I need a 3-5 page paper on culturally competent nursing APRN role with intent citations. I have enclosed the rubric

1. Download the
5. . Use of the 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.
6. Select one registered nurse (RN) you know who is creating nursing history today to interview for this assignment.
7. The selected RN must be licensed and have at least 1 year of full-time nursing experience.
8. The RN may be a family member, friend, colleague, acquaintance, manager, former instructor, or other nurse who is creating, delivering, or influencing the practice of nursing in your area. Do not select a former or current client.
9. Remember that all nurses make history in their own ways, not just in publishing books or journal articles or leading large health systems.
10. The selected RN must give verbal consent to be interviewed.
11. Establish a date, time, and location to interview the RN. Interviews may be conducted face-to-face, over the phone, or via a virtual platform.
12. Conduct the RN interview on the pre-planned date and time.
13. You may NOT provide the questions to the RN and ask the RN to provide written or typed answers.
14. The interview questions are provided for you on the RN Interview Assignment template. These are the questions that must be included in the interview.
15. The interview should be conversational. You are welcome to ask additional questions for clarification.
16. At the interview’s close, verbalize a clear and specific statement of gratitude for the RNs time and responses.
17. Summarize the RNs response to each question on the RN Interview assignment template.
18. Ensure that your summary of the RNs responses is clear and thorough.
19. The summary should be a minimum of 2-3 sentences in length for each question, indicating adequate depth of response.
20. On the RN Interview assignment template, complete the personal reflection questions.
21. Answers to the personal reflection questions should be at least 3-5 sentences in length for each question, indicating a deeper reflection on the meaning of the interview.
22. As you complete the personal reflection questions, consider how the RNs experiences and insights can be applied to your nursing practice.
23. Select at least one scholarly source from the Chamberlain Library to support your reflection responses.
24. Correctly cite and reference ideas and information that come from scholarly literature, including the permalink from the Chamberlain Library. Sources should be no more than five years old.
25. Follow grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
26. Abide by Chamberlain Universitys academic integrity policy.
27. Submit to Canvas for grading as a Microsoft Word (.docx) file.

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

1. RN Introduction
2. State the selected RNs first and last name.
3. State the selected RNs credentials (e.g., BSN, RN, FNP, DNP, etc.).
4. State the specific number of years the selected nurse has been an RN (must be at least 1 year).
5. State the selected RNs practice area(s) during the nurses career.
6. Relationship and Rationale
7. Describe how long you have known the selected RN.
8. Describe how you met the selected RN.
9. Explain why the selected RN was chosen for this assignment.
10. Explain how you believe the selected RN is making nursing history.
11. Summary of RN Responses
12. Summarize the nurses response to each of the ten provided interview questions from the RN Interview assignment template.
13. Provide a clear and thorough summary of the RNs response to each interview question.
14. The summary should be a minimum of 2-3 sentences in length for each question, indicating adequate depth of response.
15. Reflection
16. Respond to each of the reflection questions from the RN interview assignment template.
17. Share insights gained from the interview, including application to your nursing practice.
18. Each reflection response should be at least 3-5 sentences in length, indicating a deeper reflection on the meaning of the interview.
19. Utilize at least one scholarly source from the Chamberlain Library supporting your reflection responses, including proper APA in-text citations and references.

Assignment Overview:

The Capstone Project Dissemination of Evidence Presentation is a synthesis of your practicum project in two parts for the purposes of evaluation. In the first assignment, you will create a visual representation of your completed project in the form of an academic poster. In the second assignment, you will record yourself presenting your completed poster. The assignments should be completed in sequence. This means you must complete the poster first so you can meet the requirements of the video recording. Each assignment is graded separately.

Poster Directions:

You are required to use the pre-formatted PowerPoint Poster template provided in Canvas.

• You are encouraged to add professional design elements (color, background) to your poster, but you may not change the posters layout or headings.
• The posters content must be presented in a concise format using bullet points and not paragraph format.
• To start, download and save your PowerPoint template (pptx.) to your computer using the following naming format:
• Last name_Course_Section_Date (i.e., Smith_NSG4865_0001_7-28-2022)
• Upload your final draft (.pptx file) to the assignment dropbox.

Poster Components:

1. Title Row: Insert Project Title and Student Name Using Title Case
2. Project title should align with the capstone topic.
3. Include your first and last name followed by your academic and professional credentials.
4. Practicum Setting and Problem Identification
5. Practicum Setting
6. Identify the practicum setting. Do not use the name of the healthcare organization or facility (maintain confidentiality and anonymity of the practicum site).
7. Identification of Nursing Problem.
8. Identify the nursing problem at the practicum site.
9. Provide internal data that shows how the problem interrupts daily workflow, processes, and/or care to patients.
10. Provide research that validates this is a problem for nursing practice.
11. Note: Research findings must come from a minimum of two peer-reviewed studies published within the last five years.
12. Note: Research findings must be paraphrased without direct quotes
13. Stakeholders, Preceptor, and Target Population
14. Identify stakeholders and how you collaborated with them towards project completion.
15. Identify the stakeholders, specific members of nursing leadership, and interprofessional providers that were involved in your project (Do not use individual names. Use descriptive titles only).
16. Identify the target population.
17. Identify target population according to type of leadership position and/or the specific area in which the target population works (i.e., 20 nurses on an ortho unit). Note: Do not use individual names of members in the target population (maintain confidentiality and anonymity of the target population).
18. Identify the preceptor’s role in project planning and collaboration with the student.
19. Short-term Goal Achievement
20. State short-term goal and provide literature that validates the selected strategy was EBP.
21. Literature findings must come from a minimum of three peer-reviewed articles published within the last five years.
22. Literature findings must be paraphrased without direct quotes.
23. Project Evaluation, Short-term and Long-term Outcome Achievement
24. Identify your short-term outcome and method of data collection.
25. Identify the outcome of the implementation phase.
26. Present statistical or numerical results of the data collected during the implementation phase.
27. Identify your long-term outcome.
28. Project Summary
29. List limitations, challenges, or barriers to this project
30. What are the recommendations for changes to the project for implementation in another healthcare setting or population group?
31. Reference List
32. Provide a full reference list in APA style for sources used on the poster.
33. Using matching in-text citations in APA style on the poster (where appropriate) for sources in the reference list.
34. You should have a minimum of five peer-reviewed journal sources.

Rubric

Capstone Poster and Video Presentation Part I Grading Rubric v.12.2023

Capstone Poster and Video Presentation Part I Grading Rubric v.12.2023

CriteriaRatingsPtsThis criterion is linked to a Learning Outcome

Title Row

5 pts

Exceptional

Project title is in title case and aligns with Capstone Project; Title row includes students first and last name followed by academic and professional credentials in title case.

4 pts

Effective

Project title aligns with the Capstone project and includes the student’s full name but is in sentence case or missing academic or professional credentials.

3 pts

Developing

Project title does not align with the Capstone project and/or is missing the student’s full name or academic and professional credentials.

0 pts

Not Met

Section is not completed; does not use the required template; or assignment is not submitted.

5 pts

This criterion is linked to a Learning Outcome

Practicum Setting and Problem Identification

PSLO 7

threshold: 11.0 pts

15 pts

Exceptional – Identifies the practicum setting in general terms and protects the anonymity of the organization or facility. Exceptional identification of a nursing problem with internal data that shows how the problem interrupts daily workflow, processes, and/or care to patients. Exceptional use of current evidence from research studies to validate the problem for nursing practice.

11 pts

Effective – Identifies the organization or facility by city or state. Effective identification of a nursing problem with internal data that shows how the problem interrupts daily workflow, processes, and/or care to patients. Effective use of evidence from research studies validates the problem for nursing practice.

5 pts

Developing – Identifies organization or facility by name. Developing identification of a nursing problem with internal data that shows how the problem interrupts daily workflow, processes, and/or care to patients. Developing use of evidence from research studies validates the problem for nursing practice.

0 pts

Not Met – Section is not completed, or assignment is not submitted.

15 pts

This criterion is linked to a Learning Outcome

Stakeholders, Preceptor, and Target Population

PSLO 5

threshold: 12.0 pts

15 pts

Exceptional – Exceptional identification of stakeholders, specific members of nursing leadership, and interdisciplinary providers involved in project. Exceptional identification of the target population according to the type of leadership position and/or the specific area in which the target population works. Maintains confidentiality and anonymity of all populations. Exceptional explanation of preceptors role in project planning and collaboration

12 pts

Effective – Effective identification of stakeholders, specific members of nursing leadership, and interdisciplinary providers involved in project. Effective identification of the target population according to the type of leadership position and/or the specific area in which the target population works. Effective or partial identification of preceptors role Identifies members of one of the populations by name.

9 pts

Developing – Developing identification of stakeholders, specific members of nursing leadership, and interdisciplinary providers involved in project. Developing identification of the target population. Identifies members of several or all of the populations by name.

0 pts

Not Met – Section is not completed, or assignment is not submitted.

15 pts

This criterion is linked to a Learning Outcome

Short-term goal Achievement

15 pts

Exceptional

Exceptional short-term goal statement. Exceptional use of current literature to validate selected strategy is EBP.

11 pts

Effective

Effective short-term goal statement Effective use of literature to validate selected strategy is EBP.

5 pts

Developing

Developing short-term goal statement Developing use of literature to validate selected strategy is EBP.

0 pts

Not Met

Section is not completed, or assignment is not submitted.

15 pts

This criterion is linked to a Learning Outcome

Project Evaluation, Short-term and Long-term Outcome Achievement

PSLO 4

threshold: 18.0 pts

20 pts

Exceptional – Exceptional short-term outcome statement and identification of the data collection method Exceptional presentation of the data (statistical or numerical results from the implementation phase). Exceptional long-term outcome statement.

18 pts

Effective – Effective short-term outcome statement and identification of the data collection method Effective presentation of the data (statistical or numerical results from the implementation phase). Effective long-term outcome statement.

14 pts

Developing – Developing short-term outcome statement and identification of the data collection method Developing presentation of the data (statistical or numerical results from the implementation phase). Developing long-term outcome statement.

0 pts

Not Met – Section is not completed, or assignment is not submitted

20 pts

This criterion is linked to a Learning Outcome

Project Summary

10 pts

Exceptional

Exceptional discussion of limitations, challenges, or barriers of this project. Exceptional explanation of recommendation of design changes to be applied in another healthcare setting or patient population.

8 pts

Effective

Effective discussion of limitations, challenges, or barriers of this project, and/or missing one element. Effective explanation of recommendation of design changes to be applied in another healthcare setting or patient population.

5 pts

Developing

Developing discussion of limitations, challenges, or barriers of this project, and/or missing two or more elements. Developing explanation of recommendation of design changes to be applied in another healthcare setting or patient population.

0 pts

Unacceptable

Section is not complete or assignment not submitted.

10 pts

This criterion is linked to a Learning Outcome

APA Style for In-text Citations and Reference List

10 pts

Exceptional

The correct use of APA formatting has been met with zero error for in-text citations and the reference list.

8 pts

Effective

APA formatting for in-text citations and/or the reference list contains 1-3 errors.

6 pts

Developing

APA formatting for in-text citations and/or the reference list contains 4-6 errors.

0 pts

Not Met

Assignment not submitted; or in-text citations and/or reference contains more than 6 APA formatting errors; or APA style is not used for citation in-text or in the reference list.

10 pts

This criterion is linked to a Learning Outcome

Grammar and Formatting:

10 pts

Exceptional

The poster contains zero errors in spelling or grammar. The poster follows all assignment and formatting directions. Poster content is presented as short, bulleted points. Graphics, figures, and other visuals support or explain the content and reinforce the presentation. Font is uniform for type and size and color enhances contrast and readability.

8 pts

Effective

The poster contains 1-2 errors in spelling or grammar AND The poster follows all assignment and formatting directions. AND Poster content is presented as short, bulleted points. OR Graphics, figures, and other visuals support or explain the content and reinforce the presentation. AND Font is uniform for type and size and color enhances contrast and readability. 8 pts

6 pts

Developing

The poster contains 3 errors in spelling or grammar And The poster follows all assignment and formatting directions. And Poster content is presented as short, bulleted points. And/or Graphics, figures, and other visuals support or explain the content and reinforce the presentation. And Font is uniform for type and size and color enhances contrast and readability.

0 pts

Not Met

Section is not completed, or assignment is not submitted

10 pts

Total Points: 100

Discussion Overview: As you reach the endpoint of your small-scale change project, your implementation phase should be close to completion. In this weeks discussion, you will describe how your change strategy was implemented. In addition, you will revisit your data collection plan, created in the week three discussion, to determine the degree to which you have met your desired short-term outcome(s). Then, you will describe your plan for the evaluation phase of your project and the measurement of your long-term outcome.

Discussion Prompt: Restate your projects goal; short-term and long-term outcomes; and your data collection plan. Then, answer the prompt.

Describe the process which was used to implement the change strategy.

Provide a summary of data that you have collected towards the achievement of your short-term outcome.

How do you plan to evaluate the effects of the implementation phase of your change project?

Please be sure to watch all the unit presentations and cite appropriately.

Erika Crystal Herrera

Galen College of Nursing

4850 Capstone Course

Dr. Norman

Week Five Discussion

Hello all,

The proposed change initiative is a small-scale change project aimed at enhancing the follow-up care of patients with chronic conditions at M&B Mobile NP by introducing a well-developed nurse-led protocol in telehealth follow-up. The project’s short-term objective is to enhance the regularity and attainment of the follow-up encounters by nurses within four weeks of the implementation. The short-term objective is that 80 percent of the registered nurses (RNs) and the licensed practical nurses (LPNs) will always employ the telehealth protocol to implement virtual follow-up visits. The long-term effects are better chronic disease surveillance, greater continuity of care, and a decreased risk of disease exacerbation among hypertension, diabetes, and heart failure patients.

A number of interdisciplinary healthcare team members have contributed to the development of the project implementation process. The nurse practitioner owner and the clinical nurse manager, as nursing leadership, were at the center of the workflow change, which was approved and facilitated the use of the available telehealth technology. Their leadership support is approved by the evidence that the interdisciplinary collaboration and leadership engagement enhance the success of care coordination and implementation (Udensi et al., 2025). Also, the interaction with nursing personnel was imperative, and their feedback allowed adapting the protocol to routine working practices and making it viable.

The attainment of both short- and long-term results of the project can enhance holistic and culturally competent care. Telehealth follow-ups decrease the obstacles associated with transport, work hours, and mobility, which are overly impactful on culturally and socioeconomically diverse populations. Culturally sensitive education, individual communication, and better engagement with patients can also be achieved through structured nurse-led assessments. There was an indication that education and organized care models can promote patient-centered and equity-related outcomes due to the development of culturally competent education and care (Lee et al., 2025).

One of the challenges that are likely to be faced in the implementation is the limited time of nurses and the competing workload requirement that can minimize regular use of the telehealth protocol. The barriers that have been well-documented in practice change initiatives are time constraints and disruption of workflow. One of the evidence-based approaches that may be used to address this obstacle is the application of interdisciplinary collaboration and standardized means of communication, including the definition of roles and hierarchical workflow. Leadership support and frequent interdisciplinary check-ins will help to foster accountability, minimize role confusion, and maintain the adoption of the protocols (Udensi et al., 2025). These strategies can be used together to facilitate effective implementation and sustainability of the project.

References:

Lee, Y., Sung, S., & Fan, X. (2025). Cultural competency education for healthcare professionals: an umbrella review. BMC Medical Education, 25(1), 1445. https://doi.org/10.1186/s12909-025-08008-7

Udensi, C. G., Vunnava, R., & Durojaye, T. J. (2025). Interdisciplinary collaboration in healthcare management: Strengthening healthcare deliveryA review. International Journal of Advanced Multidisciplinary Research and Studies, 5(5), 210-216. https://doi.org/10.62225/2583049X.2025.5.5.4881.

Erika Crystal Herrera

Galen College of Nursing

4850- Capstone Course

Dr. Norman

Week Three Discussion

Hello all,

The identified problem in this project is the inconsistent follow up and monitoring of patients with chronic diseases, specifically hypertension, diabetes, and heart failure due to high rates of missed in person appointments. Internal data showing a 32% no show or cancellation rate highlight a significant gap in continuity of care. Based on Week 2 feedback, the shortterm goal is the development and approval of a structured telehealth followup protocol. The shortterm outcome is achieving stakeholder approval of this protocol within a 23week period. The longterm outcome is a measurable reduction in missed followup appointments within the first year of implementation, ideally decreasing the noshow rate from 32% to 20% or lower as telehealth becomes integrated into routine chronic disease management.

To measure the shortterm outcome with minimal disruption, data collection over 23 weeks will focus on tracking protocol development milestones, stakeholder engagement, and approval status. This can be accomplished through brief weekly surveys, meeting attendance logs, and documentation reviews that require no additional burden on clinical staff. Because the target population for this phase is the clinical team not patients the workflow impact remains minimal. This approach aligns with evidence showing that streamlined data collection processes support staff engagement and reduce resistance during early implementation phases (Berg & Aase, 2023). Once the protocol is approved, the organization will be positioned to transition into piloting telehealth followups without delaying routine patient care.

The longterm outcome of reducing missed followup appointments within one year reflects meaningful improvement in chronic disease management and can be measured using internal scheduling and attendance data. Achieving this outcome has broader implications for other healthcare settings, as improved appointment adherence is associated with better disease control, fewer hospitalizations, and enhanced patient satisfaction. Research demonstrates that telehealth expansion can significantly improve access for vulnerable populations, including rural patients and those with mobility limitations (Rodriguez et al., 2023). Therefore, meeting the longterm outcome in this project could serve as a model for other clinics seeking to strengthen chronic disease monitoring, reduce acute care utilization, and promote equitable access to followup care.

References:

Berg, S. H., & Aase, K. (2023). Facilitators and barriers to successful implementation of digital health interventions in clinical practice. Journal of Healthcare Management, 68(2), 112121.

Rodriguez, J., Clark, C., & Patel, V. (2023). Telehealth utilization and chronic disease outcomes in underserved populations: A longitudinal analysis. Journal of Telemedicine and Digital Health, 11(3), 201210.

Instructions for the assignment are attached as a pdf. Please ensure to use a scholarly article as a resource.

Drawing on your learning and feedback from your placement, provide

a critical reflection of your strengths and areas for development as a

mental health nurse

You should:

Draw specifically on your own experiences and learning from the

placement.

Make use of one reflective model of your choosing (e.g., Gibbs,

Driscoll, Rolfe, Johns) and signpost where/how youre using it.

Engage with feedback you received on your performance from your

PS/PA or other registered health professionals, or service

user/relative/carerwhat it was, how you interpreted it, and what

you did/will do with it.

Identify strengths and areas for development, with concrete

examples from practice.

Show critical thinking: compare and contrast relevant evidence

(e.g., guidelines, research, professional standards) to support your

pointsnote similarities/differences and what this means for your

practice.

Support your discussion with recent, good-quality literature (cite

appropriately using your programmes referencing style).

Clearly state how you will use this learning in your future

development (e.g., a brief action plan).

Demonstrate ongoing commitment to learning, growth, and safe,

person-centred care.

Be well structured, clear, and coherent, explicitly showing your use

of the reflective model.

Are there any additional

materials?

Please Note:

My placement location is at Ward 1 (Carseview centre) and learning environment type is Mental health , service type and field of practice: In Patient adult.

Common Conditions: Adult Acute Psychiatry

Practice Learning Opportunities – Opportunity for nurses to learn about all aspects of mental health issues: illnesses, treatments, including ECT and advance intervention service – Patient journey from admission to discharge – Liaison with other agencies – Students in 3rd year are given the opportunity to manage the ward -Involvement in creating and updating care and risk plans -Medication administration (dependent on placement) –Time with other services may also be available e.g. OT, depot clinics, physiotherapy

Associated Learning Opportunities Particular opportunity to work with service users within the AIS remit which consists of caring for: Treatment resistive depression OCD Singleotomy VNS

uggested Reading Knowledge of acute psychiatry – Knowledge of drug administration – Knowledge about recovery for the mental health patient – Admission and discharge procedure – www.mwcscot.org.uk/the-law/mental-health-act/ -Trauma informed care IOP Improving observational practice Seclusion Policy Locked Dorr Policy Care Planning Standards for LD and MH

The purpose of this discussion is to examine an assigned disease process and determine which disease process explored in the discussion Bayani, the client, is experiencing. Follow the instructions below and your faculty member will reveal which disease process Bayani is experiencing at the end of the discussion week.

Step 1: Review the following client scenario:

Bayani, a 62-year-old male client, presents to the NP with abdominal pain with his wife. Bayani is mildly confused, and according to his wife, he is normally fully oriented. His abdomen is soft and non-distended, and his wife states he has been urinating and drinking more water than usual. She also states he has had foul-smelling urine and is concerned he also has a urinary tract infection.

Step 2: Review your assigned disease process from the chart below. Your assigned disease process is based on the first letter of your last name.

Last NameDisease ProcessA – Condition: Cirrhosis

Step 3: Review the client case scenario and answer the discussion prompts below with explanation and detail, providing complete references for all citations.

Step 4: Reply to a peer with a different assigned disease process. (PUD Peptic Ulcer Disease)

Include the following Sections:

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

1. Discuss the underlying pathophysiological mechanisms of your assigned disease process. Which clinical manifestations observed in Bayanis case could be explained by the pathophysiological mechanisms?
2. Analyze Bayanis clinical manifestations in the context of your assigned disease process. Do these findings support a diagnosis of your assigned disease process? Why or why not?
3. Identify and justify the diagnostic tests (including labs, imaging, or other diagnostic tests) that would be most appropriate for investigating a diagnosis of your assigned disease process in Bayani. What could the results of these tests look like in your assigned disease process?
4. Compare and contrast your response with a peer assigned a different condition. Does their condition fit Bayanis case? Why or why not?

I am attaching instructions. Please choose topic 3 under step 1. Attached is case study for reference.