Category: Nursing

The purpose of this assignment is to refine the PICOT question you developed in the discussion forum this week and begin evaluating literature that you will use in subsequent weeks to write your research paper.
Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following:
Review the feedback you have received in the discussion forum related to your PICOT question so far. Make any necessary edits to your PICOT question.
Conduct a literature search to locate four research articles focused on your selected nursing practice problem of interest. Note: This literature search should include two quantitative and two qualitative, peer-reviewed, primary research articles to support your nursing practice problem. A mixed methods article can qualify towards meeting a qualitative or quantitative methodology. The two articles identified in Topic 1 DQ 2 can be used should you still find them relevant to your PICOT question.
Articles must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
The PICOT question and four peer-reviewed research articles you chose will be utilized for subsequent assignments. 

please see File for additional information.
I work in the operating room, please use real life examples.
Book Resource:
Blanchard, K. & Bowles, S. (1998). GUNG HO! New York, NY: William Morrow & Company. Book 1 – 176.
Read the book. Discover principles – strategically applied will improve morale of individuals, teams and organizations.

Answers must:
Be 100 words or more
Use the standard English grammar and spelling
References are cited (if necessary)
Textbook: Title: Community and Public Health Nursing: Promoting the Public’s Health
Author: Cherie Rector & Mary Jo Stanley
Edition: 10th (2022)
Publisher: Wolters Kluwer
ISBN: 978-1-975123-04-8

Write 6-8 pages analyzing a specific issue that occurred in a health care organization. Apply risk management best practices to it for the purpose of early risk identification and risk reduction or elimination in the future.

FOR THE TOPIC, I WAS THINKING ABOUT HANDWASHING PRACTICE AT NURSING HOME
LOCATION:HILLCREST POST ACUTE, PETALUMA, CA.
NURSING BURNOUT
WHAT ELSE IS GOOD OR SOMETHING WE CAN ELABORATE LATER OR RESEARCH ON? 
ANY NURSING RELATED TOPIC SUGGESTION ARE WELCOME. I WILL DISCUSS IT. THE LOCATION HAS TO BE IN NORTHERN CALIFORNIA.
THIS ASSIGNMENT IS JUST THE TEMPLATE. THERE’S MORE ASSIGNMENT IN THE FUTURE LIKE THE LITERATURE REVIEW, BUDGET ETC.. AND OFCOURSE THE FINAL CAPSTONE PROPOSAL.
ARE YOU AWARE OF THE PICOT?
P=POPULATION?
I=INTERVENTION TO ADDRESS THE PROBLEM
C=COMPARISON (CURRENT PRACTICE)
O=OUTCOME9OVERALL GOAL OF THE PROJECT)
T=WHAT IS THE TIME FRAME?
Complete the Capstone Project Template Draft 
Use this template to complete the assignment BSN355 Capstone Project Proposal Template Download BSN355 Capstone Project Proposal Template. (See below for the Template)
What is the project question? In other words, what are you ultimately trying to figure out?
What is the title of your project?
Who will benefit from your project?
Where are the people located that will benefit from your project?
What date do you plan on implementing your project?
How long will your project take from beginning to end?
Budget requirements of your project (How much money will it take to implement your project?)
Why did you decide to do this project?
What do you hope to achieve by doing this project?
What do you need to do to help you complete this project?
Will your project have long term effect? If so. What are they? If none. Why not?
Will the project be sustainable? If so. How will you sustain the project?
How will your project be evaluated?
Are there any risks associated with the project?
Is there anything that may prevent your project form succeeding? If so, what?
This draft copy may be changed throughout the semester as you develop your project proposal.
final copy will be submitted in week 13.
FINAL PROJECT OVERVIEW
The Capstone Project is a large scale project where you will choose a topic that relates to nursing, where you are working, or where you would like to work. The results of the project will be presented in the last semester of the BSN program in the last capstone course.
BSN 355 is where you will choose a project topic and write a proposal. There are several components used in the course that you will be expected to fill out and combine as part of your capstone. Remember this is just the start of your project. You will need to work on your capstone project in the second and third semester in order to be successful.
Directions:
Using the information already compiled in previous assignments, create a proposal of at least 8 pages (not including the Title page and Reference page) which includes:
A Title Page including a title for your project
A Literature Review supporting the need for the project
At least 5 or more peer reviewed articles supporting the proposal
Objectives and strategies for achievement of the Capstone project
Background for the proposal including supportive resources indicated throughout the course e.g. budgeting, outcomes, evaluations.
Formatting using APA style.
APA 7th edition format of the American Psychological Association (APA) is the official style used by Nightingale College. This style and format used to cite sources can be referenced from http://www.apastyle.orgLinks to an external site.

Reading a Research Article
Instructions:
Go to the MDC database CINAHL (exercise your knowledge of searching) and search the following article (A copy is also provided below):
Jaun, F., Boesing, M., Lüthi-Corridori, G., Abig, K., Makhdoomi, A., Bloch, N., Lins, C., Raess, A., Grillmayr, V., Haas, P., Schuetz, P., Gabutti, L., Muser, J., Leuppi-Taegtmeyer, A. B., Giezendanner, S., Brändle, M., & Leuppi, J. D. (2022). High-dose vitamin D substitution in patients with COVID-19: study protocol for a randomized, double-blind, placebo-controlled, multi-center study-VitCov Trial. Trials, 23(1), 1–11.
High-dose vitamin D substitution.pdf Remember, there are Original research articles that are based on an experiment or study. Often they follow the IMRAD format: introduction, methods, results, and discussion, and Review articles (literature reviews) are written to bring together and summarize the results/conclusions from multiple original research articles/studies. This analysis will be performed in a research study, you may copy and paste the responses. Find the Research Problem/Hypotheses: Often authors will refer to the purpose of the study. This is often articulated in the abstract, introduction, or background.
Find the purpose statement?
Find the study design?
Identify the participants. How were these chosen?
Identify the control group.
Identify the intervention?
outcomes (what was measured).
What were the results?
Where are the hypotheses rejected or accepted?
Limitations.

Identify regulatory agencies that regulate health and the health care system within the US, create a table listing your 5 regulatory agencies and address the following:
Describe the agency, level of regulatory authority (local, state, federal), scope of regulatory authority, and role within the US healthcare system.
Address relevance of the organization or the organization’s authority to the APRN/DNP graduate.
Describe relevance to specialty area, area of practice, or setting of practice. For an example, mental health. Submission Requirements: In the table, write the 3 criteria above and respond to them.
The table is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The table is to be complete and thorough. It should include all items indicated in the assignment.
Incorporate at least 3 current scholarly journal articles within 5 years

Instructions:
Review the Manager vs. Leader Statements.
Actions
• Create two (2) columns or a table in Microsoft Word document. Label the first column “Manager” and label the second column “Leader”. 
Write all the statements listed above, that you think a Manager would say in the first column.
Then, write all the statements listed above, that you think a Leader would say in the second column.
Your paper should be: 
One (1) page
Typed according to APA style for margins, formatting, and spacing standards
Typed into a Microsoft Word document, save the file, and then upload the file

Now that you’ve read about what Technical Writing is, it’s time to put those concepts to use by exploring and analyzing an increasingly common form of technical writing: Infographics. Infographics are visual representations of data, knowledge, or processes designed to make information easily understandable. Conduct a Google Image search for infographics related in some way to nursing or healthcare. Tip: Search the term “infographic” along with a literally any healthcare or nursing-related term you’re interested in. For example, try “infographic NCLEX,” “nursing infographic ER,” or “nursing infographic pain management.” Choose one infographic and analyze it against the characteristics for good technical writing in this week’s reading. Write up your analysis into a document and submit it via this page to complete the assignment.  For easy reference, here again are the 6 characteristics from the reading:  Focus on audience Rhetorical, persuasive, purposeful, and problem-oriented  Professional  Design Centered  Research and Technology Oriented  Ethical  Your analysis should assess how well the infographic you’ve chosen achieves the characteristics above. If it falls short in any of these categories, explain why. Your document should:  Include an image of the infographic you chose, along with a full APA reference. Here’s a page that tells you how to create a reference for an infographicLinks to an external site.. https://libguides.easternflorida.edu/c.php?g=992758&p=7183083
Be 12pt, Times New Roman font, 1-inch margins, double spaced.  Be 3-4 paragraphs long (with a minimum of 3 sentences per paragraph). 

response to these posts needed. one paragraph for each with 1 sourse
Elba
An important concern about APRN certification and licensure is the inconsistency in state rules and the absence of complete practice authority (FPA) for APRNs throughout the United States. Full Practice Authority refers to the unrestricted authority of Advanced Practice Registered Nurses to independently practice according to their level of education and training, without requiring supervision or assistance from physicians. This problem impedes Advanced Practice Registered Nurses’ capacity to fulfill the increasing need for primary care services, especially in impoverished regions, and limits patients’ ability to obtain prompt and effective healthcare. Obstacles and difficulties that have impeded the advancement of APRN practice encompass resistance from medical associations, apprehensions about patient safety and care quality, and the impact of antiquated regulatory structures. Physician groups frequently contend that Advanced Practice Registered Nurses possess insufficient training and skill compared to physicians, resulting in opposition to providing them complete independence in their practice. Nevertheless, studies have demonstrated that Advanced Practice Registered Nurses deliver secure and efficient healthcare that is on par with physicians, particularly in primary care environments. To overcome these obstacles, it is required to make legislative and regulatory amendments to update the licensure of Advanced Practice Registered Nurses and eliminate unjustified limitations on their professional responsibilities. The APRN Compact is a legislative policy that currently affects APRN practice. The APRN Compact is a reciprocal recognition framework that enables APRNs to work in many states without the requirement of acquiring extra licenses in each state. The objective is to enhance the availability of healthcare services by enabling the movement of Advanced Practice Registered Nurses while upholding regulatory supervision and ensuring patient safety requirements. According to my latest information, a number of states have proposed or implemented laws to become part of the APRN Compact, indicating an increasing acknowledgement of the necessity to simplify the licensing procedures for APRNs. Ortiz et al. (2018) propose that enhancing the independence of nurse practitioners can enhance patient outcomes. Competent and accomplished Advanced Registered Nurse Practitioners have the ability to improve the availability and usage of primary healthcare services in rural regions. Increasing the level of independence for nurse practitioners could have positive effects in communities with limited access to healthcare.
Hermes
The most critical issue regarding Advanced Practice Registered Nurse (APRN) credentialing and licensure is the lack of uniformity across states (Kleinpell et al., 2021). This inconsistency complicates the practice mobility of APRNs and affects healthcare delivery, particularly in underserved areas. Despite the push for the Consensus Model for APRN Regulation, which aims to standardize licensure, accreditation, certification, and education (LACE), progress has been slow (Davis et al., 2024). Variations in state regulations mean that APRNs face differing requirements for independent practice, prescriptive authority, and scope of practice, creating barriers to effective and efficient care delivery.
One of the primary barriers to the progress of APRNs is restrictive state laws. In many states, APRNs are required to have a collaborative agreement with a physician to practice or prescribe medications, which can limit their ability to provide care, especially in rural or underserved areas where physicians may be scarce (Schorn et al., 2021). Additionally, there are often financial and bureaucratic hurdles associated with obtaining these agreements. The influence of medical boards and physician groups, who may view APRNs as competition, also contributes to maintaining these restrictive practices.
A current legislative policy that will significantly influence APRN practice is the “Improving Care and Access to Nurses (ICAN) Act” at the national level. This proposed legislation seeks to remove barriers to practice by allowing APRNs to practice to the full extent of their education and training, independent of physician oversight (ANA, 2024). If passed, the ICAN Act would standardize APRN practice regulations across all states, enhancing access to care and reducing healthcare disparities. This policy is supported by numerous national nursing organizations and has the potential to impact healthcare delivery in the United States significantly.
An example from personal experience that illustrates these points is the challenge faced in the surgical ICU where I work. Despite being fully qualified, APRNs often have to defer to physicians for tasks they are trained and capable of performing independently due to state regulations. This not only delays patient care but also adds unnecessary steps to the treatment process.