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  • [Solved] week 3

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    **Week 3** **Discussion: Nursing Leadership and Change Management** Being cost conscious as a nurse and a nurse leader can be challenging. There are multiple considerations that contribute to cost-consciousness that should be kept in mind. As direct caregivers, nurses are often involved in determini…

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    **Week 3** **Discussion: Nursing Leadership and Change Management**
    Being cost conscious as a nurse and a nurse leader can be challenging. There are multiple considerations that contribute to cost-consciousness that should be kept in mind. As direct caregivers, nurses are often involved in determining the type and quantity of resources used for patients. This includes supplies, personnel, and time. Decisions made by nurse leaders will directly impact the cost of care for patients cared for within their organization.
    In this week’s discussion, reflect on the role of the nurse leader in fiscal management decision making. Address the following:
    – Provide two different examples that demonstrate how nurse leaders can impact cost of care through cost-containment efforts surrounding budgeting, expense reporting, personnel/staffing decisions, or reimbursement.
    – Discuss how implementing evidence-based practice can contribute to cost-containment efforts within healthcare organizations.
    – Provide one example of an evidence-based change that can impact healthcare costs.
    – Reflect on your work as a nurse. After reviewing the content in this module, how will your practice change in the future concerning fiscal and resource management? What specific changes will you make in your practice?

  • [Solved] Reflections on Evidence-Based Practice, Clinical Practice Guidelines, and Standards of Care

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    ## **Reflections on Evidence-Based Practice, Clinical Practice Guidelines, and Standards of Care**

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    ## **Reflections on Evidence-Based Practice, Clinical Practice Guidelines, and Standards of Care**

  • [Solved] Case Study

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    see attachment – ## NRS-460-RS-T3-BenchmarkCaseStudy-TimothySmith-MedSurg.docx **## NRS-460-RS-T3-BenchmarkCaseStudy-TimothySmith-MedSurg.docx** ![](https://www.sweetstudy.com/questions/case-study-20929389) **NRS-460 Benchmark – Case Study: Timothy Smith – Medical Surgical Unit** **Directions: Read …

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    see attachment

    – ## NRS-460-RS-T3-BenchmarkCaseStudy-TimothySmith-MedSurg.docx

    **## NRS-460-RS-T3-BenchmarkCaseStudy-TimothySmith-MedSurg.docx**

    ![](https://www.sweetstudy.com/questions/case-study-20929389)

    **NRS-460 Benchmark – Case Study: Timothy Smith – Medical Surgical Unit**

    **Directions: Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Complete the critical thinking table and submit the completed template to the assignment dropbox.**

    It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the complex management of disease, the clinical manifestations and associated treatment protocols, and how they impact patients across the life span.

    **PART I: Health History and Medical Information**

    Evaluate the health history and medical information for Timothy Smith, presented below.

    Upon arrival to the medical-surgical unit, you are assigned as Mr. Smith's primary care nurse. It has been reported that the patient started confusing his days and nights and becoming restless. Once his family was identified in the Intensive Care Unit (ICU), his mother was an active visitor and helped with care decisions. She notified his care team that Timothy was an active military service member with a history of post-traumatic stress disorder (PTSD) and depression, which have led to smoking and recreational drug use. Two days prior to arrival to the med-surg unit, Mr. Smith was extubated from the ventilator and has been weaned down to a 2L nasal cannula. Three days prior his EVD was removed. The focus has been shifted to strengthening him to walk and healing abrasions from the accident. Tube feeding was continued from the ICU while awaiting clearance to begin swallowing on his own. Dressing changes are ordered from the open reduction internal fixation (ORIF) and for any third-degree abrasions from the accident.

    1. Oxygen – 2L Nasal Cannula, FaO2: 21-24%; Hypoventilation (splinting, coughing, deep breathing)

    2. Physical therapy

    3. Respiratory therapy

    4. Hairline fracture of 3 left ribs

    5. Wound care for ORIF and abrasions

    6. Psychosocial needs (PTSD, depression, ICU psychosis)

    7. Pain control

    _Laboratory Tests, Results, and Vitals:_

    1. Skin assessments

    2. Protein level

    3. Follow-up x-rays of ribs show healing and no punctures, tube feeding catheter tip located in the upper stomach

    4. GCS: 14 (deficit for confusion at times)

    5. Respiratory rate – 16

    6. SpO2 94%

    7. Blood pressure – 118/68

    8. A psychiatric nurse practitioner has begun visiting and noticed he is showing signs of depression and is struggling to cope with the accident.

    9. CT scan of the head

    10. Pain assessment score of 6 out of 10, with the patient reporting his leg is the worst source of pain, also experiencing pain with deep breaths, and mild headache

    **PART II: Critical Thinking Activity**

    Use the findings from your evaluation to complete the following:

    | | |
    | — | — |
    | **Plan of Care**<br>_When assuming care of this patient, you were told that the plan for Mr. Smith is to be discharged home tomorrow. This was not the plan when you took care of Mr. Smith yesterday._ |
    | Part 1: Evaluate Outcomes of Care <br>_1. Evaluate Mr. Smith's readiness for discharge based on the information provided in the case study. Based on your findings, evaluate health goals for this patient. Discuss how you would modify the plan of care. Your response should be a minimum of 200 words._ | |
    | _2. Based on your assessment, how would you recommend modifying the plan of care to meet Mr. Smith's needs? Your response should be a minimum of 150 words._ | |
    | Part 2: Protocol<br>_What protocol would you use to implement your recommendations for Mr. Smith's updated plan of care? Your response should be a minimum of 200 words._ | |
    | **Recovery and Response to Treatment**<br>_Consider Mr. Smith's history of PTSD and depression._ |
    | _Discuss the impact his PTSD and depression history might have on his recovery and response to treatment. Your response should be a minimum of 150 words._ | |
    | **Complications**<br>_Consider Mr. Smith's history of PTSD and depression in addressing the following questions._ |
    | _Discuss the overall complications that may affect Mr. Smith's motivation, compliance, and psychological well-being. Your response should be a minimum of 150 words._ | |
    | _Put together an interdisciplinary team to support all areas of his recovery, including mental health support. Provide rationale for your response by referencing his assessment findings. Your response should be a minimum of 150 words._ | |
    | **Smoking and Drug Use**<br>_Consider Mr. Smith's history of smoking and recreational drug use._ |
    | History of Smoking <br>_How might his history of smoking impact healing of the bones? Your response should be a minimum of 150 words._ | |
    | Cessation of Smoking<br>_1. Discuss how you would integrate smoking cessation and rehabilitation experts into Mr. Smith's recovery team. Your response should be a minimum of 150 words._ | |
    | _2. How might Mr. Smith's past usage of recreational drugs impact his pain management? Your response should be a minimum of 150 words._ | |
    | Balancing <br>_Discuss how the nurse would balance promoting smoking cessation for Mr. Smith while respecting his self-determination in his health care decisions. Your response should be a minimum of 150 words._ | |
    | **Psychosocial and Spiritual Considerations**<br>_Providing holistic nursing care for patients with complex conditions requires that the nurse takes into account the patient's psychosocial and spiritual needs._ |
    | _Given the patient's current situation, discuss ways in which the nurse can take into account and address the patient's psychosocial and spiritual needs. Your response should be a minimum of 150 words._ | |
    | **Care Planning and Insurance**<br>_Nurses have to have an awareness of the socioeconomic impact of care delivery, especially when planning care for patients with complex needs._ |
    | _Who would you need to involve if you discover that the patient is uninsured? Your response should be a minimum of 150 words._ | |
    | _How would this impact the socioeconomic aspect of Mr. Smith's care planning moving forward? Your response should be a minimum of 150 words._ | |
    | **References (Please include working hyperlinks)** |

    © 2024. Grand Canyon University. All Rights Reserved.

    2

    ## image1.png

    **## NRS-460-RS-T3-BenchmarkCaseStudy-TimothySmith-MedSurg.docx**

    ![](https://www.sweetstudy.com/questions/case-study-20929389)

    **NRS-460 Benchmark – Case Study: Timothy Smith – Medical Surgical Unit**

    **Directions: Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Complete the critical thinking table and submit the completed template to the assignment dropbox.**

    It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the complex management of disease, the clinical manifestations and associated treatment protocols, and how they impact patients across the life span.

    **PART I: Health History and Medical Information**

    Evaluate the health history and medical information for Timothy Smith, presented below.

    Upon arrival to the medical-surgical unit, you are assigned as Mr. Smith's primary care nurse. It has been reported that the patient started confusing his days and nights and becoming restless. Once his family was identified in the Intensive Care Unit (ICU), his mother was an active visitor and helped with care decisions. She notified his care team that Timothy was an active military service member with a history of post-traumatic stress disorder (PTSD) and depression, which have led to smoking and recreational drug use. Two days prior to arrival to the med-surg unit, Mr. Smith was extubated from the ventilator and has been weaned down to a 2L nasal cannula. Three days prior his EVD was removed. The focus has been shifted to strengthening him to walk and healing abrasions from the accident. Tube feeding was continued from the ICU while awaiting clearance to begin swallowing on his own. Dressing changes are ordered from the open reduction internal fixation (ORIF) and for any third-degree abrasions from the accident.

    1. Oxygen – 2L Nasal Cannula, FaO2: 21-24%; Hypoventilation (splinting, coughing, deep breathing)

    2. Physical therapy

    3. Respiratory therapy

    4. Hairline fracture of 3 left ribs

    5. Wound care for ORIF and abrasions

    6. Psychosocial needs (PTSD, depression, ICU psychosis)

    7. Pain control

    _Laboratory Tests, Results, and Vitals:_

    1. Skin assessments

    2. Protein level

    3. Follow-up x-rays of ribs show healing and no punctures, tube feeding catheter tip located in the upper stomach

    4. GCS: 14 (deficit for confusion at times)

    5. Respiratory rate – 16

    6. SpO2 94%

    7. Blood pressure – 118/68

    8. A psychiatric nurse practitioner has begun visiting and noticed he is showing signs of depression and is struggling to cope with the accident.

    9. CT scan of the head

    10. Pain assessment score of 6 out of 10, with the patient reporting his leg is the worst source of pain, also experiencing pain with deep breaths, and mild headache

    **PART II: Critical Thinking Activity**

    Use the findings from your evaluation to complete the following:

    | | |
    | — | — |
    | **Plan of Care**<br>_When assuming care of this patient, you were told that the plan for Mr. Smith is to be discharged home tomorrow. This was not the plan when you took care of Mr. Smith yesterday._ |
    | Part 1: Evaluate Outcomes of Care <br>_1. Evaluate Mr. Smith's readiness for discharge based on the information provided in the case study. Based on your findings, evaluate health goals for this patient. Discuss how you would modify the plan of care. Your response should be a minimum of 200 words._ | |
    | _2. Based on your assessment, how would you recommend modifying the plan of care to meet Mr. Smith's needs? Your response should be a minimum of 150 words._ | |
    | Part 2: Protocol<br>_What protocol would you use to implement your recommendations for Mr. Smith's updated plan of care? Your response should be a minimum of 200 words._ | |
    | **Recovery and Response to Treatment**<br>_Consider Mr. Smith's history of PTSD and depression._ |
    | _Discuss the impact his PTSD and depression history might have on his recovery and response to treatment. Your response should be a minimum of 150 words._ | |
    | **Complications**<br>_Consider Mr. Smith's history of PTSD and depression in addressing the following questions._ |
    | _Discuss the overall complications that may affect Mr. Smith's motivation, compliance, and psychological well-being. Your response should be a minimum of 150 words._ | |
    | _Put together an interdisciplinary team to support all areas of his recovery, including mental health support. Provide rationale for your response by referencing his assessment findings. Your response should be a minimum of 150 words._ | |
    | **Smoking and Drug Use**<br>_Consider Mr. Smith's history of smoking and recreational drug use._ |
    | History of Smoking <br>_How might his history of smoking impact healing of the bones? Your response should be a minimum of 150 words._ | |
    | Cessation of Smoking<br>_1. Discuss how you would integrate smoking cessation and rehabilitation experts into Mr. Smith's recovery team. Your response should be a minimum of 150 words._ | |
    | _2. How might Mr. Smith's past usage of recreational drugs impact his pain management? Your response should be a minimum of 150 words._ | |
    | Balancing <br>_Discuss how the nurse would balance promoting smoking cessation for Mr. Smith while respecting his self-determination in his health care decisions. Your response should be a minimum of 150 words._ | |
    | **Psychosocial and Spiritual Considerations**<br>_Providing holistic nursing care for patients with complex conditions requires that the nurse takes into account the patient's psychosocial and spiritual needs._ |
    | _Given the patient's current situation, discuss ways in which the nurse can take into account and address the patient's psychosocial and spiritual needs. Your response should be a minimum of 150 words._ | |
    | **Care Planning and Insurance**<br>_Nurses have to have an awareness of the socioeconomic impact of care delivery, especially when planning care for patients with complex needs._ |
    | _Who would you need to involve if you discover that the patient is uninsured? Your response should be a minimum of 150 words._ | |
    | _How would this impact the socioeconomic aspect of Mr. Smith's care planning moving forward? Your response should be a minimum of 150 words._ | |
    | **References (Please include working hyperlinks)** |

    © 2024. Grand Canyon University. All Rights Reserved.

    2

    ## image1.png

  • [Solved] Nursing Assignment

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    ![icon](https://media-as.academicpartnerships.com/STU/STU_Icon_Upload.png)_**Introduction & PICOT Question Assignment**_ For this assignment, you will write an introduction. Refer to [Module 3: Lecture Materials & Resources](https://stu.instructure.com/courses/46198/pages/module-3-lecture-materials-…

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    ![icon](https://media-as.academicpartnerships.com/STU/STU_Icon_Upload.png)_**Introduction & PICOT Question Assignment**_
    For this assignment, you will write an introduction. Refer to [Module 3: Lecture Materials & Resources](https://stu.instructure.com/courses/46198/pages/module-3-lecture-materials-and-resources "Module 3: Lecture Materials & Resources") to help you complete this assignment.
    **Your Introduction must include:**
    – Your PICOT question.
    – Purpose of or rationale for the scholarly project:
    – Provide an evidence-based explanation of why it is necessary to complete your scholarly project and what benefit will be gained (health promotion, fiscal, and efficiency).
    – Background on the problem or population of interest:
    – Using primary sources, provide data on your topic.
    – Providing the background will demonstrate the focused need for your project.
    – Significance of the problem to nursing and health care:
    – State how your problem or population of interest aligns with the larger interest of health care in the community.
    – Create a context to why your topic is important.
    – Benefit of the project to nursing practice:
    – State what will be gained from your project.
    – Describe the expected outcomes of your project to practice within your population and setting.
    – Relate the outcomes to evidence-based guidelines and outcomes.
    – Describe how your project may influence other populations or settings.

  • [Solved] Powerpoint

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    In-depth study guidance and analytical solution covering Powerpoint.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] note

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    – ## ReflectionsonStandardofCarelectionsonStandardofCare.docx **## ReflectionsonStandardofCarelectionsonStandardofCare.docx** ### Reflections on Standard of Care lections on Standard of Care ![A person looking at a tablet AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/n…

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    – ## ReflectionsonStandardofCarelectionsonStandardofCare.docx

    **## ReflectionsonStandardofCarelectionsonStandardofCare.docx**

    ### Reflections on Standard of Care lections on Standard of Care

    ![A person looking at a tablet AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/note-20929395)

    As you prepare to graduate and enter the workforce as a Family Nurse Practitioner, it is crucial to recognize that in clinical practice, providers may have differing opinions on treatment plans for a variety of reasons such as clinical experience, interpretation of evidence, or patient preferences. However, these differences present valuable learning opportunities. Professionalism, mutual respect, and a commitment to evidence-based care allow us to grow from these experiences and improve patient outcomes. The "Reflecting on Standards of Care" assignment is designed to help you critically reflect on a patient case from your practicum experience this quarter where you and your preceptor approached the treatment plan differently. This assignment is an opportunity for you to reflect not only on this specific case but on your development as a clinician and how you can continue to provide high-quality, patient-centered care while maintaining collaborative and respectful relationships with your colleagues..

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/172596/modules/items/6964445)

    ### **Reflections on Standard of Care**

    **To prepare:**

    Select a patient case from your clinical experience this quarter where you and your preceptor approached the treatment plan differently. Reflect on these differences, using relevant and current resources, particularly those outlining standards of care. As you develop your reflection, review the assignment instructions and grading rubric for guidance. Keep your writing concise, using paragraph format, and lists for medications and diagnoses when appropriate. Be sure to include a title page and reference page.

    **Assignment:**

    Briefly summarize the case:

    · Include relevant patient information, including history, assessment, any testing that might have been done, and medications.

    · Presenting symptoms.

    · Diagnosis.

    Compare Treatment plans:

    · Describe your preceptor’s recommended treatment plan.

    · Explain the alternative treatment plan you would have recommended as a nurse practitioner.

    Justify Your Approach:

    · Use evidence-based guidelines, clinical research, and relevant literature to support your alternative plan.

    · Discuss why you believe your approach would be effective, considering the patient’s history, condition, and individual needs.

    Reflect on Differences:

    · Analyze the differences between your plan and your preceptor’s.

    · Consider factors such as clinical experience, knowledge, patient-centered care, and the influence of evidence-based practice in decision-making.

    Lessons Learned:

    · Reflect on how this experience has influenced your clinical practice and approach to treatment planning.

    · Discuss how you can apply what you learned to future patient care.

    · How might you approach another provider professionally in the future when you find treatment plans differing during collaboration on the patient case?

    **Submission Requirements:**

    · Length: 3-4 double-spaced pages, APA format.

    · Cite at least 3 current peer reviewed sources or evidence-based research to support your analysis.

    **Evaluation Criteria (also see rubric):**

    · Clarity and completeness of the case summary.

    · Depth of analysis and comparison between treatment plans.

    · Use of evidence-based rationale for your alternative plan.

    · Reflection on learning and future application.

    · Proper use of APA formatting and references.

    By Day 7

    Submit your Reflections on Standards of Care assignment.

    submission information

    Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
    **Turnitin Drafts** from the
    **Start Here** area.

    1. To submit your completed assignment, save your Assignment as
    **WK8Assgn1+last name+first initial.**

    2. Then, click on
    **Start Assignment** near the top of the page.

    3. Next, click on
    **Upload File** and select
    **Submit Assignment** for review.

    Rubric

    **PRAC_6568_Week8_Assignment1_Rubric**

    | | | |
    | — | — | — |
    | PRAC_6568_Week8_Assignment1_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeThe case summary is clear, complete, and includes all relevant information. It covers the patient's history, assessment findings, medications, any pertinent testing, presenting symptoms, and the final diagnosis. | **10 to >8.0 ptsExcellent** The response thoroughly and accurately describes the patient's subjective complaint, history, current medications, allergies, and review of diagnosis.<br> <br>**8 to >7.0 ptsGood** The response accurately describes the patient's subjective complaint, history, current medications, allergies, and review of diagnosis.<br> <br>**7 to >6.0 ptsFair** The response describes the patient's subjective complaint, history, current medications, allergies, and review of diagnosis, but is somewhat vague or contains minor inaccuracies.<br> <br>**6 to >0 ptsPoor** The response provides an incomplete or inaccurate description of the patient's subjective complaint, history, current medications, allergies, and review of diagnosis. | 10 pts |
    | This criterion is linked to a Learning OutcomeProvide a thorough, insightful comparison between the alternative plan and the preceptor’s approach, analyzing key differences in clinical experience, knowledge, and patient-centered care. Thoughtfully discuss how evidence-based practice influenced decision-making in both plans, demonstrating an understanding of its role in patient care. | **10 to >8.0 ptsExcellent** The response provides a thorough, insightful comparison between the alternative plan and the preceptor’s approach, analyzing key differences in clinical experience, knowledge, and patient-centered care.<br> <br>**8 to >7.0 ptsGood** The response compares the two approaches with reasonable detail but may miss some key differences or lack depth in analysis.<br> <br>**7 to >6.0 ptsFair** The response provides a limited comparison, without fully exploring the differences in clinical experience or decision-making processes.<br> <br>**6 to >0 ptsPoor** The response fails to provide a meaningful comparison between the plans, or the analysis is overly simplistic or inaccurate. | 10 pts |
    | This criterion is linked to a Learning OutcomeSupport the alternative plan with at least three evidence-based guidelines or peer reviewed journal articles. All sources must be current (no more than five years old), credible, and clearly aligned with the patient’s case. | **20 to >17.0 ptsExcellent** The response provides at least three current, evidence-based resources from the literature to support the alternative treatment plan for the patient. Each resource represents the latest in standards of care and provides strong justification for treatment decisions.<br> <br>**17 to >15.0 ptsGood** The response provides at least three current, evidence-based resources from the literature to support the alternative treatment plan for the patient. Each resource represents current standards of care and supports treatment decisions.<br> <br>**15 to >13.0 ptsFair** Three evidence-based resources are provided to support alternative treatment decisions but may not represent the latest in standards of care or may only provide vague or weak justification for the treatment plan.<br> <br>**13 to >0 ptsPoor** Two or fewer resources are provided to support alternative treatment decisions. The resources may not be current or evidence-based, or do not support the treatment plan. | 20 pts |
    | This criterion is linked to a Learning OutcomeReflect on the differences between alternative treatment plan and preceptor’s plan. Critically analyze the rationale behind each approach and identify how these differences inform clinical decision-making and professional growth in patient care. | **20 to >17.0 ptsExcellent** The response demonstrates a thorough, insightful reflection on the alternative plan and the preceptor’s approach, analyzing key differences in clinical experience, knowledge, and patient-centered care.<br> <br>**17 to >15.0 ptsGood** The response demonstrates reflection on the two approaches with reasonable detail but may miss some key differences or lack depth in analysis.<br> <br>**15 to >13.0 ptsFair** The response demonstrates a limited reflection, without fully exploring the differences in clinical experience or decision-making processes.<br> <br>**13 to >0 ptsPoor** The response fails to demonstrate a meaningful reflection on the plans, or the analysis is overly simplistic or inaccurate. Reflections on the case are vague or missing. | 20 pts |
    | This criterion is linked to a Learning OutcomeReflect on the lessons learned from comparing treatment plan approaches, assessing how the experience has influenced clinical decision-making and identify how these insights will guide approach to future patient care and collaboration with other healthcare providers. | **25 to >22.0 ptsExcellent** The response offers a thorough reflection on how the experience has influenced clinical practice and treatment planning, showing growth in clinical reasoning, decision-making, and patient care. It clearly explains how lessons learned will guide future patient care, with specific examples. It also provides a thoughtful approach to handling differing treatment plans, emphasizing respectful, evidence-based communication and collaboration.<br> <br>**22 to >19.0 ptsGood** The response offers a solid reflection on how the experience has influenced clinical practice and treatment planning, though some areas lack depth. It shows growth in clinical reasoning, decision-making, and patient care, but examples may be underdeveloped. It explains how lessons can be applied to future care with relevant examples and provides a reasonable approach to handling differing treatment plans, though not all aspects of collaboration are fully explored.<br> <br>**19 to >16.0 ptsFair** The response provides a basic reflection on how the experience influenced clinical practice and treatment planning but lacks detail. Shows limited growth in reasoning and decision-making. Mentions applying lessons to future care, but examples are vague. Offers a minimal approach to handling differing treatment plans, with limited focus on professionalism or evidence-based communication.<br> <br>**16 to >0 ptsPoor** The response offers little to no reflection on how the experience influenced clinical practice or treatment planning, showing no growth in reasoning or decision-making. It fails to explain how lessons will be applied to future care and provides no meaningful approach to handling differing treatment plans, lacking professionalism or evidence-based focus. | 25 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. | **5 to >4.0 ptsExcellent** Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.<br> <br>**4 to >3.5 ptsGood** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.<br> <br>**3.5 to >3.0 ptsFair** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.<br> <br>**3 to >0 ptsPoor** Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. No purpose statement, introduction, or conclusion were provided. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | **5 to >4.0 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4 to >3.5 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**3.5 to >3.0 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**3 to >0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. | **5 to >4.0 ptsExcellent** Uses correct APA format with no errors.<br> <br>**4 to >3.5 ptsGood** Contains a few (1 or 2) APA format errors.<br> <br>**3.5 to >3.0 ptsFair** Contains several (3 or 4) APA format errors.<br> <br>**3 to >0 ptsPoor** Contains many (≥ 5) APA format errors. | 5 pts |

    Total Points: 100

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    ## image1.jpeg

    **## ReflectionsonStandardofCarelectionsonStandardofCare.docx**

    ### Reflections on Standard of Care lections on Standard of Care

    ![A person looking at a tablet AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/note-20929395)

    As you prepare to graduate and enter the workforce as a Family Nurse Practitioner, it is crucial to recognize that in clinical practice, providers may have differing opinions on treatment plans for a variety of reasons such as clinical experience, interpretation of evidence, or patient preferences. However, these differences present valuable learning opportunities. Professionalism, mutual respect, and a commitment to evidence-based care allow us to grow from these experiences and improve patient outcomes. The "Reflecting on Standards of Care" assignment is designed to help you critically reflect on a patient case from your practicum experience this quarter where you and your preceptor approached the treatment plan differently. This assignment is an opportunity for you to reflect not only on this specific case but on your development as a clinician and how you can continue to provide high-quality, patient-centered care while maintaining collaborative and respectful relationships with your colleagues..

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/172596/modules/items/6964445)

    ### **Reflections on Standard of Care**

    **To prepare:**

    Select a patient case from your clinical experience this quarter where you and your preceptor approached the treatment plan differently. Reflect on these differences, using relevant and current resources, particularly those outlining standards of care. As you develop your reflection, review the assignment instructions and grading rubric for guidance. Keep your writing concise, using paragraph format, and lists for medications and diagnoses when appropriate. Be sure to include a title page and reference page.

    **Assignment:**

    Briefly summarize the case:

    · Include relevant patient information, including history, assessment, any testing that might have been done, and medications.

    · Presenting symptoms.

    · Diagnosis.

    Compare Treatment plans:

    · Describe your preceptor’s recommended treatment plan.

    · Explain the alternative treatment plan you would have recommended as a nurse practitioner.

    Justify Your Approach:

    · Use evidence-based guidelines, clinical research, and relevant literature to support your alternative plan.

    · Discuss why you believe your approach would be effective, considering the patient’s history, condition, and individual needs.

    Reflect on Differences:

    · Analyze the differences between your plan and your preceptor’s.

    · Consider factors such as clinical experience, knowledge, patient-centered care, and the influence of evidence-based practice in decision-making.

    Lessons Learned:

    · Reflect on how this experience has influenced your clinical practice and approach to treatment planning.

    · Discuss how you can apply what you learned to future patient care.

    · How might you approach another provider professionally in the future when you find treatment plans differing during collaboration on the patient case?

    **Submission Requirements:**

    · Length: 3-4 double-spaced pages, APA format.

    · Cite at least 3 current peer reviewed sources or evidence-based research to support your analysis.

    **Evaluation Criteria (also see rubric):**

    · Clarity and completeness of the case summary.

    · Depth of analysis and comparison between treatment plans.

    · Use of evidence-based rationale for your alternative plan.

    · Reflection on learning and future application.

    · Proper use of APA formatting and references.

    By Day 7

    Submit your Reflections on Standards of Care assignment.

    submission information

    Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
    **Turnitin Drafts** from the
    **Start Here** area.

    1. To submit your completed assignment, save your Assignment as
    **WK8Assgn1+last name+first initial.**

    2. Then, click on
    **Start Assignment** near the top of the page.

    3. Next, click on
    **Upload File** and select
    **Submit Assignment** for review.

    Rubric

    **PRAC_6568_Week8_Assignment1_Rubric**

    | | | |
    | — | — | — |
    | PRAC_6568_Week8_Assignment1_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeThe case summary is clear, complete, and includes all relevant information. It covers the patient's history, assessment findings, medications, any pertinent testing, presenting symptoms, and the final diagnosis. | **10 to >8.0 ptsExcellent** The response thoroughly and accurately describes the patient's subjective complaint, history, current medications, allergies, and review of diagnosis.<br> <br>**8 to >7.0 ptsGood** The response accurately describes the patient's subjective complaint, history, current medications, allergies, and review of diagnosis.<br> <br>**7 to >6.0 ptsFair** The response describes the patient's subjective complaint, history, current medications, allergies, and review of diagnosis, but is somewhat vague or contains minor inaccuracies.<br> <br>**6 to >0 ptsPoor** The response provides an incomplete or inaccurate description of the patient's subjective complaint, history, current medications, allergies, and review of diagnosis. | 10 pts |
    | This criterion is linked to a Learning OutcomeProvide a thorough, insightful comparison between the alternative plan and the preceptor’s approach, analyzing key differences in clinical experience, knowledge, and patient-centered care. Thoughtfully discuss how evidence-based practice influenced decision-making in both plans, demonstrating an understanding of its role in patient care. | **10 to >8.0 ptsExcellent** The response provides a thorough, insightful comparison between the alternative plan and the preceptor’s approach, analyzing key differences in clinical experience, knowledge, and patient-centered care.<br> <br>**8 to >7.0 ptsGood** The response compares the two approaches with reasonable detail but may miss some key differences or lack depth in analysis.<br> <br>**7 to >6.0 ptsFair** The response provides a limited comparison, without fully exploring the differences in clinical experience or decision-making processes.<br> <br>**6 to >0 ptsPoor** The response fails to provide a meaningful comparison between the plans, or the analysis is overly simplistic or inaccurate. | 10 pts |
    | This criterion is linked to a Learning OutcomeSupport the alternative plan with at least three evidence-based guidelines or peer reviewed journal articles. All sources must be current (no more than five years old), credible, and clearly aligned with the patient’s case. | **20 to >17.0 ptsExcellent** The response provides at least three current, evidence-based resources from the literature to support the alternative treatment plan for the patient. Each resource represents the latest in standards of care and provides strong justification for treatment decisions.<br> <br>**17 to >15.0 ptsGood** The response provides at least three current, evidence-based resources from the literature to support the alternative treatment plan for the patient. Each resource represents current standards of care and supports treatment decisions.<br> <br>**15 to >13.0 ptsFair** Three evidence-based resources are provided to support alternative treatment decisions but may not represent the latest in standards of care or may only provide vague or weak justification for the treatment plan.<br> <br>**13 to >0 ptsPoor** Two or fewer resources are provided to support alternative treatment decisions. The resources may not be current or evidence-based, or do not support the treatment plan. | 20 pts |
    | This criterion is linked to a Learning OutcomeReflect on the differences between alternative treatment plan and preceptor’s plan. Critically analyze the rationale behind each approach and identify how these differences inform clinical decision-making and professional growth in patient care. | **20 to >17.0 ptsExcellent** The response demonstrates a thorough, insightful reflection on the alternative plan and the preceptor’s approach, analyzing key differences in clinical experience, knowledge, and patient-centered care.<br> <br>**17 to >15.0 ptsGood** The response demonstrates reflection on the two approaches with reasonable detail but may miss some key differences or lack depth in analysis.<br> <br>**15 to >13.0 ptsFair** The response demonstrates a limited reflection, without fully exploring the differences in clinical experience or decision-making processes.<br> <br>**13 to >0 ptsPoor** The response fails to demonstrate a meaningful reflection on the plans, or the analysis is overly simplistic or inaccurate. Reflections on the case are vague or missing. | 20 pts |
    | This criterion is linked to a Learning OutcomeReflect on the lessons learned from comparing treatment plan approaches, assessing how the experience has influenced clinical decision-making and identify how these insights will guide approach to future patient care and collaboration with other healthcare providers. | **25 to >22.0 ptsExcellent** The response offers a thorough reflection on how the experience has influenced clinical practice and treatment planning, showing growth in clinical reasoning, decision-making, and patient care. It clearly explains how lessons learned will guide future patient care, with specific examples. It also provides a thoughtful approach to handling differing treatment plans, emphasizing respectful, evidence-based communication and collaboration.<br> <br>**22 to >19.0 ptsGood** The response offers a solid reflection on how the experience has influenced clinical practice and treatment planning, though some areas lack depth. It shows growth in clinical reasoning, decision-making, and patient care, but examples may be underdeveloped. It explains how lessons can be applied to future care with relevant examples and provides a reasonable approach to handling differing treatment plans, though not all aspects of collaboration are fully explored.<br> <br>**19 to >16.0 ptsFair** The response provides a basic reflection on how the experience influenced clinical practice and treatment planning but lacks detail. Shows limited growth in reasoning and decision-making. Mentions applying lessons to future care, but examples are vague. Offers a minimal approach to handling differing treatment plans, with limited focus on professionalism or evidence-based communication.<br> <br>**16 to >0 ptsPoor** The response offers little to no reflection on how the experience influenced clinical practice or treatment planning, showing no growth in reasoning or decision-making. It fails to explain how lessons will be applied to future care and provides no meaningful approach to handling differing treatment plans, lacking professionalism or evidence-based focus. | 25 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. | **5 to >4.0 ptsExcellent** Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.<br> <br>**4 to >3.5 ptsGood** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.<br> <br>**3.5 to >3.0 ptsFair** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.<br> <br>**3 to >0 ptsPoor** Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. No purpose statement, introduction, or conclusion were provided. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | **5 to >4.0 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4 to >3.5 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**3.5 to >3.0 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**3 to >0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. | **5 to >4.0 ptsExcellent** Uses correct APA format with no errors.<br> <br>**4 to >3.5 ptsGood** Contains a few (1 or 2) APA format errors.<br> <br>**3.5 to >3.0 ptsFair** Contains several (3 or 4) APA format errors.<br> <br>**3 to >0 ptsPoor** Contains many (≥ 5) APA format errors. | 5 pts |

    Total Points: 100

    [Previous](https://waldenu.instructure.com/courses/172596/modules/items/6964425)

    [Next](https://waldenu.instructure.com/courses/172596/modules/items/6964435)

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    What is the difference between qualitative and quantitative research methods? Give an example of each

  • [Solved] Week 4 Assgnmt 8

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    synthesize the peer-reviewed research reviewed. – ## Module4Week8AssignmentPrompt.docx **## Module4Week8AssignmentPrompt.docx** Module 4: Week 8: Assignment Start Assignment · **Points** 100 · **Submitting** a text entry box or a file upload · **Attempts** 0 · **Allowed Attempts** 2 [Back to Module …

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    Assignment Prompt & Instructions

    synthesize the peer-reviewed research reviewed.

    – ## Module4Week8AssignmentPrompt.docx

    **## Module4Week8AssignmentPrompt.docx**

    Module 4: Week 8: Assignment

    Start Assignment

    ·
    **Points** 100

    ·
    **Submitting** a text entry box or a file upload

    ·
    **Attempts** 0

    ·
    **Allowed Attempts** 2

    [Back to Module at a Glance](https://waldenu.instructure.com/courses/172202/modules/items/6934371)

    Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

    New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

    Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

    In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/172202/modules/items/6934392)

    **To Prepare:**

    · Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

    · Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

    · Identify and select 4 peer-reviewed research articles from your research.

    · For information about annotated bibliographies, visit
    [https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.](https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies)

    **The Assignment: (4-5 pages not including the title and reference page)**

    In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

    · Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

    · Include an introduction explaining the purpose of the paper.

    · Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

    · In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

    · Use APA format and include a title page.

    · Use the Turnitin Drafts to check your match percentage before submitting your work.

    By Day 7 of Week 8

    Submit your completed Assignment.

    submission information

    Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
    **Turnitin Drafts** from the
    **Start Here** area.

    1. To submit your completed assignment, save your Assignment as
    **WK8Assgn_LastName_Firstinitial**

    2. Then, click on
    **Start Assignment** near the top of the page.

    3. Next, click on
    **Upload File** and select
    **Submit Assignment** for review.

    Rubric

    **NURS_5051_Module04_Week08_Assignment_Rubric**

    | | | |
    | — | — | — |
    | NURS_5051_Module04_Week08_Assignment_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeIn a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:· Properly identify 4 peer-reviewed research articles you reviewed. | **20 to >17.0 ptsExcellent** The response identifies 4 peer-reviewed research articles for the Assignment.<br> <br>**17 to >15.0 ptsGood** The response identifies 3 peer-reviewed research articles and one peer-reviewed article for the Assignment.<br> <br>**15 to >13.0 ptsFair** The response identifies 4 or less peer-reviewed articles<br> <br>**13 to >0 ptsPoor** The response identifies less than 4 peer-reviewed articles or peer-reviewed articles are missing | 20 pts |
    | This criterion is linked to a Learning Outcome· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. | **40 to >35.0 ptsExcellent** The response accurately and thoroughly summarizes in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described….Specific, accurate, and detailed examples are provided which fully support the response.<br> <br>**35 to >31.0 ptsGood** The response summarizes each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described….Accurate examples are provided which support the response provided.<br> <br>**31 to >27.0 ptsFair** The response is missing one or two of the required elements or summaries are superficially addressed.<br> <br>**27 to >0 ptsPoor** The response is missing three or more required elements or the summaries are superficially addressed. | 40 pts |
    | This criterion is linked to a Learning Outcome· Synthesize the findings from the 4 peer-reviewed research articles in a cohesive conclusion. | **25 to >22.0 ptsExcellent** Response includes a synthesis of the findings in an exceptionally well-written conclusion.<br> <br>**22 to >19.0 ptsGood** Response includes a synthesis of the findings in a well-written conclusion.<br> <br>**19 to >17.0 ptsFair** The response is missing a synthesis of the findings or the conclusion is superficial.<br> <br>**17 to >0 ptsPoor** The response is missing a synthesis of the findings and the conclusion is not accurate or is missing. | 25 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. | **5 to >4.0 ptsExcellent** Paragraphs and sentences follow writing standards for flow, continuity, and clarity.<br> <br>**4 to >3.0 ptsGood** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.<br> <br>**3 to >2.0 ptsFair** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.<br> <br>**2 to >0 ptsPoor** Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation | **5 to >4.0 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4 to >3.0 ptsGood** Contains a few (1-2) grammar, spelling, and punctuation errors.<br> <br>**3 to >2.0 ptsFair** Contains several (3-4) grammar, spelling, and punctuation errors.<br> <br>**2 to >0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – APA:The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. | **5 to >4.0 ptsExcellent** Uses correct APA format with no errors.<br> <br>**4 to >3.0 ptsGood** Contains a few (1-2) APA format errors.<br> <br>**3 to >2.0 ptsFair** Contains several (3-4) APA format errors.<br> <br>**2 to >0 ptsPoor** Contains many (≥ 5) APA format errors. | 5 pts |

    Total Points: 100

    Weekly resources

    Learning Resources

    [Required Readings](https://waldenu.instructure.com/courses/172202/pages/module-4-learning-resources?module_item_id=6934392)

    · 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. 293–316)

    · Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)

    · Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)

    · Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)

    · Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)

    · Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020).
    [Broadband internet access is a social determinant of health!Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=144458594&site=eds-live&scope=site&custid=s6527200%20).
    _American Journal of Public Health_,
    _110_(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784

    · Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017).
    [Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study](https://waldenu.instructure.com/courses/172202/files/13752580?wrap=1) [Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study](https://waldenu.instructure.com/courses/172202/files/13752580/download?download_frd=1).
    _Critical Care Medicine, 45_ (8), e806–e813. doi:10.1097/CCM.0000000000002449

    · HealthIT.gov. (2018c).
    [_What is an electronic health record (EHR)_ ?Links to an external site.](https://www.healthit.gov/faq/what-electronic-health-record-ehr) Retrieved from
    https://www.healthit.gov/faq/what-electronic-health-record-ehr

    · Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018).
    [Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.](https://doi.org/10.1016/j.pmn.2017.11.002).
    _Pain Management Nursing, 19_ (3), 212–221.

    · Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021).
    [Digital inclusion as a social determinant of healthLinks to an external site.](https://www.nature.com/articles/s41746-021-00413-8).
    _NPJ Digital Medicine_,
    _4_(1), 52.  https://doi.org/10.1038/s41746-021-00413-8

    · Skiba, D. (2017).
    [Evaluation tools to appraise social media and mobile applicationsLinks to an external site.](https://doaj.org/article/01d0b14596e4496d92ef16177ed2c5a1?).
    _Informatics, 4_ (3), 32–40.

    · Sharma, P., & Patten, C. A. (2022).
    [A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.](https://pubmed.ncbi.nlm.nih.gov/35939597).
    _Permanente Journal_,
    _26_(3). https://doi.org/10.7812/TPP/21.156

    [Required Media](https://waldenu.instructure.com/courses/172202/pages/module-4-learning-resources?module_item_id=6934392)

    · Walden University, LLC. (Producer). (2018).
    _Public Health Informatics_  [Video file]. Baltimore, MD: Author.

    · Walden University, LLC. (Producer). (2018).
    _Electronic Records and Managing IT Change_  [Video file]. Baltimore, MD: Author.

    [Optional Resources](https://waldenu.instructure.com/courses/172202/pages/module-4-learning-resources?module_item_id=6934392)

    · Iott, B. E., Adler-Milstein, J., Gottlieb, L. M., & Pantell, M. S. (2022).
    [Characterizing the relative frequency of clinician engagement with structured social determinants of health dataLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https%3A%2F%2Fdoi.org%2F10.1093%2Fjamia%2Focac251).
    _Journal of the American Medical Informatics Association, 30_(3), 503-510.
    [https://doi.org/10.1093/jamia/ocac251 Links to an external site.](https://doi.org/10.1093/jamia/ocac251)

    · Lyles, C. R., Sharma, A. E., Fields, J. D., Getachew, Y., Sarkar, U., & Zephyrin, L. (2022).
    [Centering health equity in telemedicineLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=edsgea&AN=edsgcl.712558416&site=eds-live&scope=site&custid=s6527200).
    _The Annals of Family Medicine_,
    _20_(4), 362-367. https://doi.org/10.1370/afm.2823

    · Romain, C. V., Trinidad, S., & Kotagal, M. (2022).
    [The effect of social determinants of health on telemedicine access during the COVID-19 pandemicLinks to an external site.](https://www.proquest.com/scholarly-journals/effect-social-determinants-health-on-telemedicine/docview/2699656198/se-2?accountid=14872).
    _Pediatric Annals_,
    _51_(8), e311-e315. https://doi.org/10.3928/19382359-20220606-04

    · Singh, P., Jonnalagadda, P., Morgan, E., & Fareed, N. (2022).
    [Outpatient portal use in prenatal care: differential use by race, risk, and area social determinants of healthLinks to an external site.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8757291).
    _Journal of the American Medical Informatics Association_,
    _29_(2), 364-371. https://doi.org/10.1093/jamia/ocab242

    · Ye, J., & Ma, Q. (2021).
    [The effects and patterns among mobile health, social determinants, and physical activity: a nationally representative cross-sectional studyLinks to an external site.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378627).
    _AMIA Summits on Translational Science Proceedings_, 653-662.
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378627

    **## Module4Week8AssignmentPrompt.docx**

    Module 4: Week 8: Assignment

    Start Assignment

    ·
    **Points** 100

    ·
    **Submitting** a text entry box or a file upload

    ·
    **Attempts** 0

    ·
    **Allowed Attempts** 2

    [Back to Module at a Glance](https://waldenu.instructure.com/courses/172202/modules/items/6934371)

    Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

    New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

    Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

    In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/172202/modules/items/6934392)

    **To Prepare:**

    · Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

    · Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

    · Identify and select 4 peer-reviewed research articles from your research.

    · For information about annotated bibliographies, visit
    [https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.](https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies)

    **The Assignment: (4-5 pages not including the title and reference page)**

    In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

    · Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

    · Include an introduction explaining the purpose of the paper.

    · Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

    · In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

    · Use APA format and include a title page.

    · Use the Turnitin Drafts to check your match percentage before submitting your work.

    By Day 7 of Week 8

    Submit your completed Assignment.

    submission information

    Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
    **Turnitin Drafts** from the
    **Start Here** area.

    1. To submit your completed assignment, save your Assignment as
    **WK8Assgn_LastName_Firstinitial**

    2. Then, click on
    **Start Assignment** near the top of the page.

    3. Next, click on
    **Upload File** and select
    **Submit Assignment** for review.

    Rubric

    **NURS_5051_Module04_Week08_Assignment_Rubric**

    | | | |
    | — | — | — |
    | NURS_5051_Module04_Week08_Assignment_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeIn a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:· Properly identify 4 peer-reviewed research articles you reviewed. | **20 to >17.0 ptsExcellent** The response identifies 4 peer-reviewed research articles for the Assignment.<br> <br>**17 to >15.0 ptsGood** The response identifies 3 peer-reviewed research articles and one peer-reviewed article for the Assignment.<br> <br>**15 to >13.0 ptsFair** The response identifies 4 or less peer-reviewed articles<br> <br>**13 to >0 ptsPoor** The response identifies less than 4 peer-reviewed articles or peer-reviewed articles are missing | 20 pts |
    | This criterion is linked to a Learning Outcome· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. | **40 to >35.0 ptsExcellent** The response accurately and thoroughly summarizes in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described….Specific, accurate, and detailed examples are provided which fully support the response.<br> <br>**35 to >31.0 ptsGood** The response summarizes each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described….Accurate examples are provided which support the response provided.<br> <br>**31 to >27.0 ptsFair** The response is missing one or two of the required elements or summaries are superficially addressed.<br> <br>**27 to >0 ptsPoor** The response is missing three or more required elements or the summaries are superficially addressed. | 40 pts |
    | This criterion is linked to a Learning Outcome· Synthesize the findings from the 4 peer-reviewed research articles in a cohesive conclusion. | **25 to >22.0 ptsExcellent** Response includes a synthesis of the findings in an exceptionally well-written conclusion.<br> <br>**22 to >19.0 ptsGood** Response includes a synthesis of the findings in a well-written conclusion.<br> <br>**19 to >17.0 ptsFair** The response is missing a synthesis of the findings or the conclusion is superficial.<br> <br>**17 to >0 ptsPoor** The response is missing a synthesis of the findings and the conclusion is not accurate or is missing. | 25 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. | **5 to >4.0 ptsExcellent** Paragraphs and sentences follow writing standards for flow, continuity, and clarity.<br> <br>**4 to >3.0 ptsGood** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.<br> <br>**3 to >2.0 ptsFair** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.<br> <br>**2 to >0 ptsPoor** Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation | **5 to >4.0 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4 to >3.0 ptsGood** Contains a few (1-2) grammar, spelling, and punctuation errors.<br> <br>**3 to >2.0 ptsFair** Contains several (3-4) grammar, spelling, and punctuation errors.<br> <br>**2 to >0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting – APA:The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. | **5 to >4.0 ptsExcellent** Uses correct APA format with no errors.<br> <br>**4 to >3.0 ptsGood** Contains a few (1-2) APA format errors.<br> <br>**3 to >2.0 ptsFair** Contains several (3-4) APA format errors.<br> <br>**2 to >0 ptsPoor** Contains many (≥ 5) APA format errors. | 5 pts |

    Total Points: 100

    Weekly resources

    Learning Resources

    [Required Readings](https://waldenu.instructure.com/courses/172202/pages/module-4-learning-resources?module_item_id=6934392)

    · 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. 293–316)

    · Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)

    · Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)

    · Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)

    · Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)

    · Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020).
    [Broadband internet access is a social determinant of health!Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=144458594&site=eds-live&scope=site&custid=s6527200%20).
    _American Journal of Public Health_,
    _110_(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784

    · Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017).
    [Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study](https://waldenu.instructure.com/courses/172202/files/13752580?wrap=1) [Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study](https://waldenu.instructure.com/courses/172202/files/13752580/download?download_frd=1).
    _Critical Care Medicine, 45_ (8), e806–e813. doi:10.1097/CCM.0000000000002449

    · HealthIT.gov. (2018c).
    [_What is an electronic health record (EHR)_ ?Links to an external site.](https://www.healthit.gov/faq/what-electronic-health-record-ehr) Retrieved from
    https://www.healthit.gov/faq/what-electronic-health-record-ehr

    · Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018).
    [Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.](https://doi.org/10.1016/j.pmn.2017.11.002).
    _Pain Management Nursing, 19_ (3), 212–221.

    · Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021).
    [Digital inclusion as a social determinant of healthLinks to an external site.](https://www.nature.com/articles/s41746-021-00413-8).
    _NPJ Digital Medicine_,
    _4_(1), 52.  https://doi.org/10.1038/s41746-021-00413-8

    · Skiba, D. (2017).
    [Evaluation tools to appraise social media and mobile applicationsLinks to an external site.](https://doaj.org/article/01d0b14596e4496d92ef16177ed2c5a1?).
    _Informatics, 4_ (3), 32–40.

    · Sharma, P., & Patten, C. A. (2022).
    [A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.](https://pubmed.ncbi.nlm.nih.gov/35939597).
    _Permanente Journal_,
    _26_(3). https://doi.org/10.7812/TPP/21.156

    [Required Media](https://waldenu.instructure.com/courses/172202/pages/module-4-learning-resources?module_item_id=6934392)

    · Walden University, LLC. (Producer). (2018).
    _Public Health Informatics_  [Video file]. Baltimore, MD: Author.

    · Walden University, LLC. (Producer). (2018).
    _Electronic Records and Managing IT Change_  [Video file]. Baltimore, MD: Author.

    [Optional Resources](https://waldenu.instructure.com/courses/172202/pages/module-4-learning-resources?module_item_id=6934392)

    · Iott, B. E., Adler-Milstein, J., Gottlieb, L. M., & Pantell, M. S. (2022).
    [Characterizing the relative frequency of clinician engagement with structured social determinants of health dataLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https%3A%2F%2Fdoi.org%2F10.1093%2Fjamia%2Focac251).
    _Journal of the American Medical Informatics Association, 30_(3), 503-510.
    [https://doi.org/10.1093/jamia/ocac251 Links to an external site.](https://doi.org/10.1093/jamia/ocac251)

    · Lyles, C. R., Sharma, A. E., Fields, J. D., Getachew, Y., Sarkar, U., & Zephyrin, L. (2022).
    [Centering health equity in telemedicineLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=edsgea&AN=edsgcl.712558416&site=eds-live&scope=site&custid=s6527200).
    _The Annals of Family Medicine_,
    _20_(4), 362-367. https://doi.org/10.1370/afm.2823

    · Romain, C. V., Trinidad, S., & Kotagal, M. (2022).
    [The effect of social determinants of health on telemedicine access during the COVID-19 pandemicLinks to an external site.](https://www.proquest.com/scholarly-journals/effect-social-determinants-health-on-telemedicine/docview/2699656198/se-2?accountid=14872).
    _Pediatric Annals_,
    _51_(8), e311-e315. https://doi.org/10.3928/19382359-20220606-04

    · Singh, P., Jonnalagadda, P., Morgan, E., & Fareed, N. (2022).
    [Outpatient portal use in prenatal care: differential use by race, risk, and area social determinants of healthLinks to an external site.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8757291).
    _Journal of the American Medical Informatics Association_,
    _29_(2), 364-371. https://doi.org/10.1093/jamia/ocab242

    · Ye, J., & Ma, Q. (2021).
    [The effects and patterns among mobile health, social determinants, and physical activity: a nationally representative cross-sectional studyLinks to an external site.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378627).
    _AMIA Summits on Translational Science Proceedings_, 653-662.
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378627

  • [Solved] WEEK 8 ASSNGT

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    **Chief Compliant:** Mrs. Lin Zhang is a 52-year-old Chinese-American woman who presents with chronic lower back pain, bilateral knee stiffness, and intermittent radicular symptoms in her right leg. **History of Present Illness**: She reports that her back pain has progressively worsened over the pa…

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    Assignment Prompt & Instructions

    **Chief Compliant:** Mrs. Lin Zhang is a 52-year-old Chinese-American woman who presents with chronic lower back pain, bilateral knee stiffness, and intermittent radicular symptoms in her right leg.
    **History of Present Illness**: She reports that her back pain has progressively worsened over the past three years and is aggravated by prolonged standing and walking. The pain radiates down to her calf after long hours on her feet and is described as a dull, aching pressure with sharp flare pain after activity, with radiculopathy traveling down to her toes (see dermatome map). She also has difficulty bending, squatting, and getting up from chairs.
    (Review her areas of concern below and follow the dermatome for better understanding of her symptoms and the pathway of pain, numbness and weakness.)
    \
    week8assignment.docx](https://www.sweetstudy.com/files/week8assignment-docx-10355515 "week8assignment.docx")
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    MSNTemplate-1.doc](https://www.sweetstudy.com/files/msntemplate-1-doc-10355517 "MSNTemplate-1.doc")

  • [Solved] week4 mod 9

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    Executive Solution Overview

    – Reflect on the concept of social determinants of health as presented in the resources. – Contemplate whether digital inclusion or broad band access should be added to the 5 key areas of social determinants of health. – Using the optional outside resources or other peer reviewed journal articles, c…

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    Assignment Prompt & Instructions

    – Reflect      on the concept of social determinants of health as presented in the      resources.
    – Contemplate      whether digital inclusion or broad band access should be added to the 5      key areas of social determinants of health.
    – Using      the optional outside resources or other peer reviewed journal articles,      consider how electronic health records, mobile health, patient portals, or      telemedicine can impact and be impacted by the social determinants of      health.
    \
    Mod4Week9.docx](https://www.sweetstudy.com/files/mod4week9-docx "Mod4Week9.docx")