Category: Nursing

Responses to Other Students: Respond to at least 1 of your fellow classmates with at least a 400-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following points:

• What new information did you learn from your classmate’s posting?
• Do you need additional information or clarification?
• What differences and/or similarities are there between your posting and other classmates’ postings?
• What questions do you have about other classmates postings?

All sources should be cited using APA format. Grammar, spelling, punctuation, and format should be correct and professional.

Responses to Other Students: Respond to at least 1 of your fellow classmates with at least a 300-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:

• What did you learn from your classmate’s posting?
• What additional questions do you have after reading the posting?
• What clarification do you need regarding the posting?
• What differences or similarities do you see between your posting and other classmates’ postings?

For assistance with your assignment, please use your textbook and all course resources.

Support your response with at least 2 APA-cited scholarly references. One of the references must be UpToDate.

Clinicians need a solid understanding of developmental physiology, as numerous physiological processes change during different life stages. Infants, children, adults, and older adults all have varying organ system functions. The immune response to injury or illness differs, the rate of medication metabolism is different, and injury healing can occur at faster or slower rates. Once clinicians know what normal physiology for each age is, they will know which findings are pathologic for that patients age. Human growth and development are defined as physical, cognitive, and psychosocial changes that occur throughout life (Balasundaram & Avulakunta, 2023). Some diseases can be presented differently in children versus adults. Febrile seizures are very common in children when their temperature elevates too quickly (Balasundaram & Avulakunta, 2023). Pediatric nurses should recognize this so they can intervene with treatment and family education.

Clinicians should also understand pathogenesis or disease process. Pathogenesis describes the cascade of events at the cellular and system level that lead to the development of clinical disease (UpToDate, 2024). For instance, type 2 diabetes mellitus is caused by insulin resistance. Early in the disease process, patients will often make high amounts of insulin to metabolize glucose and avoid hyperglycemia. As insulin resistance continues, the pancreas beta cells struggle to produce enough insulin to counteract it. Patients become chronically hyperglycemic and damage occurs to the vessels that supply oxygen and nutrients to major organs (UpToDate, 2024). Understanding how this disease develops can help providers treat patients with symptomatic therapies as well as modify lifestyle choices to slow beta-cell death.

Clinicians should know how to identify clinical manifestations because these are signs and symptoms related to disease. Some illnesses can show up in ways that look alike, making it tricky to tell them apart without running tests. For instance, abdominal pain might indicate issues like bowel obstruction, gastroesophageal reflux disease, or pancreatitis. Understanding pathophysiology can aid clinicians in ruling out causes of abdominal pain with the help of associated symptoms, patient risk factors, and diagnostics. Identifying clinical manifestations also allows providers to identify disease processes in the early stages before significant progression occurs maximizing patient safety.

Clinicians should also be educated and know why people become sick because many factors can play a role in disease development. Some diseases occur because of gene mutations, others from infection, and still others from physical or emotional stress. Understanding how different diseases occur can help clinicians identify risk factors they can address with patients. An example would be, if providers know that smoking causes many lung diseases and heart diseases they can ask patients to quit smoking.

Clinicians should have a firm grasp on developmental physiology, pathogenesis, clinical manifestations, and etiology. By understanding these concepts they are able to provide safe, effective, patient-centered care. Developmental physiology allows clinicians to identify what is normal and what is not in patients of all ages. Clinical manifestations and etiology help clinicians identify diseases early on and understand how diseases cause illness. Disease processes can also help determine a diagnosis allow clinicians to treat patients accordingly and provide patient education on reducing complications and further injury. Pathophysiology allows clinicians to understand both physical and psychiatric disorders to provide holistic care to their patients and help destigmatize mental illness. Pathophysiology knowledge can help clinicians think critically about their patients in order to best assess, treat, and advocate for them at any stage of life.

References

Balasundaram P, P., & Avulakunta ID, I. D. (2023). Human growth and development. In StatPearls. StatPearls Publishing. NCBI Bookshelf

UpToDate. (2024). Approach to the patient with disease: Pathophysiology and clinical reasoning. UpToDate

Primary Task Response: Within the Discussion Board area, write 500-600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Pathophysiology is the study of diseases and disorders. Pathophysiology studies the disorders that an organism has because of the alterations in the normal working of each one of the organs and systems in the organism.

• Describe the importance of a strong knowledge base of developmental physiology, pathogenesis, clinical manifestations, and etiology of an altered physical, psychological, or psychiatric disease state.

Support your response with at least 2 APA-cited scholarly references. One of the references must be UpToDate

Using this SOAP notes , complete one SOAP note from a patient in the current NSG6435 practicum experience. Additionally, learners must choose and complete the two (2) appropriate growth charts.

The Growth Charts are as follows and can be found :

• Growth Chart Boy Birth_24 Head Circ and Growth Chart Boy Birth_24 LW
• Growth Chart Girl Birth_24 Head Circ and Growth Chart Girl Birth_24 LW
• Growth Chart Boy 2y_20y Stature Weight and Growth Chart Boy 2y_20y BMI
• Growth Chart Girl 2y_20y Stature Weight and Growth Chart Girl 2y_20y BMI

hit play again

Purpose

The i-Human assignments provide students with opportunities to experience clinical scenarios that are relevant to lesson content through Virtual Patient Encounters. i-Human is a highly interactive and dynamic way to enhance student learning.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

• CO 1: Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (POs 1, 2)
• CO 2: Differentiate normal and abnormal health history and physical examination findings. (POs 1, 2)
• CO 3: Document health history and physical examination findings in a logical and organized sequence. (POs 1, 2)
• CO 5: Conduct focused and comprehensive health histories and examinations for various patient populations. (POs 1, 2)

Due Date

Studentsmustcomplete the assignedi-HumanVirtual Patient Encounter and submit required documentation by Sundayat11:59p.m.MT.

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late. After that point,a zero will be recorded for the assignment.

Total Points Possible

This assignment is worth 100 points.

Preparing the Assignment

Follow these guidelines when completingeach component of theassignment.Contact your course faculty if you have questions.

Remember This

You will get FIVE attempts for this week’s i-Human Virtual Encounter case. For future weeks’ i-Human Virtual Encounter cases you will only get ONE attempt.

Multiple practice attempts allow students the opportunity to review feedback from i-Human including documentation. Feedback is to be used to guide improvement on subsequent attempts for the practice case. It is never acceptable for students to submit feedback verbatim (or almost verbatim) and/or documentation in the EHR. Copying Using the work of others is a violation of CUs Academic Integrity Policy. Violations will be fully investigated by faculty and administration.

General Instructions

Throughout this course, you will have opportunities to engage with simulated patients using the i-Human virtual learning environment. For this assignment, you will complete the i-Human practice case and score your performance using the i-Human grading rubric. Completing the practice case and applying the grading rubric will help you learn to navigate the virtual simulation software, engage effectively and proficiently with a virtual patient, and understand grading expectations for i-Human assignments.

Open and review the grading rubric for the i-Human Virtual Patient Encounter. You may choose to download or print the rubric to use as a reference during your virtual encounter.

Accessi-Humanby clicking the link on the following page.Clicking the blue bar willlaunch the activity in a new browser window. You do not need to complete the case in one sitting; if you leave the case and return later, the program will begin where you left off.

All graded documentation, including the Management Plan, must be completed within the i-Human platform. Follow the and the grading rubric as you prepare your clients EHR and management plan.

Include the following sections (detailed criteria listed below and in the grading rubric):

Complete the following components in the i-Human Virtual Patient Encounter for the practice case for Marvin F. Webster.

1. Focused Health History
   1. Complete a focused health history. Scores are automatically calculated within the i-Human platform when the health history is submitted.
2. Focused Physical Exam
   1. Complete a focused physical exam. Scores are automatically calculated within the i-Human platform when the health history is submitted.
3. EHR Documentation (Subjective Data): Document the history of present illness (HPI) and focused review of systems (ROS). Documentation must be:
   1. accurate
   2. detailed
   3. written using professional terminology
   4. pertinent to the chief complaint
   5. includes subjective findings only
4. EHR Documentation (Objective Data): Document physical exam findings. Documentation must be:
   1. accurate
   2. detailed
   3. written using professional terminology
   4. pertinent to the chief complaint
   5. include objective findings only
5. Key Findings: Organize key findings from the history and physical exam.
6. Problem Statement: Document a brief, accurate problem statement using professional language. Include the following components:
   1. name or initials, age
   2. chief complaint
   3. positive and negative subjective findings
   4. positive and negative objective findings
7. Management Plan: Use the expert diagnosis provided to create a pertinent comprehensive evidence-based management plan. If a specific component of the management plan is not warranted (i.e., no referrals are appropriate for the virtual patient) document that no intervention is warranted. Include the following components:
   1. diagnostic tests
   2. medications: Type a specific prescription for each medication, including over-the-counter medications
   3. suggested consults/referrals
   4. client education
   5. follow-up, including time interval and specific symptomatology to prompt a sooner return
   6. Provide rationales for each intervention and cite at least one relevant scholarly source as defined by program expectations
   7. Click”Submit”once the case iscomplete. Use this guide to .
8. Reflection: . Type your reflection responses on the worksheet and upload the worksheet including the title page to the designated drop box for the assignment in Canvas.
   1. Assess your ability to gather information on your client within the i-Human Virtual Patient Encounter.
      1. Use the i-Human score sheet to review your results for the focused health history and focused physical exam. How did you perform?
      2. What did you find easy or difficult about navigating through focused health history and focused physical exam sections of the case?
      3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
   2. Assess your performance in documenting your findings on the electronic health record (EHR).
      1. What did you find easy or difficult about navigating through the documentation of history and physical within the system?
      2. Did you document all required components in the case?
      3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
   3. Assess your performance in determining key findings and reviewing the most significant active problem.
      1. What did you find easy or difficult about navigating through the key findings and organization section of the case?
      2. How did your key findings compare with the experts findings?
      3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
   4. Assess your performance in creating and documenting a problem statement within the i-Human case.
      1. What did you find easy or difficult about creating the problem statement?
      2. How did your problem statement compare with the experts response provided?
      3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
   5. Assess your performance in creating and documenting a management plan within the i-Human case.
      1. What did you find easy or difficult about creating the management plan?
      2. How did your management plan compare with the experts response provided?
      3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.

Submission

Submit both the Performance Overview Report of your last submitted attempt and the reflection document to the Week 2 Dropbox.

Rubric

Week 2: i-Human Practice Case & Reflection

Week 2: i-Human Practice Case & Reflection

Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeFocused Health HistoryComplete a focused health history.	5 ptsSatisfactoryRequirement met: Complete a focused health history. Satisfactory (100%-75%)2.5 ptsNeeds ImprovementNeeds Improvement (74%-50%) 0 ptsUnsatisfactoryRequirement not met. Unsatisfactory (49%-0%)	5 pts
This criterion is linked to a Learning OutcomeFocused Physical ExamComplete a focused physical exam.	5 ptsSatisfactoryRequirement met: Complete a focused physical assessment. Satisfactory (100%-75%)2.5 ptsNeeds ImprovementNeeds Improvement (74%-50%) 0 ptsUnsatisfactoryRequirement not met. Unsatisfactory (49%-0%)	5 pts
This criterion is linked to a Learning OutcomeEHR Documentation – Subjective DataDocument the history of present illness (HPI) and focused review of systems (ROS) in the EHR. Documentation should be: 1. accurate 2. detailed 3. written using professional terminology 4. pertinent to the chief complaint 5. include subjective findings only	5 ptsSatisfactoryRequirement met: Document the history of present illness (HPI) and focused review of systems (ROS) in the EHR.2.5 ptsNeeds ImprovementNeeds Improvement 0 ptsUnsatisfactoryRequirement not met.	5 pts
This criterion is linked to a Learning OutcomeEHR Documentation – Objective DataDocument physical exam in the EHR. Documentation should be: 1. accurate 2. detailed 3. written using professional terminology 4. pertinent to the chief complaint 5. include objective findings only	5 ptsSatisfactoryRequirement met: Document physical exam findings in the EHR.2.5 ptsNeeds Improvement 0 ptsUnsatisfactoryRequirement not met.	5 pts
This criterion is linked to a Learning OutcomeKey FindingsOrganize the key findings with the most important findings first and the least important findings last on the list.	5 ptsSatisfactoryRequirement met: The key findings were organized.2.5 ptsNeeds ImprovementThe key findings were partially organized. 0 ptsUnsatisfactoryRequirement not met.	5 pts
This criterion is linked to a Learning OutcomeProblem StatementDocument sample problem statement in the EHR using professional language. Include the following components: 1. name or initials, age 2. chief complaint 3. positive and negative subjective findings 4. positive and negative objective findings	5 ptsSatisfactoryRequirement met: Document sample problem statement in the EHR.2.5 ptsNeeds Improvement 0 ptsUnsatisfactoryRequirement not met.	5 pts
This criterion is linked to a Learning OutcomeManagement PlanDocument sample treatment plan within the iHuman Virtual Patient Encounter. Include the following components: 1. diagnostic tests 2. medications: write a specific prescription for each medication, including over-the-counter medications 3. suggested consults/referrals 4. client education 5. follow-up, including time interval and specific symptomatology to prompt a sooner return 6. Provide rationales for each intervention and cite at least one relevant scholarly source as defined by program expectations	5 ptsSatisfactoryRequirement met: Sample management plan is included within the iHuman case.2.5 ptsNeeds Improvement 0 ptsUnsatisfactoryRequirement not met.	5 pts
This criterion is linked to a Learning OutcomeReflection: History and Physical Exam 4 Required CriteriaAssess your ability to gather information on your client within the iHuman Virtual Patient Encounter. 1. Use the iHuman score sheet to review your results for the focused health history and focused physical exam. How did you perform? 2. What did you find easy or difficult about navigating through focused health history and focused physical exam sections of the case? 3. Describe one strategy to improve your performance in the next Virtual Patient Encounter. 4. Responses were substantive (adds importance, depth, and meaningfulness to the reflection post).	15 ptsExcellentAll requirements met.14 ptsVery Good3 requirements met. 12 ptsSatisfactory2 requirements met.7.5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.	15 pts
This criterion is linked to a Learning OutcomeReflection: Electronic Health Record (EHR) 4 Required CriteriaAssess your performance in documenting your findings on the electronic health record (EHR). 1. What did you find easy or difficult about navigating through the documentation of history and physical within the system? 2. Did you document all required components in the case? 3. Describe one strategy to improve your performance in the next Virtual Patient Encounter. 4. Responses were substantive (adds importance, depth, and meaningfulness to the reflection post).	15 ptsExcellentAll requirements met.14 ptsVery Good3 requirements met. 12 ptsSatisfactory2 requirements met.7.5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.	15 pts
This criterion is linked to a Learning OutcomeReflection: Key Findings 3 Required CriteriaAssess your performance in determining key findings. 1. What did you find easy or difficult about navigating through the key findings and organization section of the case? 2. How did your key findings compare with the experts response provided? 3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.	10 ptsExcellentAll requirements met.8 ptsSatisfactory2 requirements met. 5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.	10 pts
This criterion is linked to a Learning OutcomeReflection: Problem Statement 4 Required CriteriaAssess your performance in creating and documenting a problem statement within the iHuman case. 1. What did you find easy or difficult about creating the problem statement? 2. How did your problem statement compare with the experts response provided? 3. Describe one strategy to improve your performance in the next Virtual Patient Encounter. 4. Responses were substantive (adds importance, depth, and meaningfulness to the reflection post).	10 ptsExcellentAll requirements met.9 ptsVery Good3 requirements met. 8 ptsSatisfactory2 requirements met.5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.	10 pts
This criterion is linked to a Learning OutcomeReflection: Management Plan 4 Required CriteriaAssess your performance in creating and documenting a management plan within the iHuman case. 1. What did you find easy or difficult about creating the management plan? 2. How did your management plan compare with the experts response provided? 3. Describe one strategy to improve your performance in the next Virtual Patient Encounter. 4. Responses were substantive (adds importance, depth, and meaningfulness to the reflection post).	15 ptsExcellentAll requirements met.14 ptsVery Good3 requirements met. 12 ptsSatisfactory2 requirements met.7.5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.	15 pts
This criterion is linked to a Learning OutcomeLate Penalty Deduction	0 ptsa. Full creditOn time0 ptsb. -10 points1 day late 0 ptsc. -20 points2 days late0 ptsd. -30 points3 days late0 ptse. More than three (3) days lateNo credit.	0 pts

Total Points: 100

nstructions

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.

Please complete the attached worksheet and do not change formatting.

For step #1- assemble your team, in column 1, include or exclude staff members from your team & include rationales. 2-3 bullet points per cell should be sufficient. for column 2, if you included them on your team, describe their role

for step #2- based on your understanding of the presented case, write the problem statement. The problem statement does not include a solution

for step #3- follow the link to watch the video

for step #4- use the 5 why’s to analzye why the problem happened and record answers in the table

for step #5- watche the link provided

for step #6- complete the diagram on the worksheet and arrive at the previously established problem statment

for step #7- develop an implementation plan and this involves planning for every part of the plan, do, study, act. in the worksheet, replace the directions in the table for the responses

Develop a presentation, augmented by 12-15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

As a nurse leader, you will be expected to communicate effectively with leaders and stakeholders at all levels in an organization in a variety of ways, depending on your purpose and your audience. Being able to deliver effective presentations is one important skill you will likely be called upon to use often.

Preperation

This assessment provides an opportunity to hone your presentation skills and enlist the support of stakeholder groups who will be key to achieving desired changes in the organization and developing or enhancing a culture of quality and safety.

This assessment is based on the work you have completed in the previous three assessments.

The report you completed in the previous assessment has convinced the executive leadership team of the benefits to the organization of taking the next step toward changes aimed at improving outcomes and cultivating a culture of quality and safety. You have been asked to follow up your report with a presentation to administrative leaders and stakeholders that outlines your plan to develop or enhance the organization’s culture of quality and safety. A number of key stakeholders will be unable to attend your presentation for a variety of reasons, so you have decided to provide those individuals with a video recording of the presentation.

You have the option of using Kaltura Media or another technology of your choice to record your presentation.

If you decide to use Kaltura, you are encouraged to:

• Install and test your recording hardware (if you have not already done so), using the installation instructions provided by the manufacturer.
• Practice using your recording hardware to ensure adequate audio and video quality.
• Refer to the tutorial for directions on recording and uploading your video in the courseroom.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.

Note: As you revise your writing, check out the resources listed on the Writing Center’s page.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

• How might you engage stakeholders to help develop, implement, and sustain a vision to actually change and improve patient outcomes?
• What arguments might be most effective in obtaining agreement and support?
• What recommendations would you make to implement a proposed plan for change?

Requirements

Note: The requirements outlined below correspond to the grading criteria in the Planning for ChangeA Leader’s Vision Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Planning for ChangeA Leader’s Vision Scoring Guide and to better understand how each criterion will be assessed.

Developing the Presentation

• Summarize the key aspects of a plan to develop or enhance a culture of safety.
• Identify existing organizational functions, processes, and behaviors affecting quality and safety.
• Identify current outcome measures related to quality and safety.
• Explain the steps needed to achieve improved outcomes.
• Create a future vision of your organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role in developing that potential.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.

Communication and Supporting Evidence

• Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety.
• Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Additional

• Your slide deck should consist of 1215 slides, including a title slide and a references slide.
  • List your sources on the references slide at the end of your presentation.
  • Use of a small font is permitted to fit all 8 references on a single slide.

NR 451 Capstone

Part I Wk 2

Directions

Complete the Evidence Summary template by following the steps below.

1. Download the Use of this template is required. A 10% deduction will be applied if the template is not used. See the rubric. Save the template and include your name in the file name.To ensure you get a great start with the Week 2 PICOT Question assignment, a is provided through the link below and will assist you in knowing how your submission should appear. Please carefully follow the assignment directions in the module and the template prompts and incorporate any Week 2 Check-In instructor recommendations.
   • Do not use any content from this exemplar in your own assignment submission. Your Week 2 PICOT Question assignment is related to your change project and other assessments throughout the course.
2. Identify a nursing clinical practice problem in your current or previous nursing practice. Complete the Evidence Summary template addressing your selected nursing clinical practice problem.
3. Correctly cite and reference information from scholarly sources that help support the discussion.Sources should be no more than five years old unless they are historical references.
4. Follow grammar, spelling, word usage, and punctuation rules consistent with formal, scientific writing.
5. Abide by Chamberlain University’s academic integrity policy.

Include the following sections (detailed criteria listed below and in the grading rubric). Answer the questions under each section with explanation and detail.

Section 1: Discovery

1. Describe your selected nursing clinical practice problem. Explain your rationale for choosing this topic and summarize why this nursing clinical practice problem is the most important in your current or past practice area.
2. Define each PICOT element using complete sentences to describe each area.
3. Write out your PICOT question using the recommendations provided by your instructor during the Week 2 Check-In.
4. Describe why you selected the population, intervention, outcome, and time frame.

Section 2: Evidence Summary Systematic Review

1. Using only the Chamberlain University Library, locate one systematic review relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past five (5) years. Use the approved systematic review and feedback from the Week 2 Check-In.
2. Provide the complete APA reference to the systematic evidence, including the permalink. State which database you found the evidence in.
3. Explain how this evidence relates to your selected nursing clinical practice topic and population.
4. Explain how this evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

Section 3: Evidence Summary Peer-Reviewed Research Study

Using only the Chamberlain University Library, locate one peer-reviewed research study article (qualitative, quantitative, or mixed-method) relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past five (5) years.

1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.
2. Explain how this evidence relates to your selected nursing practice topic and population.
3. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

Section 4: Evidence-Based Intervention

1. Describe the selected evidence-based nursing intervention in detail. How could this intervention be implemented in your practice area?
2. Explain how the intervention supports the outcome and addresses your identified nursing clinical practice topic.
3. What interprofessional team members would it be important to collaborate with about the change project? Explain.

Part II Wk 4

Directions

Complete the Evidence Summary template by following the steps below.

1. Download the . Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.
2. Complete the Translation into Practice template building on your selected nursing clinical practice problem and Week 2 Evidence Summary assignment.
3. Correctly cite and reference information from at least two scholarly sources that help support the assignment.Sources should be no more than five years old unless they are historical references.
4. Follow rules of grammar, spelling, word usage, and punctuation consistent with formal, scientific writing.
5. Abide by Chamberlain Universitys academic integrity policy.

Include the following sections (detailed criteria listed below and in the grading rubric). Answer the questions under each section with explanation and detail.

Section 1: Evidence-Based Intervention

1. Describe the specific evidence-based intervention to be implemented in the change project.
2. Describe factors that influence the need for this change, such as national quality standards, reimbursement, accreditation, or practice guidelines. Cite the scholarly source(s) that help support this discussion.
3. Describe the potential barriers or challenges to implementing the intervention and how they will be addressed.
4. Summarize how the intervention will be monitored and evaluated for effectiveness.

Section 2: Planning

1. Discuss what three colleague roles are most important to your change project and explain how they will be involved.
2. Explain how you will prepare them for the change project.
3. Explain the anticipated timeline and actions (meetings, education, etc.) for implementing the change project.
4. Discuss how you will track the progress of the change project using the timeline.

Section 3: Culture of Change

1. Summarize and describe the setting where the change project will occur. Do not list specific organization names.
2. Does your organization have defined protocols/practices for implementing a change project? If so, briefly describe. If not, what would you recommend?
3. Describe how you will advocate for the client population involved in the change.
4. Describe the communication and engagement strategies you will employ to involve the stakeholders and develop support for the change project.

Section 4: Considerations. Discuss the current policies or procedures that should be considered within your organization before implementing the change project. This informational source was originally provided to assist educators in their cost-analysis thinking, but it applies to all professions.

1. For your change project, please explain the type of cost analysis needed before implementing your change project and who should be involved.
   Consider which cost analysis method (See the table in the link below) best fits your change project, and recommend the method.
   You are not required to perform an actual cost analysis for your project
2. Describe the possible financial, human, and material resources required to implement the change project.

NR439 Wk 2

Part I

Follow these guidelines when completing each component of the assignment.

Directions

Complete the PICOT Assignment worksheet template, by following the steps below.

1. Download the . Use of this worksheet template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.
2. Select a nursing practice problem from the approved list. The list is available in an announcement posted in preview week and in Week 1. The announcement is titled:
3. Use information from the Week 2 lesson, feedback from the Week 2 Check-In, and external sources of evidence to complete the worksheet on your chosen topic.
4. Use complete APA references and in-text citations. References should come from the Chamberlain University Library and be peer-reviewed articles. Please do not use our textbook as a reference in this assignment. Sources should be no more than five years old.
5. Follow rules of grammar, spelling, word usage, and punctuation consistent with formal, scientific writing. Please use complete sentences throughout this assignment.
6. Abide by Chamberlain Universitys academic integrity policy.

Include the following sections (detailed criteria listed below and in the grading rubric). Answer the questions under each section with explanation and detail.

Section 1: Credible Nursing Practice Problem

1. Identify your selected nursing practice problem from the course announcement.
2. Summarize why you believe this nursing practice problem is an issue in your current or past area of practice.
3. Summarize current evidence supporting your selected nursing practice problem as a significant issue in nursing.
4. Cite one scholarly peer-reviewed source from the Chamberlain Library as proof that this is a significant practice problem.

Section 2: PICOT Question

1. Identify each specific PICOT element from your selected practice topic question:
   1. P- (Population):
   2. I- (Intervention):
   3. C- (Comparison):
   4. O- (Outcome):
   5. T- (Time frame in months):
2. Write out your PICOT question using the standard format: Use standard formatting: In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?
3. Provide a rationale for selecting the population, intervention, outcome, and time frame.

Section 3: Evidence Search Terms and Strategies

1. Identify four relevant searchable words or phrases to be used in the search for your evidence.
2. Identify one search strategy using Boolean Operators and a quotation.
3. Identify one search strategy using truncation.

Section 4: Evidence Retrieval

Using only the Chamberlain University Library, locate one peer-reviewed journal article that is relevant to your chosen nursing practice problem and intervention published within the past 5 years. Use in-text citations where appropriate.

1. Provide the complete APA reference to the evidence, including the permalink. State which database you found your evidence in.
2. Explain why the evidence is relevant to your selected nursing practice problem and intervention.
3. Discuss how this evidence supports or does not support your population, intervention, outcome, and time frame in your PICOT question.
4. Explain what changes might be needed for your PICOT question based on the evidence.

Part II w5

Follow these guidelines when completing each component of the assignment.

Directions

Complete the Critiquing Evidence Assignment worksheet template, by following the steps below.

1. Use of this worksheet template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.
2. Locate the assigned article. The article is available in an announcement posted in preview week and in Week 4. The announcement is titled:
   1. IMPORTANT: Assigned Article for Week 5 Assignment
3. Read the required research article then answer each question in your own words on the Critiquing Evidence worksheet template about the study.
4. Do not copy and paste information from the article into the worksheet.
5. Correctly cite and reference the assigned article when incorporating it to answer questions on the Critiquing Evidence worksheet template. Use complete sentences and do not use quotes or textbooks as references.
6. An additional external scholarly source is required in Section 4 (see below). Scholarly sources used to support answers should be no more than five years old and come from the Chamberlain Library.
7. Follow rules of grammar, spelling, word usage, and punctuation consistent with formal, scientific writing.
8. Abide by Chamberlain Universitys academic integrity policy.

Include the following sections (detailed criteria listed below and in the grading rubric). Answer the questions under each section with explanation and detail.

Section 1: Purpose and Design of the Study

• What is the purpose of the study? Is it clearly stated?
• What is the research design? Is this a quantitative or qualitative study?
• How does the design support the purpose of the study?

Section 2: Sample

• What is the sample size and the population for the study?
• What are the participants key characteristics?
• What sampling technique was used?

Section 3: Data Collection

• What data were collected during the study?
• What data collection technique(s) were used?
• Was this form of data collection reliable and valid?

Section 4: Data Analysis

• What type of data analysis was conducted?
• What have you learned about this form of data analysis?
• Use an external source of evidence to support this discussion and cite appropriately.

Section 5: Limitations and Findings

• What were the limitations of the study, as stated by the authors?
• What were the overall findings?
• What is one interesting detail you learned from reading this study?

Section 6: Application to Practice

• How can you apply these findings to your practice?
• Why is it important for you to read and understand research literature?
• What have you learned from completing the Critiquing Evidence Worksheet?