Category: Nursing

To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience. 
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

Module 1Reflection
Part 1
Review the course outcomes and consider the module objectives. What do you hope to learn during this module of study?
Course Outcomes
CO 1: Apply leadership and management theories, concepts, and models as a foundation for planned change within healthcare delivery settings. (POs 4 and 5)
CO 3: Create a plan to lead and evaluate an evidence-informed change initiative in order to promote practice-related outcomes. (POs 4 and 5)
CO 4: Discern the leadership competencies and practices essential for building and sustaining a culture of professionalism and civility to facilitate the change process. (POs 3, 4, 5)
Module Objectives
Identify the importance of human rights and protection of participants in research studies or evidence-based inquiry projects. (COs 1 and 4)
Explore differentiated practice nursing and the value of master’s-level education related to practice outcomes. (COs 3 and 4)
Discuss the role of the MSN-prepared nurse in relation to AACN Essentials on leadership competencies. (CO 4)
Examine the skills and knowledge needed to prepare the nurse for leading and managing change. (CO 4)

MAKE SURE YOU READ EVERYTHING BEFORE YOU REQUEST TO BE HIRED. FAILURE to do so will effect the payment. Because everything must be done correctly!
BIO253L Lab Report Guidelines
Submission Procedure and Due Date:  Upload the file to the Canvas submission link by the due date in the syllabus.
Plagiarism: This lab report must represent the student’s own original ideas and wording and cannot be taken either partially or entirely from another published or unpublished work: students must complete the report independently and in their own words.
Unknown identification (80 points): The proper identification of the unknown accounts for 80 out of 200 points. Partial credits are awarded for getting down to only two possibilities, or for getting the accurate family or genus. Your score will be revised upward or downward based on whether you did all the critical tests, interpreted the results correctly, and explained convincingly how you arrived at your conclusion.
Formatting and Presentation (12 points):
The lab report should be computer processed (use Microsoft Word), spell-checked, and paginated (include page numbers, starting with page after the cover page).  Do not allow spell-checker to alter scientific words.  Use commonly used fonts (Times New Roman, Helvetica, Arial, Calibri, etc), size 12.
​
Cover sheet:  On the front page, include your name, section of the lab (BIO253L-L1 or BIO253L-L2), name of the exercise, your unknown ID number, due date and name of professor.
Your lab report will be divided into five sections, each with their own major heading: Introduction, Material and Methods, Results, Discussion, References.  
Introduction (14 pts)
Introduce relevant theory and present the aim of the research (lab exercise).  
Start with a short general introduction to microbiology, ubiquity of bacteria, and pathogens. Indicate the medical or scientific importance of identifying microorganisms, and end with the goal of the exercise.
Material and Methods (18 pts)
Briefly describe what you did.  Use the passive voice, not the active voice (Instead of writing “I did this or that,” you would write, “This or that was done.”). 
Include enough details so that an experienced scientist could replicate your experiment. Mention all the tests you used. If you followed the protocols described in the lab handouts or lab manual to the letter, just reference them. If your exact conditions were different from the handout or lab manual (temperature, time, amount of reagent, etc.) or the test procedure was not described, make sure to describe them. 
If you want, you can add some figures that demonstrate the difference between positive and negative results in differential tests – but you must cite and reference their sources. Instead of describing aseptic techniques in detail, just write that “aseptic techniques were followed as described in… “ (cite both the lab manual and lab handoutsand include them in your references at the end).
​Figures: All figures in the lab report need to be numbered and need to include a descriptive title.  (For more information on how to prepare a lab report, refer to McMillan’s Writing Papers in the Biological Sciences.)
Results (26 pts)
This is where you present the results obtained, often in the form of graphs and tables.
​A few sentences or paragraphs should guide reader through your tables and figures.
For this lab report, present the results of all tests in one table.  Label it Table 1, followed by a table title.  Table titles should be in bold and found at the top of tables.  Make sure to include headers for each column or row, as necessary. If your table spans more than one page, put Table 1 (continued) as the title at the top of the next pageand put the headers for each column at the top again.  The table should include the results you observed for each test, and how you interpreted the results (e.g. +, -, Gram-positive, facultative aerobe, etc.). Include the pictures of every result in one of the table columns. If you can’t find a picture for one of the results or the picture is of low quality, describe the result obtained (you will still lose points). Describe ambiguous results obtained for some tests.
Make sure to describe the colony morphology for your bacterium in the results section and show a picture of the streak for single or of a few colonies.
Discussion (22 pts)
Usually, this section is where you draw conclusions and parallels, engage in speculation, discuss possible sources of errors or mistakes, and propose future experiments you could perform to refine your hypothesis. 
For this lab report, explain your deductive logicapproach (how you determined the identity of the unknown). Indicate how you chose which section of Bergey’s manual to use, how you figured out the family, genera, and finally the species of your bacteria as you accumulated more test results. Clear writing and logic willbe critical for this section. A flowchart figure of the logical process can be useful sometimes. Make sure to cite the section of Bergey’s manual you used and reference it in at the end.
Present and discuss any problems, difficulties, or issues with the tests or with the determination of the unknown that arose during the course of your lab project.
Add a paragraph that includes additional information about the microorganism species you have identified (make sure to include the references you used).
In your last paragraph, compare your approach with more modern techniques for identifying microorganisms. What are the advantages of the newer methods.
References (10 pts)
Cite in your text and reference at the end of your lab report all literature or manuals used for your research project.  For this lab report, put in the full reference the professor’s hand-out, for the chapter of Bergey’s Manual used, and for the outside source used in your discussion.  Use the APAformat (you can find help in the Biological Sciences” by Victoria McMillan (4th ed.) or at websites online).
Grammar and Writing Quality (18 pts)
Overall writing quality and spelling will also be assessed.
Writing species names: Make sure to use the proper nomenclature and always italicize the species, genus and family names: for instance, Escherichia coli.  Always use the full species name first, then you can abbreviate the species name: for example Escherichia coli at first, E. colilater.
Grading Rubric (200 pts Total)
Grade for Unknown ID (80 pts)​
​Correct Gram ID & shape​/25
​Correct Family​/25
​Correct Genera​/20
​Correct species​/10
​Did the student present convincing and clear evidence?​​
​TOTAL​/80
Presentation (12 pts)
​Typed, Font 12, paginated, general look​​​/4
​Cover page and required cover page elements​/4
​MS-WORD file​​​​​/4
​TOTAL​/12
Introduction (14 pts)
​Introduce topic of Microbiology, bacteria ubiquity, pathogens​/6
​Objective (Aim) of Lab exercise​/3
​Medical or scientific importance of identifying microorganisms​/2
​Overall intro quality​/3
​TOTAL​/14
Material and Method (18 pts)
​Purpose of each test​/6
​Citation or Method description for each test (if not standard)​/3
​Incubation temperature & time (and details of reagent addition)​/3
​Gram stain method included​/2
​General assessment of methods sectionquality​/4
​TOTAL​​/18
Results (26 pts)
​Picture and description of colony morphology​/2
​Missing test results (-1 per omission)​/3
​Results table, title & number, format​/3
​Pictures of results for each test​​/8
​Accurate interpretation for each test​​/4
​One or more paragraphs  in Results section that refer to Table​/2
​General assessment of Table and Results Section quality​/4
​TOTAL​​​/26
Discussion (22 pts)
​Logic-choosing section of Bergey’s manual​​​/2
​Logic-determining the bacteria family or genus ​​/2
​Logic-determining the bacteria species​/4
​Quality/clarity of interpretation logic and/or flow chart​/4
​Difficulties/challenges/mistakes​​/2
​Additional information about the specie you identified​/2
​Modern methods for identifying bacteria and their advantages​/2
​Professor’s assessment of discussion section overall quality​/4
​TOTAL​​/22
References & Citations (10 pts)
​Citation & Refs to Bergey’s Manual, lab hand-outs, & outside source​/6
​Professor’s assessment of APA styleformatting​/4
​TOTAL​​/10
Overall grammar and writing (18 pts)
​Passive voice​/2
​TA assessment​/4
​Scientific name format and spelling​/4
​Professor’s assessment​/8
​TOTAL​/18
Total:​          /200.0
Writing species names: Make sure to use the proper nomenclature and always italicize the species, genus and family names: for instance, Escherichia coli. Always use the full species name first, then you can abbreviate the species name: for example Escherichia coli at first, E. coli later.

Your presentation needs to begin with a definition and description of your topic. Next be sure to address all of the following:
Causes.
Signs and symptoms.
At-risk population(s).
Prognosis.
Diagnostic or surgical procedures.
Treatment protocols, including pharmacology treatments.
Support systems.
Prevention.
In addition, your presentation will need to include 3–5 HIM terms related to your topic. Please provide a professional yet memorable title slide and a reference slide that lists the references you consulted when developing your presentation. Also, please ensure your title and reference slides conform to APA style and formatting guidelines.
After developing your presentation, delivering it, and audio recording it, submit all of the following to the appropriate area in the courseroom:
Your 10–15 slides with speaker’s notes, including title and reference slides in APA format.
Your audio recording of your presentation.
A transcript of your presentation.
Writing: Your presentation does not need to conform to APA style and formatting guidelines. It does need to be clear, well organized and generally free of grammatical errors. You do need to provide title and reference slides that conform to APA style and format.
Length: Your presentation is not to exceed 30 minutes in length.
Scoring Guide: Be sure to read this assessment’s scoring guide so you understand how your faculty member will evaluate your work.

1. basic power point presentation
2. minimalist style
3. nothing too extravagant
4. earth tone colors, not bright, maybe even shades of black, gray, and white
5. instructions and rubric provided in attachment
6. my 3 assigned medication classifications: oral hypoglycemic, ACE inhibitor, thiazide diuretic

A nine-year-old girl presents with a one-day history of a 4 lb. weight gain and abdominal pain. Her mother reports that her daughter seems to have been more tired over the past 24 hours with significant abdominal swelling. 
Laboratory tests reveal that the urinalysis shows proteinuria. Additionally, serum lipid levels obtained (cholesterol and triglycerides) are elevated. Hypoalbuminemia is present. On physical exam, you note ascites, blood pressure within normal limits, however, pitting edema is assessed. The child appears fatigued. 
What are the differentials for consideration?
What are the complications associated with the child’s condition?
What is the ultimate diagnosis you are considering?
What treatment plan will you consider?
What educational information would you provide to parent (guardian) regarding diagnosis?

This is a Proposal for a Nursing Service Line in Bakersfield, CA for a Mental Health and Wellness Center. I included a link in the Reference page that is a required source for Section 2A. There is no page requirement as long as all the section requirements are met. 
Files:
I have included the TEMPLATE for the paper. 
I have included 2 Sample papers (that may not be entirely complete) 
The instructions with requirements and rubric. 
I have included a recommended source list for references (is not limited to only these sources for the 5 required). 

talk about nursing process. be sure to address each step of the process the assessment diagnosis planning implementation and evaluation
my experience is a nurse asked me to change a wound dressing which is outside of my practice

For this assessment, you will create a 5-10 minute video reflection that addresses either an interprofessional collaboration you experienced or a collaboration case study scenario that you imagine you experienced.  I WILL DO THE AUDIO JUST WRITE THE SCRIPT. WRITE SOMETHING ON A dialysis NURSE BECAUSE THAT IS WHAT I AM. I WORK IN A PLACE NAMED DAVITA dialysis CENTER. THANK YOU
As part of an initiative to build effective collaboration at a site where you work as a nurse, you have been asked to:
Reflect on an interprofessional collaborative project.
Examine what happened during the collaboration.
Identify positive aspects and areas for improvement.
Research best practice for interprofessional collaboration.
Use lessons learned from your research and experience to create a video reflection (5-10 minutes) that share suggestions for improving interprofessional collaboration that can be shared with leadership and colleagues.
Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:
Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.
Explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes.
Explain aspects of the collaboration that could have been improved.
Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.
Discuss the ways in which the interdisciplinary team did not collaborate effectively.
Discuss the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.
Cite the literature for support.
Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.
Identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals.
Identify the strategy and its source or author and provide a brief rationale for your choice of strategy.
Cite the literature for support.
Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.
Identify at least one best practice or strategy for interdisciplinary collaboration to help the team achieve its goals and work more effectively together.
Identify the strategy, its source, and reasons why you think it will be effective.

Week
10 Neurocognitive and Neurodevelopmental Disorders
Training
Title 48
Name:
Sarah Higgins
Gender:
female
Age:
11 years old
T- 97.4 P- 58 R 14 98/62 Ht 4’5 Wt 65lbs
Background:
no history of treatment, developmental milestones met on time, vaccinations up
to date. Sleeps 9-10hrs/night, meals are difficult as she has hard time sitting
for meals, she does get proper nutrition per PCP. she has a younger brother.
lives with her parents in Washington, D.C. No hx of head trauma.
Symptom
Media. (Producer). (2017). Training title 48 [Video].
https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-48
TO PREPARE:
Review this week’s Learning Resources and consider the insights they provide. Consider how neurocognitive impairments may have similar presentations to other psychological disorders.
Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
Identify at least three possible differential diagnoses for the patient.
Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.
Incorporate the following into your responses in the template:
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
Objective: What observations did you make during the psychiatric assessment?  
Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).