Beryl is a 50 year old woman with Hypertension who is attending a Healthy Heart Workshop at her local Community Health Centre.  Beryl’s blood pressure is 160/95, she is 150cms in height and her weight is 105kg.  Beryl reports that she drinks two to three glasses of wine per night, eats a lot of take away foods as she’s too busy with her executive management job to think about cooking. She is a single mother caring for three school aged children to always cook. She states that she rarely exercises due to lack of time.  Beryl visited her GP last week after feeling unwell.  Pathology was taken and Beryl’s GP report shows that her total cholesterol is 6 mmol/L, Low Density Lipoprotein 3.1 mmol/L and High Density Lipoprotein  0.8mmol/L. The GP commenced Beryl on medications but she states “I keep forgetting to take them, my life is just so stressful at the moment. I really don’t have time to be here, I need to be at work”. 

Lesson Evaluation

The effective nurse educator employs a variety of formative and summative techniques during curriculum implementation to monitor student learning. A well-developed lesson plan employs both formative and summative assessments. A nurse educator should plan to use data from these assessments to guide instruction.

Concept maps describe the relationships between concepts and allow for an improved understand through critical thinking and analysis. 

To understand the link between formative and summative assessment strategies, develop a concept map describing the flow of assessment strategies throughout your own lesson plan. 

Be creative in your design. 

A rationale should be included for your choice of assessments.

Use the Topic Materials and your own research, to develop your concept map. Include the following criteria to create your concept map for this assignment:

1. Description of one formative assessment strategy to be used in lesson plan with rationale.

2. Explanation of how the data from the formative assessment will guide your instruction.

3. Description of one summative assessment strategy to be used in the lesson plan with rationale.

4. Explanation of how the data from the summative assessment will guide your future lesson plan revisions.

5. Description of the instructor satisfaction survey to be administered to students.

6. Explanation of how data from the instructor satisfaction survey will guide your teaching practice.

Cite two or three peer‐reviewed/scholarly resources no more than 5 years old in your paper.

Prepare this assessment 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. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

I need a 2 or 3 sentence comment for each paragraph

Paragraph 1

Today’s family reaches beyond the traditional definition and encompasses societal units of single-parent families; lesbian , bisexual, gay, transgender, queer, and questioning (LBGTQ+) families’ children raised by grandparents or other relatives; multigenerational units; and people who are together out of friendship and love, not bloodlines”. It is important to understand the family dynamics of the patient, their roles and relationships so nurses can better understand family structure and their involvement. Involving families in care and education can enhance patient compliance. Family members can affect health of an individual based on their social characteristics, culture, the influences from their neighborhood, community and society (Sharma, 2013). Health seeking behaviors and preferences may also be influences by family structure and the changing dynamics of family composition can impact lifestyles and heath related risk factors (Sharma, 2013). Nurses have a powerful position to create a therapeutic relationship with patients and families and involving those who influence the health and wellbeing of an individual in efficient, quality health care (Ponte, et al., 2007). Nurses who are confident in their ability to acknowledge family structure and what patients and families need, can successfully implement actions to encourage high quality care. “The family influences on each other can be engaged to assist patients and family members make choices and changes for better health”

Paragraph 2

The definition of “family” has evolved over generations and expanded from the traditional male and female married couple and their children living under one roof to that of the modern way in which people are interacting with each other and carrying out relationships. Coinciding with the way people are relating to one and other today, the definition a family has broaden to “societal units of single-parent families; lesbian, bisexual, gay, trans gender, queer, and questioning (LBGTQ+) families; children raised by grandparents or other relatives; multi generational units; and people who are together out of friendship and love, not bloodlines. The form and function of the family dynamics directly influence the overall health of an individual. This is why understanding the different family structures and not assuming the “non-traditional” structure will enable the nurse to make accurate assessments on the health care needs of the individual as well as identifying gaps to meeting those needs and formulating a plan while honoring their preferences, beliefs and values. Understanding the family structure will give the nurse insight to the plan for aftercare and how well the goals will be met in the home setting. The family systems theory takes a look at the family as a whole system rather than individual members to study the family processes and problems. However, each family member has their own individual role, feelings, behaviors and goals that influence the rest of the family. Considering the family system will help nurses understand the interaction of the family because any “modification by an individual within the system can change the family’s finances, health, housing, communication, and dreams. Once a change is made within the member of the family then the dynamics in the whole system start to shift, which can result in either positive outcomes for everyone or create stressors and tensions for the other members to adapt to. Involving the whole family in the assessment and planning of care will create an environment of support and encouragement, promote education and increase the probability of healthier, positive behaviors. 

A

Explain, in your own words, the difference between the three paradigms: human needs, interactive, and unitary process. Which of these best fits your philosophy of nursing?

B

Select one of the grand or middle-range nursing theories. How does the theory demonstrate evidence of the utilization of social, behavioral, or bioscience theories?

C

All nursing theories are developed in space and time, and are not value free. Select one nursing theorist and explain the factors that influenced development of the theory (history, scientific paradigm, and personal experiences–mentoring, education, practice, other). Provide reference(s) for your response.

D

Select three theories and compare the definition of person/human being. Comment regarding which definition best fits with your own thinking. 

E

Choose one of the middle-range theories. How could you use this theory to direct care in a nursing unit if you were the manager? Share your results.

F

Choose one of the middle-range theories. What impact would this theory most likely have on your individual practice? Give specific examples.

Create a detailed, integrated project charter to address a healthcare gap, need, or improvement at your practicum site.

Introduction

In NHS-FPX8040, you prepared a preliminary project charter. At that time, you may not have secured your practicum site or preceptor yet. Now that these are in place, in this course you will delve more deeply into creating a project charter appropriate for your practicum site’s needs. You may be able to use some of the project charter work you did in the previous course. At the same time, you may find you need to completely retool your work as it may no longer be appropriate for your practicum site. This is the changing nature of doctoral projects.  As we learn more information, doctoral projects change. Your ability to manage this ambiguity and change will be critical to your successfully completing your doctoral program.

In this assessment, you will create a detailed, integrated project charter to address a healthcare gap, need, or improvement at your practicum site. You will need to obtain input from your practicum site about how you can help to meet their needs. After submitting your project charter, you will receive your faculty member’s feedback on your charter’s alignment with department objectives, academic rigor, coherency, and readiness for Institutional Review Board (IRB) submission.

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: Create a project charter to address a clinical or organizational problem or take advantage of an opportunity for improvement within a health care setting.
  • Clearly describe the people who will be involved in and affected by a project.
  • Clearly describe an overview of all aspects of a project plan.
  • Clearly describe the strengths, weaknesses, opportunities, and threats related to a project plan.
  • Clearly describe the ethical considerations, constraints, external dependencies, and communication strategy of a project plan.
  • Clearly describe the outcome measures related to a project plan.
  • Clearly describe the data collection procedures related to a project plan.
  • Describe a project that could, within 8 to 12 weeks, produce a meaningful, sustainable change in practice or process that can be empirically evaluated, with minimal or no risk to participants or the organization.
  • Synthesize scholarly, authoritative evidence supporting each part of the project charter.
• Competency 4: Address assessment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
  • Write clearly and coherently, using communication style and vocabulary appropriate for scholarly work.
  • Correctly reference and cite scholarly and/or authoritative sources.

Preparation

To successfully prepare for this assessment, you will need to:

• Ensure that your project aligns with your practicum site expectations and the DNP expectations for doctoral projects.
  • Consult this resource for guidance: Acceptable vs. Unacceptable SoNHS DNP Projects [PDF].
  • Definition of Research.
• Conduct a comprehensive review of the literature to gather data that will support your identified need, intervention, and assessment “instrument(s)”:
  • Focus your research on current resources available through peer-reviewed articles and professional and government websites. Current means less than five years old. 
  • Use these research guides for help in identifying scholarly and authoritative sources:
    • Nursing Doctoral (DNP) Research Guide.
    • Evidence-Based Practice in Nursing & Health Sciences. 

Instructions

Note: The assessments in this course must be completed in the order presented; subsequent assessments should be built on both your earlier work and your instructor’s feedback on earlier assessments. If you choose to submit assessments prematurely, without considering and integrating your instructor’s feedback, your assessment may be returned ungraded, resulting in your loss of an assessment attempt.

This assessment has been identified as a Signature Assessment. Signature assessments serve a dual purpose: to meet the competencies in the course where the signature assessment appears and acquire skills needed to demonstrate competencies specific to the completion of the Doctoral Project Report. Learners must successfully meet the established criteria for demonstrating competence on this assessment in order to successfully complete the course (see University Policy 3.4.07 Grading). Completion of this course is a program-specific requirement. Consequently, learners must pass this course in order to remain in good academic standing (see University Policy 3.01.04 Academic Standing).

This assessment also includes review by a Secondary Reviewer to ensure the work meets doctoral expectations for writing, content, connection to the discipline, scholarship, quality, integrity, and ethical compliance. Secondary review is both an essential program expectation and important opportunity for learners. A hallmark of doctoral learners, in particular, is openness to critique and responsiveness to feedback. Like any scholarly endeavor (e.g., journal article, book chapter, or dissertation), the doctoral project will benefit from the integration of feedback from a reviewer and a process of ongoing revision at each stage of development.  Learners may also reasonably expect to incorporate revisions and refinements of components of earlier completed signature assessments as they advance through the program to ensure the coherence and alignment of their completed project.  A doctoral-level project should, therefore, be viewed as a work-in-progress that is not completed until the final Dean review and approval is issued.

As you begin work, you may find the following activities helpful to completing a scholarly, successful project charter. Note: These activities are not mandatory; they are optional:

• Seek out free writing workshops and other resources available through the Capella Writing Center. The Writing Center’s workshops address such topics as: correct APA usage, paper organization, synthesis of material, and so on.
  • Note: Remember that this keystone course will help determine whether you are ready to proceed with your doctoral project. You will want to do everything you can to ensure that your critical thinking, research, and writing skills are at the doctoral level.

For this assessment, you will populate the three parts of the Project Charter Template [DOCX] with detailed information. Use the Project Charter Proposal Checklist [PDF] to ensure all content is included. Faculty will use the checklist to provide additional feedback.

• Part 1 includes these sections:
  • General Project Information.
  • Project Team.
    • You may find the work you did in the Team Effectiveness in Health Care Settings assessment helpful to you as you complete this portion of your Project Charter.
  • Stakeholders.
• Part 2 is the Project Overview and includes these components:
  • Project Description/
    • Write the project description in a narrative style. Avoid bullet points and incomplete sentences.
  • Evidence to Support Need (background and significance).
    • Be sure to provide the most relevant, data-driven evidence to support key points.  
  • Project Purpose/Business Case.
  • SMART Objectives (Specific, Measurable, Attainable, Relevant, Time-Bound).
  • Deliverables.
  • Project Scope.
  • Project Milestones.
• Part 3 includes these sections:

Note: You may find the work you did in your Ethics Analysis assessment helpful as you complete this section of your project charter.

• SWOT Analysis.
• Known Major Risks.
• Ethical Considerations.
• Constraints.
• External Dependencies.
• Communication Strategy:
  • Consider questions like these in your communication strategy: Will you hold an in-person or video conference-kickoff meeting? How will you communicate with all involved parties (email, telephone, periodic meetings, project tools, et cetera)?
• Proposed Outcomes.
• Data Collection Plan.

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: