Category: Nursing

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Syllabus

Course Code: NR511

Course Title: Differential Diagnosis and Primary Care

Top Information

 Course Number: NR511

 Course Title: Differential Diagnosis and Primary Care

 Course Credit: 3 (Theory 0.5; Clinical 2.5)

 Pre-requisite: NR508, NR509

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Course Text

Textbook 1

 Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2015). Primary

care: The art and science of advanced practice nursing (4th ed.). Retrieved from

http://online.vitalsource.com

Textbook 2

 Ferri, F. F. (2014). Ferri’s clinical advisor 2014: 5 books in 1. Philadelphia: Mosby

Elsevier. (Ebook)

Textbook 3

 Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Retrieved from

http://online.vitalsource.com.(Ebook)

Required across all FNP courses:

Textbook 4

 American Psychological Association. (2010). Publication manual of the American

Psychological Association (6th ed.). Washington, DC: Author.

NR511 Syllabus

Course Description

This course will provide students with content regarding formulating differential diagnoses of

individuals within the primary care setting, along with an introduction to critical diagnostic skills

to cultivate evidence-based behaviors. An emphasis will be placed on processing client

information in a logical, progressive manner and formulating differential diagnoses for

individuals across the lifespan. The course will include 125 hours of supervised clinical

practicum in primary care.

Course
Outcomes

1.
Demonstrate diagnostic reasoning that will assist in health promotion and illness

management of common health problems in primary care through case study

presentation. (PO 1)

2. Plan for healthcare delivery in an evidence-based manner to support high-quality and

cost-effective care and decision-making. (PO 1, 9, 11)

3. Formulate differential diagnoses based on the subjective and objective patient data

obtained from the case study. (PO 1, 3)

4. Create weekly S-O-A-P documentation on a clinical patient, demonstrating increased

mastery each week. (PO 1, 3). NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

5. Create a plan of care which integrates pharmacological, complementary, and nonpharmacological

therapies for management of common health problems. (PO 1)

6. Utilize established standards and guidelines for management of common pediatric,

gynecology, internal medicine, and behavioral conditions in primary care. (1, 11)

7. Engage in sequential application of selected advanced skills/procedures. (PO 1)

8. Demonstrate advanced skills/procedures for quality outcomes pertinent to patient

care. (PO 1, 2)

9. Perform selected advanced skills/procedures appropriate to student competence and

provider scope of practice. (1)

10. Conduct a systematic and accurate assessment of a client’s total health status,

utilizing appropriate interviewing and data collection techniques. (PO 1, 2, 5, 11)

11. Reflect on personal and professional growth toward achieving competence as a

family nurse practitioner. (PO 5, 7)

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Program Outcomes

The MSN program outcomes are aligned with the American Association of Colleges of Nursing

publication, The Essentials of Master’s Education in Nursing (2011). Upon completion of the MSN

degree program, the graduate will be able to:

1. Practice safe, high-quality advanced nursing care based on concepts and knowledge from

nursing and related disciplines.

2. Construct processes for leading and promoting quality improvement and safety in advanced

nursing practice and healthcare delivery.

3. Use contemporary communication modalities effectively in advanced nursing roles.

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

4. Evaluate the design, implementation and outcomes of strategies developed to meet

healthcare needs.

5. Develop a plan for lifelong personal and professional growth that integrates professional

values regarding scholarship, service and global engagement.

6. Apply legal, ethical and human-caring principles to situations in advanced nursing practice.

7. Design patient-centered care models and delivery systems using the best available scientific

evidence.

8. Manage human, fiscal and physical resources to achieve and support individual and

organizational goals.

9. Compose a plan for systematic inquiry and dissemination of findings to support advanced

nursing practice, patient-care innovation, and the nursing profession.

10. Collaborate interprofessionally in research, education, practice, health policy and leadership

to improve population health outcomes.

11. Apply principles of informatics to manage data and information in order to support effective

decision making.

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Course Schedule

Week 1

Title: Primary Care in the 21st Century,

Caring and the Advanced Practice

Nurse, and the Art of Diagnosis and

Treatment

COs: 3, 6, 8

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 1: Primary Care in the

Twenty-First Century: A Circle

of Caring

 Chapter 4: The Art of

Diagnosis and Treatment

 Chapter 8: Eyes, Ears, Nose,

and Throat Problems

Assignments: Attestation Statement Completion

(required to begin course)

Clinical Encounter Log in eLogs with

SOAP note (required, but not graded)

Case Study

Discussions

Yes

Other

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Week 2

Title: Evidence Based Practice,

Neurological Problems, and Eyes,

Ears, Nose, and Throat Problems

COs: 4, 6, 9, 10

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 5: Evidence-Based

Care

 Chapter 6: Neurologic

Problems

Assignments: Clinical Encounter Log in eLogs with

SOAP note (required, but not graded)

Case Study

Discussions

Yes

 Other

Week 3

Title: Health Promotion, Skin Problems, and

Respiratory Problems

COs: 4, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 3: Health Promotion

 Chapter 7: Skin Problems

 Chapter 9: Respiratory

Problems

Assignments: Clinical Encounter Log in eLogs with

SOAP note(required, but not graded)

Case Study

Discussions

Yes

Other

Week 4

Title: Diagnostic Testing, Cardiovascular

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Problems, Abdominal Problems,

Renal Problems

COs: 2, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 10: Cardiovascular

Problems

 Chapter 11: Abdominal

Problems

 Chapter 12: Renal Problems

Assignments: Clinical Encounter Log in eLogs with

SOAP note (required, but not graded)

Quiz (required but not graded)

Case Study

Discussions

Yes

Other

Week 5

Title: Men’s Health Problems, Women’s

Health Problems, Musculoskeletal

Problems

COs: 3, 5, 6, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 13: Men’s Health

Problems

 Chapter 14: Women’s Health

Problems

 Chapter 15: Musculoskeletal

Problems

Assignments: Clinical Encounter Log in eLogs

(required, but not graded)

Case Study

Discussions

Yes

Other

Retrieved on 1/16

Week 6

Title: Complex Diagnosis, Endocrine and

Metabolic Problems, Hematologic and

Immune Problems, and Emergency

Problems

COs: 2, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 16: Endocrine and

Metabolic Problems

 Chapter 17: Hematologic and

Immune Problems

 Chapter 19: Emergency

Problems

Assignments: Clinical Encounter Log in eLogs

(required, but not graded)

Case Study

Discussions

Yes

Other

Week 7

Title: Laboratory tests, Psychological

Problems, Palliative Care and

Practical Psychotherapy

COs: 1, 3, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 18: Psychosocial

Problems

 Chapter 20: Palliative Care

 Chapter 23: The 15-Minute

Hour: A Short-Term Approach

to Psychotherapy in Primary

Care

Assignments: Clinical Encounter Log in eLogs

(required, but not graded)

Case Study

Discussions

Yes

Other

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Week 8

Title: Ethical and Legal Issues, the Business

of Advanced Practice, Putting Caring

into Practice: Caring for Self

COs: 11

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 21: Ethical and Legal

Issues of a Caring-Based

Practice

 Chapter 22: The Business of

Advanced Practice

 Chapter 24: Putting Caring Into

Practice: Caring for Self

Assignments: Clinical Encounter Log in eLogs &

Clinical Performance Evaluation

(graded)

Quiz (required but not graded)

Reflection (graded)

Reflection Yes

Other

Late Assignment Policy

Students are expected to submit assignments by the time they are due. Assignments submitted

after the due date and time will receive a deduction of 10% of the total points possible for that

assignment for each day the assignment is late. Assignments will be accepted, with penalty as

described, up to a maximum of three days late, after which point a zero will be recorded for the

assignment.

In the event of an emergency that prevents timely submission of an assignment, students may

petition their instructor for a waiver of the late submission grade reduction. The instructor will

review the student’s rationale for the request and make a determination based on the merits of

the student’s appeal. Consideration of the student’s total course performance to date will be a

contributing factor in the determination. Students should continue to attend class, actively

participate, and complete other assignments while the appeal is pending.

This Policy applies to assignments that contribute to the numerical calculation of the course

letter grade.

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Evaluation Methods

Assignment Points Weighting

Case Study Discussions

(100 points, Weeks 1–7)

700 70%

Reflection

(due Week 8)

50 5%

Quiz

(required, but not graded due

Week 4 & 8)

N/A N/A

Clinical Encounter Log

(due Weeks 1–8)

Clinical Performance Evaluation

(Week 8)

Final clinical performance

evaluation pass and/or

documentation of 125 hours =

250 points

Fail or unsatisfactory on clinical

performance evaluation and/or

less than 125 hours

documented =0 points

250 25%

Total Points 1,000 100%

A passing grade, or S, must be achieved on the clinical performance evaluation. If this is

achieved and the 125 clinical hours are documented, the 250 points will be added to the

remainder of the course points to calculate the final course grade. If the student does not

achieve a passing grade (fail) for the clinical performance evaluation, then the final

course grade assigned will be F.

No extra credit assignments are permitted for any reason.

All of your course requirements are graded using points. At the end of the course, the points are

converted to a letter grade using the scale in the table below. Percentages of 0.5% or higher are

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

not raised to the next whole number. A final grade of 76% (letter grade C) is required to pass

the course.

LETTER

GRADE POINTS PERCENTAGE

A 940–1,000 94–100%

A- 920–939 92–93%

B+ 890–919 89–91%

B 860–889 86–88%

B- 840–859 84–85%

C+ 810–839 81–83%

C 760–809 76–80%

F 759 and below 75% and below

Students agree that, by taking this course, all required papers may be subject to submission for

textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers will

be included as source documents in the Turnitin.com reference database solely for the purpose

of detecting plagiarism of such papers. Use of the Turnitin.com service is subject to the Terms

and Conditions of Use posted on the Turnitin.com site.

Participation Guidelines

The weekly case study discussion is worth up to 100 points. Students are expected to

participate a minimum of four times (once in part one by Tuesday, 11:59 p.m. MT, once in part

two by Thursday, 11:59 p.m. MT, provide a written summary in SOAP format to the Dropbox by

Sunday, 11:59 p.m. MT, and one post to a student peer as required in the interactive dialogue

criterion). The student must provide answers to the graded case study questions from part one,

post a treatment plan for part two and provide a written summation of their case in SOAP format

to the Dropbox for part three. NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Grading Rubric

Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

Total Points

Possible=

100

24 Points 21 Points 19 Points 9 Points 0 Points

Application

of Course

Knowledge

Post contributes

unique

perspectives or

Post

contributes

unique

Post has

limited

perspective,

Post

perspectives

are not

Post offers no

insight or

application to

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Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

insights

applicable to the

results from the

physical exam

differential

diagnoses.

Part One: Initial

post includes at

least three (3)

differential

diagnoses with

rationale for

each problembased

learning

case study

patient and

answers all

questions

presented in the

case.

Parts Two and

Three:

Presumptive

diagnosis and

treatment plan

are appropriate

and evidence

based for each

case study

patient.

perspectives

or insights,

but may lack

some

applicability to

presented

case study

patients.

Part One:

Initial post

includes at

least two (2)

differential

diagnoses

with rationale

for each

problembased

learning case

study patient

and answers

most of the

questions

presented in

the case.

Parts Two

and Three:

Confirmed

diagnosis and

treatment plan

partially

applicable

and evidence

based for

each case

study patient.

insights

and/or

applicability to

presented

case study

patients.

Part One:

Initial post

does not

address each

patient or

does not

include at

least two (2)

differential

diagnoses for

each patient.

Some

evidencebased

rationale may

be missing.

Does not

answer

questions

presented in

the case.

Parts Two and

Three:

Confirmed

diagnosis and

treatment plan

are not

applicable or

may not be

evidencebased.

consistent with

current

practice.

the case study

presentation

24 Points 21 Points 19 Points 9 Points 0 Points

Support from

EvidenceBased

Initial discussion

posts in parts

one, two and

Initial

discussion

posts for parts

Initial

discussion

posts for parts

Citations to

non-scholarly

websites given

Discussion

posts contain

no evidence-

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Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

Practice

(EBP)

SOAP note are

supported by

evidence from

appropriate

sources

published within

the last 5 years.

In-text citations

and full

references are

provided

one, two, and

SOAP note

are partially

supported by

evidence from

appropriate

sources

published

within the last

5 years.

In-text

citations and

full references

are provided.

Evidencebased,

peer

reviewed

journal article

cited but may

not fully

support the

treatment

plan.

one, two, and

SOAP note

are partially

supported by

evidence.

Sources may

not be

scholarly in

nature or may

be older than

5 years.

In-text

citations

and/or full

references

may be

incomplete or

missing.

as rationale to

support

differential

diagnoses

and/or

treatment plan.

based practice

reference or

citation.

24 Points 21 Points 19 Points 9 Points 0 Points

Organization

Discussion

posts and

SOAP notes

presents case

study findings in

a logical,

meaningful, and

understandable

sequence. Each

problem-based

learning case

study patient is

presented

individually in all

discussion

posts and

SOAP notes.

Part One:

Discussion

posts and

SOAP notes

are relevant to

the topic but

may be

unclear or

difficult to

follow in

places.

Part One:

Discussion

questions

may not be

addressed

individually for

each patient.

SOAP note

Discussion

posts and

SOAP notes

not fully

relevant to the

topic. May be

unclear or

difficult to

follow in

places.

SOAP note

does not

contain all

components

and/or may be

missing data.

Discussion post

presents case

findings and

plan or

intervention

that are

sometimes

unclear to

follow and may

not always be

relevant to topic

Discussion post

is not relevant

to case study.

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Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

Discussion

questions

addressed

individually for

each patient.

contains all

elements but

may not be

written

following

SOAP note

format.

24 Points 21 Points 19 Points 9 Points 0 Points

Interactive

Dialogue

Presents case

study findings

and responds

substantively to

at least one

topic-related

post of a peer

including

evidence from

appropriate

sources, and all

direct faculty

questions

posted in parts

one and two.

Presents case

study findings

and responds

substantively

to at least one

topic-related

post of a peer.

Does not

include

evidence from

appropriate

sources.

Responds to

some direct

faculty

questions

posted in

parts one and

two.

Responds to a

student peer

and/or faculty

questions but

the posts add

limited content

or insights to

the

discussion.

Responds to a

student peer

and/or faculty,

but the nature

of the response

is not

substantive.

Does not

respond to a

topic-related

peer post

and/or does not

respond to

faculty

questions

posted by

Sunday.

4 Points 3 Points 2 Points

1 Point

0 Points

Grammar,

Syntax, APA

APA format,

grammar,

spelling, and/or

punctuation are

accurate, or

with zero to one

errors.

Two to four

errors in APA

format,

grammar,

spelling, and

syntax noted.

Five to seven

errors in APA

format,

grammar,

spelling, and

syntax noted.

Eight to nine

errors in APA

format,

grammar,

spelling, and

syntax noted.

Post contains

greater than ten

errors in APA

format,

grammar,

spelling, and/or

punctuation or

Retrieved on 1/16

Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

repeatedly

makes the

same errors

after faculty

feedback.

0 Points

Deducted

-10 Points per

Discussion

Part

Participation

Enters first

post to part

one by 11:59

p.m. MT on

Tuesday;

First post to

part two by

11:59 p.m. MT

on Thursday;

and submits

written

summation

by Sunday

11:59 p.m.

MT. Written

submission

(SOAP notes)

will NOT be

accepted

after Sunday

11:59 p.m.

MT.

* 10 points

deducted per

discussion

part if this

criteria is not

met.

Enters first post

to part one by

11:59 p.m. MT

on Tuesday;

first post to part

two by 11:59

p.m. MT on

Thursday; and

submits written

summation by

Sunday 11:59

p.m. MT.

10 points

deducted per

discussion part

if this criteria is

not met.

Written

submission will

not be accepted

after Sunday

11:59 p.m. MT.

33 points

deducted for

missing SOAP

note.

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Webliography Disclaimer

The purpose of the Webliography is to provide students with annotated bibliographies of world

wide websites relevant to their courses. These websites are not meant to be all inclusive of what

is available for each course’s subjects and have not been sanctioned as academically rigorous

or scholarly by Chamberlain College of Nursing. Please exercise caution when using these

websites for course assignments and references. NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Professional Portfolio

Select assignments from courses across the FNP program will be compiled as artifacts within a

Professional Portfolio to demonstrate your professional growth and expertise. Your final

portfolio, which will be submitted in the final course NR661, will be assessed against the

learning outcomes of the program. The Professional Portfolio will include the following:

 Reflections from Week 8 for all FNP courses

 Five exemplar case studies (student selects top five)

 eLogs portfolio

 Curriculum vitae

 Professional development plan paper from NR510

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Health care market organizations – Benchmarking in financial decision making

In order to be competitive in health care markets, organizations must ensure that the services they provide are consistent in pricing and quality with other comparable organizations. In this Discussion, you will examine how the process of benchmarking, or comparing organizations, is important in financial decision making.

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To prepare:

Review the information on benchmarking found in this week’s Learning Resources.

Search the Walden Library or other reliable resources on the Internet and locate a journal article discussing how a health care organization has used the principle of benchmarking.

How could the concept of benchmarking be used in your own organization (or one with which you are familiar), regardless of size?

Consider how benchmarking could be useful to you in decision making.

Analyze the potential risks of making a faulty comparison.

By Day 3

Post
 a summary of the article you found (including the APA reference) and explain how it informed your understanding of benchmarking. Discuss how benchmarking could be used for financial decision making in your own organization (or one with which you are familiar). Also analyze the potential risks of making comparisons with an organization that is not a credible match with your own.

Health care market organizations – Benchmarking in financial decision making

NR511: Differential Diagnosis and Primary Care

Week 3: Discussion Part One

No unread replies.No replies.

Date of visit: October 20, 2017

A 25 year old male freshman college student presents to the student health center today with complaints of bilateral eye discomfort. Upon further questioning you discover the following subjective information regarding the chief complaint.

History of Present Illness

Onset

2-3 days ago

Location

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Both eyes

Duration

Constant

Characteristics

Both eyes feel “gritty” with mild to moderate amount of discomfort. Further describes the gritty sensation “like sand caught in your eye”

Aggravating factors

None identified

Relieving factors

None identified

Treatments

Tried OTC visine drops yesterday which temporarily improved the redness but the gritty sensation, tearing and itching remained.

Severity

Level of discomfort is 2/10 on pain scale

Review of Systems (ROS)

Constitutional

Denies fever, chills, or recent illnesses

Eyes

Denies contact lenses or glasses, has never experienced these symptoms previously. Last eye exam was “a few years ago”. Denies recent trauma or eye injury. Denies crusting of lids or mucoid or purulent drainage. Bilateral symptoms of +redness, +itching, +tearing + FB sensation.

Ears

-otalgia, -otorrhea

Nose

+occasional runny nose with intermittent nasal congestion, denies sneezing. History of seasonal nasal allergies which is aggravated in the spring but is well controlled on loratadine and fluticasone nasal spray taken during peak season.

Throat

Denies ST and redness

Neck

Denies lymph node tenderness or swelling

Chest

Denies cough, SOB and wheezing

Heart

Denies chest pain

History

Medications

Loratadine 10mg daily (only takes during the spring months when nasal allergies flare)

PMH

Seasonal allergic rhinitis with springtime triggers

PSH

None

Allergies

None

Social

Freshman student at the University of Awesome located in central Illinois. Home is in Phoenix.

Habits

Denies cigarettes +recreational marijuana use +drinks 3-6 beers per weekend

FH

Adopted, does not know biological parents history

Physical exam reveals the following.

Physical Exam

Constitutional

Young adult male in NAD, alert and oriented, cooperative

VS

Temp-97.9, P-68, R-16, BP 120/75, Height 6’0, Weight 195 pounds

Head

Normocephalic

Eyes

Visual Acuity 20/20 (uncorrected) OU. PERRL with white sclera bilaterally. + photosensitivity. No crusting, lesions or masses on lids noted. Bilateral conjunctiva with diffuse redness and tearing but no mucoid or purulent drainage noted. No visible FBs under lids or on cornea to gross examination. NR511: Differential Diagnosis and Primary Care

Fundiscopic examination: Discs flat with sharp margins. Vessels present in all quadrants without crossing defects. Retinal background has even color, no hemorrhages noted. Macula has even color.

Ears

Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender.

Nose

Nares patent. Nasal turbinates are pale and boggy with mild to moderate swelling. Nasal drainage is clear.

Throat

Oropharynx moist, no lesions or exudate. Tonsils ¼ bilaterally. Teeth in good repair, no cavities noted.

Neck

Neck supple. No lymphadenopathy. Thyroid midline, small and firm without palpable masses.

Cardiopulmonary

Heart S1 and S2 noted, no murmurs, noted. Lungs clear to auscultation bilaterally. Respirations unlabored.

· Briefly and concisely summarize the history and physical (H&P) findings as if you were presenting it to your preceptor using the pertinent facts from the case. Use shorthand where possible and approved medical abbreviations. Avoid redundancy and irrelevant information.

· Provide a differential diagnosis (minimum of 3) which might explain the patient’s chief complaint along with a brief statement of pathophysiology for each. NR511: Differential Diagnosis and Primary Care

· Analyze the differential by using the pertinent findings from the history and physical to argue for or against a diagnosis. Rank the differential in order of most likely to least likely.

· Identify any additional tests and/or procedures that you feel is necessary or needed to help you narrow your differential. IF you ordered a test or performed a procedure, identify the corresponding Current Procedural Terminology (CPT) code(s). If not applicable, list n/a. All testing decisions must be supported with an evidence-based medicine (EBM) argument as to why it is necessary or pertinent in this case. If no testing is indicated or needed, you must also support this decision with EBM evidence. NR511: Differential Diagnosis and Primary Care

Give a positive comment on the following Potential barriers to Evidence Based Practice (EBP) project – Early mobility in the ICU;

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Potential barriers to my EBP project continuing desired results include resistance from staff and waning commitment from staff (Pexton, n.d.). Early mobility of ICU patients involves a lot of work from nurses such as additional assessment and physical demands of mobilizing patients, so I could see how after the initial push the results may decrease. To overcome this, education could be ongoing along with encouragement of staff to express their concerns. Allowing staff to communicate regarding the implementation may bring up points that were not thought of or planned out, leading to improved processes. Waning commitment is another barrier that may reduce the desired outcome of early mobility in the ICU. Many nurses, including myself, feel that we are always given more tasks and asked to do more with less. This may lead to reduced compliance as the program continues. This barrier may be overcome by implementing a communication plan that reaches all ICU staff members and focuses on the positives and “wins” of the project (Pexton, n.d.). Positive feedback from me regarding increased positive patient outcomes due to early mobility would keep the staff motivated and hopefully continue the desired results.  For EBP practices to continue, management also needs to facilitate a culture of improvement and support. Managers and leaders can do this by supporting communication, encouraging staff participations, and establishing priorities (HCPro, 2008). Through education, communication, and management support my EBP project of early mobility of ICU patients could show continued positive results.

References

HCPro. (2008). Nurse managers’ role in evidence-based practice. Retrieved from HCPro:

http://www.hcpro.com/NRS-208146-3238/Nurse-managers-role-in-evidencebased-practice.html

Pexton, C. (n.d.). Overcoming the barriers to change in healthcare system. Retrieved from Six sigma:

Overcoming the Barriers to Change in Healthcare System

Potential barriers to Evidence Based Practice (EBP) project – Early mobility in the ICU

NUR 508 Ethics, Policy, And Finance In The Health Care System Essay Assignment Papers and Discussion Questions

NUR 508 Resource 1: CLC Health Issue Analysis Overview

NUR 508 Week 2 Assignment (Benchmark): Nursing Leadership Health Policy Paper

NUR-508 Week 2 Assignment (CLC): Health Issue Analysis – Topic Identification

NUR 508 Week 3 Assignment (CLC): Health Issue Analysis – Part I

NUR-508 Week 4 Assignment (CLC): Health Issue Analysis – Part II

NUR 508 Week 5 Assignment 1 (CLC): Health Issue Analysis – Part III

NUR-508 Week 5 Assignment 2: Cost and Quality Analysis

NUR 508 Week 6 Assignment (CLC): Health Issue Analysis – Part IV

NUR 508 Week 7 Assignment 1: Health Policy Values

NUR-508 Week 7 Assignment 2 (CLC): Health Issue Analysis – Part V

NUR 508 Week 8 Assignment (CLC): Health Issue Analysis – Part VI

NUR 508 Ethics, Policy, And Finance In The Health Care System Essay Assignment Papers and Discussion Questions

NUR-508 Week 1 Discussion Question 1

What were the major causes of U.S. mortality in the last 100 years, and what public health measures most contributed to improvements in the health of the nation? Include at least two source citations from the readings and/or additional sources to support your answer.

NUR 508 Week 1 Discussion Question 2

What are the major causes of disease and death in the 21st century (e.g., chronic illnesses, communicable diseases, etc.) that continue to affect U.S. citizens in spite of the achievements in public health in the past century? What have been some of the strategies implemented to combat these illnesses on the local and national levels? Have they been successful? Include reference citations where appropriate.

NUR-508 Week 2 Discussion Question 1

Select one of the United Nations’ (U.N.) Millennial Development Goals (MDGs). Visit the website and report on the UN’s progress in achieving this goal? How will meeting this goal positively impact the health of the world? What suggestions would you make to help the UN achieve this goal?

NUR 508 Week 2 Discussion Question 2

Select a global health issue from the World Health Organization (WHO) list of health topics available at http://www.who.int/topics/en/ How has globalization influenced this issue from a positive or negative perspective?

NUR-508 Week 3 Discussion Question 1

Debate the various social factors associated with the situation of the “underinsured.” Respond to two other classmates’ answers with solid reasoning and support your opinions with appropriate reference citations.

NUR 508 Week 3 Discussion Question 2

Review the Agency for Healthcare Research and Quality (AHRQ) report “Priority Populations”:

http://www.ahrq.gov/health-care-information/priority-populations/index.html

Select one of the “priority populations” and explain the disparities this population faces. What strategies have been implemented to combat these disparities on the local and national levels? Have they been successful? Include reference citations where appropriate.

NUR-508 Week 4 Discussion Question 1

Debate the efficacies of public versus private-based quality initiatives. What roles do each play in the quality of U.S. health care? How would the elimination of one aspect affect the other? Respond to two other classmates and counter their answer, citing references as appropriate.

NUR 508 Week 4 Discussion Question 2

After reading the Kaiser Family Foundation summary on the Patient Protection and Affordable Care Act, state why or why not you believe the act should remain in law, or which pieces should be reversed. Then describe two pieces of the act that you were unaware was part of the act and how that may affect you as a citizen.

NUR-508 Week 5 Discussion Question 1

What are the eligibility requirements and coverage of Medicaid for the categories of low-income adults, pregnant women, and the aging/blind/disabled in the state where you live? Do you consider the eligibility requirements reasonable or restrictive? Do you consider the coverage reasonable or liberal? What are the benefits and drawbacks to keeping these populations insured through Medicaid? Consider both direct and indirect factors.

NUR 508 Week 5 Discussion Question 2

Review the CMS.gov 30-Day Mortality and Readmission Data website. Review at least two local hospitals and see how they compare to state and national benchmarks. How and why may a consumer or a health care professional use this data to make decision about their next hospitalization? Will reporting this data have an impact on hospitals bottom line in addition to financial penalties from CMS? Give at least two examples of how this data may be used and what type of impact if may have if at all on the hospitals.

NUR-508 Week 6 Discussion Question 1

Debate the question: “Is health care a basic right in the United States?” Answer this question through the lens of your role as RN. Support your response utilizing ethical theories and principles. Respond to two other classmates using respectful communication and solid reasoning. Support your response with appropriate references.

NUR 508 Week 6 Discussion Question 2

Select an ethical dilemma related to health policy from the categories of moral values, professional regulation, health of individuals in society, or distributive justice. What are the controversies surrounding this issue? What are the opposing ethical principles? How has past or current health policy addressed this dilemma? Support your reasoning with reference citations.

NUR-508 Week 7 Discussion Question 1

How do spiritual beliefs impact political ideologies and the policy process? How have they affected the health policy reform process? Using respectful communication, debate your response with two other classmates. Give examples and support your reasoning with appropriate references.

NUR 508 Week 7 Discussion Question 2

What is the role of a religious ethic in public policy today? Should a religious ethic or theistic worldview take priority over that of others? How can religious policy decision makers remain true to their personal values while respecting the views of individuals with differing cultural and spiritual beliefs? Respond to two other classmates and cite references as appropriate.

NUR-508 Week 8 Discussion Question 1

Select an advanced professional or advanced practice nursing specialty. How has past and current regulation/legislation affected the role and scope of this nursing role? What, if any, discussions are currently underway relative to the scope and role of this specialty? What resources are available to assist nurses in advocating for these roles?

NUR 508 Week 8 Discussion Question 2

Select a professional or specialty nursing association. What impact has this organization had on health care legislation in the past 2 years? Respond to two other classmates and support your answer with appropriate references and specific examples.

NUR 508 Ethics, Policy, And Finance In The Health Care System Essay Assignment Papers and Discussion Questions

 

NUR 508 Resource 1: CLC Health Issue Analysis Overview

NUR-508 Week 2 Assignment (CLC): Health Issue Analysis – Topic Identification

NUR 508 Week 3 Assignment (CLC): Health Issue Analysis – Part I

NUR-508 Week 4 Assignment (CLC): Health Issue Analysis – Part II

NUR 508 Week 5 Assignment 1 (CLC): Health Issue Analysis – Part III

NUR-508 Week 6 Assignment (CLC): Health Issue Analysis – Part IV

NUR 508 Week 7 Assignment 1: Health Policy Values

NUR-508 Week 7 Assignment 2 (CLC): Health Issue Analysis – Part V

NUR 508 Week 8 Assignment (CLC): Health Issue Analysis – Part VI

NUR 508 Ethics, Policy, And Finance In The Health Care System Essay Assignment Papers and Discussion Questions

NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

NUR 504 Week 1 Discussion Question # 1:

Discuss the differences between research, research utilization, and evidence-based practice. You may want to link this to the historical evolution of research in nursing.

NUR 504 Week 1 Discussion Question # 2:

Identify and discuss two major ways in which qualitative research differs from quantitative research. Is one better than the other? Provide reference(s).

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NUR 504 Week 2 Discussion Question # 1:

Discuss sources of bias for both quantitative and qualitative research. For quantitative research, be sure to address both random and systematic bias. You may use examples from the articles you selected as illustrations of bias and/or preventing bias. NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

NUR 504 Week 2 Discussion Question # 2:

Researchers often identify the research problem and then go in search of a theory. Discuss the disadvantages of doing this. What does the textbook recommend that researchers do to assure a true fit between theory and designing the study?

NUR 504 Week 3 Discussion Question # 1:

Describe the quantitative design of the article you selected. Present the strengths and limitations of this type of design according to the textbook and how these are reflected in your study. Contrast the design you have selected with at least one design presented by a classmate in one of your responses.

NUR 504 Week 3 Discussion Question # 2:

Describe the qualitative design (or methodology) of the article you selected. ………. Contrast the design you have selected with at least one design presented by a classmate in one of your responses.

NUR 504 Week 4 Discussion Question # 1:

Read the section Questionnaires versus Interviews on pages 305-306 in the textbook. ………..? What principles did you identify that are new to you but could be important in improving your collection of clinical data?

NUR 504 Week 4 Discussion Question # 2:

You are interested in nurses’ attitudes toward EBP. Which method do you think would work best to obtain this information: a questionnaire, a face-to-face interview, or a group interview? Defend your answer.

NUR 504 Week 5 Discussion Question # 1:

Demographic data is collected for every study. What is the purpose of describing the demographic data?

NUR 504 Week 5 Discussion Question # 2:

There is a tendency for novice researchers to develop their own instrument if they cannot readily find one. How might you respond to a peer or manager who asks you to help develop a new tool to collect patient data on anxiety prior to cardiac catheterization?

NUR 504 Week 6 Discussion Question # 1:

State in your own words what is meant by Type I and Type II errors. Why are these important? ……….. improve internal validity of a study.

NUR 504 Week 6 Discussion Question # 2:

An example of a multivariate procedure is analysis of covariance (ANCOVA). Explain what is meant by the following statement: ANCOVA offers post hoc statistical control. Provide an example

NUR 504 Week 7 Discussion Question # 1:

In the final section of study reports, there is a section on implications and recommendations. Describe the difference between these terms. Provide examples from one of the studies that you critiqued.

NUR 504 Week 7 Discussion Question # 2:

Researchers have a responsibility to identify the limitations of a study. ……… by limitation? Provide examples from one of the studies that you critiqued.

NUR 504 Week 8 Discussion Question # 1

Post your group’s CLC EBP project. Critically read two CLC EBP projects (other than your own). Name one barrier for each that could impact the implementation of the guideline in practice and how you would work through this issue.  NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

NUR 504 Week 8 Discussion Question # 2

Discuss what …. meant by mixed-methods designs. What are the limitations of these designs.

NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

NUR 504 Week 1 Benchmark Assignment: Evidenced-Based Practice

NUR-504 Week 2 Assignment: Quantitative and Qualitative Research (Version 1)

NUR 504 Week 2 Assignment: Quantitative and Qualitative Research (Version 2)

NUR-504 Week 2 Collaborative Learning Community (CLC): EBP Agreement

NUR 504 Week 3 Assignment: Summarize Research Articles

NUR-504 Week 4 Collaborative Learning Community (CLC): EBP Identification

NUR 504 Week 4 Critique of Research Studies -Part 1

NUR-504 Week 5 Collaborative Learning Community (EPB): EBP Literature

NUR 504 Week 6 Assignment: Critique of Research Studies – Part 2

NUR 504 Week 7 CLC Assignment: EBP Develop Clinical Guideline and Implementation Plan

NUR 504 Week 8 Assignment: Critique of Research Studies – Part 3

NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

 

NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

Professional Dynamics NRS-430V Essay Assignment Papers

Discussion Questions
Professional Dynamics NRS-430V- Prof
. Lorilee McAfee

 T
opic 1: Disc
ussion Question 1

Read Lake 
and Von B
aeyer#s article. “For Successful Students. $
Also
review the characteristics of a successful student and as explained in the 
lecture. 
As you consider these which is your strongest characteristic and why, How w
ill this characteristic help you to become a successful student in your p
rogram of study,

 The charact
eristic in which I profoundly use to guide myself through my program of 
study as expressed by the list provided in the “Tips for Successful Students is 
responsible and active! These traits are 
the seed that 
have allowed me to 
create a 
successful path in 
my program of 
choice! “y ta#ing an 
active role in my education 
and holding myself responsible to my academic goals$ I am pursuing the future I
want % outside of the academic community$ these traits have helped me to parta#
e
in a healthy lifestyle th
at will not deter me from the main goals at hand! This 
foundation have help me to not only ma#e it thus far in my studies$ but have allow 
me to re&ect on the struggles I under too# to get to this point in my academic 
career
! ‘s I continue to advance myself$ I continue to learn that these are not only 
traits$ but are morals in which I have built my success on and will continue to follow
throughout my life!
 T
opic 1: Disc
ussion Question (

+’at do you 
loo for&ard to as 
you e*in t’is educational e()erience and
your )ersonal searc’ for 
)ur)ose, +’at is 
your *reatest fear, 
o& can
you o!ercome it, +rite aout one 
s)eci/c educational e()erience 
from
your )ast in &’ic’ you addressed a fear and o!ercame it and ‘o& you 
succeeded in t’is process.

 The things 
I loo# forwar
d to as I embar# on this education experience is learning 
new things about how the human body function$ and completing the requirements 
for the “S* pr
ogram! +y greatest fear is no
t being able to complete my
assignments by t
he due date! It is very di,cult to go to school and wor# a full time
 -ob$ so I pla
n to complete all my assignments 
in a timely manner to overcome this
fear! The feeling on uncertainty in mid semester of a 
class that started out
informative and interactive can create a great deal of stress in addition to other
course wor#! During the fall of my fr
eshman year my anatomy and physiology class 
was one of my favorite classes until my professor shifted the direction in which he
taught his class
! The .rst few wee#s he allow the students to be a part of his
lecture with in class group activities and discussions that were directed to
expanding upon the 
material he was teaching! ‘s mid semester approached he
slowly withdrew from group activities and limited the amount of in class discussion
which served as my way to .r
mly grasp the material that w
as been taught! ‘s his
incentive to teach died down I slowly started to fail his class% as a freshman I
learned that as a student there will be times in which you will have to ta#e upon
yourself play the r
ole of your 
professor and teach yourself the material! /hile some
professors are actively engaged in their students learning$ some will slowly pull
away providing room 
for failure! 0veryone hate to fail$ b
ut sometimes a terrible
experience with a professor will open your eyes to the importance of selfmotivation
and responsibility
!
 T
opic (: Disc
ussion Question 1

o& does no&led*e of t’e foundations and ‘istory of nursin* )ro!ide a
conte(t in &’ic’ 
to understand current )ractice, dentify at least 
t’ree
trends in nursin* )ractice from t’e $Nursin* 1imeline of istorical 2!ents
media )iece. o& ‘a!e 
t’ese trends inuenced your )ers)ecti!e on
nursin* )ractice,

 The dominanc
e of female pr
esence in the nursing .eld directly r
e&ect its history in
terms of the r
ole women play
! “efore nursing became a .eld of practice it started
out as 
women providing care 
for the sic#! 2lorence *ightingale was highly praised
for her wor# in the nursing .eld because she saw the need for improvement%
speci.cally her push for reform of sanitation method practiced by the “ritish military
heal care system was the introduction of change in the entire health care system!
3er innovative implementation of change in the health care brought ma-or
recognition that the 
nursing .eld 
deserve! This recognition allowed for even more
growth in nursing practices allowing growth in education drastically improving
patient outcomes! The willingn
ess of women from the start of patient car
e practice
have allowed nursing to grow within the female population% this growth is not only
re&ective of its past$ but goes to show that anyone can contribute to the movement
of change! ‘s advancements in the 
medical .eld continues to grow more 
extensive
three that have in&uenced my perspective of nursing is my nursing practice is the x
ray machine$ ultras
ound technology$ and the nursing uniform! The xray machine
and ultrasound technolo
gy have allowed a way for physicians with and inside loo# of 
the human body and a 
way to analy4e the normal and 
abnormal structure! This
analysis enable physicians to prescribe proper course of treatment when there is
abnormal .nding$ and the nurse carrying 
out the plan of treatment! 2or example$ a
chest xray can detect pneumonia and the nurse can administer antibiot
ic when
prescribed by the doctor
! The uniform has evolved from 
white caps$ white shoes

and all white uniform to 
colorful print scrubs and designer foot wear
! The nursing
.eld is continuously growing and it will continue to grow as the rears progress!
 T
opic (: Disc
ussion Question (

Descrie t’e de/nition of nursin* as )ut for&ard y t’e American Nurses
Association. o& 
does it 
address t’e 
meta)aradi*m t’eories of nursin*

 The ‘merican 
*urses ‘ssociation de.nition of nursing is a r
e&ection of the )uality of 
care that all nurses 
are to provide to their patient! The .eld s not a practice that
focus on one aspec
t of a patient$ but their entire wellbeing! The metaparadigm
theories of nursing list several entities which includes person$ environment$ nursing
and health5illness! *urses put these 
entities into practice by developing a 
care plan
that includes both the patient and their family
! This can include patient teaching on
a healthy 
life style! The environment aspect includes providing safety while nursing
care is being administered! The nursing aspect is providing optimum care to the
patient$ and the health5illness is attending to the emotional as well as the spiritual
needs of the patient! 6are that is pr
ovided should be e
xtensive and viewed as long
term allowing the road to recovery to be ful.lling!
7eference: 2
iberg$ 0lia4abeth 0$ 6r
easia$ 8oan 9! The 6onceptual 2oundation: The
“ridge to professional *ursing ractice ;

th

 edition!
 T
opic <: Discussi on Question 1 1’e media% and olly&ood in )articular% re)resent one a!enue in &’ic’ t’e *eneral )ulic ecomes familiar &it’  t’e role of  nurses. o& does t’e media )ositi!ely or ne*ati!ely inuence t’e )ulic#s ima*e of nursin*, +’at ot’er a!enues may etter educate t’e *eneral )ulic on t’e role and sco)e of nursin* as &ell as t’e c’an*in* ‘ealt’ care system,  The media port rays nurses in both a negative and a positive manner ! I opt to watch shows that are .lmed in the 07 setting and has a lot of trauma$ by watching these shows I am able to shar pen my critical thin#ing s#ill and my assessment s#ills! I viewed one episode where a patient was allergic to peanuts and had an anaplastic reaction because his girlfriend did not brush her teeth after eating a peanut butter sandwich! This episode taught me  to be  mindful of my contact with latex when handing a patient who has  latex listed as an allergy ! ossible avenues that can better the public =s image of nursing is schools! The media will always .nd creative ways to negatively attest to a particular .eld however$ by nursing programs advertising their success with their students and developing a strong relationship within the commun ities they are located! They are able to show that changes within the health care system can be done simply by better educating the future wor#force! Professional Dynamics NRS-430V Essay Assignment Papers

NURSING NRS-430V Professional Dynamics

What do you look forward to as you begin this educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past in which you addressed a fear and overcame it and how you succeeded in this process.

NRS 430V Module 1 Assignment: CLC Group Project Agreement

NRS 430V Module 2 Assignment: Educational Preparation

NRS-430V Module 3 Assignment CLC: Nursing Conceptual Model Presentation

NRS 430V Module 4 Assignment: Professional Development of Nursing Professionals

NRS-430V Module 5 Assignment: Professional Associations Membership (ACCN Flyer)

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NRS 430V Topic 1: Essentials of Baccalaureate Education

Module 1 Assignment: CLC Group Project Agreement
                                                                                                    

Topic 1: Discussion Question 1

Topic 1: Discussion Question 2

NRS 430V Topic 1 – Discussion Question 1: 
Read Lake and von Baeyer’s article, “Tips for Successful Students.” Also, review the characteristics of a successful student as explained in the lecture. As you consider these, which is your strongest characteristic? Why? How will this characteristic help you to become a successful student in your program of study? NURSING NRS-430V Professional Dynamics

NRS 430V Topic 1 – Discussion Question 2: 
What do you look forward to as you begin this educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past in which you addressed a fear and overcame it and how you succeeded in this process.

NRS 430V Topic 2: Nursing History, Theories, and Conceptual Model

Module 2 Assignment: Educational Preparation

Topic 2: Discussion Question 1

Topic 2: Discussion Question 2

NURSING NRS-430V Professional Dynamics

NRS’430V Topic 2 – Discussion Question 1: 
How does knowledge of the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the “Nursing Timeline of Historical Events” media piece. How have these trends influenced your perspective of nursing practice?

NRS 430V Topic 2 – Discussion Question 2: 
Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing?

NRS 430V Topic 3: Scope of Practice and Differentiated Practice Competencies

Module 3 Assignment CLC: Nursing Conceptual Model Presentation [12 Slides + Speaker Notes]

Topic 3: Discussion Question 1

Topic 3: Discussion Question 2

NURSING NRS-430V Professional Dynamics

NRS 430V Topic 4: Professional Accountability, Standards of Practice, & Professional Development

Module 4 Assignment: Professional Development of Nursing Professionals

Topic 4: Discussion Question 1

Topic 4: Discussion Question 2

NRS 430V Module 4 Assignment: 
Professional Development of Nursing Professionals

NRS’430V Topic 4 – Discussion Question 1: 
You have ……….. physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses. NURSING NRS-430V Professional Dynamics

NRS.430V Topic 4 – Discussion Question 2: 
Outline the process for developing nursing standards of practice, and identify the different entities that might be involved in developing a standard of practice.

NRS 430V Topic 5: Advocacy and Activism

Module 5 Assignment: Professional Associations Membership (ACCN Flyer)

Topic 5: Discussion Question 1

Topic 5: Discussion Question 2

NRS 430V Module 5 Assignment: Professional Associations Membership (ACCN Flyer)

NRS.430V Topic 5 – Discussion Question 1: 
Discuss how evidence-based practice is applied in your practice setting and describe the desired patient outcome achieved through this approach.

NRS 430V Topic 5 – Discussion Question 2: 
Explain the value that professional nursing organizations have in networking and in the legislative process. Provide a rationale for your response. NURSING NRS-430V Professional Dynamics

 

NRS 430V Topic 1 – Discussion Question 1: 
Read Lake and von Baeyer’s article, “Tips for Successful Students.” Also, review the characteristics of a successful student as explained in the lecture. As you consider these, which is your strongest characteristic? Why? How will this characteristic help you to become a successful student in your program of study?

NRS 430V Topic 1 – Discussion Question 2: 
What do you look forward to as you begin this educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past in which you addressed a fear and overcame it and how you succeeded in this process. NURSING NRS-430V Professional Dynamics

NRS’430V Topic 2 – Discussion Question 1: 
How does knowledge of the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the “Nursing Timeline of Historical Events” media piece. How have these trends influenced your perspective of nursing practice?

NRS 430V Topic 2 – Discussion Question 2: 
Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing?

NRS.430V Topic 3 – Discussion Question 1: 
The media, and Hollywood in particular, represent one avenue in which the general public becomes familiar with the role of nurses. How does the media positively or negatively influence the public’s image of nursing? What other avenues may better educate the general public on the role and scope of nursing as well as the changing health care system?

NRS 430V Topic 3 – Discussion Question 2: 
What factors need to be considered when determining whether or not identified actions are within the domain of nursing practice? Be sure to cite current literature in your response

NRS’430V Topic 4 – Discussion Question 1: 
You have ………… to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses. NURSING NRS-430V Professional Dynamics

NRS.430V Topic 4 – Discussion Question 2: ……….
 the process for developing nursing standards of practice, and identify the different entities that might be involved in developing a standard of practice.

NRS.430V Topic 5 – Discussion Question 1: 
Discuss how evidence-based practice is applied in your practice setting and describe the desired patient outcome achieved through this approach.

NRS 430V Topic 5 – Discussion Question 2: 
Explain the value that professional nursing organizations have in networking and in the legislative process. Provide a rationale for your response. NURSING NRS-430V Professional Dynamics

PICOT Statement Review Rubric

 

1

Unsatisfactory

0.00%

2

Less than Satisfactory

75.00%

3

Satisfactory

79.00%

4

Good

89.00%

5

Excellent

100.00%

Points

Earned

80.0 %Content

 

30.0 %

Identification of Clinical Problem/Issue

Clinical problem/issue is not identified, and resolution is not addressed. PICOT Statement Review Rubric

Clinical problem/issue is identified with little discussion of resolution or patient outcome.

Clinical problem/issue is identified but not supported with clinical observations or evidence. The identified problem/issue can be resolved, or a patient outcome shows minimal improvement.

Clinical problem/issue is identified based on clinical observation experience or evidence in literature. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can be improved using nursing interventions.

Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention.

17.78/22.5

30.0 %

Clinical Problem/Issue, Including Description, Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice

Clinical problem/issue is not described with clarity and the corresponding elements are not included. PICOT Statement Review Rubric

Clinical problem/issue description includes a basic understanding of the problem/issue and setting, with few of the following elements explained: evidence-based solution, nursing intervention, patient care, health care agency, and nursing practice.

Clinical problem/issue description includes a basic understanding of the problem/issue, the setting, and the patient population. The following elements are explained: evidence-based solution, nursing intervention, patient care, health care agency, and nursing practice. Minimal rationale is provided to support the resolution of the clinical problem/issue.

Clinical problem/issue description includes a thorough understanding of the problem/issue, the setting, the patient population, and why it is a problem/issue. The following elements are explained in detail: evidence-based solution, nursing intervention, and patient care consistent with specific health care agency and nursing practice. Sound rationale is provided supporting the clinical problem/issue resolution.

Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution.

17.78/22.5

10.0 %

PICOT Statement Focused on Resolution, Improvement, Application, and Intervention

PICOT statement does not focus on resolution of a problem/issue, improvement of patient care or application of a nursing intervention.

PICOT statement discusses a clinical problem/issue without a focus on improvement or intervention.

PICOT statement focuses on the resolution of a clinical problem/issue that improves patient care through the application of a nursing intervention.

PICOT statement focuses on the resolution of a clinical problem/issue, with discussion of improving patient care through the application of an evidenced-based nursing intervention.

PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention.

5.93/7.5

10.0 %

PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time

Population, Intervention, Comparison, Outcomes, and Time are not included.

Population, Intervention, Comparison, Outcomes, and Time are present, but lack detail or are incomplete.

Population, Intervention, Comparison, Outcomes, and Time are present.

Population, Intervention, Comparison, Outcomes, and Time are clearly provided and well developed.

Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details.

5.93/7.5

15.0 %Organization and Effectiveness

 PICOT Statement Review Rubric

5.0 %

Presentation

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

2.81/3.75

5.0 %

Argument Logic and Construction

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

2.81/3.75

5.0 %

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

0.00/3.75

5.0 %Format

 

2.0 %

Paper Format (use of appropriate style for the major and assignment)

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

1.19/1.5

5.0 %Format

 

3.0 %

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

2.00/2.25

100 %

Total Weightage

PICOT Statement Review Rubric

56.21/75

 

PICOT Statement Review Rubric

Benchmark – Capstone Project Change Proposal

 

1

Unsatisfactory 0-71%

0.00%

2

Less Than Satisfactory 72-75%

75.00%

3

Satisfactory 76-79%

79.00%

4

Good 80-89%

89.00%

5

Excellent 90-100%

100.00%

60.0 %Content

 

5.0 %

Background

Background section is not present. Benchmark – Capstone Project Change Proposal

Background section is present, but incomplete or otherwise lacking in required detail.

Background section is present. Some minor details or elements are missing but the omission(s) do not impede understanding.

Background section is present and complete. The submission provides the basic information required.

Background section is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

5.0 %

Problem Statement

Problem statement is not present.

Problem statement is present, but incomplete or otherwise lacking in required detail.

Problem statement is present. Some minor details or elements are missing but the omission(s) do not impede understanding.

Problem statement is present and complete. The submission provides the basic information required.

Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

5.0 %

Change Proposal Purpose

Purpose of change proposal is not present.

Purpose of change proposal is present, but incomplete or otherwise lacking in required detail.

Purpose of change proposal is present. Some minor details or elements are missing but the omission(s) do not impede understanding.

Purpose of change proposal is present and complete. The submission provides the basic information required.

Purpose of change proposal is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

5.0 %

PICOT

PICOT is not present.

PICOT is present, but incomplete or otherwise lacking in required detail.

PICOT is present. Some minor details or elements are missing but the omission(s) do not impede understanding.

PICOT is present and complete. The submission provides the basic information required.

PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

5.0 %

Literature Search Strategy

Literature search strategy is not present. Benchmark – Capstone Project Change Proposal

Literature search strategy is present, but incomplete or otherwise lacking in required detail.

Literature search strategy is present. Some minor details or elements are missing but the omission(s) do not impede understanding.

Literature search strategy is present and complete. The submission provides the basic information required.

Literature search strategy is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

5.0 %

Literature Evaluation

Literature evaluation is not present.

Literature evaluation is present, but incomplete or otherwise lacking in required detail.

Literature evaluation is present. Some minor details or elements are missing but the omission(s) do not impede understanding.

Literature evaluation is present and complete. The submission provides the basic information required.

Literature evaluation is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

5.0 %

Utilization of Change or Nursing Theory (2.2)

Theory utilization is not present.

Theory utilization content is present, but incomplete or otherwise lacking in required detail.

Theory utilization content is present. Some minor details or elements are missing but the omission(s) do not impede understanding.

Theory utilization content is present and complete. The submission provides the basic information required.

Theory utilization content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

5.0 %

Proposed Implementation Plan with Outcome Measures (3.2)

Implementation plan is not present.

Implementation plan is present, but incomplete or otherwise lacking in required detail.

Implementation plan is present. Some minor details or elements are missing but the omission(s) do not impede understanding.

Implementation plan is present and complete. The submission provides the basic information required.

Implementation plan is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

5.0 %

Identification of potential barriers to plan implementation, and a discussion of how these could be overcome (2.3)

Identification of potential barriers to plan implementation and /or discussion component is not present.

Identification of potential barriers to plan implementation with a discussion component is present, but is incomplete or otherwise lacking in required detail.

Identification of potential barriers to plan implementation with a discussion component is present. Some minor details or elements are missing but the omission(s) do not impede understanding.

Identification of potential barriers to plan implementation with a discussion component is present and complete. The submission provides the basic information required.

Identification of potential barriers to plan implementation with a discussion component is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

5.0 %

Appendices Inclusive of Practice Immersion Clinical Documentation (1.2)

Appendices are not present. Benchmark – Capstone Project Change Proposal

Appendices are present, but incomplete or otherwise lacking in required detail.

Appendices are present with minor elements missing that do not impede understanding.

Appendices are present and complete. The submission provides the basic information required.

Appendices are present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

10.0 %

Evidence of Revision

Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques.

Incorporation of research critique feedback or evidence of revision is incomplete.

Incorporation of research critique feedback and evidence of revision are present.

Evidence of incorporation of research critique feedback and revision is clearly provided.

Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.

30.0 %Organization and Effectiveness

 

10.0 %

Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

10.0 %

Argument Logic and Construction

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Benchmark – Capstone Project Change Proposal

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

10.0 %

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in command of standard, written, academic English.

10.0 %Format

 

5.0 %

Paper Format (use of appropriate style for the major and assignment)

Template is not used appropriately, or documentation format is rarely followed correctly.

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

Appropriate template is used. Formatting is correct, although some minor errors may be present.

Appropriate template is fully used. There are virtually no errors in formatting style.

All format elements are correct.

5.0 %

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are not documented. Benchmark – Capstone Project Change Proposal

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

100 %

Total Weightage

 

 

Benchmark – Capstone Project Change Proposal