Category: Nursing

This is my finale paper you helped me to write some of them some of them i wrote now i need to combine them and add one page

Assignment InstructionsRead the description of the case study for this week. You are to approach each case study as though the situation actually occurred in your clinical practice. You will use the Gibbs Reflective Cycle to guide your analysis. You must respond to each phase of the Gibbs Cycle in sequence.

Each case study throughout the course targets different AACN domains in the initial scenarios so that all 10 domains are covered during the course.

You are then required to complete Phases 16 of the Gibbs Cycle for each case study and label the domain, competency, and concept that you demonstrate in the action plan. Please keep in mind that you should have demonstrated all domains, competencies, and concepts while completing all four case study action plans to potentially receive maximum points.

(McLeod, 2025)

All domains (10), competencies (45), and concepts (8) can be found in the following link: .

Unit 1 Case Study

You are a Bachelor of Science in Nursing-prepared (BSN-prepared) nurse volunteering with a Florida disaster response team in the aftermath of a Category 3 hurricane that devastated a coastal city. You have been asked to lead a team because of your past emergency management services (EMS) leadership experience, although you are currently there functioning in your registered nurse (RN) role. You are assigned to a mobile health unit supported by an emergency health informatics system that allows for interoperability across electronic health record systems across the country. Other team members include the following:

• A respiratory therapist
• A social worker
• A pharmacist

You are tasked with the following:

• Triaging patients
• Documenting care in an electronic disaster management system
• Ensuring that care decisions are ethical and equitable

Power outages, random flooding, and mass displacement have left many residents and tourists without access to care. Those hospitals that are not affected by the disaster are at capacity and diverting patients because of limited resources. All of the policies and procedure are housed electronically for easy access.

During your shift, the following occur:

• You notice injured undocumented immigrants avoiding treatment out of fear of deportation.
• A generator fails, temporarily cutting off access to digital health records and communication with the central command. Unfortunately, the generator failure means that all policies and procedures are inaccessible as well.
• You are asked to prioritize care for a public official over a low-income Asian older adult patient with multiple chronic conditions, raising ethical concerns.
• You notice that there was no disaster policy for caring for the undocumented or uninsured population. Furthermore, despite having a Doctor of Medicine (MD) written protocol for dispensing antibiotics to individuals who met specific criteria, the pharmacist did not want to dispense antibiotics to any individual until the digital health record was back online and they could track their inventory. Consequently, many individuals who needed the antibiotics left without receiving them.

Do not alter the template. Please submit your assignment using the template.

Complete the following:

1. Begin by restating the case study in full, using your own words to demonstrate comprehension and contextual understanding (as if you personally experienced the situation).
2. After completing Phase 1 (Description), continue with Phases 26 of the Gibbs Reflective Cycle. In addition to identifying the domain, competency, and concept in Question 1, you are also required to include these elements in Phase 6 (Action Plan), where applicable.

It is understood that not every competency may apply to Phases 1 or 6; however, by the end of the full analysis, all required domains and competencies from the rubric must be addressed.

Be sure to clearly label and explain the relevant AACN domain(s), competencies, and concepts demonstrated in your responsesespecially within your Action Plan.

Final Project Part One: Community Assessment/ Identification of Health Problem or Issue.

Part 1:

a. assessment of the community

b. identification of the issue or problem that needs to be addressed

Final Project: Community Assessment and Project Planning

In a well-constructed 1000 1500-word paper (5 6 pages) Summarize your community assessment and define your communitys problem or health need. Use APA 7ed. format.

I. Select a community where you work, live or have an interest. ( Staten Island, New York)

a. Define the physical composition of the community.

b. Identify the resources and unique characteristics of the community.

c. Research vital statistics for your community using suggested websites.

d. Analyze the vital statistics data and compare and contrast with New York City vital statistics and national trends.

e. Identify three major issues affecting the health of the community.

II. Assess your selected community.

Below, I have attached the complete instructions for the entire project, which consists of 3 parts. For this assignment, I only need to complete part one and follow and complete all its instructions. Also, I attached the grading rubric for part 1.

his assignment invites you to create a professional advocacy or leadership brief grounded in nursing theory. As an advanced practice nurse, your voice is essential in shaping policy, improving systems, and promoting equitable, evidence-informed change. By aligning your recommendations with a nursing theory, you strengthen the ethical and conceptual foundation of your leadership approach.

Purpose

By completing this assignment, you will:

• Demonstrate how nursing theory supports leadership and policy advocacy.
• Apply a theoretical framework to a practice, organizational, or policy issue.
• Develop concise, action-oriented communication skills appropriate for professional settings.

Instructions

Write a brief advocating for a change or action relevant to your current or future practice setting (EMERGENCY ROOM PROVIDER/ ARNP). You may focus on a clinical issue, a systems improvement opportunity, or a formal policy initiative (local, institutional, or governmental).

Your brief should include the following sections:

1. Issue Overview

• Describe the issue clearly and concisely.
• Identify who is affected (patients, nurses, systems) and why it matters.

1. Theory Integration

• Select a relevant nursing theory and identify the theorist.
• Explain how the theory aligns with your values and supports your proposed approach or solution.

1. Proposed Change or Action

• Present 23 clear, evidence-informed recommendations for addressing the issue.
• Ensure recommendations are actionable, feasible, and theoretically justified.

1. Implications

• Describe the anticipated benefits or outcomes of your recommendations.
• Consider clinical, organizational, and population-level impacts.

1. References

• Include 23 scholarly sources in APA 7 format, including a source that describes the selected theory and at least one source supporting your proposed change.

Submission Guidelines

• Format your brief using APA 7 style (title page, double-spacing, in-text citations, reference list) as a Word document.
• Use professional, concise language appropriate for academic and clinical audiences.

Rubric

Theory-Based Policy or Leadership Advocacy Brief Rubric

Theory-Based Policy or Leadership Advocacy Brief Rubric

CriteriaRatingsPtsThis criterion is linked to a Learning Outcome

Issue Overview

20 to >18.0 pts

Exceeds Expectations

Clearly articulates a relevant issue with strong significance and impact on practice or population.

18 to >15.0 pts

Meets Expectations

Issue is described with general relevance; some details may lack depth or focus.

15 to >0 pts

Needs Improvement

Issue is vague, underdeveloped, or lacks relevance to advanced practice.

20 pts

This criterion is linked to a Learning Outcome

Theory Integration

20 to >18.0 pts

Exceeds Expectations

Theory is clearly identified and well aligned with the issue. Integration is insightful and supports a strong rationale.

18 to >15.0 pts

Meets Expectations

Theory is present and generally aligned with the issue. Rationale is adequate but may lack depth.

15 to >0 pts

Needs Improvement

Theory is missing, unclear, or poorly connected to the issue.

20 pts

This criterion is linked to a Learning Outcome

Proposed Change or Action

25 to >22.0 pts

Exceeds Expectations

Recommendations are clear, actionable, and grounded in both theory and evidence. Feasibility is well considered.

22 to >19.0 pts

Meets Expectations

Recommendations are appropriate and supported, though may need further development or clarity.

19 to >0 pts

Needs Improvement

Recommendations are vague, unsupported, or not clearly tied to the issue.

25 pts

This criterion is linked to a Learning Outcome

Implications

20 to >18.0 pts

Exceeds Expectations

Implications are well-developed and reflect critical thinking about outcomes at multiple levels (e.g., clinical, systems, policy).

18 to >15.0 pts

Meets Expectations

Implications are discussed but may be limited in scope or depth.

15 to >0 pts

Needs Improvement

Implications are unclear, missing, or disconnected from the proposed change.

20 pts

This criterion is linked to a Learning Outcome

APA Formatting & Scholarly Writing

15 to >13.0 pts

Exceeds Expectations

Writing is professional, well-organized, and free of errors. APA 7 is followed accurately with proper citations and references.

13 to >11.0 pts

Meets Expectations

Minor issues with APA, grammar, or structure that do not interfere with clarity.

11 to >0 pts

Needs Improvement

Frequent APA or writing issues that affect readability or professionalism.

15 pts

Total Points: 100

I want this assignment to be edited and made AI-free.

Assignment Overview:

This week, you will explore how social determinants of health (SDOH) affect individuals’ ability to access and benefit from healthcare services. You will analyze the life circumstances of a fictional or de-identified real person from an underserved population and apply your understanding of SDOH, population health, and the nurses role in promoting equity.

This case-based assignment gives you the opportunity to develop critical thinking and advocacy skills through a population health lens.

Instructions:

Step 1: Select or Create a Patient Persona

Choose one of the following underserved patient populations (or a similar population approved by your instructor):

• A member of a marginalized racial, ethnic, or LGBTQ+ community

Create a brief narrative of their daily life, focusing on challenges related to housing, food access, employment, safety, healthcare, and social support.

Step 2: Analyze the Impact of SDOH

In a 23 page paper (not including title and reference pages), address the following:

1. Describe the patient persona and their background (no real names or PHI).
2. Identify and explain at least three social determinants of health that impact their well-being.
3. Discuss how these determinants affect their access to care and health outcomes.
4. Propose at least two nursing interventions or community resources that could help improve their situation.
5. Include a reflection on how this case study informs your future role as a masters-prepared nurse in promoting population health and equity.

Step 3: Format and Submit

• APA 7 formatting (title page, in-text citations, reference page, double-spacing)
• Minimum of two scholarly sources, including at least one from course materials
• Submit as a Word document or PDF in Canvas

Rubric

Week 6 Rubric A Day in the Life Social Determinants Case Study

Week 6 Rubric A Day in the Life Social Determinants Case Study

CriteriaRatingsPtsThis criterion is linked to a Learning Outcome

Persona Description

30 to >28.0 pts

Excellent

Rich, realistic background with detailed context about living conditions, health barriers, and environment.

28 to >22.0 pts

Good

Basic context provided; generally realistic but may lack depth or specificity.

22 to >0 pts

Needs Improvement

Vague, unrealistic, or lacking critical contextual information.

30 pts

This criterion is linked to a Learning Outcome

Identification of SDOH

30 to >28.0 pts

Excellent

Identifies and explains 3+ social determinants; clearly articulates how they interact to affect the case.

28 to >22.0 pts

Good

23 SDOH identified; explanation may be adequate but not fully developed.

22 to >0 pts

Needs Improvement

Fewer than 2 SDOH addressed; vague or missing connections.

30 pts

This criterion is linked to a Learning Outcome

Impact on Health & Access

25 to >23.0 pts

Excellent

Clearly explains how SDOH influence access to care, health outcomes, and long-term wellness.

23 to >18.0 pts

Good

Some discussion of impact; lacks depth or specificity.

18 to >0 pts

Needs Improvement

Discussion is limited, unclear, or missing altogether.

25 pts

This criterion is linked to a Learning Outcome

Interventions/Resources

20 to >18.0 pts

Excellent

Proposes 2+ realistic, culturally appropriate, and evidence-informed interventions/resources.

18 to >14.0 pts

Good

At least one intervention mentioned, but may lack clarity, evidence, or feasibility.

14 to >0 pts

Needs Improvement

Strategies are vague, impractical, or missing.

20 pts

This criterion is linked to a Learning Outcome

Scholarly References

10 to >9.0 pts

Excellent

Uses 2 or more scholarly/professional sources that support the analysis and are clearly cited.

9 to >6.0 pts

Good

Includes 1 scholarly source; may be underutilized or loosely related.

6 to >0 pts

Needs Improvement

No scholarly or professional source included.

10 pts

This criterion is linked to a Learning Outcome

Writing Quality & APA Style

10 to >9.0 pts

Excellent

Writing is clear, well-organized, and free from errors; APA 7 formatting is correct.

9 to >6.0 pts

Good

Minor errors in grammar, structure, or APA formatting.

6 to >0 pts

Needs Improvement

Frequent grammar or APA errors interfere with clarity.

10 pts

Total Points: 125