https://doi.org/10.2147/JMDH.S104807

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsdoj&AN=edsdoj.b1da50f685f4486d809494257f7e7181&site=eds-live&scope=site&custid=s8333196&groupid=main&profile=eds1

DQ-5

Examine your process of data collection and how you will maintain patient privacy during your intervention. How can the Christian worldview of carrying out work within the public arena with compassion, justice, and concern for the common good affect data collection and patient privacy?

DQ-6

Review “Lies, Damned Lies and Statistics: Clinical Importance Versus Statistical Significance in Research,” located in topic materials.

Provide examples of how you addressed feasibility and statistical versus clinical significance in your proposal. For example, why did you select a four-week time frame for your project versus a power analysis? Did you select this because it was feasible? Why or why not and explain.

What is the difference between clinical and statistical significance and why are both important to the patient improvement outcomes of your project?

RESOURCES

Mellis, C. (2018). Lies, damned lies and statistics: Clinical importance versus statistical significance in research. Paediatric Respiratory Reviews, 25, 88–93. https://doi.org/10.1016/j.prrv.2017.02.002

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S1526054217300088&site=eds-live&scope=site&custid=s8333196&groupid=main&profile=eds1

DQ-8

Review “How to Make APA Format Tables and Figures Using Microsoft Word,” located in topic materials. Create a table of your proposed analysis including descriptive data in a Word document. Upload it to the discussion forum.

RESOURCES

ATTACHED

I need one page paper in nursing, this is the instruction about this one page paper:

Consider the 4 metaparadigm concepts: nursing; person; environment; and health. Select one and articulate your own beliefs, assumptions, and values related to that concept. Describe a personal experience from clinical practice that demonstrates and reflects the beliefs, assumptions, and values you identified. This is your own, personal philosophy; no references should be used. The table below is provided to serve as an instructional guide for this assignment. You should include the following:Identify 1 metapardigm concept from the following: nursing; person; environment; or healthArticulate your personal beliefs, assumptions, and values related to your selected concept Describe a detailed interaction between you and a client or family that depicts the beliefs, assumptions, and values related to your selected concept

*Philosophical Statement Instruction GuideNote: The questions below are designed to help get ideas flowing and are not the only focus of your statement.Nursing (i.e., nursing actions)

What is your definition of nursing?Is the metaparadigm concept nursing an art, a science, or both? Is it a process or a product (set of tasks)?What is nursing mainly (e.g., caring, therapeutic healing, building relationships)?What is the role reflected in nursing (e.g., doing for, being with [being present with], working with)?Where does ethics fit in?Who or what is the object of nursing’s concern?

HealthWhat is your definition of health (e.g., includes absence of disease, ability to perform social roles)?Is health on a continuum?Can clients have a chronic illness and still be termed healthy in your definition of health?What if the client’s view of health and your view of health are different?

PersonWhat is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?What is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?EnvironmentWhat is it? Where is it found?Are there different components to environment (e.g., emotional, spiritual, social, cultural, mainly physical)?Is environment separate from person?What is the nurse’s role in terms of environment?Are there internal and external environments, or is what is internal to a person part of the person?

Description and ExamplesThis whole philosophical statement is a statement of beliefs. However, for the purpose of teasing out and articulating your beliefs, these beliefs are divided into three types: definitions and description, assumptions, and values. Each of these should be written in separate paragraphs to ensure clarity and comprehensiveness.Beliefs: This should be a succinct definition (one or two sentences), followed by a broader description. For example, if part of your definition of person was the person is a biopsychosocial and spiritual being, then each of the component parts (e.g., spiritual being) would be described more fully.Assumptions: A given, something that you take for granted that it is true. Examples are: Humans are rational beings. Individuals desire to work collaboratively with their nurses.Values: Something you consider good (i.e., desirable, worthy, or of esteem). Examples are: All persons are of value and are worthy of respect. Clients should be treated with dignity. Confidentiality and privacy are essential throughout all interactions with clients. Persons should be given choice in their treatment regimens.*adapted from Table 1 in Hernandez, C. A. (2009). Student Articulation of a Nursing Philosophical Statement: An Assignment to Enhance Critical Thinking Skills and Promote Learning. Journal of Nursing Education, 48(6), 343-349.Submission Instructions:Post your content by clicking the “Create Thread” button in the Metaparadigm Concepts: Personal Philosophy Forum. It is recommended that you compose (and spellcheck) your post in Microsoft Word, then copy and paste it into the ‘message’ field. Enter a descriptive title that reflects the ideas of your post In the ‘subject’ field. When replying to your classmates’ posts, be sure you click the “Reply” button below the message to which you intend to reply

APA format 3 peer review references Please follow directions on assignment

  Assignment 1: Assessing the Genitalia and Rectum

Assignment 1: Asse

Assignment 1: Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

GENITALIA ASSESSMENT

Subjective:

• CC: “I have bumps on my bottom that I want to have checked out.”
• HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
• PMH: Asthma
• Medications: Symbicort 160/4.5mcg
• Allergies: NKDA
• FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

 answer the following questions and support your answers using current evidence from the literature.

• Analyze the subjective portion of the note. List additional information that should be included in the documentation.
• Analyze the objective portion of the note. List additional information that should be included in the documentation.
• Is the assessment supported by the subjective and objective information? Why or Why not?
• Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?
• Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

Assignment 1: Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

GENITALIA ASSESSMENT

Subjective:

• CC: “I have bumps on my bottom that I want to have checked out.”
• HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
• PMH: Asthma
• Medications: Symbicort 160/4.5mcg
• Allergies: NKDA
• FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

• VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
• Heart: RRR, no murmurs
• Lungs: CTA, chest wall symmetrical
• Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
• Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
• Diagnostics: HSV specimen obtained

Assessment:

• Chancre
• PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

• Review this week’s Learning Resources, and consider the insights they provide about the case study.
• Consider what history would be necessary to collect from the patient in the case study.
• Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
• Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study.  Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.

• Analyze the subjective portion of the note. List additional information that should be included in the documentation.
• Analyze the objective portion of the note. List additional information that should be included in the documentation.
• Is the assessment supported by the subjective and objective information? Why or Why not?
• Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?
• Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

Assignment 1: Assessing the Genitalia and Rectum

Assignment 1: Assessing the Genitalia and Rectum