Nursing

Topic 9, DQ 2
Assessment Description Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these challenges.

Discussion: Alterations in Cellular Processes
Week 1: Cellular Processes and the Genetic Environment
One of the more common biology analogies refers to cells as the “building blocks” of life. This rightfully places an emphasis on understanding cells, cellular behavior, and the impact of the environment in which they function.
Such an understanding helps explain how healthy cell activity contributes to good health. Just as importantly, it helps explain how breakdowns in cellular behavior and alterations to cells lead to health issues.
This week, you examine cellular processes that are subject to alterations that can lead to disease. You evaluate the genetic environments within which these processes exist as well as the impact these environments have on disease.
Learning Objectives
Students will:
Evaluate cellular processes and alterations within cellular processes
Evaluate the impact of the genetic environment on disease
Learning Resources
Discussion: Alterations in Cellular Processes
At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally.
Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans.
For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.
To prepare:
By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
By Day 3 of Week 1
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
The role genetics plays in the disease.
Why the patient is presenting with the specific symptoms described.
The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
The cells that are involved in this process.
How another characteristic (e.g., gender, genetics) would change your response.
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Solution
Week 1 Discussion
Week 1: Cellular Processes and the Genetic Environment
One of the more common biology analogies refers to cells as the “building blocks” of life. This rightfully places an emphasis on understanding cells, cellular behavior, and the impact of the environment in which they function.
Such an understanding helps explain how healthy cell activity contributes to good health. Just as importantly, it helps explain how breakdowns in cellular behavior and alterations to cells lead to health issues.
This week, you examine cellular processes that are subject to alterations that can lead to disease. You evaluate the genetic environments within which these processes exist as well as the impact these environments have on disease.
Learning Objectives
Students will:
Evaluate cellular processes and alterations within cellular processes
Evaluate the impact of the genetic environment on disease
Scenario 1: A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy
Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.
For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.
To prepare:
By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
By Day 3 of Week 1
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
The role genetics plays in the disease.
Why the patient is presenting with the specific symptoms described.
The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
The cells that are involved in this process.
How another characteristic (e.g., gender, genetics) would change your response.
Read a selection of your colleagues’ responses.
By Day 6 of Week 1
Respond to at least two of your colleagues on 2 different days and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not

NR 505 Week 5: Research Literature, Design, Sampling, and Implementation
Purpose:
This assignment provides the opportunity for the student to continue development of a MSN EBP scholarly project that started with the identification of a nursing concern and PICOT/PICo question from Week 2. The focus of this assignment is to discuss the research-based literature support for the selected concern, identify an appropriate research design, explain the sampling method, and discuss implementation through the use of a change model.
Course Outcome:
This assignment enables the student to meet the following course outcome:
CO #1. Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings. (PO # 1)
CO #2. Integrate knowledge related to evidence-based practice and person-centered care to improve healthcare outcomes. (PO #2, 5)
CO #4. Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. (PO 1, 2, 3, 5)
CO #5. Analyze research findings and evidence-based practice to advance holistic nursing care initiatives that promote positive healthcare outcomes. (PO 1, 2, 5)
Total Points Possible: 250 points
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Requirements
Description of the Assignment: This continues the development of a MSN EBP scholarly project by requiring the student to identify the additional elements of the process. The required elements are noted to be:
Research Literature Support (NOTE: ten research-based references related to PICOT/PICO question are required)
Research Approach and Design
Sampling
Intervention
NR 505 Week 5: Research Literature, Design, Sampling, and Implementation
Criteria for Content
Research Literature Support: In this section, comprehensive research literature support for the identified nursing concern and PICOT/PICo question is to be provided. A minimum of 10 (ten) research-based references are required. The use of a systematic research review article as a reference is NOT allowed. All research studies are to be consistent with the selected concern and PICOT/PICo question. The PICOT/PICOT question is restated before presenting the research literature support. For each research-based reference the following information is to be discussed:
Purpose of the research study
Research approach that was used
Data collection methods used
Results of the research study
One strength of the research study
One limitation of the research study.
Research Approach and Design: In this section, the student will identify the research approach that he/she plans on using for the EBP project as being either quantitative or qualitative. In addition, if the selected approach is quantitative, the student needs to identify if the design is experimental, quasi-experimental, or descriptive. If the selected approach is qualitative, the student needs to identify if the design is phenomenological, ethnography, grounded theory, or historical. A description of the selected design is to be provided as well as rationale for its selection. In addition one advantage and one disadvantage to the selected design is to be identified and discussed. Required content includes:
Identification of the research approach that the student plans on using as either quantitative or qualitative
Identification of selected quantitative research design by indicating if the design is experimental, quasi-experimental, or descriptive
Identification of the selected qualitative design by indicating if the design is phenomenological, ethnography, grounded theory, or historical
Description of the selected design
Rationale for the selected design
Identification of one advantage of the selected design
Identification of one disadvantage of the selected design
Provide scholarly reference(s) to support information about the selected research approach/design
Sampling: In this section, the student will identify the sampling method to be used in order to obtain the necessary participants for the proposed EBP project. Discussion of participants’ rights as research subjects is also included. Required content includes:
Describe the target population
Identify the sampling method as being either probability or nonprobability
Provide a complete description of the sampling procedure including:
Sample size
Inclusion criteria
Exclusion criteria
Identify one advantage to the selected sampling procedure
Identify one disadvantage to the selected sampling procedure
Explain how participants’ rights will be protected including confidentiality, anonymity, protection from harm, and informed consent
Provide scholarly reference(s) to support information about the selected sampling method
Proposed Implementation with a change model: In this section, the student will apply the PDSA Change Model as the method to implement the proposed EBP practice solution/change. The required content includes:
Describe the PDSA Change Model
Explain why this change model is best suited for implementation of your evidence-based nursing practice solution/change
Apply each step of the PDSA Change Model to implementing the proposed practice solution/change
Explain how to overcome one barrier to the use of the EBP results from this project
Explain how an environment that supports EBP can be fostered in your future practice setting
Include a scholarly reference(s) for the PDSA Change Model
Preparing the Assignment
Criteria for Format and Special Instructions
The additional sections to the proposal are not to exceed 15 (fifteen) pages. Be sure that all literature review articles are on your reference page. Points will be lost for not meeting these length requirements.
Title page, running head, body of paper, headings, and reference page(s) must follow APA guidelines as found in the 6th edition of the manual.
Required textbook for this course, dictionary and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. For additional assistance regarding scholarly nursing references, please see “What is a scholarly source” located in the Course Resources tab. Be aware that information from .com, .edu, and library websites may be incorrect and should be avoided. Please contact your faculty member for guidance concerning the acceptability of a website as a scholarly source. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved the use of the older reference.
This assignment is the required submission to Turn It In™ (TII) for NR 505. To prepare for the final submission, students are encouraged to submit their assignments early. A similarity score of 24% or less is required for the final submission. Any other level of similarity index requires the student to revise the assignment before the due date and time. To allow sufficient time for revision, early submission of the assignment to TurnItIn™ is highly encouraged. The final submission will be graded by faculty. If the final TurnItIn™ report indicates that plagiarism has occurred, the Academic Integrity policy will be followed. Similarity scores of 25% or higher result in the implementation of the Academic Integrity Policy located in the Chamberlain College of Nursing Student Handbook.
Directions and Assignment Criteria
Assignment Criteria Points % Description
Research Literature Support 75 30 The required content is:
· Restate PICOT/PICo Question
· A minimum of 10 (ten) research-based references are required.
· The use of a systematic research review article is not allowed.
· All research studies are to be consistent with the selected concern and PICOT/PICo question.
· For each research-based reference the following information is to be discussed:
o Purpose of the research study
o Research approach that was used
o Data collection methods used
o Results of the research study
o One strength of the research study
o One limitation of the research study.
Research Approach 40 16 The required content is:
· Identify if the research approach is quantitative or qualitative
o Identification of selected quantitative research design (experimental, quasi-experimental, or descriptive )
o Identification of the selected qualitative design (phenomenological, ethnography, grounded theory, historical)
· Description of the selected design
· Identify a rationale for the selected design
· Identification of one advantage to the selected design
· Identification of one disadvantage to the selected design
· Use scholarly reference(s) to support information about research approach/design
Sampling 40 16 The required content is:
· Describe the target population for your project
· Identify the sampling method as being either probability or nonprobability
· Provide a complete description of the sampling procedure including:
o Sample size
o Inclusion criteria
o Exclusion criteria
· Identify one advantage to the selected sampling procedure
· Identify one disadvantage to the selected sampling procedure
· Explain how participants’ rights will be protected including confidentiality, anonymity, protection from harm, and informed consent
· Use scholarly reference(s) to support information about sampling method
Proposed Implementation with a Change Model 35 14 The required content is:
· Describe the PDSA Change Model
· Explain why this change model is best suited for implementation of your evidence-based nursing practice solution/change
· Apply each step of the PDSA Change Model to implementing the proposed practice solution/change
· Explain how to overcome one barrier to the use of the EBP results from this project
· Explain how an environment that supports EBP can be fostered in your future practice setting
· Include a scholarly reference(s) for the PDSA Change Model
Paper Specifications 10 4 The additional sections do not exceed 15 (fifteen) pages
Scholarly nursing references related to the content are presented
A dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, may NOT be used as scholarly references for this assignment.
References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them.
APA Format (6th edition) 25 1 Title page, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual.
One deduction for each type of APA style error
Citations in Text 10 4 Ideas and information that come from readings must be cited and referenced correctly.
Writing Mechanics 15 6 Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.
Total 250 100 %
Grading Rubric
Assignment Criteria
Exceptional
100%
Outstanding or highest level of performance
Exceeds
88%
Very good or high level of performance
Meets
80%
Competent or satisfactory level of performance
Needs Improvement
38%
Poor or failing level of performance
Content Possible Points = 200 Points
Research Literature Support 75 Points 66 Points 60 Points 29 Points
Presentation of information was exceptional and included all of the following elements:
· Restate the PICOT/PICo question
· A minimum of 10 (ten) research-based references are required.
· The use of a systematic research review article is not allowed.
· All research studies are to be consistent with the selected concern and PICOT/PICo question.
· For each research-based reference the following information is to be discussed:
o Purpose of the research study
o Research approach that was used
o Data collection methods used
o Results of the research study
o One strength of the research study
o One limitation of the research study.
Presentation of information was good, but was superficial in places and included all of the following elements:
· Restate the PICOT/PICo question
· A minimum of 10 (ten) research-based references are required.
· The use of a systematic research review article is not allowed.
· All research studies are to be consistent with the selected concern and PICOT/PICo question.
· For each research-based reference the following information is to be discussed:
o Purpose of the research study
o Research approach that was used
o Data collection methods used
o Results of the research study
o One strength of the research study
o One limitation of the research study.
Presentation of information was minimally demonstrated in the all of the following elements:
· Restate the PICOT/PICo question
· A minimum of 10 (ten) research-based references are required.
· The use of a systematic research review article is not allowed.
· All research studies are to be consistent with the selected concern and PICOT/PICo question.
· For each research-based reference the following information is to be discussed:
o Purpose of the research study
o Research approach that was used
o Data collection methods used
o Results of the research study
o One strength of the research study
o One limitation of the research study.
Presentation of
information in ONE or TWO of the following elements fails to meet expectations:
· Restate the PICOT/PICo question
· A minimum of 10 (ten) research-based references are required.
· The use of a systematic research review article is not allowed.
· All research studies are to be consistent with the selected concern and PICOT/PICo question.
· For each research-based reference the following information is to be discussed:
o Purpose of the research study
o Research approach that was used
o Data collection methods used
o Results of the research study
o One strength of the research study
o One limitation of the research study.
Research Approach and Design 40 Points 35 Points 32 Points 15 Points
Presentation of information was exceptional and included all of the following elements:
· Identification if the research approach as quantitative or qualitative
· Identification of selected quantitative research design (experimental, quasi-experimental, or descriptive)
· Identification of the selected qualitative design (phenomenological, ethnography, grounded theory, historical)
· Description of the selected design
· Identify a rationale for the selected design
· Identification of one advantage of the selected design
· Identification of one disadvantage of the selected design
· Use scholarly reference(s) to support information about research approach/design
Presentation of information was good, but was superficial in places and included all of the following elements:
· Identification if the research approach as quantitative or qualitative
· Identification of selected quantitative research design (experimental, quasi-experimental, or descriptive)
· Identification of the selected qualitative design (phenomenological, ethnography, grounded theory, historical)
· Description of the selected design
· Identify a rationale for the selected design
· Identification of one advantage of the selected design
· Identification of one disadvantage of the selected design
· Use scholarly reference(s) to support information about research approach/design
Presentation of information was minimally demonstrated in the all of the following elements:
· Identification if the research approach as quantitative or qualitative
· Identification of selected quantitative research design (experimental, quasi-experimental, or descriptive)
· Identification of the selected qualitative design (phenomenological, ethnography, grounded theory, historical)
· Description of the selected design
· Identify a rationale for the selected design
· Identification of one advantage of the selected design
· Identification of one disadvantage of the selected design
· Use scholarly reference(s) to support information about research approach/design
Presentation of information in one, two or three of the following elements fails to meet expectations:
· Identification if the research approach as quantitative or qualitative
· Identification of selected quantitative research design (experimental, quasi-experimental, or descriptive)
· Identification of the selected qualitative design (phenomenological, ethnography, grounded theory, historical)
· Description of the selected design
· Identify a rationale for the selected design
· Identification of one advantage of the selected design
· Identification of one disadvantage of the selected design
· Use scholarly reference(s) to support information about research approach/design
Sample 40 Points 35 Points 32 Points 15 Points
Presentation of information was exceptional and included all of the following elements:
· Describe the target population
· Identify the sampling method as being either probability or nonprobability
· Provide a complete description of the sampling procedure including:
o Sample size
o Inclusion criteria
o Exclusion criteria
· Identify one advantage to the selected sampling procedure
· Identify one disadvantage to the selected sampling procedure
· Explain how participants’ rights will be protected including confidentiality, anonymity, protection from harm, and informed consent
· Use scholarly reference(s) to support information about sampling method
Presentation of information was good, but was superficial in places and included all of the following elements:
· Describe the target population
· Identify the sampling method as being either probability or nonprobability
· Provide a complete description of the sampling procedure including:
o Sample size
o Inclusion criteria
o Exclusion criteria
· Identify one advantage to the selected sampling procedure
· Identify one disadvantage to the selected sampling procedure
· Explain how participants’ rights will be protected including confidentiality, anonymity, protection from harm, and informed consent
· Use scholarly reference(s) to support information about sampling method
Presentation of information was minimally demonstrated in the all of the following elements:
· Describe the target population
· Identify the sampling method as being either probability or nonprobability
· Provide a complete description of the sampling procedure including:
o Sample size
o Inclusion criteria
o Exclusion criteria
· Identify one advantage to the selected sampling procedure
· Identify one disadvantage to the selected sampling procedure
· Explain how participants’ rights will be protected including confidentiality, anonymity, protection from harm, and informed consent
· Use scholarly reference(s) to support information about sampling method
Presentation of
information in two or three of the following elements fails to meet expectations:
· Describe the target population
· Identify the sampling method as being either probability or nonprobability
· Provide a complete description of the sampling procedure including:
o Sample size
o Inclusion criteria
o Exclusion criteria
· Identify one advantage to the selected sampling procedure
· Identify one disadvantage to the selected sampling procedure
· Explain how participants’ rights will be protected including confidentiality, anonymity, protection from harm, and informed consent
· Use scholarly reference(s) to support information about sampling method
Proposed Implementation with a Change Model 35 Points 31 Points 28 Points 13 Points
Presentation of information was exceptional and included all of the following elements:
· Describe the PDSA Change Model
· Explain why this change model is best suited for implementation of your evidence-based nursing practice solution/change
· Apply each step of the PDSA Change Model to implementing the proposed practice solution/change
· Explain how to overcome one barrier to the use of the EBP results from this project
· Explain how an environment that supports EBP can be fostered in your future practice setting
· Include a scholarly reference(s) for the PDSA Change Model
Presentation of information was good, but was superficial in places and included all of the following elements:
· Describe the PDSA Change Model
· Explain why this change model is best suited for implementation of your evidence-based nursing practice solution/change
· Apply each step of the PDSA Change Model to implementing the proposed practice solution/change
· Explain how to overcome one barrier to the use of the EBP results from this project
· Explain how an environment that supports EBP can be fostered in your future practice setting
· Include a scholarly reference(s) for the PDSA Change Model
Presentation of information was minimally demonstrated in the all of the following elements:
· Describe the PDSA Change Model
· Explain why this change model is best suited for implementation of your evidence-based nursing practice solution/change
· Apply each step of the PDSA Change Model to implementing the proposed practice solution/change
· Explain how to overcome one barrier to the use of the EBP results from this project
· Explain how an environment that supports EBP can be fostered in your future practice setting
· Include a scholarly reference(s) for the PDSA Change Model
Presentation of information in one or two of the following elements fails to meet expectations:
· Describe the PDSA Change Model
· Explain why this change model is best suited for implementation of your evidence-based nursing practice solution/change
· Apply each step of the PDSA Change Model to implementing the proposed practice solution/change
· Explain how to overcome one barrier to the use of the EBP results from this project
· Explain how an environment that supports EBP can be fostered in your future practice setting
Include a scholarly reference(s) for the PDSA Change Model
Paper Specification 10 Points 9 Points 8 Points 4 Points
This section included all of the following:
· The added sections do not exceed 15 (fifteen) pages
· Scholarly nursing references related to this content are presented
· A dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.
· References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.
This section included three of the following:
· The added sections do not exceed 15 (fifteen) pages
· Scholarly nursing references related to this content are presented
· A dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.
· References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.
This section included only two of the following:
· The added sections do not exceed 15 (fifteen) pages
· Scholarly nursing references related to this content are presented
· A dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.
· References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.
This section included only of the following:
· The added sections do not exceed 15 (fifteen) pages
· Scholarly nursing references related to this content are presented
· A dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were used as scholarly references.
· References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.
Total Content Points __________out of 200
Format
Possible Points = 50 Points
APA Style 25 Points 22 Points 20 Points 10 Points
APA guidelines, as per the 6th edition of the manual, are demonstrated for the
· title page,
· body of paper (including margins, headings, font etc), and
· reference page
One deduction for each type of APA format error
0 to 1 APA error are present
APA guidelines, as per the 6th edition of the manual, are demonstrated for the
· title page,
· body of paper (including margins, headings, font etc), and
· reference page
One deduction for each type of APA format error
2 – 3 APA errors are present
APA guidelines, as per the 6th edition of the manual, are demonstrated for the
· title page,
· body of paper (including margins, headings, font etc), and
· reference page
One deduction for each type of APA format error
4 – 5 APA are present
APA guidelines, as per the 6 edition of the manual, are demonstrated for the
· title page,
· body of paper (including margins headings, font etc), and
· reference page
One deduction for each type of APA format error
6 – 7 APA are present
Citations 10 Points 9 Points 8 Points 4 Points
There were 0-1 errors in the crediting of ideas, and information that contributed to knowledge, and APA formatting.
There were 2-3 errors in the crediting of ideas, and information that contributed to knowledge, and APA formatting.
There were 4-5 errors in the crediting of ideas, and information that contributed to knowledge, and APA formatting.
There were 6-7 errors in the crediting of ideas, and information that contributed to knowledge and APA formatting.
Writing Mechanics 15 Points 13 Points 12 Points 6 Points
1–2 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual 3 – 4 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual
5 – 6 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual
7 – 8 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6 edition of the APA manual
Total Points _________ of 250 points

Workplace Environment Assessment
Assignment: Workplace Environment Assessment
Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.
In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.
To Prepare:
Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
Review the Work Environment Assessment Template.
Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
Select and review one or more of the following articles found in the Resources:
Clark, Olender, Cardoni, and Kenski (2011)
Clark (2018)
Clark (2015)
Griffin and Clark (2014)
The Assignment (3-6 pages total):
Part 1: Work Environment Assessment (1-2 pages)
Review the Work Environment Assessment Template you completed for this Module’s Discussion.
Describe the results of the Work Environment Assessment you completed on your workplace.
Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
Explain what the results of the Assessment suggest about the health and civility of your workplace.
Part 2: Reviewing the Literature (1-2 pages)
Briefly describe the theory or concept presented in the article(s) you selected.
Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.
Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)
Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.
Excellent
Part 1: Work Environment Assessment
· Complete the Work Environment Assessment Template.
· Describe the results of the Work Environment Assessment you completed on your workplace.
· Identify two things that surprised you about the results and one idea that you believed prior to conducting the assessment that was confirmed.
· Explain what the results of the assessment suggests about the health and civility of your workplace.
45 (45%) – 50 (50%)
An accurate, detailed, and completed Work Environment Assessment Template is provided.
The responses accurately and thoroughly describe in detail the results of the Work Environment Assessment completed on a workplace.
The responses accurately and clearly identify two surprising things about the results and thoroughly describe in detail at least one idea that was believed prior to conducting the assessment that was confirmed.
The responses accurately and thoroughly explain in detail what the results of the assessment suggests about the health and civility of a workplace.
Part 2: Reviewing the Literature
· Briefly describe the theory or concept presented in the article you selected.
· Explain how the theory or concept presented in the article relates to the results of your Work Environment Assessment.
· Explain how your organization could apply the theory highlighted in your selected article to improve organizational health and/or stronger work teams. Be specific and provide examples.
14 (14%) – 15 (15%)
The responses accurately and thoroughly describe the theory or concept presented in the article selected.
The responses accurately and completely explain in detail how the theory or concept presented in the article relates to the results of the Work Environment Assessment.
The responses accurately and thoroughly explain in detail how an organization could apply the theory highlighted in the selected article to improve organizational health and/or stronger work teams.
Specific and detailed examples are provided which fully support the responses.
Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams
· Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
· Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.
18 (18%) – 20 (20%)
The responses clearly and thoroughly recommend in detail at least two strategies that can be implemented to address any shortcomings revealed in the Work Environment Assessment.
The responses clearly and thoroughly recommend in detail at least two strategies that can be implemented to bolster successful practices revealed in the Work Environment Assessment.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
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Solution
Workplace Environment Assessment
In the nursing profession, the demonstration of professional behaviors by nurses in communication and interaction with patients, colleagues, doctors and other stakeholders is integral to the provision of holistic, safe, and top-quality care and support (Clark et al., 2018).
Hossny and Sabra (2020) noted that civility encompasses the societal guidelines, standards and practices that must be adhered to for appropriate and effective communication and engagement with others, and hence workplace civility is aimed at creating and maintaining a favorable environment for the delivery of evidence-based and patient-centered care.
Research findings has demonstrated that the climate of civility in the workplace is essential to ensuring leveraged patient satisfaction and patient therapy as well as fostering collaboration between healthcare practitioners (Hossny & Sabra, 2020; Clark et al., 2011).
Part 1: Work Environment Assessment
In view of the results on the Clark Healthy Workplace, the work environment assessment score of my organization was 79 out of the possible 100. Precisely, this particular score revealed a mildly healthy workplace, and this may be reflected by the idea that the work environment at the organization is averagely civil.
Some of the high-rated attribute as per the results of the Work Environment Assessment included: share vision and mission, teamwork and collaboration, employee promotion and career advancement and availability of resources for professional growth and development.
On the contrary, the lowly-rated attributes in the Work assessment inventory included employee satisfaction and morale, workload, treatment of employee in a fair and respectable manner and organizational communication. Combined, the results of the Work Assessment report revealed that the organization commands a mildly healthy workplace, and hence the need for further improvement to secure a higher score in the long run.
Regarding the things that surprised me about the results, it came to my attention that employees must be considered an invaluable asset and valued partners amidst the lower score before I took the test. Whilst human capital is an integral organizational asset that is essential to offering high quality healthcare services, the assessment indicated that employees at the organization appear to be overlooked in comparison to other physical assets.
This is demonstrated by the significantly lower rating assigned to employee satisfaction and workplace morale as well as the lack of proper channels and systems to ensure all employees in the organization are treated in a respectful and fair approach. The second thing that surprised me about the result is the centrality of having a comprehensive mentoring program for all employees within the organization, and this was reflected by the quite a few questions that reported a score of 5.
Considering the myriad of work-related stress and other constraints to occupational and professional performance, the organization lacked a tailored mentoring program aimed at enabling all workers in the workplace to become motivated, committed and involved in achieving the set organizational goals and objectives (Hossny & Sabra, 2020).
Consequently, the one idea that I believed prior to conducting the assessment, and which was confirmed is the low score of employee satisfaction and morale the nursing work environment. On average, nurses experienced heavy workload that may be attributed to persistent staff shortages, inadequate supply of nurses, and the growing demand for healthcare goods and services.
With a score of 79 out of possible 100, the results of the work assessment suggested that the workplace health and civility require substantial improvement. Considered a mildly healthy workplace, the organizational climate as perceived by the employees revealed that further improvement is required in key areas where incivility and unhealthy practices existed.
For instance, the organizational culture at the facility can be considered less favorable, rigid and hierarchical based on the reduced levels of employee satisfaction, reduced worker morale and the wanting treatment of employees within the work environment. Moreover, the pursuit of relevant strategies and interventions aimed at sustained improvement of the areas with lowly-rated attributes is essential to enabling the organization alleviates the negative consequences associated with workplace incivility and unhealthy workplace practices (Sleem, 2017).
Therefore, whilst the assessment results demonstrated the critical value of having shared vision and mission, teamwork and collaboration, employee promotion and career advancement and availability of adequate organizational resources
It also highlighted the greater need for the organization to refocus its efforts on improving employee satisfaction and morale, reducing the heavy nurse workload and in creating an accommodative, dynamic and respective workplace culture and climate.
Part 2: Reviewing the Literature
Clark et al. (2011) explored mechanisms for fostering civility in nursing education in practice from the perspectives of the nurse leader. The primary concept covered in the article is workplace incivility, and it is described as a major problem with significant interference with the productivity, safety, efficiency and effectiveness of workplaces in the healthcare industry.
In nurse work environment, incivility encompasses a range of uncivil and disruptive behaviors including bullying, harassment, discrimination, mobbing, workplace violence, stereotyping and According to Clark et al. (2011), incivility contributes to detrimental consequences on healthcare professionals including nurses, and hence the occurrence of incivility in the workplace is a prime factor behind the rising cases of poor patient care, unsafe working conditions, growing medical costs and poor employee satisfaction and morale.
Regarding how the concept of workplace incivility relates to the results of the Work Environment Assessment, the incidence of workplace incivility at the workplace may be responsible for the ultimate rating of the work environment as mildly healthy. Clark et al. (2011) indicated that workplace incivility is a major contributing factor behind lower employee satisfaction, reduced job involvement, lower worker morale and work-related stress.
Similarly, developing and enhancing a culture of civility at the organization can become a viable means through which the nurse work environment can secure a shared vision of civility and adopt relevant best practices, policies and guidelines to ensure civility is realized and maintained at the workplace (Hossny & Sabra, 2020).
Moreover, the healthcare organization could apply the concept of workplace civility to enhance organizational health and/or build stronger work teams. Clark et al. (2011) noted that avoidance of bullying and disruptive behaviors at the workplace is integral to identifying and tackling the negative effects of incivility including job dissatisfaction, psychological and physiological stress, turnover intention and reduced performance, at the individual and collective levels.
Secondly, the promotion of workplace civility is essential to the modeling of effective communication, teambuilding and collaboration as some of the mechanisms for reducing the incidence and effects of workplace incivility.
Thirdly, enhancing the culture of civility in the workplace was identified by Clark et al. (2011) as a fundamental means through which to develop and adopt appropriate policies, practices, guidelines as well as code of ethics aimed at addressing the concerns of low employee satisfaction and morale, heavy workloads and mistreatment of employees within the work environment.
Part 3: Evidence-based strategies
Tackling the pertinent shortcomings revealed in the work assessment can be realized through the use of evidence-based strategies. The proposed strategies include conducting joint meetings with all members of the healthcare team and provision of ongoing education on workplace civility.
First, conducting joint meetings with the various stakeholders is intended at developing a shared vision and partnership as well as an entrenched culture of civility aimed at ensuring leveraged levels of employee morale and satisfaction (Clark et al., 2011). Smith et al. (2018) pointed out that promoting a culture of civility through having a collaborative vision is a meaningful starting point capable of tackling many of the issues behind heavy workloads, unfair treatment of employees and the reduced levels of employee satisfaction and moral in the workplace.
Secondly, the provision of ongoing education on workplace civility is an evidence-based strategy geared at ensuring respectful communication, supporting successful problem-solving and conflict resolution, reinforcing positive behavior and promoting practice preparedness (Abd Allah Mohamed et al., 2021).
On the other hand, two evidence-based strategies that can be adopted to bolster successful practices revealed in the Work Environment Assessment include: positive role-modeling by all the members of the healthcare team and the creation of a healthy practice environment. Clark et al. (2018) asserted that positive role modeling and mentoring must be encouraged and supported in to support a good deal of teamwork and collaboration, employee development and growth and career advancements.
Secondly, the organization must also focus on creating a healthy practice environment characterized by strong leadership, improved communication and partnership, reinforcement and rewarding of civility as the basis for sustaining workplace civility, organizational performance and staff motivation (Sleem, 2017).
Conclusion
The findings from the Clark Healthy Workplace Inventory revealed a score of 79, indicating the presence of a mildly healthy workplace. As such, further improvement is required to ensure the shortcomings are addressed amicably, and the successful practices are bolstered with the intention of establishing a culture of civility and a shared vision among all members of the healthcare team at the identified organization.
References
Abd Allah Mohamed, N. A., Yassein Hussein, N., & Mohamed, S. (2021). The relationship between workplace civility climate and workplace ostracism among staff nurses. Assiut Scientific Nursing Journal, 9(27), 10-20. https://doi.org/10.21608/asnj.2022.103552.1253
Clark, C. M., Sattler, V. P., & Barbosa-Leiker, C. (2018). Development and psychometric testing of the workplace civility index: A reliable tool for measuring civility in the workplace. The Journal of Continuing Education in Nursing, 49(9), 400-406. https://doi.org/10.3928/00220124-20180813-05
Clark, C.M., Olender, L., Cardoni, C., & Kenski, D. (2011).Fostering Civility in Nursing Education and Practice.The Journal of Nursing Administration, 41(8), 324-330. https://pubmed.ncbi.nlm.nih.gov/21799364/
Hossny, E. K., & Sabra, H. E. (2020). Effect of nurses’ perception to workplace civility climate on nurse–physician collaboration. Nursing Open, 8(2), 620-627. https://doi.org/10.1002/nop2.666
Sleem, W. F. (2017). Role of workplace civility climate and Workgroup norms on incidence of incivility behaviour among staff nurses. International Journal of Nursing Didactics, 7(6). https://doi.org/10.15520/ijnd.2017.vol7.iss6.230.34-43
Smith, J. G., Morin, K. H., & Lake, E. T. (2018). Association of the nurse work environment with nurse incivility in hospitals. Journal of Nursing Management, 26(2), 219–226. https://doi.org/10.1111/jonm.12537

Regulation for nursing practice staff development meeting
Assignment: Regulation for Nursing Practice Staff Development Meeting
Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.
Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.
To Prepare:
Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
Review the NCSBN and ANA websites to prepare for your presentation.
The Assignment: (8- to 9-slide PowerPoint presentation)
Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:
Describe the differences between a board of nursing and a professional nurse association.
Describe the board for your specific region/area.
Who is on the board?
How does one become a member of the board?
Describe at least one state regulation related to general nurse scope of practice.
How does this regulation influence the nurse’s role?
How does this regulation influence delivery, cost, and access to healthcare?
Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
How does this regulation influence the nurse’s role?
How does this regulation influence delivery, cost, and access to healthcare?
Include Speaker Notes on Each Slide (except on the title page and reference page)
My region or area is Pennsylvania
Excellent
Boards of Nursing vs. Professional Nurse Associations
Develop a 8- to 9-slide PowerPoint presentation that addresses the following:
· Describe the differences between a board of nursing and a professional nurse association.
· Describe the members of the board for your specific region/area.
· Who is on the board?
· How does one become a member of the board?
· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.
23 (23%) – 25 (25%)
The response accurately and thoroughly describes the differences between a board of nursing and professional nurse associations.
Response provides a complete and accurate description of who is on a board of nursing.
The response provides a detailed and thorough explanation of how one becomes a member of the board of nursing.
Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.
The Impact of State Regulation on Nurse Practice
Describe at least one state regulation related to general nurse scope of practice.
· How does this regulation influence the nurse’s role?
· How does this regulation influence delivery, cost, and access to healthcare?
· Has there been any change to the regulation within the past 5 years? Explain.
· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.
27 (27%) – 30 (30%)
Response includes a complete and accurate description that fully details how one or more state regulations are related to general nurse scope of practice.
Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.
Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.
Presentation includes speaker notes that explain and elaborate the points of the presentation.
Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
· How does this regulation influence the nurse’s role?
· How does this regulation influence delivery, cost, and access to healthcare?
· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.
27 (27%) – 30 (30%)
Response includes a complete and accurate description that fully details how one or more state regulations are related to Advanced Practice Registered Nurses (APRNs).
Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.
Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.
Presentation includes speaker notes that explain and elaborate the points of the presentation.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%)
Uses correct APA format with no errors.

Nurs 6050 Week 4 Strategies to Promote Academic Integrity and Professional Ethics
Assignment: Legislation Grid and Testimony/Advocacy Statement
As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.
Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.
To Prepare:
Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.
The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)
Part 1: Legislation Grid
Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:
Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:
Advocate a position for the bill you selected and write testimony in support of your position.
Describe how you would address the opponent to your position. Be specific and provide examples.
At least 2 outside resources and 2-3 course specific resources are used.
By Day 7 of Week 4
Submit your completed legislation grid and testimony/advocacy statement.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.
Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 4 Assignment You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
RUBRIC below (just parameters so you can see what instructor is looking for)
Federal and State Legislation
Part 1: Legislation Grid
Based on the health-related bill you selected, complete the Legislation Grid Template. Be sure to address the following:
• Determine the legislative intent of the bill you have reviewed.
• Identify the proponents/opponents of the bill.
• Identify the target populations addressed by the bill.
• Where in the process is the bill currently? Is it in hearings or committees?
32 (32%) – 35 (35%)
The response clearly and accurately summarizes in detail the legislative intent of the health-related bill.
The response accurately identifies in detail the proponents and opponents of the health-related bill.
The response accurately identifies in detail the populations targeted by the health-related bill.
The response clearly and thoroughly describes in detail the current status of the health-related bill.
28 (28%) – 31 (31%)
The response accurately summarizes the legislative intent of the health-related bill.
The response accurately identifies the proponents and opponents of the health-related bill.
The response accurately identifies the populations targeted by the health-related bill.
The response accurately describes the current status of the health-related bill.
25 (25%) – 27 (27%)
The response vaguely or inaccurately summarizes the legislative intent of the health-related bill.
The response vaguely or inaccurately identifies the proponents and opponents of the health-related bill.
The response vaguely or inaccurately identifies the populations targeted by the health-related bill.
The response vaguely or inaccurately describes the current status of the health-related bill.
0 (0%) – 24 (24%)
Summary of the legislative intent of the health-related bill is vague and inaccurate or is missing.
Identification of the proponents and opponents of the health-related bill are vague and inaccurate or is missing.
Identification of the populations targeted by the health-related bill is vague and inaccurate or is missing.
The description of the current status of the health-related bill is vague and inaccurate or is missing.
Advocating for Legislation
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:
• Advocate a position for the bill you selected and write testimony in support of your position.
• Describe how you would address the opponent to your position. Be specific and provide examples.
45 (45%) – 50 (50%)
Testimony clearly and thoroughly provides statements that fully justifies a position for a health-related bill.
Response provides a detailed, thorough, and logical explanation of how to address opponents to the position for the health-related bill and includes one or more clear and accurate supporting examples.
A complete, detailed, and specific synthesis of two outside resources is provided. The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the responses provided.
40 (40%) – 44 (44%)
Testimony clearly and accurately provides statements that somewhat justifies a position for a health-related bill.
Response provides an accurate explanation of how to address opponents to the position for the health-related bill and may include at least one supporting example.
An accurate synthesis of at least one outside resource is provided. The response integrates at least 1 outside resource and 2-3 course specific resources that may support the responses provided.
35 (35%) – 39 (39%)
Testimony used to justify a position for a health-related bill is vague or inaccurate.
Explanation of how to address the opponents to the position for the health-related bill is vague or inaccurate, lacks logic, and/or the supporting examples are vague or inaccurate.
A vague or inaccurate synthesis of outside resources is provided. The response minimally integrates resources that may support the responses provided.
0 (0%) – 34 (34%)
Testimony used to justify a position for a health-related bill is vague and inaccurate, incomplete, or is missing.
Explanation of how to address the opponents to the position for the health-related bill is vague and inaccurate, or is missing.
A vague and inaccurate synthesis of no outside resources is provided, or is missing. The response fails to integrate any resources to support the responses provided.
The recommendation of an amendment to the bill in support of the position is inaccurate and incomplete, or is missing.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic.
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0 (0%) – 3 (3%) Contains many (? 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%) Uses correct APA format with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors. 0 (0%) – 3 (3%) Contains many (? 5) APA format errors. Total Points: 100

EBP or Research Project Proposal
Instructions:
In the two individual article critiques that you have completed, you have answered your proposed clinical PICOT question. This assignment will either be formulated as an Evidence-based implementation project or a Research project. The steps are very similar. From looking at the existing literature, you will be able to decide if there is enough high-level evidence that exists to implement the evidence-based intervention OR if not enough high-level evidence exists, and more research needs to be conducted, this will be a research proposal.
The proposal should be 3-5 APA formatted pages and should include:
Introduction
Background and in-depth information related to why this is a problem for nursing (this is in light of a literature review)
Research question or hypothesis OR PICOT question
Study Design or Implementation Project Design and description of the project
Population and Sampling Methods
Data Collection Methods and Instruments
Data analysis- Includes statistical tests
Mechanisms to ensure quality of the study- control of bias, etc.
Timetable for the project
Ethical considerations
Resources required including budget, stakeholders who would need to approve the project, etc.
Implications for Practice and Plan for Dissemination of findings
References
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GRADING CRITERIA
Pts Introduction: 5 pts: The introduction should include brief statement of the purpose of the paper The identification of the type of paper selected (EBP or Research Proposal) The rationale for the selection of either EBP or Research Proposal.
Background and Review of the Literature:10 pts.The student met or exceeded all of the following criteria: A brief statement of the problem The importance of the problem to nursing A summary of the existing literature related to the problem (this should include a minimum of 5 sources) The statement that enough high level evidence exists to create a proposal of an EBP practice change or more evidence is necessary and therefore, more research is needed.
Research or PICOT Question: 5 pts The student met or exceeded all of the following criteria: The question is clearly written The population is identified The intervention is identified The outcome is identified
Population and Sampling: 10 pts: The student met or exceeded all of the following criteria: Identify the population of interest Identify the sampling method that will be used Identify where the sample will be drawn from Identify an appropriate sample size Be specific.
Data Collection 10 pts:The student met or exceeded all of the following criteria: Describe the data collection method Include what data will be collected Include how the data will be obtained The data collection tools that will be used and a brief description of the tools.
Data Analysis: 5 pts:The student met or exceeded all of the following criteria: Describe how the data collected will be analyzed Include the statistical techniques Include why specific techniques are appropriate.
Mechanisms to Ensure Quality 5 pts:The student met or exceeded all of the following criteria: Describe how specific methods lead to improvements in data quality Include the strengths and limitations of method’s choices.
Timetable 5 pts: The student met or exceeded all of the following criteria: Include the process of how the project will proceed Include the timeline from start to completion,
Ethical Considerations 5pts:The student met or exceeded all of the following criteria: Describe the ethical considerations Describe how the protection of human subjects will be included Describe whether or not informed consent is necessary
Resources 10 pts:The student met or exceeded all of the following criteria: What resources are necessary to complete the project Describe the financial support necessary Describe the need for support from stakeholders.
Implications 10 pts:The student met or exceeded all of the following criteria: Describe the implications for nursing practice Describe a plan for disseminating results Who will want these results? Who will need these results?
APA Formatting, Grammar and Scholarly Language 10 pts: The student met or exceeded all of the following criteria: APA formatting is error free, grammar is correct, scholarly language is used to communicate ideas.

Discussion: Interaction Between Nurse Informaticists and Other Specialists
Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.
Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.
In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.
To Prepare:
Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.
By Day 3 of Week 3
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
Excellent Good Fair Poor
Main Posting 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.
Supported by at least three current, credible sources.
Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.
At least 75% of post has exceptional depth and breadth.
Supported by at least three credible sources.
Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
35 (35%) – 39 (39%)
Responds to some of the discussion question(s).
One or two criteria are not addressed or are superficially addressed.
Is somewhat lacking reflection and critical analysis and synthesis.
Somewhat represents knowledge gained from the course readings for the module.
Post is cited with two credible sources.
Written somewhat concisely; may contain more than two spelling or grammatical errors.
Contains some APA formatting errors.
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.
Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis.
Does not represent knowledge gained from the course readings for the module.
Contains only one or no credible sources.
Not written clearly or concisely.
Contains more than two spelling or grammatical errors.
Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness 10 (10%) – 10 (10%)
Posts main post by day 3.
0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%)
Does not post by day 3.
First Response 17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English.
15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
13 (13%) – 14 (14%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Second Response 16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English.
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
12 (12%) – 13 (13%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Participation 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100
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Solution
Nurse Informaticists: Interaction with Other Specialists in Healthcare Organizations
The field and specialty of nursing informatics is a relatively new one compared with other nursing specialties. It is only in 1999 that the Institute of Medicine (IOM) produced a report with a recommendation that technology can be the solution to rampant human error in healthcare. The report was aptly titled To Err Is Human (Palatnik, 2016).
Since then, legislation has been enacted that obliges every healthcare setting to have an electronic health record (EHR) system. Nurse informaticists are the custodians of the data stored in these systems and are responsible for retrieving data as well as granting access to the system for other persons (Alotaibi & Federico, 2017; McGonigle & Mastrian, 2017). My experiences of how nurse informaticists interact with other specialists in my organization are within the framework of interprofessional collaboration.
For instance, when a quality issue arises such as an increase in the number of readmissions; the chief medical officer in his capacity as the chairman of the quality improvement committee may request the nurse informaticist to retrieve data related to this quality metric and present it in a useful form for decision-making (Wang et al., 2018; Darvish et al., 2014).
Nurse informaticists are also the project managers in any project involving implementation of any technological acquisition by the organization (Sipes, 2016). In this context, she interacts with other specialists within the framework of getting their input into the functional fine-tuning of the innovation.
One strategy that might be suggested on how the above interactions can be improved is that nurse informaticists should give as many podium presentations in terms of lectures and seminars to the organization’s employees. This will demystify her role and make it easy for the other specialists to approach her with their technological concerns.
With the continued evolution of the field of nursing informatics, clinicians are bound to rely more and more on the nurse informaticist in the future for data that will help them in making clinical decisions. This is because the nurse informaticist is the gatekeeper and organizer of this information.
References
Alotaibi, Y., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631
Darvish, A., Bahramnezhad, F., Keyhanian, S. & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global Journal of Health Science, 6(6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11
McGonigle, D., & Mastrian, K.G. (2017). Nursing informatics and the foundation of knowledge, 4th ed. Jones & Bartlett Learning.
Palatnik, A. (2016). To err is human. Nursing Critical Care, 11(5), 4. https://doi.org/10.1097/01.CCN.0000490961.44977.8d
Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Nursing Informatics, 252-256. https://doi.org/10.3233/978-1-61499-658-3-252
Wang, Y., Kung, L., & Byrd, T.A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. https://doi.org/10.1016/j.techfore.2015.12.019

Benchmark assignment Networking Through Health Care Association
Find a health care association you would be interested in joining and follow it on LinkedIn® or subscribe to its newsletter.
Gather details about membership fees and any discounts available with the membership.
Identify current association members via social media and reach out to them to find out more about their experiences with and the benefits of having a membership.
Write a 700- to 1,050-word proposal to your employer outlining the benefits of joining the selected health care association and the benefits of attending a meeting, convention or conference in-person.
Provide a rationale of how your membership to the health care association and attending its event(s) will benefit your employer, contribute to your job responsibilities, and promote your own professional development. Include insight from the relationships you established to reinforce your rationale.
Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).
Note: If you are unable to, or would rather not, complete the assignment in LinkedIn, you may submit the assignment using a Word document. Please let your faculty know if you intend to choose this option. In the document, please include all necessary components as described in the assignment instructions. If you have any questions, or need any clarification, about the requirements, please ask your instructor.
Format your assignment according to APA guidelines.
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Solution
Health Care Association I would Like to Join.
I would like to join the American Nurses Association, which works to advance the nursing profession and improve health and healthcare. The Association amplifies the voice of nurses by lobbying executive agencies and the congress and offering information and tools empowering nurses to share expertise and perspective directly with policymakers. The mission of ANA is to advance and promote the improvement of nursing and health standards and stimulate and promote the professional development of the member nurses and advance their general and economic welfare. ANA achieves its purpose by advocating on behalf of the members at the top government levels where conception, debating, and implementation of policies occur. ANA seeks to empower the nurses who have the capacity to revolutionize the approach to care for better healthcare outcomes. The Association believes that advocacy is the pillar of nursing, with nurses playing a major role in advocating for their patients in their communities and workplaces. ANA recognizes the value of legislative and political advocacy. The purpose of the ANA resonates with my personal view on how nurses can impact the healthcare industry for improved care and persona development (American Nurse Association, n.d).
Memberships Fees and Other Discounts Available
The cost of ANA membership varies depending on the place of residence and type of membership. ANA offers two membership options that include the Only membership and the ANA and State membership. The Only membership category allows a member to be a full voting member of the Association, and one can be offered discounts and benefits. The ANA and State membership, on the other hand, offers two memberships, one to the ANA and one to the state nursing association. The third category of membership is E-membership, only available in certain states and offers a virtual ANA membership but does not include certain benefits.
The cost of having an Only membership is $191 annually or $16.42 monthly. If a person wants to join on both the national level and the local States Nursing Association, the costs range from $200 to $500 annually, depending on the state. For example, fees in California and Michigan are $275 and $258. Fees for e-membership with limited benefits are $45 annually. According to one member in the social media forum, they reported receiving a membership fee of $512 in Illinois. Discounts are available to members that pay annually as the Association does not offer a monthly payment options offer. Based on the financial resources available, one can save money by opting for Only members and the e-membership categories. The choice of membership can also be influenced by the availability of the membership category. For example, the Only membership is not available in all 50 states. I have an advantage since the membership is available in my state.
Benefits of Joining the Association
Membership to the Association has various benefits to the individual members in terms of professional growth and development and the health care facility, which benefits from improved services offered by the professional. The facility will benefit from improved outcomes, which will result from the implementation of evidence-based practice. Membership to the Association provides access to research resources such as CINAHL, a database with more than 3,000 journals from different fields of nursing. The database also offers bibliographic entries for nursing dissertations, standards of practice, selected conference proceedings, and educational software (American Nurse Association, n.d). Access to these materials improves the level of knowledge and skills, improving the capacity to provide improved care, make better and more informed decisions, develop critical thinking and problem-solving skills. Knowledge relating to standards of practice can facilitate delivery of care to patients and increase adherence to ethical and legal standards decreasing additional costs related to legal and ethical consequences.
Another benefit involves mentorship programs offered by the Association and acts as a networking platform and career development tool by connecting professionals with their mentor and mentee. The platform can be an avenue to meet different mentors in my field. Having a mentor has been associated with the promotion of evidence-based practice, retention of nursing staff and development of nurses to nurse leaders (Hoover et al., 2020). Having a mentor will not only impact my professional and career growth and development but will also be beneficial to the facility due to improved performance and outcomes associated with the implementation of evidence-based practice. Being mentored also increases the capacity of mentoring other nurses in the facility, especially new nurses increasing staff retention in the facility.
Membership to the organization also offers access to medication safety tools and resources through the Institute for Safe Medication Practices, which offers a wide range of information and resources that enables health care professionals to prevent medical errors, including medication errors (American Nurse Association, n.d). The institution also offers timely topics in essential areas such as medication safety, with experts providing advice and education on patient safety and educational issues. Medication errors are one major challenge in healthcare organizations and in the facility. Reduction of medical errors will not only save the facility’s healthcare-related costs but will also improve health outcomes and increase patient outcomes improving the reputation of the facility in the areas. The facility will have an improved reputation and image, increasing the demand for healthcare services from the facility.
The membership also increases the chance of career development as I have a chance to access tuition discounts for nurses. The Tuition Discount Program gives members of ANA access to various educational programs across the country, enabling the members to advance their nursing careers and their nursing knowledge. I, therefore, have a chance of having access to financial resources to facilitate advanced nursing training. Some of the offers available include 20% off undergraduate and 15% offer graduate tuition and discounted fees. Such offers will make it easier to further education while still working in the facility and without much impacts, such as increasing working hours which may impact my productivity due to stress and burnout related to work overload.
References
American Nurse Association. (n.d). About ANA. Retrieved from
https://www.nursingworld.org/ana/about-ana/
American Nurse Association. (n.d). Member Benefits. Retrieved from
https://www.nursingworld.org/membership/member-benefits/
Hoover, J., Koon, A. D., Rosser, E. N., & Rao, K. D. (2020). Mentoring the working nurse: a scoping review. Human resources for health, 18(1), 1-10.
https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-020-00491-x

Capstone Topic Summary
Assessment Description In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Write a 150-250 word summary explaining which category your topic and intervention are under (community or leadership).