To Prepare:

• Reflect on the Resources related to digital information tools and technologies.
• Consider your healthcare organizations use of healthcare technologies to manage and distribute information.
• Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.
• 
  
• Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.
• McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
  • Chapter 14, The Electronic Health Record and Clinical Informatics (pp. 293316)
  • Chapter 15, Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration (pp. 323349)
  • Chapter 16, Patient Engagement and Connected Health (pp. 357378)
  • Chapter 17, Using Informatics to Promote Community/Population Health (pp. 383397)
  • Chapter 18, Telenursing and Remote Access Telehealth (pp. 403432)
• Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020).
• .American Journal of Public Health,110(8), 1123-1125.
• Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. Bates, D. W. (2017).
• . Critical Care Medicine, 45 (8), e806e813. doi:10.1097/CCM.0000000000002449
• HealthIT.gov. (2018c).
• Retrieved from
• Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018).
• . Pain Management Nursing, 19 (3), 212221.
• Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021).
• .NPJ Digital Medicine,4(1), 52.
• Skiba, D. (2017).
• . Informatics, 4 (3), 3240.
• Sharma, P., & Patten, C. A. (2022).
• .Permanente Journal,26(3).

Assignment Prompt

This weeks first assignment is STEP 3 Literature Review and Critical Appraisal.

The student will complete the following items and submit a Word doc to the assignment link.

1. Provide a title that conveys or describes the assignment.
2. Literature Review Provide the key terms used to guide the search for the evidence and provide at least five (5) summaries of research studies to support the evidence.
3. Critical Appraisal of Literature Discuss the strengths and weaknesses of the evidence, what is known from the evidence and any gaps in knowledge from the research evidence.
4. References Cite a minimum of five scholarly references in APA 6th ed format.

Assignment Prompt

The purpose of Reflection-in-Action is to reflect upon what one has learned or how one has performed as compared with one’s expectations or goals. This assignment will provide an opportunity for students to share their experiences, thoughts, feelings and learning moments from this course.

Self understanding through reflection on life experiences, feelings, etc., is a core concept in Dr. Jean Watsons Theory of Human Caring.

The Reflection for this course must address at least three (3) of the following topics:

• Learning moments or activities from this course
• Thoughts on evidence-based practice
• Evidence supporting Jean Watsons Theory of Human Caring
• Ethics in research
• Protecting human subjects in quality improvement or evidence-based practice projects
• Understanding or comfort level with statistics in nursing research and other research reports
• Perception of MSN graduates role in nursing research
• Creating and sustaining an Evidence-Based nursing environment
• Asking compelling, clinical questions
• Lessons learned while conducting evidence-based literature review

Expectations

• Due: Monday, 11:59 pm PT
• Length: A minimum of two and maximum of four pages (excluding the title and reference pages). Submissions not meeting the minimum and maximum page requirements will receive a grade of zero.
• Format: Formal paper, APA 7th ed format for body of paper and all citations.

See USU NUR Reflective Journal Rubric for additional details and point weighting.

• SOAP Note:
  • A full SOAP Note is required for the HEENT (head, ears, eyes, nose, and throat assessment)
  • For those videos, the student will decide on the Chief Complaint (CC) which must be appropriate for the associated body system (no ER or ICU type CCs).
  • The student will complete all SOAP components
  • The Subjective section includes the following: ID (Initials, Age, DOB, Sex, Race, Accompanied, and Historian), CC, HPI (using OLDCARTS for problem-focused history), PMH, Family History (as pertinent), Social History (as pertinent), and ROS (problem-focused based on body system).
  • The Objective section includes: expected vital signs and the physical examination documentation with detailed focus on the weeks body system (as well as general, and basic assessment of CV and Pulmonary).
  • The Assessment section must contain 3 differential diagnoses with rationale and in-text citations to credit the evidence-based sources used to defend the diagnosis choices. One of these three diagnoses must be the final or working diagnosis.
  • The Plan section is based on the working/ final diagnosis. This must include the five aspects of a plan which are diagnostics, treatments, education, referral (if applicable), and follow-up. The student should use in-text citations to credit their sources of information for each aspect of the plan.
  • The student must use a minimum of 5 references which should be recent (within last 5, but up to 10 years if clinical practice guideline) and should be peer-reviewed.
  • Use APA title page, citations, and reference format
  • Patient: 18 year old white (DOB: 08-12-2008), Caucasian female complains of sinus pressure and clear nasal drainage for the past 4 days. Primary Diagnosis- Allergic Rhinitis.
  • Make up a scenario for a fake patient to have Allergic rhinitis, include vital signs, differential diagnosis, history of present illness (HPI). Include at least 5 scholarly sources overall from scholarly articles within 2021-2026. I included an example paper and the rubric.

  	Competent	Below Standard	Far Below Standard	Criterion Score
  Subjective: ID, CC, HPI, PMH/SH|, ROS	All pieces present and adequately documented. The HPI and ROS was pertinent to the complaint. PMH was clear and pertinent to the complaint. Information was clear and concise, not superfluous.	Most pieces adequately documented. The HPI and ROS were mostly pertinent to the complaint. Information was mostly clear, with only slight amount of info. Missing or too much information included.	Missing part of the subjective component, or done incorrectly. HPI missed some of the OLDCART elements. ROS was confused with physical exam or was not pertinent to complaint. PMH missing half or more elements.	Severe deficits in subjective information. Very limited or no HPI or very limited or no ROS. Past medical history missing key elements.	/ 8
  Objective: VS & PE	Student wrote VS and physical exam findings in an organized, thorough, and succinct summary. Physical exam for the particular weeks body system was elaborated upon. Student included only pertinent systems besides the weekly focus exam.	Student wrote VS and physical exam findings in an organized, thorough, and succinct summary. Physical exam for the particular weeks body system was lacking detail. Student included either too little information on other systems, or performed too many systems, similar to well or annual exam.	Physical exam findings were disorganized and difficult to read. The particular body system for weekly focused was inadequately described or missing. Student did not include other body systems that were pertinent to the complaint.	Severe deficits in documentation of the physical exam findings. Student did include other systems besides weekly system in the write-up.	/ 7
  Assessment with DDX and Plan	DDX contained at least 3 different, pertinent diagnoses considered for the scenario. Student briefly listed why diagnoses were excluded Final assessment/ Dx was clear, and reasonable (might not be 100% correct). Plan included all elements listed, and reasonable for a beginner practitioner, even if not 100% correct.	DDX contained at least 3 different, pertinent diagnoses considered for the scenario, but student did not include why dx were ruled out. Final assessment/ Dx clear, even if not correct. Plan includes most elements listed, even if not all correct.	DDX was limited or not included. No rationale for why dx was excluded. The plan was missing elements or was not in line with the chief complaint and physical findings.	The assessment and plan was missing or lacking major components. Lacked a DDX and the plan was missing major elements.	/ 10
  Format/Grammar/Spelling	The chosen format was neat and easy to read. Headings were clear. APA format was correct.	The format was mostly easy to read and understand, some elements of APA format is missing.	The format was inconsistent, headings and different areas were not delineated. No APA format.	Very poor format, note was confusing to read, no APA format.	/ 5

  Total

  / 101

With your Research Partner use the feedback you received from faculty and classmates on your PICOT drafts to create your final PICOT question. Use the grading rubric as a guide in creating the final PICOT and provide information about the type of PICOT question, background information, and discussion of the most interesting foreground studies being conducted in the past 5 years. Use the textbox to submit the final version of your PICOT question and supporting information (this is your answers and citations to the requested information in your clinicial scenario). Use APA for reference list and in text citation.

You will receive feedback on the final PICOT you submit, and faculty approval on the exact wording of the Final PICOT to be used in future assignments.

Part 6 incorporates all aspects from previous assignments focused on faculty advisor and peer evaluations and ongoing assessment of the improvement process. By now, you are likely 10-12 weeks into your project implementation (some of you may be wrapping up). This final assignment will provide the information and feedback to complete the draft of your Results Section of the Project Paper. You will consider your measures (metrics) and processes, incorporating qualitative and quantitative data throughout the implementation of the project plan. The data collected indicates a 20% increase in patientsatisfaction. Before implementation, patient satisfaction was at 54% and is nowat 74%. The ED has welcomed the project and will continue to use it as part ofthe plan of care. For data collection, I am using Excel.

Implementation Plan – Part 6

Total Points: 100

DB#4

Greetings Researchers:

Your assignment for DB 4 is to write a Research Letter of Participation to use for your potential subjects. Use your PICO question as a guide to fill in the details. Make the letter as realistic as possible by ensuring it has the Letterhead, your information, and your formal school contact. Use the form attached from the NIH as a guide.

This DB is Due 3/31/25, No response is required to a colleague.

Participant information about a study sample.docx

Using this , complete one SOAP note from a patient in the current NSG6430 practicum experience, please base the soapnote on an obgyn office visit

Draft of Chapter 1 (Part 1)

• Due Monday by 11:59pm
• Points 100
• Submitting a file upload

1. Follow rubric attached. Samples will be provided.

Aligns with Course Outcomes: 1,2,3,4,&5

Title page (5 points)

• Abstract (Addressed in Nurs 506)
• Acknowledgements
• Table of Contents (5 points)
• Chapter I:

• Introduction of the problem (what exactly is going wrong in your area of practice for which you are hereby proposing a solution for the problem). (10 points)
• Background of the problem (the problem from a historical perspective) (15 points)
• Significance of the problem (why is it important to solve this problem; for example, if a clinical problem discuss the impact in terms of (3Ms) morbidity mortality & money). (15 points)

Post:

The purpose of this discussion is to explore how learning theories and principles can be applied by advanced practice nurses (APNs) to enhance clinical outcomes, promote patient education, and foster professional growth within healthcare teams. Understanding how people learnpatients, families, and healthcare professionalsenables APNs to drive quality improvement and evidence-based care.

Discussion

High-quality health care depends not only on clinical expertise but also on the ability to facilitate learningamong patients, peers, and interdisciplinary teams. Theories of learning from nursing, psychology, and education can guide APNs in teaching, mentoring, and influencing behavior change.

In your initial post:

1. Identify one or two learning theories or principles (e.g., adult learning theory, experiential learning, social cognitive theory, transformative learning, behaviorism, constructivism, etc.) that you find most relevant to advanced nursing practice.
2. Explain how these theories or principles inform the APNs role in promoting high-quality health careconsider contexts such as patient education, staff development, leadership, or quality improvement initiatives.
3. Analyze how applying these learning theories supports evidence-based practice, interprofessional collaboration, or systems-level change.
4. Reflect on how understanding learning theory enhances your ability to teach, mentor, or lead as an APN.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.