Health Care

NUR 440 Final Project Guidelines and Rubric
Overview
The world of professional nursing practice and health policy is ever-evolving to meet the new dynamics of care needs in every setting. As a registered nurse, youare accountable and responsible for making decisions that are consistent with safe, competent, and ethical practice on a daily basis. You also face a variety ofcomplex issues that impact the delivery of your nursing care.A professional practice issue is any issue or situation that either compromises client care/service by placing a client at risk, or affects a nurse?s ability to providecare/service consistent with standards and guidelines, and agency or organization policies or procedures.For this final project, you will develop an integrative review of literature about a clinical problem or issue of your choosing encountered in nursing practice. Thepurpose of an integrative review of literature assignment is to assist in preparing a scholarly paper that systematically collects, classifies, and analyzes a body ofresearch evidence about a clinical topic in order to make evidence-based practice recommendations for a practice change.The project is divided into four milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality finalsubmissions. These milestones will be submitted in Modules One, Two, Four, and Five. The final product will be submitted in Module Seven.In this assignment, you will demonstrate your mastery of the following course outcomes:? Assess diverse ways of knowing in nursing for their appropriateness in conducting nursing research and evidence-based nursing practice? Critique relevant primary research sources for their potential to provide evidence-based solutions to clinical nursing problems? Employ principles of ethical conduct of research in seeking evidence-based resources that support professional nursing practice changes? Propose evidence-based recommendations for practice changes that address clinical nursing problems for improving quality of care
Prompt
Choose a clinical problem or issue, with your instructor?s approval, that might be encountered in nursing practice. For this assessment, prepare a scholarlyintegrative review of the literature that will support a recommendation for a practice change to solve or improve the identified clinical problem or issue. To coverthe appropriate range of the research, you should search for and retrieve six current and relevant nursing research studies from primary sources that are relevantto your clinical topic of interest (these should be the articles from your annotated bibliography). Follow the assignment guidelines below to prepare a scholarlyintegrative review of the research literature you retrieved.Specifically, your integrative review of the literature should include the following critical elements:I. IntroductionA. What is the purpose of the integrative review?
B. Clearly articulate the topic of interest, problem statement, and the research question being studied.C. What variables of interest (such as concepts, target population, setting, interventions, etc.) will be used to guide the review of literature?D. Discuss the background and significance of the problem to nursing. Be sure to substantiate your claims with specific examples from your research.II. Literature Search MethodsA. Identify keywords, subject headings, and combinations used in the initial search.B. Which databases were searched?C. State the inclusion/exclusion criteria for the sample of research reports. In other words, how did you make decisions to narrow the search and focusthe literature review? How was the final sample of research reports determined?III. Data Analysis and Critical AppraisalA. Analyze the quality of each study. In other words, is the problem well formulated and the purpose of the study clear? Is the study approach welldesigned and executed? Does the study demonstrate understanding of related studies? Do the findings advance knowledge?B. Note each study?s strengths and limitations.C. Identify gaps in the literature and reflect on why these may exist.D. Identify similarities and inconsistencies across the studies.IV. Synthesis, Interpretation and Presentation of ResultsA. Develop an evidence table of your results that addresses the following criteria for each study: report citation, design, method, sample, data collection,data analysis, validity, and reliability of the findings. This table should appear in the Appendix of your paper.B. Identify major trends or patterns in the research reviewed.C. Can you make generalizations across the studies? Why or why not?D. What conclusions can you draw? Be sure to use a logical chain of evidence to support them.E. Provide a scholarly summary of the research reviewed that describes the ?state of the science? presented by the research reports.F. Make practice recommendations based on the research reviewed.V. ConclusionsA. Identify the limitations of the literature review.B. Discuss the relevance of the results of your literature review to clinical practice.C. Discuss implications of the recommended practice change on future nursing practice and research.VI. Abstract: Include an abstract at the beginning of your paper that summarizes each of the following elements:A. Aims and objectivesB. BackgroundC. MethodsD. ResultsE. Conclusions
F. Relevance to clinical practiceVII. Appendix: Provide an appendix at the end of your paper that includes the following elements:G. Search method flow chartH. The table of evidence that you developed in Step IV.A
Milestones
Milestone One: Topic ProposalIn Module One, you will submit your topic proposal for instructor approval. You will briefly explain your interest and what you hope to gain through a review ofthe literature. This milestone will be graded with the Milestone One Rubric.Milestone Two: PICO(T) QuestionIn Module Two, you will submit your PICO(T) question, which will guide your research and review of the literature. This milestone will be graded with theMilestone Two Rubric.Milestone Three: Annotated BibliographyIn Module Four, you will submit an annotated bibliography to help gather resources for your final project. This milestone will be graded with the MilestoneThree Rubric.Milestone Four: Evidence TableIn Module Five, you will submit an evidence table to organize your resources and as part of your final project. This milestone will be graded with the MilestoneFour Rubric.Final Submission: Integrative Review of the LiteratureIn Module Seven, you will submit your final project. It should be a complete, polished artifact containing all of the critical elements of the final product. It shouldreflect the incorporation of feedback gained throughout the course. This submission will be graded with the Final Project Rubric.
Deliverables
Milestone Deliverable Module Due GradingOne Topic Proposal One Graded separately; Milestone One RubricTwo PICO(T) Question Two Graded separately; Milestone Two RubricThree Annotated Bibliography Four Graded separately; Milestone Three RubricFour Evidence Table Five Graded separately; Milestone Four Rubric
Final Submission: Integrative Review of theLiterature
Seven Graded separately; Final Project Rubric
Final Project Rubric
Guidelines for Submission: Your paper should be a maximum of 12 pages,

Explore the National Institute of Nursing Research (NINR) website:www.ninr.nih.gov/ Review their publication Bringing science to life: NINR strategic plan (2011, p. 7) to identify the current priorities for nursing research. Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? What effect do the nursing research priorities have on nursing researchers?
What criteria must be met in order to consider a practice, evidence-based? Provide examples. Explain the role quality plays in evidence-based practice?
Based on the information you?ve learned to this point, write a research proposal that relates to the topics you chose for a previous assignment. Be sure to include the following information in your proposal:
Hypothesis
Theory
Design model
Method
Anticipated results
Potential Dissemination Avenues
The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbo

Nursing 4210Week 4 Discussion: Disaster Planning

Scenario: You are the PHN working at your local public health department in the nursing division. It is the middle of summer, and you have been receiving telephone calls asking about ?the flu season? since the vaccine wasn?t accurate in predicting the strains of influenza that affected your community last year, and many people contracted the virus. Business and community leaders are concerned because they don?t want a repeat performance of last year. You have been asked to develop some solutions to community concerns. Select two of the following scenarios and respond to the questions that are posed in each. As you consider the scenarios you have selected, think about the following considerations as you develop your responses.

· Which agencies are available to lead and assist in the disaster response?

· What resources are available in your community?

· How might resources be used most efficiently?

· Are there any gaps that may pose a problem?

· Identify potential strengths and weaknesses in the community

Scenario 1: Imagine that initial pandemic flu cases have been identified in your jurisdiction. Some people are home sick, and others are staying home fearful that they may become infected with the flu. What advice would you give to local business owners to prepare for this event? Name two actions that business owners can take to keep their businesses open.

Scenario 1, Part B.As incidents of influenza continue to rise, local business owners are worried about loss of revenue if several large planned conventions are forced to cancel due to the flu. What advice can you give these business owners? Should all events be cancelled?

Scenario 2:Disease rates are rising, and estimates are that as many as 20% of the population are ill with confirmed influenza. Several businesses have closed and services have been suspended. What advice would you give to local law enforcement officials so they can continue to serve the needs of the people? Describe two actions that law enforcement workers can take to remain on the job. How will the gaps in personnel created by those who are ill be covered by those who are still well? What advice will you give?

Scenario 3: Disease rates are remaining at 20% of the population, and many schools have closed due to teacher absence. Since parents still have to work if they are not sick with the flu, what advice can you give day care providers? What two ideas can you share with them so they can stay open and able to care for the children of working parents? Should all school sporting events be cancelled? What information should parents be given? Should announcements be given daily?

Scenario 4: The numbers of influenza victims has reached 25% of the population. Many of the large grocery stores in your community are short-staffed due to employee sick calls. Shelves are bare since many of the workers are home with the flu, and even if the storeowner could stock the shelves, cashiers are home sick, too. In-store pharmacists are struggling to keep their pharmacies open to serve the public. Consumables like bread and milk are in short supply since many delivery drivers are home sick. What two actions can you recommend to these storeowners so that your community doesn?t suffer?

Scenario 5: With 25% of the total population sick with influenza, your hospital is short of staff at a time of very high census. While many of the administrative positions are unaffected by illness, at least 40% of the nurses have called in sick or are at home caring for very sick children. Name two recommendations that you can give your hospital administration to keep their services available for the community.

Scenario 6: The community is turning to the Health Department for assistance because reported incidents of influenza have risen from 5% of the population to 10% of the population in a matter of days. What is your first response to this situation? What steps will you take? Where will you start?

Is there a study guide for MN 580 Final Examination

Discuss your experience with using www.screencast-o-matic.com.or other recording.What has work for you?What are you struggling with?