Category: Nursing

The purpose of this assignment is to discuss the community teaching experience, describing your observations on the community’s response to the teaching.
In 750-1,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include the following:
Summary of the community teaching plan
Epidemiological rationale for topic
Evaluation of teaching experience
Community response to teaching
Areas of strength and areas for improvement
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance.

Assignment Situation:
You are the nurse executive of Ocracoke Regional Healthcare System. Due to increasing healthcare costs over the past two years, the board and stakeholders have determined the total-patient-care nursing model is no longer sustainable and must be changed. In addition, Joint Commission has just completed their visit. Ocracoke received two recommendations for improvement in two of the most current National Patient Safety Goals found at the link below.
National Patient Safety Goals-The Joint CommissionLinks to an external site.
https://www.jointcommission.org/standards/national-patient-safety-goals/
You must address these recommendations using a new nursing care delivery model. Senior leadership expects to see increased cost savings through the use of this new model and improved outcomes related to two patient safety goals (you may choose any two patient safety goals you want to improve on by the time of the Joint Commission’s revisit in six(6) months.
Scenario Instructions:
For this assignment, you will:
Complete the scenario by selecting and defining two National Patient Safety Goals and their deficiencies noted by The Joint Commission. You will identify the outcome measures used to assess them and the goals for improving these outcomes by implementing the new nursing care delivery model. You will describe the nursing care delivery model proposed, how it impacts the deficiencies in the safety goals chosen, and its economic impact on the organization.
Based on all the information gathered through your exploration, you will create the PICOT question for this evidence-based improvement. This will be included as a statement in the Overview of Issue section of the assignment.
The Ocracoke Regional Healthcare System (P) will implement a _____________ nursing care delivery system (I), compared to the current total care nursing care delivery system (C), the result is compliance with the Joint Commission’s recommendations (O) at their revisit in 6 months (T).
(See the example below for review in writing a PICOT)
Requirements
Use the following format and headings to organize your assignment
Introduction
Statement of purpose of paper
Overview of components of paper
Overview of Issue
Scenario
National Patient Safety Goals identified
New Nursing Care Delivery Model identified
Final PICOT stated
National Patient Safety Goals
Safety goals and deficiencies identified
Outcome measures defined
New Nursing Model
Descriiption of new nursing care delivery model
Impact of model in addressing the safety goals
Impact of model on reducing organizational costs
Conclusion
Recap of paper’s purpose
Summary of what was accomplished
A minimum of three (3) scholarly sources, no older than 5 years, must be used for the paper. These should be relevant to nursing and should represent the majority of evidence provided in the paper. Other sources may be used in addition to these; however, they will not be counted as part of the scholarly source requirement.
The paper should contain all elements required under the guidelines and provided by the outline.
The outline provided should be followed for organizing the paper. Only level-one headings are required. Remember, the introduction does not have a heading.
A maximum of four (4) pages, excluding title and reference pages, is required.
The paper should be written in the third person, in active voice. Refer to “Guidelines for Writing Professional Papers in Graduate Programs” found in the Student Resources Central of the course.
Refer to the rubric for paper mechanics
(See the example below for review in writing a PICOT)
PICOT Writing Review
Situation:
Sunnybrook Health System has started the process for acquiring Magnet status. They have scheduled multiple planning and process meetings over the next year that require attendance of all staff. Staff must attend at least 70% of the meetings live. After three meetings, live attendance of night shift staff has been about 5%. There is concern that with the small amount of interest shown from this group, the benchmark of 70% for live attendance may be jeopardized. Currently, the meeting schedule is communicated to all staff via email and posted announcements. Suzie thinks an incentive of a free meal for live attendance might improve attendance of the night shift crew.
How could a PICOT be developed with this information?
P = Population – Describes the group upon which the intervention will have an effect.
Ex: night shift staff
I = Intervention – What we want to do that is different from what we currently do; the thing that is going
to impact the population identified
Ex. coupons for a free meal in the cafeteria
C = Comparison – Here the comparison is a before and after the intervention (incentive in this case)
Ex: communication of scheduled meetings via email and posted announcements
O = Outcome – What we want to see happen as a result of the intervention. The outcome should meet three criteria: direction (increase, decrease, etc.), a baseline, and a goal.
Ex: increased mandatory meeting live attendance from 5% to 50%
T = Timing or Timeframe – When we expect to see the outcomes.
Ex: over the next 4 meetings
Now you can create the PICOT:
Among night shift staff (P), will offering a coupon for a free meal in the cafeteria (I), as opposed to only email invitations and posted announcements (C), increase mandatory meeting live attendance from 5% to 50% (O) over the next 4 meetings (T)?

PurposeThis assignment will help prepare the student for conversations with clients with a mental health condition.
Communication: Displaying capability in writing, reading, and oral communication; understanding of non-verbal language.
This is a “role play exercise,” in which one student is the student nurse, and the other will role play as a client. In this assignment, the nursing student will be demonstrating the therapeutic nurse-client relationship and analyzing the therapeutic and nontherapeutic techniques used. You will take turns in the roles.
This is not about always having therapeutic responses. It is about learning from practice and review. It is expected that you will think of other ways to respond or interact with the client that may be more therapeutic after the interaction is terminated. After the conversation is over, you will complete in IPR form.
The client roles are:Mr. Jones is a 69-year-old retired engineer. He was admitted to the in-patient psychiatric unit the previous day. His daughter had called the police when he locked himself in his bathroom and refused to come out. She thought he was suicidal. He was brought to the hospital by the police and was admitted on involuntary status. He has been reticent since admission but told his daughter he had no reason to live since his wife died.
Diagnosis: Major Depressive Disorder
Nursing Diagnosis: Risk for suicide.
Mrs. Alvarez is a 34-year-old female who has lived in this country for the past 10 yrs. She is a stay at home mom with three small children. Her husband works two jobs to support the family. Lately, she has been extremely anxious and fears that her children will become ill or injured. This seems to be an unrealistic concern, but she has been unable to sleep well and has lost 15 lbs. in the past month. She is a voluntary admission and states she knows she needs help.
Diagnosis: Generalized Anxiety Disorder
Nursing Diagnosis: Ineffective coping
You will select the role you wish as a client and take turns switching roles. After the conversation, you will document the interactions using the form provided and following the guidelines instructions for each column. Attached is the IPR form.

The project will involve the use of cognitive behavioral therapy in individuals diagnosed with depression and the PHQ-9 questionnaire will be used to assess for an absence or decrease in severity of symptoms after receiving the cognitive behavioral therapy. This will take place over 8 weeks and the PHQ-9 questionnaire will be administered prior to beginning therapy and at the end of therapy to compare the scores and evaluate the effect of the the cognitive behavioral therapy. This will be completed at an outpatient family practice clinic.
The identification of a significant practice problem and associated project need are the cornerstone of a practice change project. The purpose of this assignment is to conduct an organizational needs assessment. The formulation of a comprehensive organizational needs assessment supports the professional formation of the DNP-prepared nurse. To complete the assessment of the organizational need, you will need to interview a key decision-maker at the practicum site. If you are not implementing your DNP Project at a practicum site, complete the assignment as if you had interviewed a key decision-maker at a practicum site.
Title Page
Title of the paper
Student name
School Name
Course number and course name
Session month and year
Introduction
Start your introduction with a powerful purpose statement or two to stimulate interest.
Introduce the practice problem or need.
Provide a preview of what the paper will include with a strong thesis sentence.
Identification of the Practice Problem or Need
Describe the practice problem or need.
Discuss how the practice problem or need was determined.
Briefly summarize the evidence in the literature which is focused on the practice problem and builds a compelling case for the practice problem. using in-text citations/ and references, to support the need for change.
A minimum of 3 current (within 5 years) research articles from peer-reviewed journals are required. Non-research data can also be added to the 3 articles to support the compelling nature of the practice problem. (Examples of sources of Non-research data are the CDC, state or county Health Department, Kaiser Family Foundation, AHRQ.)
Describe the source of the evidence or data at the practicum site to support the need for change at the practicum site. This may be the prevalence rate of depression for example. (State of Illinois) This evidence might also be from a conversation with the organizational leader. State the source of the data that supports this need at the practicum site.
Identification of Stakeholders (Stakeholders have some form of stake or interest in the project outcomes.)
Identify (state explicitly) key stakeholders who will support the change.
Identify (state explicitly) key stakeholders who may resist the change.
Identify (state explicitly) stakeholders who will have the most influence on positive or negative changes related to your identified problem.
Gap Analysis Table
Complete the gap analysis table, which can be downloaded at the following link:
Link (Word doc): Gap Analysis TemplateLinks to an external site.
Include the table in your paper. Review the following instructions on how to copy a table in Word:
Link (webpage): Move or Copy a TableLinks to an external site.
Answer all of the questions completely and separately. Do not combine answers.
What is currently happening at the practicum site? Patients have to be referred often for mental health treatment and there are long wait times to get an appointment with a provider
What should be happening at the practicum site based on current evidence?
What is your practice gap? (state what is currently happening and state what should be happening)
Why is there a practice gap?
What factors are contributing to the practice gap?
What evidence do you have to demonstrate there is a practice gap?
Conclusion
Write one concise paragraph, providing a clear and logical summation of the paper.
Summarize the main points from the needs assessment section above. (New information should not be included in the conclusion)
APA Standards and References
Use appropriate Level I headers.
Create the reference page with a minimum of three current (within 5 yrs) peer-reviewed journal articles.
References and citations are in current APA style.
Each reference has a matching citation.
Writing Requirements (APA format)
1-inch margins
Double-spaced pages
12-point Times New Roman font or 11-point Arial
Headings & subheadings
In-text citations
Title page
References page
Standard English usage and mechanics
Include this practice gap identification Table in the Paper: *This first part is an example* The following questions is what needs to be completed and put into the paper.
Practice Gap Identification
Directions: After performing a needs assessment with the practicum site decision maker(s), use the following table to help you understand what gaps are occurring between current practice and evidence-based practice (EBP). An example is provided for you below.
Example: Pediatric Practice
What is currently happening at the practicum site? What should be happening at the practicum site based on current evidence? What is your practice gap? (state what is currently happening and state what should be happening) Why is there a practice gap? What factors are contributing to the practice gap? What evidence do you have to demonstrate there is a practice gap?
There are no clinical practice guidelines for the management of obese patients in a pediatric setting being used at the practicum site. Nurse Practitioners (NPs) should be using evidence-based clinical practice guidelines to better manage children who are obese Approximately 40% of the patient population have been identified as being obese; however, there are no clear processes/guidelines in place for the NPs to use/follow when planning patient care.
Potential issue with lack of knowledge associated with updated guidelines for pediatric obesity.
Physician-owned facility; potential lack of NP autonomy regarding practice. Comments provided by the NPs.
NPs report they want to be able to better manage and plan care for pediatric patients who are obese.
Pediatric obesity prevalence is increasing in the clinic practice year over year.
Practice Gap Analysis Table: (This is the actual questions that need to be answered and placed in the paper the paper to complete the table)
Answer the following questions and include this practice gap analysis table in the paper
What is currently happening at the practicum site?
What should be happening at the practicum site based on current evidence?
What is your practice gap? (state what is currently happening and state what should be happening)
Why is there a practice gap?
What factors are contributing to the practice gap?
What evidence do you have to demonstrate there is a practice gap?

Please edit paper in an essay format with introduction, body, and conclusion. The current body is poorly written and has not addressed all the questions from the direction. Please edit and add – >Issues raised by this bill (pro and con), supported by references
>Stakeholders and a discussion of their influence
>Challenges (supported by references) and next steps, including effect on healthcare quality, safety, or outcomes and health disparities.
Thank you so much.
Previous instruction:
Be sure that your paper includes the following:
The title of the bill and the bill number
Explanatory background (supported by references) and sponsors
An outline of the legislative process and where the bill is in this process.
Issues raised by this bill (pro and con), supported by references
Stakeholders and a discussion of their influence
Challenges (supported by references) and next steps, including effect on healthcare quality, safety, or outcomes and health disparities
Clear and logical organization
Proper punctuation, grammar, and syntax
Correct and consistent use of APA guidelines

Integrated Model Clinic help the hearing loss patient aged over 60 to improve their QoL under long specialty waiting in Hong Kong
Partially publish and literature and dissertation chapters samples enclosed

Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?  Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).
3 APA FORMAT REFERENCES
HOW TO ANSWER
S: Subjective
Chief Complaint: Describe the patient’s main reason for seeking psychiatric evaluation.
History of Present Illness (HPI): Include the duration and severity of symptoms, any triggering events, and the impact on the patient’s daily life.
Past Psychiatric History: Document any previous psychiatric diagnoses, treatments, hospitalizations, or therapies.
Medical History: Note any relevant medical conditions or medications.
Social History: Include information about the patient’s living situation, occupation, support system, and substance use history.
Family History: Mention any family history of psychiatric or medical conditions.
Patient’s Perception: Record the patient’s thoughts and feelings about their condition.
O: Objective
Mental Status Examination (MSE): Document the patient’s appearance, behavior, speech, mood, affect, thought process, thought content, perception, cognition, insight, and judgment.
Physical Examination (if applicable): Note any physical findings related to the chief complaint.
Assessment Tools: Include any assessment tools or scales used (e.g., PHQ-9 for depression, GAD-7 for anxiety).
A: Assessment
Differential Diagnoses: List at least three possible psychiatric diagnoses based on the information gathered. Present them in order of priority.
Differential Diagnosis 1: Include supporting evidence and compare it to DSM-5-TR criteria.
Differential Diagnosis 2: Include supporting evidence and compare it to DSM-5-TR criteria.
Differential Diagnosis 3: Include supporting evidence and compare it to DSM-5-TR criteria.
Pertinent Positives: Highlight specific symptoms or behaviors that support each differential diagnosis.
Pertinent Negatives: Note any symptoms or criteria that are absent but expected in a particular diagnosis.
Primary Diagnosis: Explain the critical-thinking process that led to selecting the primary diagnosis. Mention why other differentials were ruled out.
P: Plan
Psychotherapy: Outline the plan for psychotherapy or counseling.
Treatment and Management: Describe pharmacological and non-pharmacological treatments. Discuss their risks and benefits.
Alternative Therapies: Mention any complementary or alternative therapies considered.
Follow-Up: Provide parameters for follow-up appointments and assessments.
Health Promotion: Suggest one health promotion activity tailored to the patient’s needs.
Patient Education: Outline a patient education strategy to help the patient understand their condition, treatment options, and self-care.
R: Reflection Notes
Reflect on the session, considering what you might do differently or what interventions you would follow up with.
Discuss any legal/ethical considerations related to the patient’s case.
Address health promotion and disease prevention, considering patient factors, past medical history, and risk factors.
Please note that the SOAP note should be completed based on a real patient encounter and should adhere to ethical and legal guidelines regarding patient privacy and consent. Additionally, it should be reviewed and signed by the healthcare provider who conducted the assessment.

Requirements:
1.) APA 7
2.) 2 pages
3.) Turnitin check
The Assignment:
1.) Summarize your interpretation of the frequency data provided in the output for respondent’s age, highest school grade completed, and family income from prior month. 2.) Note: A frequency analysis is way of summarizing data by depicting the number of times a data value occurs in the data table or output. It is used to analyze the data set including where the data are concentrated or clustered, the range of values, observation of extreme values, and to determine intervals for analysis that could make sense in categorizing your variable values.
3.) Summarize your interpretation of the descriptive statistics provided in the output for respondent’s age, highest school grade completed, race and ethnicity, currently employed, and family income from prior month.
4.) Note: The descriptive analysis includes N (size of your sample), the mean, the median, the standard deviation, the size and spread of your data to determine the variability/variance in your data. Rubric:
– The response accurately and clearly explains, in detail, a summary of the frequency distributions for the variables presented…. The response accurately and clearly explains, in detail, the number of times the value occurs in the data…. The response accurately and clearly explains, in detail, the appearance of the data, the range of data values, and an explanation of extreme values in describing intervals that sufficiently provides an analysis that fully supports the categorization of each variable value…. The response includes relevant, specific, and appropriate examples that fully support the explanations provided for each of the areas described.
– The response accurately and clearly summarizes in detail the interpretation of the descriptive statistics provided. … The response accurately and clearly evaluates in detail each of the variables presented, including an accurate and complete description of the sample size, the mean, the median, standard deviation, and the size and spread of the data.
– Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
– Uses correct grammar, spelling, and punctuation with no errors
– Uses correct APA format with no errors.

Organ and Tissue Donation and Recovery: The New Jersey Requirement:
After reading this CEU, don’t submit for CEU credits. Please just write 2 paragraphs on what your takeaways from learning about Organ & Tissue donation and recovery in the State of NJ.

In a Microsoft Word document of 5 pages formatted in APA style, describe your personal approach to professional nursing practice. Be sure to address each one of the following criteria:
Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it?
Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.
Formulate and discuss your personal definition of nursing, person, health, and environment.
Discuss a minimum of two beliefs and/or values about nursing that guide your own practice.
Analyze your communication style using one of the tools presented in the course.
Discuss the strengths and weaknesses associated with your style of communication.
Impact of your communication style on your ability to collaborate as part of an interdisciplinary team.
ANSWER
Personal Approach to Professional Nursing Practice
Philosophy/Conceptual Framework/Theory/Middle-Range Theory
The philosophy of nursing that guides my approach to professional practice is Jean Watson’s Caring Theory. This theory emphasizes the importance of human caring as the central focus of nursing practice. Watson defines caring as “a human science of nursing that is simultaneously a science, an art, and a humanistic ideal” (Watson, 2008, p. 17). She outlines ten carative factors that describe the nurse’s role in providing holistic care to patients.
Utilizing the Philosophy for Critical Thinking and Decision Making
Watson’s Caring Theory provides a framework for critical thinking and decision making in nursing practice. By considering the carative factors, nurses can make informed choices that promote the well-being of their patients. For instance, when faced with a difficult ethical dilemma, nurses can use the theory’s emphasis on self-awareness and empathy to guide their decisions.
Personal Definitions of Nursing, Person, Health, and Environment
Nursing: Nursing is the art and science of caring for individuals, families, and communities to promote health, prevent illness, and restore well-being.
Person: A person is a unique and complex being with physical, emotional, intellectual, social, and spiritual dimensions.
Health: Health is a dynamic state of optimal physical, mental, and social well-being, not merely the absence of disease or infirmity.
Environment: The environment encompasses all internal and external factors that influence a person’s health.
Beliefs and Values Guiding Nursing Practice
Patient-Centered Care: I believe that nursing care should be centered on the individual patient’s needs, preferences, and values.
Holistic Care: I value the importance of providing holistic care that addresses all aspects of the patient’s well-being, including physical, emotional, social, and spiritual needs.
Communication Style Analysis and Impact on Collaboration
Using the Johari Window communication tool, I identify as having an open and direct communication style. I am comfortable expressing my thoughts and feelings clearly, and I actively listen to others. This style allows me to build rapport with patients, colleagues, and interdisciplinary team members.
While my open communication style is generally an asset, it can sometimes be perceived as blunt or assertive. I am working on tempering my directness with empathy and tact to ensure that my communication is always respectful and constructive.
Strengths and Weaknesses of Communication Style
Strengths:
Clear and concise communication
Ability to express difficult or sensitive topics openly
Actively listens to others
Weaknesses:
Can sometimes be perceived as blunt or assertive
May not always consider the emotional impact of communication
Impact of Communication Style on Collaboration
My open communication style facilitates collaboration within interdisciplinary teams. I am comfortable sharing ideas and perspectives, and I am receptive to feedback from others. This approach helps to create a supportive and productive environment where team members can work together effectively to achieve shared goals.
Conclusion
My personal approach to professional nursing practice is guided by Watson’s Caring Theory and informed by my understanding of nursing, person, health, and environment. I believe that patient-centered and holistic care are essential for promoting well-being. My open and direct communication style, while sometimes needing refinement, allows me to collaborate effectively with colleagues and contribute to positive patient outcomes. I am committed to continuous learning and professional development to enhance my skills and further refine my approach to nursing practice.