Instructions

Utilizing the interview techniques, critical thinking skills, nutrition and growth and development we have discussed in lecture, you are to obtain a complete and thorough health history of an adult (age 30-60 years) friend, relative, neighbor, or co-worker who is culturally different from yourself. Document this information appropriately in a narrative format and create a culturally sensitive NARRATIVE plan of care that includes two (2) physical and one (1) psychosociocultural nursing diagnoses, short and long term goals, interventions, rationales for your interventions and expected outcomes.

• First, COMPLETELY fill out the health history form (you can type or handwrite anywhere on the form or scan a hand-written form). Submit the form with your written paper (requirement for the assignment).
• Ensure the person interviewed is between the age of 30-60 years and is culturally different from yourself
• DO NOT USE NAMES OR ANY OTHER IDENTIFYING INFORMATION (REMEMBER HIPAA)
• Document in a narrative-formatted (NOT BULLET POINTS OR LISTS) culturally sensitive plan of care
• The plan of care MUST include two physical nursing diagnoses and one psychosocial cultural nursing diagnosis. The nursing diagnoses MUST be NANDA approved.
• For a list of NANDA nursing diagnoses visit this link:

• For each nursing diagnosis, include at least two short term and two long term goals; appropriate interventions and the rationales for your interventions as well as expected outcomes
• Incorporate at least three culturally based references other than course text

You will find the grading rubric for this assignment when you click on the “Obtaining a Health History” link above or opening the “Assignment Rubric” folder! Please be sure to watch the instructional video also.

IMPORTANT TIP: PLEASE WRITE THIS IN A NARRATIVE FORMAT, NOT as a care plan with bullet points and sentence fragments. Think of it as obtaining the information from the health history, and then INTERPRETING it for the written narrative as you consider outcomes. (This assignment will be submitted to TurnitinTM.)

article to use: mutatiri et al bnc nephrology 2024 25:149 https://doi.org/10.1186/12882-024-03585-z Next article: ISSN: 1607-8322, e-issn:2220-5799 vol 29 (6) september 2025 next article: J. clin. med 2024, 13,1206. https://doi.org/10.3390/jcm13051206

This is the place where your new skills become assimilated into a singular package. Using your enhanced computer skills, newly acquired library skills, revitalized writing skills, and beginning APA Style skills, you will write the body of your nursing specialty paper and add direct quotes from three of the scholarly sources obtained in Workshop Two and critiqued in Workshop Three. The quality of your work will be enhanced by employing your newly honed proofreading skills.

Upon successful completion of this assignment, you will be able to:

• Compose a graduate-level paper in a clear and concise manner.
• Incorporate direct quotes to an APA Style paper.
• Demonstrate effective proofreading skills.

Background Information

Your nursing expertise paper will be created exclusively in Academic Writer. There are several positive reasons to use Academic Writer:

• Because the program is web-based, you do not need to worry about losing a paper if your computer crashes.
• Academic Writer archives your references in one list from all previous assignments. As you develop a personal library over time, you will not need to recreate reference lists from scratch. You can simply add your perfected references to new documents you create.
• You can store excellent quotes from sources with their reference lists to use in future assignments.
• You can add notes on your sources into the reference manager so you can differentiate between articles without having to reread them every time.

The only drawback to using Academic Writer is that you need to be connected to the Internet to use it. This will be true of most web-based programs you may use.

Instructions

1. Review the associated grading checklist to make sure you understand the criteria for earning your grade.
2. Read the bias-free language content related to APA Style in the APA Publication Manual OR Academic Writer:
3. APA Publication Manual: Reducing Bias by Topics
4. Sections 5.3 5.5
5. Sections 5.7 5.10
6. Academic Writer:
14. Refer to the previous resources from each workshop to create a new document using Academic Writer:
20. Review this and follow the formatting presented here. The content in the right margin provides hints and tips for an excellent scholarly paper.
21. After creating the title page, navigate to the body of the paper to write a single introductory paragraph. The introduction should
22. capture the reader’s attention.
23. inform the reader on the topic of your expertise and briefly explain how you ended up in this area of nursing.
24. use a separate sentence to introduce each of the three topics to be discussed in your paper in the same order as they will be discussed.
25. Use direct sentences such as “___ nursing is unique because …”
26. Do not use phrases such as “I will discuss” or “The paper includes.”
27. conclude with a summary sentence that transitions the reader from the introduction to the first topic of the paper.
28. be in Arial size 12 font.
29. be no more than eight (8) sentences in length.
30. The body of the paper is about your nursing specialty, what happens in this specialty, and what nurses who work here need to know. The body should fully discuss the following topics:
31. How is this nursing specialty unique compared to other nursing specialties? For instance, medical-surgical nursing requires knowledge in multiple disease entities versus urology is very specific. What do nurses need to know in your specialty? What are the common practices that occur in this setting? Use of first person is permitted if necessary in this section of the paper.
32. What is the most significant cutting-edge research applications or best practice in this specialty? What are the best or newest things that happen in this specialty? Use of first person should be avoided in this section of the paper.
33. What is a common ethical consideration encountered in this specialty? Review these related to health care ethics to help you correlate ethical considerations to your work setting. Use of first person should be avoided in this section of the paper.
34. Incorporate Level 1 headers in the body of your paper:
35. Word the headers of your paper to incorporate your nursing specialty and the topic of each section of the paper.
36. Do not copy and paste the headers below word-by-word. Customize them to your specialty.
37. The required topics for this paper include
38. Uniqueness of your nursing specialty (Example: The Unique Role of the Urology Nurse)
39. Best practices and/or cutting-edge research (Example: Neobladder Reconstruction for Bladder Cancer Patients)
40. Ethical considerations (Example: Ethical Dilemmas When Considering Participants for Clinical Trials)
41. Conclusion (Use the word “Conclusion” for the last section.)
42. Gather the articles from the literature search assignment to use as evidence to support your viewpoint by incorporating quotations into the body of the paper:
43. Do not use more than the approved three sources to create your paper.
44. Do not use new articles that were not previously approved during the literature search in Workshop Two.
45. A nursing specialty differs from the evaluation of literature paper:
46. This expertise paper is about what makes your nursing specialty unique in the world of healthcare.
47. Do not talk about the articles in the expertise paper.
48. Do not include article names and publishing information (journal title and volume numbers, etc.) in your expertise paper.
49. Read your three articles. Each article must be cited once in your paper. Two articles will be used for quoted content. The third article will be used for paraphrased content. Do not include more than the following two quotes in your paper:
50. One parenthetical short quote in the body of the paper using the following formatting: Quoted content (Author, year, p. #).
51. One narrative block quote in the body of the paper using the following formatting: According to Author (year), Quote (p. #).
52. There should not be quotations in the introduction, conclusion, or at the beginning or end of any paragraphs in the body of the paper.
53. The third article must be cited in the paper for a paraphrase:
54. You may select the formatting style of the paraphrase using (Author, year) at the end or using the author in the sentence followed by the (year).
55. Page numbers are not required for paraphrases unless the content contains numbers or statistics.
56. Content not considered common knowledge must be cited.
57. All three sections of the paper must be supported by at least one source. You may select where your short quote, block quote, and paraphrase are located, but each section must cite at least one source.
58. Cited content after meeting the required short quote, long quote, and first paraphrase must be paraphrased.
59. There should be no more than three paraphrases total in your paper.
60. Each paragraph of your paper should contain original thoughts that belong to you.
61. The total length of the paper should be a minimum of three pages and no more than four pages in length. The title page and the reference page are not part of the page count.
62. If necessary, revisit the video at the 3-minute mark to incorporate your quoted content in your paper so Academic Writer does the formatting for you. Trying to manually format quoted content in Academic Writer means you are fighting with the software which will result in formatting errors.
63. Finish the rough draft of your paper by writing the conclusion:
64. Add a Level 1 header before your final paragraph using the word “Conclusion.”
65. Sum up the main ideas covered in the paper.
66. Relate why these topics are important.
67. Include how these elements contribute to your expertise.
68. Do not introduce new topics in your conclusion.
69. Utilize Grammarly or tutor.com as necessary to support your writing development.
70. Proofread your paper with the techniques outlined previously in class.
71. Export your completed paper template from Academic Writer into Microsoft Word:
72. Save the paper to your computer as Last name, First name 5.4 Rough Draft.
73. Insert a hard page break after the end of the paper.

Good evening, Dr Culver and classmates,

I chose the second option for the case study to use in this weeks discussion.

A non-experimental, correlational study was conducted about medical adherence amongst cardiovascular patients over a 6-month period of time. The aim of the research was to correlate cultural characteristics with medication fill rates. The data does not have a normal distribution; there are no significant outliers and there is a linear association between the variables.

• Support the use of an appropriate correlational statistical method to measure this data:

I would use Spearmans Rank Correlation. Since Spearmans uses rank outliers are less likely, making Spearmans a good choice (Janse, et al., 2021). Spearmans RHO looks for correlational relationships in the data to see if it is a negative relationship or a positive relationship. In this case, a positive relationship would be that medical adherence goes up as influences increase. A negative relationship would show the opposite, as cultural influences increase, medication adherences decreases. My thought process would be to use a likert scale to rate. Questions, using questions that can be answered strongly agree, agree, neither agree nor disagree, disagree and strongly disagree, with numbers for rankings. The results would be compared to the number of times that persons medications were refilled.

• Analyze the results, sharing your interpretation of correlation outcomes and the use of correlational findings to support a DNP project.

Once the test is run, Id get a coefficient between -1.0 and +1.0 (Denis, 2021). A positive correlation would mean a positive connection between culture and medical adherence. Of course, that would be a negative correlation would be as culture ties go up, adherence goes down. In reviewing the data, any areas of a negative correlation could be used to help identify adherence barriers.

• Do these findings impact your decision about whether to use this evidence to inform practice change?

The results of the findings would impact my decision about using this to inform practice change. If there was a negative correlation between culture and medical adherence, this finding would determine what practice to work on changing. Would there need to be an educational component add to increase adherence? A study completed by Khoja, L et. al., (2025), on cultural barriers with cervical cancer in Arab woman, discovered there were both strong cultural barriers and educational barriers that needed to be overcome.

This study on culture and medical adherence would be a good one to delve into to get an better understanding of why some cultures are more likely to follow their medication regimes then others. This would be the first step in removing the barriers of medication adherence.

Reference

Works Cited

(n.d.).

Denis, D. (2021). Applied Univariate, Bivariate, and Multivariate Statistics Using Python – A Beginner’s Guide to Advanced Data Analysis. (1, Ed.) Hoboken, NJ: John Wiley & Sons. Retrieved from https://ebookcentral-proquest-com.chamberlainuniversity.idm.oclc.org/lib/chamberlain-ebooks/reader.action?docID=6579924&ppg=108&c=RVBVQg

Janse, R., Hoekstra, T., Jager, K., Zoccali, C., Tripepi, G., f, . . . van Diepen, M. (2021, November). Conducting correlation analysis: important limitations and pitfalls. Clinical Kidney Journal , 14(11), 2332-2337. doi:https://doi.org/10.1093/ckj/sfab085

Khoja, L., Zoulfikar, M., Hak, L., Yousif, S., Aljebori, M., Stiffler, M., Tariq, M., Burgard, S., Fleischer, N. L., Wallner, L. P., & Pearce, C. L. (2025). Overcoming Cultural Barriers and Building Healthcare Trust: A Mixed Methods Study on Cervical Cancer Prevention Among Arab American Women Across Major U.S. Cities. Cancers, 17(1), 5. https://doi-org.chamberlainuniversity.idm.oclc.org/10.3390/cancers17010005

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The assignment instruction has to be adhered to, The writer should be able to use imaginaryclient and family.Robinson, M., Coehlo, D.P., & Smith, P.S. (2022)7th ed), Marie, AWright,L. M & Leahey, M (1997), Verzolaaa, A(2025). calgary family model. I have added an exemplar to have an idea .Rubrics must be used.

Submit your answers as a short paper to the dropbox. Ensure there is a minimum of two scholarly sources to support your work. Always construct as an academic paper using APA 7th edition. Title page, level one heading on second page (title of your paper), body, conclusion. Reference page. (See APA 7th edition formatted paper in the APA folder). Nursing Case Study: End-of-Life Care and the Dying Process Patient Profile Name: Mr. James Carter Age: 72 Diagnosis: End-stage Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF) Code Status: Do Not Resuscitate (DNR) Living Situation: Lives with spouse of 45 years Spiritual Beliefs: Christian, values prayer and pastoral visits Clinical Scenario Mr. Carter was admitted to the medical-surgical unit with worsening shortness of breath, fatigue, and anxiety. Despite aggressive medical treatment over the past year, his condition has continued to decline. His pulmonologist and cardiologist have determined that he is no longer responding to curative treatments. After a family meeting with the healthcare team, Mr. Carter chose comfort-focused care and was placed on hospice services. His primary goal is to remain comfortable and spend meaningful time with his family. Over the next several days, Mr. Carter becomes increasingly weak and less responsive. His appetite decreases, and he sleeps most of the day. He occasionally expresses fear about leaving my wife alone and asks staff if he is dying. His wife remains at the bedside but appears exhausted and emotionally overwhelmed. She expresses guilt about agreeing to hospice care and worries she is giving up on her husband. As his nurse, you are assigned to care for Mr. Carter during his final days. Learning Objectives Recognize physical, emotional, and spiritual signs of active dying Demonstrate therapeutic communication with dying patients and families Apply ethical and legal principles in end-of-life care Provide holistic, compassionate nursing care Student Role You are the primary nursing student assigned to Mr. Carter under the supervision of a registered nurse. You assist with symptom management, emotional support, and family education. Self-Reflection Questions Emotional Awareness How did caring for Mr. Carter make you feel personally and professionally? What emotions did you experience, and how did they affect your interactions with him and his wife? Communication and Presence How would you respond when Mr. Carter asks, Am I dying? What words, tone, and nonverbal behaviors would you use to support him? Ethical and Professional Responsibility How do you reconcile providing comfort-focused care with the desire to save a patient? What ethical principles guide your actions in this situation? Personal Growth and Coping After participating in end-of-life care, what strategies would you use to process grief and prevent compassion fatigue? How will this experience shape your future nursing practice?

Three (3) page limit (3 pages text and 1 page for title page and 1 page for references).

Purpose: The purpose of this assignment is to guide the clinical experience and your professional development as a nurse practitioner student. The clinical experience is directed by the development, re-evaluation and reflection of your clinical objectives.

Overview: Formulate learning objectives related to your specific clinical setting. Incorporate the course objectives/competencies. Part I is designed to help prepare you for the clinical experience through the formation of learning objectives to be met during the clinical rotation. Objectives must be measurable and pertinent to your current clinical setting and to the overall goals of the course. See SMART objectives on Bb, as a resource. Use the list of words that will help you to be successful with this assignment. Must include seven (7) objectives designed to be met during the clinical semester. Clinical learning objectives should reference the corresponding course objective.

Clinical Objectives Goals part I

It should be written in first person. Your personal goals must be realistic to achieve during the given time of this semester and measurable if applicable. If you decide to provide measurable goal then make sure you use an appropriate tool to measure outcomes. In addition, rely on your 7th edition APA manual for citations and references.

Ex:

CLINICAL OBJECTIVE GOALS PT. 1

A clinical learning experience is crucial for advancing nursing education by influencing a nurse practitioner (NP) student’s competencies and professional identity. By establishing clear and measurable clinical goals, one can provide high-quality patient care while advancing professionally in the dynamic nursing field. This assignment will help me achieve my learning outcomes by assisting me in developing seven crucial nursing clinical objectives using the SMART (specific, measurable, achievable, relevant, and time-bound) model that aligns with the course’s aims. According to Bowman et al. (2015)…

Dr. Saucedo

Three (3) page limit (3 pages text and 1 page for title page and 1 page for references).

Purpose: The purpose of this assignment is to guide the clinical experience and your professional development as a nurse practitioner student. The clinical experience is directed by the development, re-evaluation and reflection of your clinical objectives.

Overview: Formulate learning objectives related to your specific clinical setting. Incorporate the course objectives/competencies. Part I is designed to help prepare you for the clinical experience through the formation of learning objectives to be met during the clinical rotation. Objectives must be measurable and pertinent to your current clinical setting and to the overall goals of the course. See SMART objectives on Bb, as a resource. Use the list of words that will help you to be successful with this assignment. Must include seven (7) objectives designed to be met during the clinical semester. Clinical learning objectives should reference the corresponding course objective.

Clinical Objectives Goals part I

It should be written in first person. Your personal goals must be realistic to achieve during the given time of this semester and measurable if applicable. If you decide to provide measurable goal then make sure you use an appropriate tool to measure outcomes. In addition, rely on your 7th edition APA manual for citations and references.

Ex:

CLINICAL OBJECTIVE GOALS PT. 1

A clinical learning experience is crucial for advancing nursing education by influencing a nurse practitioner (NP) student’s competencies and professional identity. By establishing clear and measurable clinical goals, one can provide high-quality patient care while advancing professionally in the dynamic nursing field. This assignment will help me achieve my learning outcomes by assisting me in developing seven crucial nursing clinical objectives using the SMART (specific, measurable, achievable, relevant, and time-bound) model that aligns with the course’s aims. According to Bowman et al. (2015)…

Dr. Saucedo