Documentation is appropriate

distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.5.0 %Format 2.0 %Paper Format (use of appropriate style for the major and assignment)Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)No reference page is included. No citations are used.Reference page is present. Citations are inconsistently used.Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.In-text citations and a reference page are complete. The documentation of cited sources is free of error.100 %Total Weightage

the target population or audience

100.00%80.0 %Content 16.0 %Executive summary addresses the purpose of the program or projectThe purpose of the program or project is not provided.The purpose of the program or project is incomplete, missing relevant information.The purpose of the program or project is provided and meets the basic criteria for the assignment as indicated in the assignment instructions.The purpose of the program or project meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.The purpose of the program or project meets all criteria for the assignment, as indicated in the assignment instructions, is provided in detail, and demonstrates higher level thinking by incorporating prior learning or reflective thought.16.0 %Executive summary addresses the target population or audienceThe target population or audience is not addressed.The target population or audience is incomplete, missing relevant information.The target population or audience is provided and meet the basic criteria for the assignment as indicated in the assignment instructions.The target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.The target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.16.0 %Executive summary addresses the benefits of the program or projectThe benefits of the program or project are not provided.The benefits of the program or project are incomplete, missing relevant information.The benefits of the program or project are provided and meet the basic criteria for the assignment as indicated in the assignment instructionsThe benefit of the program or project meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.The benefit of the program or project meet all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.16.0 %Executive summary addresses the cost or budget justificationThe cost or budget justification is not provided.The cost or budget justification is incomplete, missing relevant information.

Primary Prevention/Health Promotion

pplying what you have learned thus far, develop a community teaching proposal designed to address the needs of your community.

Select one of the following as the focus for the teaching plan:

Primary Prevention/Health Promotion
Secondary Prevention/Screenings for a Vulnerable Population
Bioterrorism/Disaster
Environmental Issues
Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.
Request feedback (strengths and opportunities for improvement) from the provider.
Complete the “Community Teaching Experience” form.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

NRS-427V-RS-CommunityTeachingE

Public Health Association websites

Select a public health issue and write a 750-1,000 word policy brief that provides a brief summary of the issue, options to solve the issue, and the best way to solve this issue. Select a public health issue from one of the following American Public Health Association websites: Climate Change (https://www.apha.org/topics-and-issues/climate-change) or Topics and Issues (https://www.apha.org/topics-and-issues).

Follow this outline when writing the policy brief:

Identify issue.
Background information – (a) Population effected; (b) Local, state or national level; and (c) Evidence about the issues supported by resources
Problem statement.
Suggestions for addressing the issue (solutions) – (a) Including necessary stakeholders (government officials, administrator); and (b) Include budget or funding considerations, if applicable
Impact on the Health Care Delivery System
Include three peer-reviewed sources and two other sources to support the policy brief.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center

qualitative or quantitative methods.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

Use a library database such as CINAHL Complete for your search.
Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.
To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

The role of clinical nurse leader

The role of clinical nurse leader (CNL) began in 2003-2004 due to the quality and safety reports of the Institute of Medicine. Clinical nurse leaders are prepared for direct clinical leadership to provide safe, evidence-based care and ensure that the patients get optimal healthcare. Clinical nurse leaders have multiple roles in the workplace. CNLs collect and evaluate treatment results and develop solutions to improve the outcome of patient care, evaluate the safety of the workplace, wnsure that the facilities are up-to-date on the latest research, and also provide patients with direct care and education. In order to become a clinical nurse leader, and BSN must be obtained followed by a Master’s of Science Clinical Nurse Leader program. Once completed a CNL certification test must be taken and passed.

There are multiple ways that they can ensure the safety of the patients. By providing direct patient care and education, CNLs are able to educate patients on their treatment plan and educate them on how to continue their treatment plan once they are discharged from the hospital. They can also ensure the safety of the patient by educating them on their medications. For example, they can teach them what each medication is for, the appropriate times to take each medication, any side effects they may experience, along with the correct dose of the medication they are taking. Safety is not just something that needs to be taken in to consideration while the patient is in the hospital, but once they are home.

Comment 3

A Clinical Nurse Leader (CNL) is expected to have a master’s degree level of education or higher. CNLs play an active role in “designing, implementing and evaluating client care by coordinating, delegating and supervising the care proved by a healthcare team at the clinical level, as opposed to the administrative level, as is the case with other nursing leadership roles” (GNE, 2018, para. 4). CNLs must be competent and knowledgeable as a part of the nursing team. The American Association of Colleges of Nursing (AACN) board acknowledges that the role of the CNL is multi-faceted and their education needs to have components of liberal arts and sciences, professional values, core competencies, core knowledge, and role development (GNE, 2018). CNLs should prepared in quality improvement, interdisciplinary team care, patient-centered care, evidence-based practice and the utilization of informatics (GNE, 2018). Clinical nurse leadership education focuses on policy and organization, nursing leadership, outcomes management, and care management. After completing a CNL education program, to be CNL certified a registered nurse, must hold a current NR license, hold a master’s degree, complete a minimum of 400 clinical hours within their formal education program, and complete a minimum of 300 clinical hour in a clinical immersion experience in the CNL role (GNE, 2018). CNLs are expected to be educated in advanced nursing knowledge to provide the best care, while improving patient outcomes with the latest innovations in health care.

A CNL can address minority health issues in health care. For example, a CNL overseeing the care of diabetic patients on a hospital unit may notice some discrepancies in outcomes. The CNL works as a leader to evaluate the patients, to see if there is a relationship between ethnicity-related issues and outcomes. The CNL can review the literature to see if this clinical issue has been previously identified within this particular minority patient population. Then, the CNL can develop and implement a plan of care to improve health outcomes for those patients.

Association of Colleges of Nursing

First, knowing what a
CNL does is important to know why they need to meet certain requirements. The
American Association of Colleges of Nursing (AACN) describes the role as “a
point-of-care leadership and provides care in situation of particular
complexity” (Point-of-Care, n.d.). A CNL is someone that “identifies ways to
improve the quality of patient care by consistently evaluating patient outcomes,
assessing cohort risk, changing care plans, advocating for change and mentoring
fellow nurses” (Clinical Nurse Leader, n.d.). Other responsibilities of a CNL is
to provide care coordination for patients with complex needs, implementing evidence-based
practice, instituting quality improvement measurements, and coordinating
lateral interdisciplinary care that includes disciplines as diverse as
occupational and physical therapy (Point-of-Care, n.d.). In order to fulfill these
job requirements, one must possess strong problem solving and critical thinking
skills, the desire to work closely with patients, and the willingness to mentor
fellow nurses (Clinical Nurse Leader, n.d.). Academically, the CNL must also
earn a minimum of an Master’s of Science degree in Nursing (MSN) in the
Clinical Nurse Leader program as well as taking and passing the CNL certification
from the Commission on Nurse Certification.

A CNL’s role or influence
in patient care is through implementing and ensuring that care delivery is
safe, evidence-based, and targeted towards optimal quality outcomes (Reid &
Dennison, 2011). The intent of the new implementation of a CNL is to promote patient
safety but also to incorporate the CNL’s focus on safety and to provide
front-line care instead of being in a back hall, disconnected from the eyes and
ears of the medical staff.

Comment 2

empowerment to equip co-workers

There are many strategies that I can use to create change in my current workplace. One of them is to develop alliances and social support systems that can legitimize, nurture, and stimulate related change-actions. Such alliances and social support will focus on healthcare institutions that legitimize and foster healthy life-style in work setting. In this perspective, I will use the power of nursing organizations and establish a broad coalitions to maximize workplace protections for nursing staff, patients, and other stakeholders. Nursing organizations represent an influencing force that can generate demand and pressure for health-supportive environment and policies that benefit healthcare staff and patients.

The second strategy I will use is empowerment. That is, I will use the arm of empowerment to equip co-workers and others with the knowledge, values and skills that inspire real action for grow.

The third strategy has to do with the change for transforming the culture. This approach calls for personal involvement. Consider yourself as the principal driven force that leads to change.  That is, imagine how you can play a dynamic, an active role in altering your culture. By embracing this mind-set, ‘when you put skin in the game, you become the change that transforms the culture’

Comment 2

Zolierek (2012), defined advocacy as using “one’s position to support, protect, or speak out for the rights and interests of another”.  As nurses, it is in our pledge and scope of practice to advocate and protect the safety and rights of all of our patients. A change in the workplace culture would increase patient safety and patient satisfaction. Healthcare is changing and we must be able to adapt and change along with facing the challenges that come with change. To make a change, we need to create an environment that will infuse energy and commitment to the team and the whole organization. The first step in advocating for the transforming the culture is actually being the change. We must each understand the power, influence, and the ability to see and understand the culture in which we each work and how we can play a role in inspiring and transforming the culture. The second step would be to embrace the opportunity. This would be stepping out of our “comfort zone” and not letting fear or embarrassment confine us but we step out with excitement. We should provide positive effects to each of the individuals we are influencing. Be a role model and mentor. A third step is being a team player. Allow opportunities for feed-back or one-on-one conversations. We should create an environment for our team to have to room to learn, grow, and be encouraged by new ideas.

caring for Susan and Sam?

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small children to care for.” Susan’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly. A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention.

What questions does Orlando’s theory guide the nurse to consider in caring for Susan and Sam?
Develop a family plan of care from the perspective of Orlando.
Explore the 1950 and 60’s in the United States:

Explore was happening in the United States during this time (culture, social, economics, struggles)
What did nursing look like during this time (what were their jobs like, responsibilities, dress, autonomy, respect)
What is the most influential accomplishment in nursing theory from the 1950’s and 1960’s?
Power Point should include at least 4 outside references and the textbook. It should include title and reference slides and

indigent population.

Assessment Instructions

Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.
The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft.
Directions
Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.

Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.
Explain how health care disparities impact treatment decisions.
Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?
Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?
Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population.
Additional Requirements
Your presentation should meet the following requirements:

Written communication: Written communication should be free of errors that detract from the overall message.
References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
APA format: Resources and citations should be formatted according to current APA style and formatting.
Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
Font and font size: Times New Roman, 12-point.