you will be using your two approved articles only to complete your EBP project poster – Quantitative and Qualitative article from week 4 and 5.

Your poster should include:

• Explanation of the nursing issue significance with three statements
• Description of your position on the issue and three statements on how a nurse can impact this issue.
• Sources used for this poster should only be the 2 approved Quantitative and Qualitative Article
• this is the issue: In adult ICU patients receiving mechanical ventilation (P), how does high adherence to ventilator-associated pneumonia bundle interventions by health care workers (I), compared to inconsistent or lower adherence (C), affect the incidence of ventilator-associated pneumonia (O) during the ICU stay (T)?
• follow RUBRIC
• attached first two files are the articles. the last two are poster examples

Total Points: 150

SOAP NOTE 1

This focused SOAP note assignment is a way to reflect on your Practicum experiences and connect them to your classroom experience. Focused SOAP notes are often used in clinical settings to document patient care. They provide a standard, systematic format for collecting patient information. Similar to learning to compute math problems by hand before you move to a calculator, you are required to use a Word document template in this course and document everything manually. In your career, however, you are likely to encounter electronic health record systems with SOAP documentation capabilities such as search functions and symptom drag and drops that will streamline the process.

To prepare:

• Review this weeks Learning Resources, including the Focused SOAP Note Template.
• Select a patient who you saw at your practicum site during the last 3 weeks. With this patient in mind, consider the following:
  • Subjective: What details did the patient provide regarding his or her personal and medical history?
  • Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities and psychosocial issues.
  • Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority and include their ICD-10 code for the diagnosis. What was your primary diagnosis and why?
  • Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
  • Reflection notes: What was your aha moment? What would you do differently in a similar patient evaluation?

THIS IS THE CASE OF THE PATIENT

Date I saw the patient is 3/11//26

Patient Number: 039
A 62-year-old female presented with complaints of intermittent swelling in both ankles over the past two weeks, worse at the end of the day. Past medical history included hypertension and obesity. Vital signs were BP 138/84 mmHg, HR 76 bpm, RR 16/min, Temp 98.2 F, SpO2 97% on room air, BMI 32. Cardiovascular and respiratory examination were unremarkable except for mild bilateral ankle edema. Diagnosis is Peripheral edema – ICD-10: R60.0. Labs ordered included CMP, BNP, urinalysis, and TSH to evaluate possible causes of edema. The patient was prescribed Hydrochlorothiazide 25 mg orally once daily and advised to reduce sodium intake and elevate legs when resting. Follow-up scheduled in four weeks.

Application essay guidelines

Your completed application must include an essay about your history and future goals in the field of cardiovascular technology. The essay must meet the following criteria:

• Two pages
• 12-point font
• Double-spaced

Use the following questions as a framework for your essay:

• Why do you want to pursue a career in cardiovascular technology?
• How have your prior experiences prepared you for this career?
• What specific qualities do you possess that set you part from other applicants?
• Looking beyond graduation, what would you like to accomplish in this field?

Wiki Post Week 2

The purpose of the Wiki assignment in BSN courses is to initiate students’ understanding and engagement with course topics through thorough research, critical analysis, and collaborative learning. This assignment allows students to source high-quality, peer-reviewed studies or materials related to the topic of the course, integrate these resources into a shared class Wiki, and articulate their relevance to the class. Additionally, students will critique the article of another classmate, enhancing their critical thinking and feedback skills.

Assignment Details:

1. Finding an Article:
   • Research: Identify a high-quality, peer-reviewed study or material related to one of the topics of the week. The article must be no more than 5 years old.
   • Integration: Add the article to the shared class Wiki. Ensure that the article is properly cited using APA format.
   • Relevance Explanation: Write a brief explanation of why the article is relevant to the weekly topic and how it serves as a valuable learning tool for the class. Include the following points:
     • A summary of the articles main points.
     • An explanation of how the article contributes to the understanding of the topic.
     • The practical implications of the article for nursing practice or education.
2. Critiquing a Peers Article:
   • Review: Select an article posted by one of your classmates. Carefully read and analyze the content.
   • Critique: Provide a constructive critique of the article. Your critique should include the following elements:
     • An evaluation of the articles quality and relevance.
     • Comments on the strengths and weaknesses of the article.
     • Suggestions for how the article could be improved or additional points that could be addressed.
     • An assessment of how well the article supports the weekly topic.

Assignment Goals:

• Enhance Research Skills: Develop the ability to find and utilize recent, high-quality, peer-reviewed articles relevant to course topics.
• Articulate Relevance: Improve skills in summarizing and explaining the significance of scholarly materials.
• Foster Collaborative Learning: Contribute to a communal knowledge base, enhancing the learning experience for all students.
• Develop Critical Thinking: Strengthen critical analysis skills by critiquing peers’ articles.
• Improve Feedback Skills: Practice providing constructive feedback to peers.

Submission Guidelines:

Phase 1: Upload to Wiki

• Integration: Add your selected article to the shared class Wiki. Ensure it is properly cited using APA format.
• Relevance Explanation: Post your explanation of the articles relevance directly under your uploaded article in the Wiki.
• Due Date: Phase 1 must be completed by Thursday.

Discussion Week 2

Nursing practice is guided by theoretical frameworks, professional competencies, and the ability to apply clinical reasoning and critical thinking in complex patient care situations. Nursing theories provide a foundation for understanding patient care and guiding nursing interventions, while non-nursing theories from disciplines such as psychology, sociology, and systems science can also influence healthcare practice. Additionally, professional nursing competencies and clinical judgment are essential for delivering safe, effective, and patient-centered care.

For this discussion, reflect on the role of theory and clinical reasoning in professional nursing practice and address the following questions:

1. Compare one nursing theoretical framework (such as Orems Self-Care Theory, Watsons Theory of Human Caring, or Roys Adaptation Model) with one non-nursing theoretical framework (such as systems theory or behavioral theory). How do these frameworks influence patient care or healthcare systems?
2. Explain how nursing theory can be applied to clinical practice or healthcare systems to guide decision-making and improve patient outcomes.
3. Discuss the importance of professional nursing competencies (such as QSEN competencies or AACN Essentials) in supporting safe and effective nursing practice.
4. Analyze the role of clinical reasoning and clinical judgment in nursing decision-making. How do these skills help nurses respond to complex patient situations?
5. Describe how critical thinking can be applied to a clinical or practice-based scenario to support safe patient care.

Please use the submission requirements for all the BSN classes discussions.

Submission Requirements:

• Your initial discussion post must be a minimum of 500 words.
• All responses must be written in current APA (7th edition) format, including in-text citations and a reference list.
• Support your discussion with at least one (1) scholarly, evidence-based reference (e.g., peer-reviewed journal articles or professional nursing organization guidelines).
• Posts should reflect critical thinking, clinical judgment, and adherence to professional nursing standards.
• Students are required to respond to at least two classmates.
• Peer responses must be constructive, substantive, and supported by literature when appropriate.
• Students should draft their responses in a word-processing program (e.g., Microsoft Word) and proofread for grammar, spelling, and clarity before posting.
• Late submissions, citation requirements, and grading expectations are governed by the course syllabus and discussion rubric.
• There are no make-up opportunities for missed discussion posts.
• Please review the discussion rubric carefully to ensure all requirements are met prior to submission.

Discussion Week 2

• In this discussion, we will explore the impact of cultural diversity on healthcare and leadership. Share an experience or scenario where you encountered cultural considerations in your nursing practice or leadership role. Discuss how concepts like diversity, equity, inclusion, and belonging played a role in this situation. Evaluate the use of principles of acculturation, cultural sensitivity, and cultural diversity in addressing the issue.
• Next, let’s analyze health disparities and inequities in healthcare. Identify specific examples of health disparities you are aware of and discuss what nurses can do to minimize them. Consider both individual and societal factors contributing to these disparities. How can a diverse workforce contribute to the care of a diverse patient population?

Please use the submission requirements for all the BSN classes discussions.

Submission Requirements:

• Your initial discussion post must be a minimum of 500 words.
• All responses must be written in current APA (7th edition) format, including in-text citations and a reference list.
• Support your discussion with at least one (1) scholarly, evidence-based reference (e.g., peer-reviewed journal articles or professional nursing organization guidelines).
• Posts should reflect critical thinking, clinical judgment, and adherence to professional nursing standards.
• Students are required to respond to at least two classmates.
• Peer responses must be constructive, substantive, and supported by literature when appropriate.
• Students should draft their responses in a word-processing program (e.g., Microsoft Word) and proofread for grammar, spelling, and clarity before posting.
• Late submissions, citation requirements, and grading expectations are governed by the course syllabus and discussion rubric.
• There are no make-up opportunities for missed discussion posts.
• Please review the discussion rubric carefully to ensure all requirements are met prior to submission.

In a 3- to 5-page paper (not including cover page and references page), describe your personal philosophy of nursing practice, including explanations of:

• How your personal philosophy intersects with the four nursing domains: person, environment, health, and nursing
• How your personal philosophy aligns with this mission of social change To prepare students to use their education and professional skills to improve society and address real world problems
• How your personal philosophy aligns with the SDOH framework
• How at least two middle-range nursing theories support your personal philosophy of nursing practice (Be specific and provide examples.)
• How at least two interdisciplinary nursing theories support your personal philosophy of nursing practice (Be specific and provide examples.)

Note: Use this weeks Learning Resources to support your Assignment. Use proper APA format and style for all references and citations. The College of Nursing requires that all papers include a title page, introduction, summary, and references

Based on your experience with the electronic health record (EHR), provide an example of how it can decrease errors and improve the quality of care overall.

Post your initial discussion by 11:59 PM ET on Thursday. Posts are a minimum of 250 words, scholarly written, APA formatted (with some exceptions due to limitations in the D2L editor), and a minimum of 2 references (which may include the course textbook).

JR is a 20-year-old Caucasian girl who presents to her primary care provider for follow-up and evaluation regarding her asthma. During her visit, she reports having had to use her albuterol MDI approximately 34 days per week over the past 2 months, but over the past week she admits to using albuterol once daily. She reports being awakened by a cough at night once a week during the past month. She states she especially becomes short of breath when she visits her father’s workshop and when she exercises (although she admits that her shortness of breath is not always brought on by exercise and sometimes occurs when she is not actively exercising). In addition to her albuterol MDI, which she uses PRN, and she also has a fluticasone MDI, which she uses “most days of the week.” She indicates that her morning peak flows have been running around 300 L/min (personal best = 400 L/min) over the past several weeks. She also complains of mild oral thrush on tongue and buccal mucosa

PMH

Asthma (previously documented as “mild persistent”) diagnosed at age 7; no prior history of intubations; hospitalized once in the past year for asthma exacerbation; one visit to the ED in the past 6 months; treated with oral systemic corticosteroids during last hospitalization and at ED visit.

Migraine headache disorder (without aura; diagnosed at age 15); currently taking prophylactic medication; has had only one migraine attack in the last year.

FH

Mother 49 years old with HTN, migraine HA disorder, and asthma; (nonsmoker); father 50 years old (smoker) with HTN and type 2 DM; brother, age 21, healthy (smoker); twin sister, age 17, healthy (nonsmoker)

SH

No alcohol or tobacco use. Single, not sexually active. Lives at home with parents (father is a cabinet maker), twin sister, and two cats. Brother is currently away at college.

Meds

Flovent HFA 44 mcg, two puffs BID

Proventil HFA two puffs Q 46 H PRN shortness of breath, cough, wheezing

Propranolol 80 mg PO BID

Maxalt-MLT 5 mg PO PRN acute migraine

Allergies

PCN (rash)

1. What subjective and objective information indicates the presence of uncontrolled chronic asthma?
2. Assess this patient’s level of asthma control based on the subjective and objective information available.
3. Create a list of the patient’s drug therapy problems and prioritize them. Include assessment of medication appropriateness, effectiveness, safety, and patient adherence.
4. What are the goals of pharmacotherapy in this case?
5. What nondrug therapies might be useful for this patient?
6. Create an individualized, patient-centered, team-based care plan to optimize medication therapy for this patient’s asthma and other drug therapy problems. Include specific drugs, dosage forms, doses, schedules, and durations of therapy.
7. What information should be provided to the patient to enhance adherence, ensure successful therapy, and minimize adverse effects?

The reproductive system is a complex network of internal and external organs that work together for the purpose of reproduction, gamete production, and hormone regulation. For a focused study guide or submission, it is best to categorize the information by biological sex.