Tag: Clinical-Nursing

  • Rational decision-making process in nursing essay

    Rational decision-making process in nursing essay

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    Decision making is crucial in the manager’s job. It is important for the organization that the manager understands the process of decision making and how to do it effectively. For this discussion board:

    1.Provide a scenario where you or a manager that you are familiar with made a decision in the workplace.

    2.Describe the situation, the decision, and the results.

    3.Describe the rational decision-making process that you would apply to resolve the situation.

    4.Identify the difference between the manager’s decision and the one you described as your process.

    5.Describe the decision-making style of both (manager and yours) and the biases that may affect the process for both.

    6.Identify an effective technique to make the decision.

    7. I work as a LPN in a clinic.

    must be 250–350 words in length your initial responses must have at least one source (the textbook does not count). All sources should be cited in APA format.

    Rational decision-making process in nursing essay

  • Epidemiology Essay Assignment

    Epidemiology Essay Assignment

    INSTRUCTIONS:

    1.  Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative.  Pay close attention to the objectives, goals and the indicators.

    2.  Using your city (miami, Fl) or county public health department identify an epidemiological and surveillance data related to population based communicable illnesses described in 4-1 page 122 of our class text book.  Besides the illnesses describe you can also choose influenza or any other illnesses that are currently affecting your community. ( example: Zika virus, AIDS/HIV, Tuberculodis, Influenza)

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    4.  Choose 3 population based communicable illness and prepare an analysis discussing how this 3-communicable illness affect your community and how they were identified and a plan of action to contained them base on healthy people 2020.

    5.  Presentation must be in APA format word document, Arial 12 font attach to the forum/thread in the assignment tab and turnitin with a minimum of 1000 words (excluding first and references page) with a minimum of 3 evidence based references (excluding the class textbook) no older than 5 years are required.  The assignment must include the zip code of the city or county chosen.  Follow the APA example paper that was sent to you at the beginning of the course for guidance.  Make sure references are use according to APA guidelines and electronic references must be from reliable sources such as CDC.  Epidemiology Essay Assignment

  • Employee Motivation and Team Dynamics Essay Assignment paper

    Employee Motivation and Team Dynamics Essay Assignment paper

    -Analyze the role of sustained employee motivation, and distinguish it from other significant factors that affect organizational performance. Recommend the most effective process for determining the right rewards for employees in support of better performance. Support your response with at least one (1) example of the benefits of the recommended process.

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    -Compare the dynamics of various types of teams within a health care organization. Analyze the major reasons why the leadership team within a health care organization should pay close attention to team dynamics. Support your response with at least two (2) examples of the potential consequences should the leadership team not take notice.

    Employee Motivation and Team Dynamics Essay Assignment paper

  • African American Heritage and the Amish Culture Essay Assignment Paper

    African American Heritage and the Amish Culture Essay Assignment Paper

    People of African American Heritage.

    The Amish.

    Please read chapter 6 and 7 of the class textbook and review the attached Power Point presentations.  Once done answer the following questions;

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    1.  Give an overview of the African American and the Amish culture and mention any difference with your own culture.

    2. What are the healthcare culture beliefs of the African American and the Amish cultures and mention if there is any similarity in their beliefs.

    3. How these two cultures healthcare beliefs affect the delivery of evidence based nursing care.  Please give an example.

    As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “week 3 discussion questions”.  A minimum of 2 evidence based references no older than 5 years  old are required.  Two replies to any of your peers sustain with a proper references are required and a minimum of 500 words.

    African American Heritage and the Amish Culture Essay Assignment Paper

  • Critical Thinking: Case Study Assignment Paper– Cholera Outbreak

    Critical Thinking: Case Study Assignment Paper– Cholera Outbreak

    In this assignment, you will examine the international legal entities dealing with global health law incidents. Read “Cholera Outbreak in Zimbabwe” (5.2) on pages 68-69 in An Introduction to Global Health Ethics. In this case study, you explore options available for dealing with this health crisis. Write a four- to five-page paper evaluating the steps Zimbabwe should take in dealing with this situation and provide your recommendation on how to remedy a future situation.

    Your report should address the following substantive requirements:

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    · Examine the purpose of laws.

    · Describe and assess each agency that would be involved in the situation. Include pros and cons for international involvement in state affairs. Critical Thinking: Case Study Assignment Paper– Cholera Outbreak

    · Develop a law that would prevent such a breakdown from occurring in the future and use reasoning to illustrate why such a law would not be considered intrusive.

    Your well-written report should meet the following requirements:

    · Be 4-5 pages in length, not including the cover or reference pages.

    · Formatted according APA writing guidelines.

    · Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but two must be external.

    · Utilize the following headings to organize the content in your work:

    · Introduction

    · Description and Assessment

    · Recommendation

    · Conclusion

    No plagiarism

    Case study 5.2 Cholera outbreak in Zimbabwe

    Due to crumbling infrastructure, sewage plants in Zimbabwe begin leaking raw sewage into rivers. Within weeks, thousands of people who rely on the rivers contract cholera. The Zimbabwean government denies that the country is experiencing a cholera pandemic, despite thousands of deaths and sick refugees presenting in bordering countries, and refuses to act on the emergency. Can the international community legally intervene in instances when a state is unwilling or unable to control an epidemic? The above scenario mirrors what occurred in Zimbabwe in 2008, and raises the question of what recourse populations have in the event of a disaster if their host state is incapable or unwilling to provide basic aid and is reluctant to request international assistance. Currently there is no general convention that governs all aspects of disaster relief, in stark contrast to international humanitarian law, which protects civilians during armed conflicts (Davies 2010). On the question of humanitarian access, international law tends to favour the protection of sovereignty and territorial integrity over the protection of populations (United Nations 2007). However, while international law does not currently govern humanitarian disasters, the WHO’s revised IHR (2005) lists cholera as one of the diseases about which states are required to notify WHO, due to its potential serious public health impact and its ability to spread internationally. The IHR requires that states request international assistance if they have insufficient antidotes, drugs, vaccine, protection equipment and financial, human and material resources to contain the disease. The breakdown of the public health system in Zimbabwe, the case fatality rate of cholera victims, and the speed at which the disease spread in 2008 all pointed to the state being unable to effectively contain the disease outbreak (Davies 2010). In terms of the IHR 2005, Zimbabwe’s 2008 cholera outbreak constituted an emergency and the Zimbabwean government had a duty to accept the assistance offered by WHO and various NGOs. In instances where a state still refuses to accept international intervention in the face of a major disease outbreak, the UN Security Council could become involved. The UN High-level Panel on Threats, Challenges, and Change (United Nations 2004) noted that in certain instances: [T]he Security Council should be prepared to support the work of WHO investigators or to deploy experts reporting directly to the Council, and if existing International Health Regulations do not provide adequate access for WHO investigations and response coordination, the Security Council should be prepared to mandate greater compliance. In the event that a State is unable to adequately quarantine large numbers of potential carriers, the Security Council should be prepared to support international action to assist in cordon operations. The Security Council should consult with the WHO DirectorGeneral to establish the necessary procedures for working together in the event. Due to the possibility of being classified as a failed state (which would have opened the door to possible UN Security Council intervention), the Zimbabwe government eventually declared the cholera outbreak a national emergency in December 2008, and invited WHO to coordinate a Health Cluster response effort with the cooperation of the Zimbabwe health ministry and other nongovernmental agencies.

    Critical Thinking: Case Study Assignment Paper– Cholera Outbreak

  • Clinical problem and how it can result in a positive patient outcome

    Clinical problem and how it can result in a positive patient outcome

    Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

    A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care.

    The intervention should be an independent, specified nursing change intervention.

    The intervention cannot require a provider prescription.

    Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process. Clinical problem and how it can result in a positive patient outcome

    Formulate a PICOT statement using the PICOT format provided in the assigned readings.

    The PICOT statement will provide a framework for your capstone project.

    In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

    Make sure to address the following on the PICOT statement:

    Evidence-Based Solution

    Nursing Intervention

    Patient Care

    Health Care Agency

    Nursing Practice

    Prepare this Clinical problem and how it can result in a positive patient outcome assignment according to the guidelines found in the APA Style Guide.

    This assignment uses a rubric,
    SEE RUBRIC ATTACHMENT!!!
    . Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

    You are required to submit this assignment to Turnitin.

    Clinical problem and how it can result in a positive patient outcome

  • Strategic Planning Paper – Analysis of the strengths, weaknesses, opportunities, and threats (SWOT) facing healthcare organizations

    Strategic Planning Paper – Analysis of the strengths, weaknesses, opportunities, and threats (SWOT) facing healthcare organizations

    After reviewing your assessment of the organization’s approach to addressing recent health care legislation and related evaluation of the strategic response commonly employed, leadership has asked you to develop an in-depth analysis of the strengths, weaknesses, opportunities, and threats (SWOT) facing the organization that can be used to support strategic planning.

    Prepare a report of 5–7 pages with a minimum of 5 relevant scholarly or professional peer-reviewed references that includes the following information:

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    Perform a formal SWOT analysis, and identify and explain at least 5–7 elements in each category: Strengths, Weaknesses, Opportunities and Threats.

    Determine which stakeholder groups have the most influence on each of the elements identified in the formal SWOT analysis, and provide an explanation of the rationale to support your identification and how they impact the organization’s strategic plan.

    Project the likely organizational and operational outcomes that are possible if changes are made based on the SWOT analysis, and provide an explanation of the rationale supporting your projections.

    Predict the future viability of the organization if no changes are made based on the SWOT analysis, and provide an explanation of the rationale supporting your projections.

    Formulate at least 5 strategic recommendations that the organization should consider pursuing to effectively compete in the health care marketplace.

    Strategic Planning Paper – Analysis of the strengths, weaknesses, opportunities, and threats (SWOT) facing healthcare organizations

  • NR500 Addressing Bias Paper

    NR500 Addressing Bias Paper

    The Addressing Bias assignment must be completed by Sunday, 11:59 p.m. (MT) at the end of Week 3. This assignment is worth 7.5% of your overall grade. See the details for this assignment below and in the Course Resources page in the Introduction & Resources Module. NR500 Addressing Bias Paper

    Purpose

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    In today’s current healthcare settings, the increasing diversity, globalization, and expanding technologies produce complex ethical pressures that influence nursing practice and practice outcomes. To be effective in a master’s-prepared advanced nurse practice role it is important to understand personal values, beliefs, strengths, and limitations. The purpose of this assessment is to promote introspective reflection related to implicit and/or explicit personal biases. Students will develop a plan to reduce bias and promote personal and professional growth.

    Course Outcomes

    CO 1: Examine roles and competencies of master’s-prepared nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (PO 1-5). NR500 Addressing Bias Paper

    CO 2: Apply concepts of person-centered care to nursing practice situations. (PO 1, 2, 5)

    Total Points Possible

    This assessment is worth 75 points. NR500 Addressing Bias Paper

    Due Date

    Submit your file(s) by 11:59 p.m. MT Sunday at the end of Week 3.

    Requirements

    Criteria for Content

    Complete a self-inventory on personal biases you hold. The biases might be implicit or explicit.

    In a one to two-page summary, address the following.

    Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics). NR500 Addressing Bias Paper

    Discuss how biases can impact outcomes in selected nursing practice settings.

    Identify personal biases and attitudes toward people with various cultural, gender, sexual orientation, age, weight, and religions that are different than your own.

    Select one bias that you have.

    Develop one strategy to reduce this bias.

    NR500 Addressing Bias Paper

  • Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

    Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

    Introduction

    According to Istepanian et al., a strategic plan is a leadership tool in health care system which needs a focus, openness, and commitment (2014). In order to realize the outcomes of the streamlined efforts, a strategic plan must integrate a detailed plan of determination and ambitions, a vibrant evaluation of an organization’s activities and identification of what to do to safeguard its prospects. When plans and strategies are successfully implemented five possible outcomes are delivered. (1) Drives accountability and effective implementation, (2) develop understanding, insight, and commitment, (3) focuses, allocates and aligns resources, (4) produces meaningful differentiation, and (5) define, develops, and sustains a value advantage.

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    UnitedHealth Group

    UnitedHealth Group is a profit managed health care that offers healthcare products and insurance services. The products and services allow people, develop customer choice and reinforce patient benefactor affiliations through the healthcare continuum (Cox and Semanskee, 2016). Defining the quality of healthcare services and products are influenced by two different primary stakeholders, the internal and external. A substantial change affecting one element will redesign the whole organization. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

    The internal stakeholders consist of the management (engineering, pharmaceutical managers, clinical managers, and human resource manager), non-management (nursing, environmental services, administration), and professional staff. Stakeholders, as asserted by (Davis, 2014), are the most powerful group in a healthcare industry. The external shareholders consist of everyone else such as the patients, suppliers, competitors, related healthcare organizations, government agencies, private accrediting associations, professional associations, third-party payers, labor unions, special interest group and the local community. After a thorough SWOT analysis process, the UnitedHealth Group has identified that the strengths of the company were proficiencies in the differentiated health aids market segment, strong presence in high margin health service business trademark and national scale helping influence proficiencies.

    The strong presence in high margin health services business helps the UnitedHealth Group organization’s leadership management in the health benefits market segment. The organization is equipped with strong information and communication technology founded on quality health delivery services through its business components which are Prescriptions Solutions, optimum health, and Ingenix. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

    National scale is helping influence proficiencies and trademark. UnitedHealth Group leads globally with its insurer’s services and the biggest public traded health indemnity organizations in the United States (Davis, 2014). Lastly, the proficiencies in a differentiated health benefits market segment of UnitedHealth Group provides a strong suite of products comprising vision, dental, pharmacy benefit management (PBM), and Medicare services.

    Internal stakeholders

    Internal stakeholders are directly involved in the operations and the strategy of the UnitedHealth Group. The organizations’ mission and vision are to help people live healthier lives and help make the health system work healthier for everybody (Davis, 2014). The workers have a substantial fiscal and time savings in the enterprise, play a vital role in the plan, policies, and processes the organizations carries out. Managers play significant roles in determining the strategy of the organization, as well as the making a substantial voice in making critical decisions in the organization. Lastly, the owners form the stem of the organization. UnitedHealth Group owners are held liable for the influences the industry has, as well as having a substantial role in the plan. Owners make important health decisions both on internal and external stakeholders. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

    External stakeholders

    Understanding the impacts of the UnitedHealth Group from the wider perspective of external stakeholders is quickly realized when various groups of stakeholders are identified. The stakeholder theory of business ethics and organizational management discourses the ethics and morals in handling an enterprise. The key players of UnitedHealth Group external stakeholders such as customers play a significant role in helping the organization fulfills the needs of its clients through service and product delivery. An operative relationship with customers maintains a healthy community. Suppliers and other strategic alliances are independent. The suppliers maintain a strong relationship with the organization to have an effective operational process. The government tax business considers the profit motive involved in UnitedHealth Group activities. The government offers regulatory oversight, making sure that all activities in an organization are accounted for and providing legal measures responsible by the industry representatives.

    Stakeholder relationships.

    UnitedHealth Group stakeholder relationship is one that supports the Healthcare objectives and actions. The two primary types of stakeholder relationships (potential for threat, and potential for a corporation) makes it possible to classify the four types of UnitedHealth Group stakeholder relationships. The four main stakeholder relationships are the mixed blessing relationship, the supportive relationship, the non-supportive relationship, and the marginal relationship. These relationships must be mirrored with both the external and internal scanning of stakeholders.

    Three stakeholder groups that should be subjected to further evaluation to support the strategic initiatives of the organization

    An active board – the active board, should be involved in strategic planning for many reasons. The trustees usually have important insights resulting from their expertise and entrepreneurial activities. Since strategic initiatives usually carry high price tags and comprise of policy considerations, they often need boarder consent. In cases where board affiliates are involved in designing the strategic plan from which such initiates come from, higher chances of understanding their underlying rationale and be more willing to support them. According to (Istepanian et al., 2014), the importance of board members having involved is to design the overall direction.

    Include physicians – it is important to involve those with the real stake in the organization to define and set strategic directions for the enterprise. It is the unique role of the physicians that design many of the most crucial hitches experienced by hospitals and health systems. The UnitedHealth Group physicians are essential in discharging its mandate. In my opinion, many physicians want and expect to be involved in strategic leadership. There is continuity of processes and procedures when physicians are involved in strategic planning (Cox and Semanskee, 2016).

    The last stakeholder is the chief strategist – the chief strategist formulates the strategic plan alone. Other key players such as managers and CEO brings insightful information when making decisions. Good listening skills are important assets for any strategist. In UnitedHealth Group, the chief strategist must be an active participant in planning rather than a stoic observer. The CEO set initiatives within the context of its most significant challenges and its aspirations for the future (Berkowitz, 2016).

    A stakeholder perspective on mission and vision statements of UnitedHealth Group

    The use of stakeholder to explain the perspectives and content of mission statements. The purpose of mission and vision statements alongside stakeholders is to provide the projected outcomes and uphold the feasibility of its products and services. The stakeholders affect the way a health care system implements an approach and recognize its mission and vision. This becomes the primary purpose why leaders must consider stakeholders’ interest, necessities, and inclinations. Influence reflects a stakeholder’s virtual supremacy over and within an enterprise; importance designates the degree to which the organization cannot be deliberated effectively if a stakeholder’s expectations, needs, and issues are not considered (Berkowitz, 2016). Characteristically, stakeholder assessment of both quantitative and qualitative performance efficiency will determine whether management is functional. Stakeholder analysis when developed along the mission and vision statements help organization meet or exceed the needs of its key stakeholders. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

    UnitedHealth Group approach to addressing recent health care legislation, and an evaluation of the strategic response that is commonly employed

    After the passage of the Affordable Care Act (ACA) in 2010, the healthcare industry changed. Some of the changes were experienced in savings, take the risk, and when forming relationships that were previously forbidden. Changing trends of accountable care organizations (ACOs), Health Information Technology for Economic and Clinical Health (HITECH), Health Insurance Portability and Accountability Act (HIPAA) and the Joint Commission has greatly affected the stakeholders in revenue-driving consolidation, growth of structured quality measures, patients becoming more informed consumers, and information technology innovations driving inter-stakeholder communications (Gulati et al., 2016). The commonly strategic response that is executed is using the federal government to implement the national quality strategy to increase the quality of healthcare and to minimize its cost.

    Conclusion

    The stakeholder’s involvement often opens avenues to further align business practices with community requirements and anticipations assisting in driving long-term maintenance and shareholder value. Stakeholder involvement should be conducted when the health care system adopts the required inputs from the individuals involved in the organization for decision making, planning, and strategic initiatives implementations. Effective stakeholder involvement helps healthcare organizations such as UnitedHealth Group to navigate over its competitors easily and changing business climates. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

    References

    Berkowitz, E. N. (2016). Essentials of health care marketing. Jones & Bartlett Publishers.

    Cox, C., & Semanskee, A. (2016). Analysis of UnitedHealth Group’s Premium and Participation in ACA Marketplaces. Henry J. Kaiser Family Foundation.

    Davis, K. (2014). Different stakeholder groups and their perceptions of project success. International Journal of Project Management, 32(2), 189-201. Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

    Gulati, R., Mayo, A. J., & Nohria, N. (2016). Management: An Integrated Approach. Cengage Learning.

    Istepanian, R., Laxminarayan, S., & Pattichis, C. S. (2014). M-health. John Wiley & Sons.

    Stakeholder Involvement Paper – UnitedHealth Care Group Inc. Strategic Planning Approach

  • NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

    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

    Retrieved on 1/16

    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

    Retrieved on 1/16

    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

    Retrieved on 1/16

    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.

    Retrieved on 1/16

    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

    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

    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-

    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

    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.

    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

    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.

    Retrieved on 1/16

    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