Instructions: Select a research article related to nursing and write a 2 double spaced page (NOT including the title page and reference) article evaluation.

Boyce, J. M. (2019). Current issues in hand hygiene. American journal of infection control, 47, A46-A52.

• Use only scholarly/professional, peer-reviewed articles written within the last 5 years
• You must choose your article by the end of week 2 and submit to your instructor for approval using the assignment dropbox in Canvas
• 3 double spaced page (NOT including the title page and references)
• In your evaluation, address each of the following components:
  • The author(s), their credentials, and practice areas
    • If the article has more than four authors only write about the first three authors.
  • The purpose of the study
  • Research question(s)
  • Provide discussion of the authors review of the literature
  • Population, sample size, and sample selection process
  • Research method(s) used in the study
  • Research findings
  • Article critique
  • Discussion of how the information in the article might be useful in future nursing practice.

• Written in current APA format. This paper should include:

Nurse managers/leaders, risk management, and the prevention of malpractice

The assignment is worth 200 points or 20% of the course grade. This assignment will allow you to explore the role of nurse leaders and managers in risk management. This role is essential to patient safety and avoiding malpractice and other litigation. Review the grading rubric below for the required elements of the assignment. Submit the work by 11:59 PM MT Sunday of week 2.

This assignment focuses on the following learning objectives:

• CO5 Apply leadership concepts, skills, and critical decision-making in the provision of high-quality nursing care (PO2)
  • Key concepts:
    • Managing ethical dilemmas in health care
    • Managing legal issues in the healthcare system
• CO7 Examine the role of the baccalaureate nurse generalist in advocating for quality, safe, patient-centered care (PO6, PO7, and PO8)

Instructions

1. Read the case study Nursing Malpractice in a Mental Health Facility.
2. Reflect on the case study:
   a. Briefly identify the actions or inactions that led to the patient’s eventual death.
   b. From Table 5.3, Components of Professional Negligence in the textbook (Huston, 2023) discuss which elements of malpractice are present.
3. Read the following article (available on the Library webpage): Cho, S. M., & Choi, J. (2018). Patient safety culture associated with patient safety competencies among registered nurses. Journal of Nursing Scholarship, 50(5), 549557.
4. Discuss the articles conclusion (Cho & Choi, 2018) and the nurse leaders role in creating a unit-specific patient safety culture.
5. As a nurse leader for the staff in the case study, discuss one action you would implement for each competency area, Knowledge, Skills, and Attitudes, to help prevent malpractice.
6. Describe how the results of your implementations could be measured. How could you determine that your actions would make a difference in patient outcomes? Be specific and detailed.
7. Describe how you, as a future nurse leader, will approach the culture of patient safety and risk management. Give an example that illustrates your conclusion.
8. The file must be submitted as a Word document.

POW #1: Biodiversity/Species Diversity

• Due May 24 by 11:59pm
• Points 30
• Submitting a file upload
• File Types doc, docx, and pdf
• Attempts 0
• Allowed Attempts 3
• Available May 15 at 5pm – May 24 at 11:59pm

Picture of the Week (POW) Directions:

Use the template provided to fill in your details. I have also provided an example of a POW over biodiversity that will let you see what kind of detail and effort are expected. These links do not show in the e-mail generated from the announcement, please go to the announcement on Canvas to use the blank template for you to use and to view an example POW. Template you must use:

POW Example:

Be aware that the date on the sample assignment may not be within your date requirements.

Your assignment should be written all in your own words using class materials, your knowledge and experiences. Do not use outside sources or AI. Do no quote anything from class or anywhere else. Use your own words.

Your picture must be taken between May 2025-June 2026 and must be taken by you and only uses wild species. Dogs, cats, houseplants, garden plants, cows, etcare not wild species and cannot be used. If you have a picture you really love and want to use outside of these dates please ask me.

Please save as a word document or PDF for submission.

Integrating Instructions: Case Study and Care Plan Assignment Dehydration

For the Integrating section of the Fluid & Electrolytes Balance module, complete the following case study and care plan assignment:

1) Case Study Assignment: Dehydration

Case Background: Mrs. Floyd, an 86-year-old woman with a history of constipation and hypertension, lives alone and has been vomiting for 48 hours, rendering her unable to eat or drink. A concerned neighbor brings her to the Emergency Department (ED), where she is admitted for dehydration. Mrs. Floyd takes Metamucil, HCTZ, and Metoprolol daily.

Questions:

1. Predisposing Factors to Dehydration: Discuss which factors may have predisposed Mrs. Floyd to dehydration based on her medical history, medications, and the presenting symptoms.
2. Anticipated Signs and Symptoms: Anticipate and describe the signs and symptoms associated with dehydration that the nurse should expect to assess in Mrs. Floyd upon admission.
3. Appropriate Fluid Type: Determine which type of fluid (e.g., intravenous solution) would be most suitable to address Mrs. Floyds condition and why.

2) Care Plan Assignment:

Create a nursing care plan for Mrs. Floyd, considering her specific condition and needs. Outline the nursing interventions, assessments, and goals that should be addressed during her care. Submit the nursing care plan for grading. CARE PLAN TEMPLATE (CLICK HERE):

Submission Requirements:

• Develop a comprehensive nursing care plan for Mrs. Floyd, including assessments, interventions, and goals.
• Use the Nursing Process to assist with your care plan.
• Upload your case study and nursing care plan TOGETHER in a single document in a clear and organized format.
• Ensure that your submission addresses all aspects of the case study questions.
• Use APA format as required.

By completing this assignment, you will integrate your knowledge of dehydration assessment and management into a real-world patient scenario, demonstrating your clinical judgment and nursing care planning skills.

Discussion Board: Evidence-Based Practice Definitions

Instructions

Read the following evidence-based practice definitions:

• Polit and Beck (2008, page 3): The use of best clinical evidence in making patient care decisions such evidence typically comes from research conducted by nurses and other healthcare professionals.
• : The conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.

Write an initial post of 200250 words using the discussion prompts to guide your initial post. Then respond to at least two of your peers posts.

Discussion Prompts

• Which definition do you identify with best? Why do you believe it is the right definition?
• Consider a nursing intervention youve seen used regularly in practice. Is this practice or intervention evidence-based or based on tradition? What, if any, data were you able to find to support this practice?

DO NOT use a nursing intervention or practice already discussed by a peer.

Citations:

Sackett, D. L., Rosenberg, W. M. C., & Muir-Gray, J. A., et al. (1996). Evidence-based medicine: What it is and what it isnt. British Medical Journal, 312, 7172

Polit, D.F., & Beck, C.T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.).Lippincott Williams & Wilkins.

My response:Among the two definitions given, Sackett et al. (1996) has the most comprehensive definition of evidence-based practice (EBP). This definition is very close to the truth as it recognizes both external research evidence and individual clinical expertise, and patient care decisions cannot be based on research only. Sackett et al. (1996) point out that EBP must be conscientious, explicit, and judicious, and is therefore applicable in a variety of clinical contexts. This balanced perspective is reflective of the complexity of the nursing world, where the application of research without consideration of clinical reasoning in the context of the patient is not enough to provide individualized care.

A nursing intervention that was consistently seen in clinical practice is hand hygiene before and after patient contact. Best clinical evidence should inform patient care decisions, and hand hygiene is reflective of this best clinical evidence (Polit & Beck 2008). Hand hygiene is the most critical practice for healthcare workers to prevent the spread of infections (Centers for Disease Control and Prevention, 2023); Health-care-associated infections (HAIs) occur every day in the United States in about 1 in 31 hospitalized patients (Centers for Disease Control and Prevention, 2023). This particular information shows that hand hygiene is not a tradition-based practice, but is firmly evidence-based and has a direct impact on measurable patient safety outcomes worldwide.

References

Centers for Disease Control and Prevention. (2023). Hand hygiene in healthcare settings.

Polit, D. F., & Beck, C. T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Lippincott Williams & Wilkins.

Sackett, D. L., Rosenberg, W. M. C., & Muir-Gray, J. A., et al. (1996). Evidence-based medicine: What it is and what it isn’t. British Medical Journal, 312, 7172.

Peer # 1:Hello Future Nurses,

I relate more to Sackett et al.s definition of evidence based practice because it feels more complete to me. It does not only focus on research, but also includes the nurses clinical judgment and the patients individual needs. I think this is important because nursing is not one size fits all. Two patients can have the same diagnosis, but their situation, preferences, culture, and needs can be very different. Research gives nurses a strong foundation, but nurses still have to use critical thinking when applying that evidence to real patients. Sackett et al. (1996) explain that evidence based practice means using the best current evidence carefully when making decisions about patient care.

One nursing intervention I have seen used regularly is checking two patient identifiers before giving medications. I believe this practice is evidence based, not just based on tradition. Before administering medication, nurses usually ask the patient to state their name and date of birth, then compare that information with the medication record and wristband. This helps make sure the right medication is being given to the right patient. Medication errors can cause serious harm, so this step is very important for patient safety. The Joint Commission supports using at least two patient identifiers to improve the accuracy of patient identification. To me, this shows that checking patient identification is not just a routine step. It is an evidence based nursing intervention that helps prevent errors and protects patients.

I would like to mention another nursing intervention I came across at a clinical. This was making sure the correct surgical site is marked before surgery, such as marking the leg that will be amputated. I believe this practice is evidence based because it helps prevent wrong site surgery, which can cause serious and permanent harm to the patient. Before surgery, the healthcare team verifies the patient, the procedure, and the correct site. The Joint Commission states that site marking should be completed before the procedure and should involve the patient whenever possible. The mark also needs to be clear and visible after skin preparation and draping. AHRQ explains that the Universal Protocol includes three important steps: preoperative verification, marking the operative site, and performing a time out before the procedure. This shows that marking the leg before an amputation is not just a routine habit. It is an evidence based safety practice that protects the patient and helps the surgical team prevent a life changing error.

References

Agency for Healthcare Research and Quality. (2008). Wrong site surgery: A preventable medical error.

Polit, D. F., & Beck, C. T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Lippincott Williams & Wilkins.

Sackett, D. L., Rosenberg, W. M. C., Muir Gray, J. A., et al. (1996). Evidence based medicine: What it is and what it isnt. British Medical Journal, 312, 7172.

The Joint Commission. (2024). National patient safety goals effective January 2024 for the hospital program.

The Joint Commission. (2026). Universal Protocol site marking.

Peer #2:Hi, Class

I believe Sackett et al presents the best definition, this is the best definition because it explains the key concepts of best evidence in decision making in three different ways such as research evidence, clinical experience and focused patient-centered care. Another thing is that the definition shows how the professional can apply their personal experience or own judgement/skills to assist with informed decisions regarding the patient’s care.

One nursing intervention i’ve seen used regularly in practice is positioning the patient in high fowler position to improve their oxygen rate, whether the patient is room air with difficulty breathing or on oxygen through nasal cannula. I practice this technique on patients frequently while working in the hospital and this usually helps the patient improve their flow of breathing. I consider this intervention as tradition based because of the information that was taught to me in fundamentals along with being able to apply that knowledge to patients in the real world. My research shows that positioning has immediate effect on lung volume.

Citations:

Sackett, D. L., Rosenberg, W. M. C., & Muir-Gray, J. A., et al. (1996). Evidence-based medicine: What it is and what it isnt. British Medical Journal, 312, 7172

Appendino G, Gomez MC, Musso GA, Manago MJ, Lovesio C, Gonzalez C, Moracci RS, Plotnikow GA. Positioning and Flow Effects on Lung Volume in Asymmetric High-Flow Nasal Cannula. Respir Care. 2026 Mar 24:19433654261428089. doi: 10.1177/19433654261428089.

Good afternoon i did it and it was flagged to have used ai please the all assignment questions will be attached. can you do it in one day. please no ai

Hi, I reviewed the graduation project carefully, and there are several academic, grammatical, structural, and formatting issues that need to be revised before the final submission. Overall, the topic is strong and relevant; however, the writing quality and academic presentation require significant improvement to meet graduation project standards.

First, the language throughout the project needs major revision because many sentences are awkwardly written, repetitive, unclear, or not academically professional. There is excessive repetition of words such as such, thus, and within, which makes the writing sound unnatural and AI-generated. Some sentences are also grammatically incorrect or meaningless academically. For example, the sentence There are no volunteers to think about understanding the problem is completely incorrect and should be removed entirely.

The acknowledgment section also needs to be rewritten in a more professional academic style. Expressions such as Nobody else can claim such expertise are too exaggerated and informal for academic writing. Several sentences in this section contain grammar mistakes and unnatural phrasing that require correction.

Additionally, there are multiple issues with structure and formatting. The hypotheses section is incorrectly numbered because H2 is repeated twice instead of using H1, H2, and H3 properly. Some objectives are poorly written and should be revised using clearer academic wording. Please also ensure consistency throughout the paper by changing all AI based terms into AI-based.

The abstract is too long, repetitive, and wordy. It should be shortened into a concise academic abstract including only the background, aim, methodology, key findings, and conclusion. Some medical and academic terms are also used incorrectly or awkwardly.

The literature review is highly descriptive and repetitive without enough critical analysis or comparison between studies. More scholarly discussion is needed instead of repeatedly describing the same concepts. In addition, the number of references is insufficient for a graduation project, and more recent peer-reviewed references related to AI in nursing, ICU technologies, nursing informatics, and healthcare AI systems should be added. Please also verify all references and DOIs to ensure they are authentic and correctly formatted according to APA 7th edition.

There are also issues in the methodology and results sections. The study mentions statistically significant relationships; however, no actual statistical values such as p-values, chi-square values, correlation coefficients, or regression results are included. Proper statistical evidence should be added to support the findings. Chapter 4 and Chapter 5 are also repetitive and should be reorganized to avoid repeating the same information.

Furthermore, several operational definitions are too weak academically and require stronger wording supported by references. The discussion chapter also needs deeper comparison with previous studies rather than simply repeating the results.

Please also revise the formatting of headings, spacing, punctuation, tables, figures, citations, and alignment throughout the document to ensure consistency and professionalism.

Specific page-by-page issues:

Page 2:

– This is a real study work of ours grammatically weak and not academically appropriate.

– The work contained in this project has not been submitted should be rewritten professionally.

– Formatting and spacing are inconsistent.

Page 3:

– Incorrect sentence structure in the copyright declaration.

– The word surreptition is completely incorrect and inappropriate academically.

– The entire copyright paragraph should be rewritten professionally.

Page 4:

– Acknowledgment section contains weak grammar and overly informal expressions.

– Nobody else can claim such expertise is not suitable for academic writing.

– ICU nurses participated should be ICU nurses who participated.

– research is possible should be research was possible.

Abstract:

– Too long and repetitive.

– Contains awkward medical terminology and weak academic wording.

– Several sentences need restructuring and shortening.

Page 5:

– Repetitive wording and excessive use of hyphens.

– AI based predictive systems should consistently be AI-based predictive systems.

– Several paragraphs are repetitive and poorly connected.

Page 6:

– Delete the sentence There are no volunteers to think about understanding the problem.

– Duplicate sentence: The aims of the study were: The objectives of the study were:

– Hypotheses numbering is incorrect.

– The profession of ICU nurses should be replaced with years of ICU experience or ICU nursing experience.

Page 7:

– Literature review lacks critical analysis.

– Excessive repetition of similar concepts and wording.

– Limited citations.

Page 8:

– Multiple grammar errors and weak transitions between paragraphs.

– Repetitive wording throughout the page.

Page 9:

– Methodology wording sounds repetitive and AI-generated.

– within time should be in time.

– Some explanations are unnecessarily repetitive.

Page 10:

– Unclear sentence structures.

– Sampling technique explanation needs more academic justification.

Page 11:

– Weak academic phrasing in validity and reliability sections.

– participating researchers should be participating nurses.

Page 12:

– most of the ICUs that were studied were over 40 years of age is incorrect because ICUs cannot have ages.

– Several interpretations require grammatical correction.

Page 13:

– IC environments should be ICU environments.

– Some wording is vague and academically weak.

Page 14:

– Grammar and terminology issues.

– socioecological gaps is not appropriate in this context.

Page 15:

– Missing statistical interpretation.

– Weak wording in results interpretation.

Page 16:

– Repetition between Chapter 4 and Chapter 5.

– Excessive repetition of technologies.

Page 17:

– Discussion section lacks depth and critical comparison with previous studies.

– Several awkward academic expressions.

Page 18:

– Recommendations are repetitive and too general.

– References are insufficient and require APA revision.Also, most of the references used in the project should be recent and updated. Please make sure the majority of references are published between 2021 and 2026, especially because the topic is related to artificial intelligence and healthcare technologies, which are rapidly evolving fields. Older references should only be used if they are essential foundational studies. The literature review currently lacks enough recent peer-reviewed studies, so more updated journal articles from databases such as PubMed, Scopus, ScienceDirect, and Google Scholar should be added. In addition, all references and DOIs need to be verified carefully to ensure they are authentic, accessible, and correctly formatted according to APA 7th edition guidelines.A plagiarism report from Turnitin.

Instructions attached in files and my community location for this is Gary Indiana

For this assignment you will examine alterations in the homeostatic state related to age, gender, genetics, and ethnicity, with health promotion, restoration, and maintenance included in the plan of care. You will create an essay in Word addressing the content.

• Choose a condition from each of the three systems.
  • Pulmonary, renal, and reproductive system. (3) conditions
    • Fully addressed using the below content requirements.
  • Explain the condition and address the detailed pathophysiology of each.
    • Include homeostatic states and potential state alterations of the condition.
  • Relate the condition to influences of age, gender, genetics, and ethnicity
  • Include content for a care plan regarding health promotion, restoration, and maintenance
  • Provide a clinical guideline summary for each condition.
• Next provide an overall content on potential ethical concerns.
• Summarize homeostatic states and the importance of its impact on influence and health care management for the advanced practice nurse.

Construct the essay with one condition fully at a time and provide a conclusive summary on homeostasis impact that you have identified.

Before finalizing your work, you should:

• Title page
• 4-5 references
• 4-5 pages of content
• Provide a brief introduction and conclusion
• Structure of the assignment is clear and transitions are logical
• Rules of grammar, usage, and punctuation are followed
• Spelling is correct

Your writing assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 7th edition format.

Assignment Instructions

Competency

Analyze the psychopathology and neurobiology of personality disorders.

Student Success Criteria

View the grading rubric for this deliverable by selecting the This item is graded with a rubric link, which is located in the Details & Information pane.

Scenario

As a new psychiatric mental health nurse practitioner (PMHNP), you are now working with RNs regularly. You notice that the nurses attitudes shift when a patient with borderline personality disorder presents to the clinic. It becomes clear that the staff does not have a full understanding of personality disorders. You decide to develop a presentation about personality disorders to deliver to the staff at your clinic.

Instructions

Create a Microsoft PowerPoint presentation with notes and record a presentation comparing personality disorders within a cluster. In your presentation, you must:

• Choose any cluster (e.g., Cluster A, Cluster B, or Cluster C)
• Describe the personality disorders in the cluster
• Highlight contributing factors and etiology statement regarding the neurobiology
• Discuss clinical features and major diagnostic criteria that distinguish it from other personality disorders, including supporting evidence
• DO NOT RECORD THE AUDIO DIRECTLY ON THE POWERPOINT SLIDES
• RECORD A VIDEO OF YOU NARRATING THE SLIDES.
• DO NOT SUBMIT A .ZIP FILE – SUBMIT THE FILES INDIVIDUALLY, ALL IN THE SAME SUBMISSION BOX.
• DO NOT SUBMIT THE VIDEO FILE ITSELF SUBMIT A LINK TO VIDEO, OR RECORD THE VIDEO DIRECTLY IN BLACKBOARD.

  Criterion 1

  0% of total gradeA – 4 – MasteryComprehensive description of the personality disorders in the cluster.0B – 3 – ProficiencyComplete description of the personality disorders in the cluster.0C – 2 – CompetenceReasonable description of the personality disorders in the cluster.0F – 1 – No PassRudimentary description of the personality disorders in the cluster.0I – 0 – Not SubmittedNot Submitted0

  Criterion 2

  0% of total gradeA – 4 – MasteryComprehensive description of contributing factors and etiology statement regarding the neurobiology, supported by significant evidence.0B – 3 – ProficiencyComplete description of contributing factors and etiology statement regarding the neurobiology, supported by substantial evidence.0C – 2 – CompetenceReasonable description of contributing factors and etiology statement regarding the neurobiology, supported by some evidence.0F – 1 – No PassRudimentary description of contributing factors and etiology statement regarding the neurobiology, supported by little evidence.0I – 0 – Not SubmittedNot Submitted0

  Criterion 3

  0% of total gradeA – 4 – MasteryComprehensive discussion of clinical features and major diagnostic criteria that distinguish the cluster from other personality disorders, including extensive supporting evidence.0B – 3 – ProficiencyComplete discussion of clinical features and major diagnostic criteria that distinguish the cluster from other personality disorders, including sufficient supporting evidence.0C – 2 – CompetenceReasonable discussion of clinical features and major diagnostic criteria that distinguish the cluster from other personality disorders, including some supporting evidence.0F – 1 – No PassRudimentary discussion of the clinical features and major diagnostic criteria that distinguish the cluster from other personality disorders, including little supporting evidence.0I – 0 – Not SubmittedNot Submitted0

  Criterion 4

  0% of total gradeA – 4 – MasteryExemplary use of professional language that is free of bias, and thoroughly supported with evidence (in-text citations and references in the correct APA style). Established a concisely stated scholarly position appropriate for purpose, format, style, and audience and free of errors.0B – 3 – ProficiencyPrecise use of professional language that is mostly free of bias, and supported with evidence (in-text citations and references in APA style with occasional errors). Established a concisely stated scholarly position appropriate for purpose, format, style, and audience with minimal errors that do not distract the reader.0C – 2 – CompetenceAdequate use of professional language supported with evidence (in-text citations and references in APA style with numerous errors). Established a concisely stated scholarly position appropriate for purpose, format, style, and audience with errors that distract the reader.0F – 1 – No PassDoes not utilize professional language, does not support with evidence in APA style, and does not establish a scholarly position that is appropriate for purpose, format, style, and audience or contains numerous errors that diminish readability.0I – 0 – Not SubmittedNot Submitted