In this , students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Develop a 2,500-4,000 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
Background
Clinical problem statement.
Purpose of the change proposal in relation to providing patient care in the changing health care system.
PICOT question.
Literature search strategy employed.
Evaluation of the literature.
Applicable change or nursing theory utilized.
Proposed implementation plan with outcome measures.
Discussion of how evidence-based practice was used in creating the intervention plan.
Plan for evaluating the proposed nursing intervention.
Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
Appendix section, for evaluation tools and educational materials, etc. are created.
Review the feedback from your instructor on the PICOT Question, and Literature Review. Use this feedback to make appropriate revisions to these before submitting.
Prepare this according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This uses a rubric. Please review the rubric prior to beginning the to become familiar with the expectations for successful completion.
You are required to submit this to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.4: Implement patient care decisions based on evidence-based practice.
2.2: Manage patient care within the changing environment of the health care system.
Blog
-
In this , students will pull together the capstone project change proposal compo
-
IMPORTANT HEADINGS ON RUBRIC FOR WINDY FLUFFBALL CASE STUDY VIGNETTE, ALSO PLEAS
IMPORTANT HEADINGS ON RUBRIC FOR WINDY FLUFFBALL CASE STUDY VIGNETTE, ALSO PLEASE FOLLOW RUBRIC CONTAINING ALL QUESTIONS TO BE ANSWERED. IN-TEXT CITATIONS AND REFERENCES MUST BE IN APA FORMAT. PLEASE MAKE SURE EVERYTHING IS EXPLAINED THOROUGHLY!!! THANK YOU!
-
1-1 Discussion: Beginning Project Research: Public Health Organization Identific
1-1 Discussion: Beginning Project Research: Public Health Organization Identification
SubscribeIn this discussion, begin by introducing yourself to the class and share your background. Discuss why you are pursuing a degree in public health and what your plans are following graduation.
Next, review the shortlist of resources included in the Public Health Issue Data Checklist PDF and the example public health organization and issues for potential exploration in your final project. In choosing an organization, be sure that it relates to the particular community (preferably your own) that you have chosen and that you can contact someone within the organization. You will be required to describe the organization and the policy or program you chose to evaluate in Milestone One, with supporting evidence. Thus, you are expected to spend the next two weeks locating and reviewing data sources for your evaluation.
In your initial post, address the following:
Identify the community you live in or one you wish to work with.
Describe two to three organizations that you are interested in investigating within your chosen community. Remember that you will need to contact the organization to set up a meeting to interview an administrator for your journal in Module Two. You may want to reach two or three organizations to be sure one gets back to you in a timely fashion
Provide a set of resources that provide data and other information on at least two organizations and the issues they address. Identify the location of data and a description of what kind of data it contains. For example, if you choose your local food bank, then you would want to locate data on:
Food insecurity in your community, percentage of food insecurity, demographics of the community (age distribution, location of grocery stores, cost, etc.)
Who and how many people the food bank serves. You may use data from government sites, such as state.gov sites and the Centers for Disease Control and Prevention (CDC).
In responding to your peers, offer feedback on their proposed issue selection. Do you have any helpful recommendations or perspectives to provide? Are there any areas in their post that are unclear? Offer plausible solutions based on your own research or experience, including what you may have seen within your own community.
To complete this assignment, review the Capstone Discussion Rubric PDF document. -
This is a 2 part assignment. The Practice Gap I have chosen to address is Cathet
This is a 2 part assignment. The Practice Gap I have chosen to address is Catheter Acquired Urinary tract Infection.
If you prefer another quantitative research study for this, feel free to use it.
Part 1
Select a quantitative research article from the body of literature you have reviewed related to the practice gap you have identified and for which you will develop for your DNP Project.
Review the various quantitative research designs presented in the textbook readings and research articles.
Consider the research design used in your selected article. Ask yourself the following questions:
Is the design appropriate for the study? Why or why not?
Would a different design provide better results? Why or why not?
Part 2
Describe the topic or issue in nursing practice that you selected and explain why.
Explain which qualitative research design approach that you selected to address this topic or issue and describe the method you chose. Be specific.
Justify why this qualitative research design approach would be best suited for this topic or issue and explain how this approach will better inform improvements for nursing practice for the topic or issue that you selected. Be specific and provide examples.
Explain why it is important for the DNP-prepared nurse to understand qualitative research approaches for nursing practice. -
Part I: Select a special population (CHOOSE a population pertaining to LGBTQ ) t
Part I:
Select a special population (CHOOSE a population pertaining to LGBTQ ) that you are interested in knowing more about pertaining to clinical practice with individuals with addictive behaviors and their families. Topics may include, for example, an ethnic group, adolescents, older adults, sexual minorities, persons with co-morbid disorders, men or women, methadone maintenance, or impaired professionals—among others. Summarize what you learned about working with these client populations with reference to addictions. Summarize, in your own words, what you learned from the readings about the population you chose. What are the salient points to keep in mind when working with these groups? What challenges do these groups face? Are there barriers to assessment, diagnosis, and treatment? What surprised you? What assumptions were challenged? What types of treatment modalities seem to best fit this group and why? What considerations must you keep in mind when selecting the treatment modality? What skills should a social worker possess (if any) in addition to the accepted ones, when working with this population?
Part II:
Select a type of treatment other than 12-step and summarize in your own words what you learned about this treatment approach. Briefly summarize the underlying theory behind this approach. What are the important goals for the therapist and the client within this particular technique? How does this differ from 12-step? How is it similar and/or complimentary to 12-step? For whom might this treatment be best?
6 articles supporting the paper
– Use the 2 articles i have attached -
2. Complete the following Mindfulness Scale on day one and day the end of day th
2. Complete the following Mindfulness Scale on day one and day the end of day three.
mindfulattentionawarenesscale.pdf Download mindfulattentionawarenesscale.pdf
The Mindful Attention Awareness Scale (MAAS) is a 15-item scale published by the University of Pennsylvania which was designed to assess a core characteristic of dispositional mindfulness, namely, open or receptive awareness of and attention to what is taking place in the present. The scale shows strong psychometric properties and has been validated with college, community, and cancer patient samples. Correlational, quasi-experimental, and laboratory studies have shown that the MAAS taps a unique quality of consciousness that is related to, and predictive of, a variety of self-regulation and well-being constructs. The measure takes 10 minutes or less to complete.
Be sure to include your results in your writing.
3. Over the course of the three days, choose one type of mindfulness to practice each day. You decide how, when, and the duration of mindfulness to try. For example, you could try some 1-minute meditations from one of the apps listed in the resources above a few times a day or a 10-minute meditation once before going to bed. You could create your own practice that includes stretching, yoga, exercise, music, prayer, guided imagery, progressive relaxation, etc. There really is a form of mindfulness for everyone, now’s the time to learn what works for you! You can try a new form of this each day or stick with the same form for all three days, it’s up to you.
4. After your three days are finished, reflect on what the experience was like for you. Share the following in your writing:
Share your mood ratings and MAAS scores. (2 points)
Describe the mindfulness practice(s) you engaged in. (1 point)
Spend some time analyzing any trends in your ratings and scores – did your mood ratings stay the same, did they improve or vary? How about your MAAS scores? What is the comparison from day one to day three? (1 point)
What did you learn about yourself, how you respond to stress, and any benefits you may have experienced from practicing mindfulness for a few days? (1 points)
Explain how you may approach mindfulness going forward. How could you continue to incorporate this into your daily routine? (1 point)
Now that you know more about burnout, it’s physical and psychological effects, which type(s) of burnout do you believe you have experienced either now or in the past? (1 point)
Is burnout a risk in your future career? How will you help prevent burnout knowing what you know now? (1 points)
Submission must be at least 400 words in length (2 points) -
Review this week’s Learning Resources on cognitive evolution, memory, and co
Review this week’s Learning Resources on cognitive evolution, memory, and cognitive neuroscience.
Locate a peer-reviewed journal article on memory related to one of the following topics:Improving memory
Aging
Amnesia
Cognitive mappingConsider how the article you selected relates to cognition and cognitive neuroscience.
Post a response to the following:
Briefly describe the article you found on memory. Explain how the article informs our understanding of cognition and cognitive neuroscience. Be specific.
Note: Support your postings and responses with specific references to the Learning Resources and any additional sources you identify using both in-text citations and references. It is strongly recommended that you include proper APA format and citations. -
Reply to student Critically appraise the healthcare policy using Bardach’s eigh
Reply to student Critically appraise the healthcare policy using Bardach’s eightfold steps to policy analysis.
The healthcare policy I will be critically appraising using Bardach’s eightfold steps is the Treat and Reduce Obesity Act (TROA) of 2023.
Define the problem.
Obesity is a healthcare issue for all age groups (Gadde et al., 2018). Obesity creates many avoidable health problems. Obstructive sleep apnea, hypertension, non-insulin-dependent diabetes mellitus, and osteoarthritis are examples of comorbid conditions that can be related to obesity (Centers for Disease Control and Prevention [CDC], 2022). Decreasing the rates of obesity is a strategy to reduce the comorbid and metabolic conditions associated with obesity and must be addressed at the legislative level. The need to establish solutions addressing this issue is crucial.
Assemble evidence.
The World Health Organization (WHO) reports worldwide prevalence of obesity has tripled in the last forty-six years. Over 1.9 billion, or 39% of adults aged eighteen or older, were overweight. Of these, over 650 million, or 13%, were obese (World Health Organization [WHO], 2022). The most recent data shows obesity prevalence from 2017-2020, as 41.8% of adults aged 20 years and over suffered from obesity in the United States (U.S.). This number is up from 2013-2016, when the number was 38.6%. Obesity in the U.S. is getting worse (Healthy People 2030, 2020).
Develop alternatives.
Passing the bill into law would create a pathway to evidence-based medical treatments for Americans suffering from obesity. Currently, under the existing law, obesity services are elective. This makes access to care issues for people seeking medical treatment for obesity. The alternative to passing TROA will let the obesity rates in the U.S. rise, causing an unnecessary increase in comorbid and metabolic conditions.
Select criteria to evaluate the alternatives.
The advantage of passing TROA is that it will expand obesity services to include intensive behavioral lifestyle therapy to be covered under Medicare policies. It will also provide coverage for injectable obesity medications (Treat and Reduce Obesity Act [TROA], 2023). The disadvantage of passing TROA will be that closing the gap in care at the physician’s offices will be difficult due to the under-representation of licensed healthcare clinicians in the country who are needed to treat and provide lifestyle change therapy for persons suffering from obesity. The return on investment (ROI) for passing the TROA is reducing the country’s rising obesity rates. Decreasing the rates of obesity is a strategy to minimize comorbid and metabolic conditions. The direct and indirect cost of obesity in the U.S. was more than $427,800,000,000 in 2014 (TROA, 2023).
Project outcomes
Ward et al. (2019) report that by 2030, nearly one in two adults in the U.S. will have obesity, with a prevalence higher than 50% in 29 states and not below 35% in any one state (Ward et al., 2019). The prevalence of obesity in the U.S. will continue to rise without the passage of TROA. Already skyrocketing healthcare costs will continue to increase for patients suffering from obesity. Offering lifestyle therapy and injectable medications to people suffering from obesity will improve patient outcomes using a multidisciplinary, evidence-based practice model. This model will focus on the prevention and early identification of obesity (Ward et al., 2019).
Analyze trade-offs.
The decision to pass TROA is the ability to deliver evidence-based treatment plans to an epidemic in motion. The decision not to pass TROA will allow the obesity prevalence projections cited by Ward (2019) to become a reality and cause an inability to treat the comorbid and metabolic conditions of obesity successfully. Make decisions.
Expanding the reach of obesity treatment through the passage of TROA can provide a pathway to determining solutions to this health crisis. Current practice in the healthcare system needs to be more sustainable and has created a gap in practice (Gadde et al., 2018). Practical interventions must be offered to U.S. citizens to underpin safe and effective ways to address, treat and eventually cure obesity.
Communicate results.
A comprehensive approach to treating obesity will start with the passage of TROA. A health policy that addresses obesity prevention and treatment will improve health outcomes. Expanding weight management care to all U.S. citizens through TROA will help ease the burden of obesity through health policy.
References
Centers for Disease Control and Prevention. (2022). About adult BMI. https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html
Gadde, K., Martin, C. K., Hans-Rudolf, B., Heymsfield, S. B. (2018). Obesity: Pathophysiology and management. Journal of the American College of Cardiology, 71(1), pages 69-84. https://doi.org/10.1016/j.jacc.2017.11.011
Healthy People 2030. (2020). https://health.gov/healthypeople/objective-and-data/browse-objectives/overweight-and-obesity/reduce-propertion-adults-obesity-nws-03
Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2020). Prevalence of obesity and severe obesity among adults: United States, 2017–2018. National Center for Health Statistics Data Brief 360. Centers for Disease Control and Prevention. www.cdc.gov/nchs/products/databriefs/db360.htm
Treat and Reduce Obesity Act, 118thCongress, 1st session. (2023). https://www.carper.senate.gov/wp-content/uploads/TROA-Bill.pdf
Ward, Z., Bleich, S. N., Cradock, A. L., Barrett, J. L., Giles, C. M., Flax, C., Long, M. W., & Gortmaker, S. L. (2019). Projected U.S. state-level prevalence of adult obesity and severe obesity. The New England Journal of Medicine, 381(25), 2440–2450. https://doi.org/10.1056/NEJMsa1909301
World Health Organization. (2022). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight -
Discuss the information outlined below about complementary therapies. Construct
Discuss the information outlined below about complementary therapies. Construct a 5-7 page paper in APA format. Utilize current (no more than 5 years old) references. Ginseng:
Effect on the Cardiovascular System
Anticipated Benefits
Risks or Adverse Effects
Patient Education
Hawthorn:
Effect on the Cardiovascular System
Anticipated Benefits
Risks or Adverse Effects
Patient Education
L-Arginine:
Effect on the Cardiovascular System
Anticipated Benefits
Risks or Adverse Effects
Patient Education
St. John’s Wort:
Effect on the Cardiovascular System
Anticipated Benefits
Risks or Adverse Effects
Patient Education -
Explain your personal nursing philosophy, your view of health, your growth in critical thinking, and your future role as a nurse.
Submit a one-page paper in APA Style that explains your personal nursing philosophy, your view of health, your growth in critical thinking, and your future role as a nurse. Include your view of health and your thoughts on your future role as a nurse.
Review the rubric for more information on how your assignment will be graded.
Important: After you receive feedback from your instructor on this portfolio item, integrate the suggestions and revise it for your final portfolio submission.
SAMPLE ANSWER
**Personal Nursing Philosophy**
*Introduction*
Nursing, to me, is not just a profession; it is a calling rooted in compassion, advocacy, and a commitment to improving the health and well-being of individuals and communities. My personal nursing philosophy encompasses my view of health, the development of critical thinking skills, and my vision for my future role as a nurse.
*View of Health*
Health, in my perspective, extends beyond the absence of illness; it encompasses a holistic state of well-being—physically, mentally, and socially. I believe that health is a dynamic and individualized continuum influenced by various factors, including genetics, environment, lifestyle, and socio-economic determinants. As a nurse, I see my role as a facilitator in promoting and restoring health, respecting each individual’s unique needs, preferences, and values. I value the principles of patient-centered care, which prioritize collaborative decision-making, active listening, and cultural competence in delivering holistic care.
*Growth in Critical Thinking*
Critical thinking is the cornerstone of nursing practice, and I recognize its continuous development as an integral part of my nursing journey. Through my education and clinical experiences, I have cultivated the ability to think critically, analyze complex situations, and make evidence-based decisions. I have learned the significance of reflection, seeking diverse perspectives, and embracing lifelong learning to enhance my critical thinking skills. I believe that critical thinking not only equips me to provide safe and effective care but also empowers me to advocate for patients and contribute to the advancement of nursing knowledge.
*Future Role as a Nurse*
In the future, I aspire to be a compassionate, competent, and influential nurse. I envision myself working at the forefront of healthcare, advocating for health equity, and addressing healthcare disparities. My goal is to be a patient advocate, a change agent, and a lifelong learner. I aim to embrace technology and innovation to enhance patient care and improve healthcare outcomes. Additionally, I aspire to be an educator, sharing my knowledge and experiences to inspire the next generation of nurses. Ultimately, my future role as a nurse is deeply rooted in the principles of empathy, integrity, and a commitment to making a meaningful difference in the lives of those I serve.
In summary, my personal nursing philosophy is centered on the holistic view of health, continuous growth in critical thinking, and a future role characterized by compassion, advocacy, and a dedication to improving healthcare. I am committed to upholding the highest standards of nursing practice and contributing positively to the profession and the well-being of individuals and communities.