1) **********minimum 5 full pages ( not words)**************************** (cover or reference page not included) 

2)¨**********APA norms  ( All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences)

3)********** It will be verified by Turnitin and SafeAssign 

4) **********References from the last 5 years 

Mandatory: See the rubic. based on this information changes will be requested or work delivery will be accepted

_________________________________________________

Instructions:

Title page: Give the name of the article, the authors name(s) and your name. Following APA

*****Introduction:

· Provide an overview of the author’s research problem, research questions and main point including how the author supports his or her point. 

· Explain what the author initial  objectives (hypothesis) and results including the process he or she used to arrive at such conclusion. 

Evaluate the Research Methods: in paragraph form answer the following:

· Does the author provide a literature review? 

· Is the research current and relevant to today existing health issues?

· Describe the research type utilized?– experimental, non-experimental, quasi experimental, etc. 

· Evaluate the sample (size, composition, or in the way the sample was selected in relation to the purpose of the study? Was the sample appropriate for the research or was it bias? 

·  How practical does this work seem to you? How does the author suggest research results could be applied and how do you believe they could be applied? 

·  Could the study have been improved in your opinion? If so provide how you think it could have improved. 

·  Is the writing in the article clear straightforward?

·  Can further research be conducted on this subject? Explain

Conclusion: In your conclusion, try to synthesize the pieces of your critique to emphasize your own main points about the author’s work, relating the researcher’s work to your own knowledge or to topics being discussed in your course 

Disaster in the Community

Chronic Illness

Read chapter 19 and 28 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following questions;

1.  Define natural and man-made disaster and mention at least one type of each one in your community.

2.  Based on the information provided in the response to the question above describe two major disasters in your community and how the concepts of community/public health were applied.

3.  Define chronic illness and mention three major chronic illnesses in your community.

4.  Discuss the financial impact of chronic illness in the community and how the cost of managing chronic illnesses can be decreased.

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used and 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 700 words is required.  Please follow the instructions on how present a first page and the name of the assignment when you post should be Week 7 discussion questions, not my name or blackboard posting. 

First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

This assignment has two parts, numbered below. Write each question as a new topic area, then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Tasks:

1. Imagine that you are going to make a visit to your representative in Congress. Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit. This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred. This “leave behind” should have 1 inch margins and utilize 14-point font throughout. If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit. Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.
2. Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following:
   • Was your member in support or in opposition to the AHCA?
   • State three points that you would cover in support or opposition to your representative’s position.
   • How does your nursing experience influence the advocacy position that you take on the AHCA?

Submission Details:

• Submit your response in a 4-page Microsoft Word documen

NR449 Evidence Based Practice 

c. Use of APA format (sixth edition)  d. Page length: three pages  PREPARING THE PAPER  1. Please make sure you do not duplicate articles within your group.  2. Paper should include a title page and a reference page.  

  DIRECTIONS AND ASSIGNMENT CRITERIA  Assignment  Criteria  Points  Description  

Clinical Question 

1. Problem is described: What is the focus of your group’s work?  2. Significance of the problem is described: What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.  3. Purpose of your paper: What will your paper do or describe? “The purpose of this paper is to . . .”  

**Please note that although most of these questions are the same as you addressed in paper 1, the purpose of this paper is different. You can use your work from paper 1 for items 1 and 2 above, including any suggestions for improvement provided as feedback. Item 3 above should be specific to this paper.  

Description of Findings: Summary 

    Summarize the basics of each article in a matrix table that appears in the appendix.    

Description of  Findings:  Description  

   Describe in the body of the paper the following.  • What concepts have been studied?  • What methods have been used?  • Who are the participants or members of the samples?  • What instruments have been used? Did the authors describe the reliability and validity?  • How do you answer your original “purpose of this paper” question? Do the findings of the articles provide evidence for your answers? If so, how? If not, what is still needed to be able to answer your question?  • What is needed for the next step? Identify two questions that can help guide the group’s work.  

Description of Findings: Conclusion  

 Conclusion: Review major findings in your paper in a summary paragraph.  

1. Correct grammar and spelling  2. Use headings for each section: Problem, Synthesis of the Literature (Concepts, Methods, Participants, Instruments, Implications for Future Work), Conclusion.  3. APA format (sixth ed.): Appendices follow references.  4. Paper length: Three pages  

“Professional Roles and Responsibilities”

Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients. 

Share your thoughts

1. What are the educational requirements to practice as a FNP?
2. According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners. 
3. Who determines the scope of practice for FNPs?
4. Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role? 
5. See rubric

Discussion 3

Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions:

Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting? 

Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?

Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ?

Discussion 4:

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations?