Nursing

Assignment: Impulsivity Compulsivity and Addiction
Assignment: Impulsivity Compulsivity and Addiction
Week 8 assignment
Assignment: Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction
Impulsivity, compulsivity, and addiction are challenging disorders for clients across the lifespan. These disorders often manifest as negative behaviors, resulting in adverse outcomes for clients. In your role as the psychiatric mental health nurse practitioner, you have the opportunity to help clients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.
Learning Objectives
Students will:
Assess client factors and history to develop personalized therapy plans for clients with impulsivity, compulsivity, and addiction
Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for impulsivity, compulsivity, and addiction
Evaluate efficacy of treatment plans
Analyze ethical and legal implications related to prescribing therapy for clients with impulsivity, compulsivity, and addiction
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 14, “Impulsivity, Compulsivity, and Addiction”
Stahl, S. M., & Grady, M. (2012). Stahl’s illustrated substance use and impulsive disorder New York, NY: Cambridge University Press.
To access the following chapter, click on the Illustrated Guides tab and then the Substance Use and Impulsive Disorders tab.
Chapter 10, “Disorders of Impulsivity and Compulsivity”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication.
Review the following medications:
For insomnia
For obsessive-compulsive disorder
Citalopram
clomipramine
escitalopram
fluoxetine
fluvoxamine
paroxetine
sertraline
venlafaxine
vilazodone
For alcohol withdrawal
chlordiazepoxide
clonidine
clorazepate
diazepam
lorazepam
oxazepam
For bulimia nervosa and binge eating
fluoxetine
topiramate
zonisamide
For alcohol abstinence
acamprosate
disulfiram
For alcohol dependence
nalmefene
naltrexone
For opioid dependence
buprenorphine
naltrexone
For nicotine addiction
bupropion
varenicline
Book Excerpt: Substance Abuse and Mental Health Services Administration. (1999). Treatment of adolescents with substance use disorders. Treatment Improvement Protocol Series, No. 32. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64350/
Chapter 1, “Substance Use Among Adolescents”
Chapter 2, “Tailoring Treatment to the Adolescent’s Problem”
Chapter 7, “Youths with Distinctive Treatment Needs”
University of Michigan Health System. (2016). Childhood trauma linked to worse impulse control in adulthood, study finds. Retrieved from https://www.sciencedaily.com/releases/2016/01/160120201324.htm
Note: Retrieved from Walden Library databases.
Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in pathological gambling. British Journal of Clinical Pharmacology, 77(2), 375–381. doi:10.1111/j.1365-2125.2012.04457.x
Note: Retrieved from Walden Library databases.
Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults: Clinical considerations and challenges. Journal of Gerontological Nursing, 42(4), 10–15. doi:10.3928/00989134-20160314-04
Note: Retrieved from Walden Library databases.
Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. Journal of Dual Diagnosis, 8(1), 74–84. doi:10.1080/15504263.2012.648439
Note: Retrieved from Walden Library databases.
Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J. P., & … Soares, J. C. (2014). Impulsivity in children and adolescents with mood disorders and unaffected offspring of bipolar parents. Comprehensive Psychiatry, 55(6), 1337–1341. doi:10.1016/j.comppsych.2014.04.018
Note: Retrieved from Walden Library databases.
Required Media
Laureate Education (2016c). Case study: A Puerto Rican woman with comorbid addiction [Interactive media file]. Baltimore, MD: Author
Note: This case study will serve as the foundation for this week’s Assignment.
To prepare for this Assignment:
Review this week’s Learning Resources. Consider how to assess and treat adolescent clients requiring therapy for impulsivity, compulsivity, and addiction.
The Assignment
Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
Decision #1
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Assignment: Demonstrate Logical Concept
Assignment: Demonstrate Logical Concept
Week 3 assignment
Concept Analysis
The Concept Analysis Assignment is due by Sunday, 11:59 p.m. (MT) at the end of Week 3. The guidelines are listed below as well as the guidelines and grading rubric for this assignment are located in Course Resources.
Purpose
This assignment provides the opportunity for the student to complete an analysis of a concept supported by a nursing theory using an identified process. The assignment fosters analytical thinking related to the selected concept as well as application within the profession.
Course Outcomes
CO 1: Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO 2, 5)
CO 4: Analyze theories from nursing and relevant fields with respect to the components, relationship among the components, and the application to advanced nursing practice. (PO 1)
Due Date Sunday 11:59 PM MT at the end of Week 3
Total Points Possible: 250 Points
Requirements
Description of the Assignment
This assignment presents a modified method for conducting a concept analysis of ONE concept that is important and useful to nursing. The concept for this assignment must be supported by a published nursing theory. The selected concept is identified and then the elements of the analysis process are applied in order to synthesize knowledge for application as demonstrated through the creation of model, borderline, and contrary cases. Theoretical applications of the concept are also discussed. Non-nursing theories may NOT be used. The paper concludes with a synthesis of the student’s new knowledge about the concept. The scholarly literature is incorporated throughout the analysis.
Only the elements identified in this assignment should be used for this concept analysis.
Criteria for Content
Introduction
The introduction substantively presents all the following elements:
Identifies the role of concept analysis within theory development.
Identifies the selected nursing
Identifies the nursing theory that addresses the selected concept.
Names the sections of the paper.
Scholarly support is required.
Definition/Explanation of the selected nursing concept
This section includes:
Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).
A substantive discussion of this section with support from nursing literature is required.
Literature review
This section requires:
A substantive discussion of at least 6 (six) scholarly nursing literature sources on the selected concept.
Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.
Support from nursing literature is required. Please Note: Primary research articles about the selected nursing concept are the most useful resource for the literature review.
Defining attributes, for this section:
A minimum of THREE (3) attributes are required.
A substantive discussion of this section with support from nursing literature is required
Explanation: An attribute identifies characteristics of a concept. For this situation, the characteristics of the selected nursing concept are identified and discussed.
Antecedent and Consequence
This section requires the identification of:
1 antecedent of the selected nursing concept.
1 consequence of the selected nursing concept.
A substantive discussion of the element with support from nursing literature is required.
Explanation: An antecedent is an identifiable occurrence that precedes an event. In this situation, an antecedent precedes a selected nursing concept. A consequence follows or is the result of an event. In this situation a consequence follows or is the result of the selected nursing concept.
Empirical Referents
This section requires the identification of:
2 (two) empirical referents of the selected nursing concept.
A substantive discussion of the element with support from nursing literature is required.
Explanation: An empirical referent is an objective ways to measure or determine the presence of the selected nursing concept.
Construct Cases
Explanation: hypothetical or real-life situations demonstrating the use or absence of the concept.
This section requires the creation of a model case, borderline case, and contrary case.
1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas:
Definition
All identified attributes
Explanation: A model case is an example of a hypothetical or real-life situation that demonstrates all of the attributes noted previously in this assignment.
1 Borderline Case is created by the student in which one or two of the previously identified attributes are missing.
1 Contrary Case is created by the student that demonstrates the opposite of the selected nursing concepts. All identified attributes of the concept are absent in this cas
Explanation: Borderline case is a created case where one or two of the previously identified attributes are missing. Contrary case is a created case that demonstrate the complete opposite of the selected nursing concept – all identified attributes are missing.
Theoretical Applications of the Concept
Discuss the purpose of a concept analysis in relationship to theory.
Explain how the concept applies to the selected nursing theory.
A substantive discussion of the element with support from nursing literature is required.
Conclusion
This section requires:
Summarization of key information regarding:
Selected nursing concept.
Selected nursing theory.
Application of concept analysis findings to advanced practice nursing (specific to selected specialty track professional role and/or area of practice).
The concluding statements include self-reflection on the new knowledge gained from conducting a concept analysis. (Self-reflection may be written in first-person.)
Preparing the Assignment
Criteria for Format and Special Instructions
The paper (excluding the title page and reference page) should be at least 6, but no more than 8 pages. Points will be lost for not meeting these length requirements.
Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
The source of the concept for this assignment must be a published nursing Non-nursing theories may NOT be used.
A minimum of 6 (six) scholarly references must be used. Required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. A dictionary maybe used as a reference for the section titled “Definition/Explanation of the selected nursing concept”, but it is NOT counted as one of the 6 required scholarly nursing references. Be aware that information from .com websites may be incorrect and should be avoided.
References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them.
Ideas and information from scholarly, peer reviewed, nursing sources must be cited and referenced correctly.
Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.
PLEASE note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cas

Healthcare Researching for Evidence
Healthcare Researching for Evidence
Module 07 Written Assignment – Researching for Evidence
For this written assignment, select one recent (within the last two years) evidence-based article from a peer reviewed nursing journal that describes a “best practice” in an area of nursing you are interested in. For example, if you would like to be a pediatric nurse, select an article that discusses a best practice in pediatric care.
Cite the article and provide a brief overview of how the results or findings were obtained. Then describe the “best practice.” Conclude your discussion by explaining whether you thought the research findings supported the conclusions and the best practice.
This assignment must be no more than 3 pages long. It should include all of the required elements. Use APA Editorial format and attach a copy of the article.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates
Module 08 Written Assignment – The Case of Mrs. G.: Client Centered Communication and Collaboration
In this written assignment, you have the opportunity to share your thoughts about how to deliver client-centered culturally competent care and work collaboratively with others.
The Case of Mrs. G.
Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had been married for 50 years and had five children. Her children are grown with families of their own. All but one of her children live in other states. Mrs. G.’s husband passed away last year, which was devastating for her. She had been very close to him and relied upon him for everything. He was “the life of the party” she always said and was a loving and caring man. Since his passing, Mrs. G. has continued to live in the house they shared for 35 years. In the last month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse comes weekly to check in on her. Mrs. G. likes her very much and wishes she could come more often. Mrs. G.’s daughter who lives in the next town over, has been worried and decided with the urging of her siblings and the doctor to start looking for an assisted living facility for her mother. She found one last week and talked with the Director who said she would be happy to help in whatever way was best. The daughter decided to tell her mother that it was time for her to move, so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, “This will not happen ever. I plan to stay in this house of loving memories for the remainder of my life.”
In 3 – 4 pages answer the following questions:
How would you best describe Mrs. G.’s feelings about her life, her family, her traditions, and her future?
Did Mrs. G.’s response to her daughter surprise you? Please explain your answer.
In what way do you believe her culture might be influencing her decision?
If you were Mrs. G.’s daughter what would you say to her that shows you are caring and have compassion for her situation? What nonverbal communication would support that level of communication?
Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates
Module 09 Written Assignment – Technology Awareness Assessment
For this writing assignment, complete the Information Technology Self-Assessment Tool. When completed review and determine at least three new goals you would like to achieve. Submit your completed form with a brief description of your experience and comfort level with the use of technology not only in your Program but as a practicing nurse.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Module 10 Written Assignment – Contemporary Issues and Trends
In this written assignment, identify one specific contemporary issue or trend that you are interested in learning more about. Choose from the categories below. For example you might want to learn more about why it is more difficult for some groups to receive care than others, which would fall under Client Access to Care. Or, you might want to compare nursing practice in the U.S. with how nurses practice in Japan, which would fall under the category of Global Healthcare and Nursing.
Global Healthcare and Nursing
Healthcare Reform
U.S. Healthcare Financing
Nursing’s Role in the U.S. Healthcare System
Integrative Healthcare
Nursing Leadership and Management
Nursing Education
Nursing Practice
Nursing Professionalism
Advancing Nursing as a Profession
Client Access to Care
Delivering Client Care
Interdisciplinary Teamwork and Collaboration
Ethical Practices in Healthcare
Quality and Safety in Healthcare Delivery
Health/Nursing Informatics
Once the issue or trend is identified, find five important/significant facts about it, substantiated by an evidence-based article or reference. Include the article or references in your submission.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Module 11 Project Assignment – Next Steps
Part 3 – Next Steps
Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.
The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.
Share in a 2 – 3 page paper, the following (also attach the completed form):
Note: When you are finished besides submitting your plan, be sure to put the Plan where you can see it to remind you to continue to reflect on how you are doing and to motivate you to use the self-care strategies.
Use the Quality of Life Self-Care Wheel Plan for Intention and Action to make your intention (commitments) to take action throughout your Program to stay balanced. Re-assess your scores and write them into this Plan. Then make your intention and identify at least one action for each that you know you can maintain throughout your Program and even as a practicing nurse. Identify any new strategies that you think will “fit” better than what you have been doing and describe why.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Healthcare Researching for Evidence

Assignment: Nursing Comprehensive Speaker’s
Assignment: Nursing Comprehensive Speaker’s
Week 7 assignment
Evidence-Based Practice Presentation
Develop a presentation no longer than 10-12 minutes with comprehensive speaker’s notes that covers all of the major areas of your proposal.
You will need to post your Evidence-Based Practice Presentation to the main forum in Topic 8 as directed by the instructor for class discussion and peer feedback.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 Turnitin.
Week 7 assignment
Benchmark – Evidence-Based Practice Proposal Final Paper
Throughout this course you will be developing a formal, evidence-based practice proposal.
The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed; they can be between 3,500 and 5,000 words. The cover sheet, abstract, references page, and appendices are not included in the word limit.
Section headings and letters for each section component are required. Responses are addressed in narrative form in relation to that number. Evaluation of the proposal in all sections is based upon the extent to which the depth of content reflects graduate-level critical-thinking skills.
This project contains seven formal sections:
Section A: Organizational Culture and Readiness Assessment
Section B: Problem Description
Section C: Literature Support
Section D: Solution Description
Section E: Change Model
Section F: Implementation Plan
Section G: Evaluation of Process
Each section (A-G) will be submitted as separate assignments so your instructor can provide feedback (refer to applicable modules for further descriptions of each section).
The final paper will consist of the completed project (with revisions to all sections), title page, abstract, reference list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms.
Use the “NUR-699 EBP Implementation Plan Guide” and “NUR-699 Evidence-Based Practice Project Student Example” to assist you. Also refer to “NUR-699 Evidence-Based Practice Project Proposal Format.”
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is 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 Turnitin. Please refer to the directions in the Student Success Center.

Case Study: Nurse Specialist (INS)
Case Study: Nurse Specialist (INS)
Interview with Informatics
Nurse Specialist (INS)
Guidelines with Rubric
PURPOSE
The purpose of this assignment ¬¬¬¬¬¬is for the learner to:
• Evaluate the extent to which the INS functions as member, leader, and/or decision-maker of an Interdisciplinary and/or interprofessional team;
• Compare interviewee functional roles against NI functional roles Identified within the current scope and standards of informatics practice statement for the INS;
• Examine three nursing-informatics (NI) functional roles that the INS demonstrates in clinical practice;
• Summarize the link between nursing theory and nursing informatics roles; and
• Summarize insights gained from the interview in relationship to the INS role and practice
DUE DATE
Sunday, 11:59 p.m. MT at the end of Week 2
TOTAL POINTS POSSIBLE: 150
DIRECTIONS
1. Interview (by telephone or in person) a master or doctorally prepared informatics nurse specialist. Summarize the interview in a three to four-page report, including:
2. Identify the degree of interdisciplinary and interprofessional collaboration the INS has.
3. Identify the INS’ predominant functional areas of practice and how these compare with NI functional areas defined in the American Nurses Association’s 2015 Nursing Informatics: Scope and Standards of Practice (2nd ed.).
4. Compare what you learned in the interview to what you have read.
5. Provide a link between nursing theory and nursing informatics roles.
Criteria for Content
1. Introduction presents the topic of the scope and standards of informatics practice inclusive of functional areas, the key sections of the paper, and the interviewee without disclosing either their name or the name of their organization.
2. Key elements of the interview are summarized with an emphasis on describing the NI functional roles in which the interviewee practices that include functional areas, practice within the scope and standards of nursing informatics practice, and degree to which the interviewee functions as a member of an interdisciplinary/interprofessional team as an MSN level leader and decision-maker.
3. Scholarly, evidence-based resources will support content, opinions, and conclusions. Differences and similarities between the interview information collected and published descriptions are analyzed and paraphrased in the student’s own words, with scholarly citation and references, including support for opinions.
4. Conclusion includes the student’s unique insights about what was learned from writing the assignment.
Criteria for Format and Special Instructions
1. Required texts may be used as references in addition to evidence-based, scholarly sources no older than three years.
2. All aspects of the paper must be in 6th edition, 7th printing APA format including appropriate attribution of ideas, information, opinions, and content.
3. The paper (excluding the title page and reference page) should not be longer than four pages or less than three pages.
4. Grammar, spelling, punctuation, and writing style is consistent with formal academic writing.
DIRECTIONS AND ASSIGNMENT CRITERIA
Assignment Criteria Points % Description
Introduction 34 23% The introduction introduces the topic of the scope and standards of informatics practice, inclusive of NI functional areas, and the interviewee names the key sections of the paper. No names are included to protect identity and privacy.
Interview Results 34 23% Key elements of the interview are summarized with an emphasis on describing three primary NI functional areas, practice within the scope and standards of NI practice in which the interviewee practices, as well as interdisciplinary/interprofessional efforts. Scholarly support is present.
Analysis 34 23% Differences and similarities between published descriptions of NI functional areas and scope and standards of practice and actual practice of the interviewee are clearly analyzed in the student’s own words, with depth, and analysis is supported by scholarly sources.
Conclusion 33 22% Concluding statements clearly include the writer’s unique insights about NI functional areas and the practice of nursing informatics gained from completing this assignment.
APA Formats 5 3% Text, title page, and reference page(s) are consistent with APA format (zero to three errors).
Citations 5 3% Ideas and information from other sources are cited and are cited correctly (zero to three errors).
Writing Mechanics 5 3% Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work (zero to three errors), paper meets page length.
Total 150 100%

Assignment:Trends Affect Health Informatics
Assignment:Trends Affect Health Informatics
Week 1 discussion
In 1–2 paragraphs, describe issues and trends that affect health informatics. What is the current state of affairs in in general? For example, most facilities have implemented an electronic health record system, but interoperability with their other systems may be an issue. As a nursing informaticist change agent, how can you address these types of concerns in your field?
Week 2 discussion
The role of the informaticist is to facilitate innovative project solutions, encourage team collaboration, help staff learn new systems, etc. What part does research and investigation into specific issues, problems, and trends play in the role of the informaticist? What competencies and skill sets are required for managing change that is based on research?
Week 3 discussion
When you delve into research, you may find an exhaustive amount of information on your topic. How will you organize your research? What strategies or tools will you use to keep track of everything you are reading, referencing, and synthesizing? In your post, list the keywords you will use to search your topic. Provide suggestions to your peers for focusing the search or for searching subtopics.
Week 4 discussion
There are many possible sources of literature available, including the West Coast University library electronic databases (Medline, Cinahl, ProQuest, LexisNexis Academic, and PubMed) and online journals provided by informatics organizations. Which specific scholarly articles did you use for your literature review and why did you choose them for your topic?
Week 5 discussion
Share the theoretical or conceptual framework that you are using in your research proposal. Explain why you chose/developed this framework. Reference any nursing theoretical underpinnings if it supports your framework. How do you see this research as eventually helping the nursing profession or informatics specialists in general?
Week 6 discussion
DQ1 Although you are not implementing your project at this point and conducting studies with human participants, IRB is an important step in research. State the required components one should look for in a project to determine if IRB submission is needed. Discuss an example of a research study found in one of your literature review articles that needed IRB approval. Specifically, describe why IRB approval was needed in this instance.
DQ2 Visit the Yale Center for Bioethics Cases in Research Ethics website. Choose one of the three cases below to read and respond to in this week’s discussion. Be sure to read the background of the study, the ethical and regulatory issues raised by the IRB, and the comments presented at the end of each case.
Choose from one of these three cases:
Case 1: Payments to subjects who are substance abusers
Case 5: Reasonable right to privacy for patients accessing hospital services
Case 6: An ethnographic study of homeless adolescents
Address the following in your response:
Identify the key ethical issues that are questioned in this case and the category of risk: physical, psychological, social, or economic harm.
Do you feel the level of questioning and concern by the IRB was appropriate? Were you surprised by any of the IRB’s decisions? Explain.
Identify a risk or red flag in this study that you may not have considered on your own prior to reading this study.
Present a new perspective you gained about the IRB, the type of study you read about, the ethics involved, or human subject research processes.
In your replies to peers, respond to at least one peer who chose a different study.
Week 7 discussion
All research projects are based around variables, which are essentially the characteristics of an individual, group, or the environment that is of interest in a research study. Variables can be straightforward and measurable (e.g., gender, age, amounts, funding). Variables can also be complex (e.g., socioeconomic status of a group, attitudes toward a topic, aspects of a system). Now that your research topic has been identified and you have reviewed the overall literature and constructed your framework, you should identify the key variables of interest. In the discussion board this week, free write a list of variables that revolve around and within your topic of study. Are there variables that are of particular interest or focus in your study? Can you narrow your study down based on your list of variables? Is there anything you need to do to narrow your scope of research and your research questions?
Week 8 discussion
In session B of the Culminating Experience, you will be diving into the methodology you would use if you were to conduct your research. The methodology section describes the specific procedures or techniques used to identify, select, and analyze data in order to understand your identified research problem. The methodology section of a research paper answers two main points: how the data was collected and how it was analyzed. This week, post a preliminary outline about your proposed methodology for your research problem. If you were to move to full implementation, how would you collect and analyze the data? Would your study be qualitative or quantitative and why? In week 1 of Session B, you will submit your full methodology draft for your proposal, so please use this forum to help formulate your ideas.

Assignment: Discuss Your Personal Philosophy
Assignment: Discuss Your Personal Philosophy
Week 1 discussion
Topic 1
Personal Philosophy: From your readings about teaching and learning theories, develop and discuss your personal philosophy of teaching in nursing.
Or
Topic 2
Recall a clinical learning experience you enjoyed. Describe the experience and identify specific aspects such as educational setting, motivational strategy, learning theory, and delivery of content (how was the material presented).
Week 2 discussion
Topic 1
Select two stages of development. Identify the main characteristics of each stage that influence the ability to learn. Describe three main teaching strategies for each of the developmental stages selected.
Or
Topic 2
Discuss a clinical experience in which you had to incorporate one or more learning styles such as visual, kinesthetic, and auditory. Explain the outcomes and how you created an effective learning experience.
Week 3 discussion
Topic 1
Reflect on a lesson you would like to teach to a friend or family member. Determine the level of your learning objectives using Bloom’s taxonomy. Construct three learning objectives containing appropriate active verbs. Identify a possible teaching strategy for each of your objectives. Indicate how you plan to measure each objective.
Click here to download an organizer.
Or
Topic 2
You have been assigned to teach a class using gaming, in which 75% of the students are from a particular ethnic group (you decide the content area, class size, and ethnic group). Choose the topic of your choice and take into account the ethnic group’s special needs. Describe your approach, and provide details regarding the assumed characteristics of the ethnic group. Identify the tools or technology, services, and resources needed for developing the instructional gaming material.
Week 4 discussion
Topic 1
Create a pamphlet to be used as patient education material about a topic of your choice that can be used in your nursing practice. Evaluate the readability by comparing two different readability tests: the Fog index and the SMOG formula. Describe your results.
Or
Topic 2
Identify an experience where you had to assess the needs, interests, and goals of a patient with an ethnic background, different from yours, that resulted in a positive learning experience. How did you turn the situation into a positive learning experience? Did you personally have to deal with any stereotypical beliefs?
Week 5 discussion
Topic 1
Seasoned nurse educators possess wisdom about teaching (a kind of “with-it-ness”), which they have developed through practical experience over the years. As a person new to nursing education, you have a great deal to learn from a seasoned mentor. In order to gain access to that knowledge, you will conduct an interview with an experienced nurse educator either in a hospital or college setting. Your interview may be conducted face-to-face, online, or by telephone.
For this assignment, you are to:
Generate a list of questions you will ask during the interview such as teaching strategies, theories, technology, and evaluation techniques.
Conduct the interview.
Your discussion post should include:
The setting.
How the interview was conducted.
The questions asked and the responses given.
Anything else you think to be important.
Or
Topic 2
Thinking back to Week 3 when you discussed a topic you would like to teach to a friend or family member, create a formative and summative assessment for that hypothetical educational encounter. The instructional methods can be traditional or nontraditional. Explain how you can communicate the results of the evaluation to the learner.
Week 2 Project
Course Project—Part 1
Your assignment for this week entails working on an introduction for your project. The introduction should:
Contain the title of the lesson.
Identify and describe the learners.
Describe the educational setting: staff development, patient education, family education, and so forth.
Include learner assessments: educational level, developmental level, readiness to learn, and so forth.
Provide a purpose and rationale for selecting the topic/disease.
Describe the philosophical or theoretical basis for teaching approaches used in the lesson.
Focus on 1 disease/3 audiences.
Support answers with relevant examples and journal articles.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
By the due date assigned, submit this week’s project assignment in a 5- to 6-page paper to the Submissions Area. Be sure to use appropriate APA formatting. Write in paragraph form; do not use a table format
Week 4 Project
Course Project—Part 2
Instructional Unit: Goals, Objectives, and the Teaching Plans
This week you will submit your instructional unit, which should include three lesson plans: one focused on patient education, one on family education, and one on staff development. Remember, your plans should demonstrate a logical approach to teaching, communicate what is to be taught and how, and outline how objectives are to be evaluated. Click here for a refresher on what each final lesson should include.
Building on the work that you started in Week 2, for all three groups of learners:
Write several broad instructional goals for the educational experience.
Write several behavioral objectives based on Bloom’s taxonomy.
Describe the lesson content.
Provide a sequence for teaching activities.
Describe instructional methods.
Indicate time allotted for each activity.
Identify and describe the instructional resources (materials, tools, etc.) and technology to be used.
Describe how the learning will be evaluated.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Submission Details:
Submit your response in a 6- to 7-page paper to the Submissions Area by the due date assigned. Be sure to use appropriate APA formatting.

Assignment:Patient with Hyperkalemia
Assignment:Patient with Hyperkalemia
Module 2 discussion
Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions:
What interventions do expect to be ordered for Mr. Sweet? Why?
What type of acid-base disturbance does he have?
What do you think is Mr. Sweet’s Medical Diagnosis?
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation
Question 2
Module 1 discussion
Preventative Care / Care of Women and Children
Respond to each discussion prompt as your initial post. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Group A:
Healthy People 2010 – is a guide to promote preventative care. Review primary, secondary and tertiary prevention and relate this to women and children at risk in your community. Identify those risk factors that a prevention program could impact the health of the group you identify.
This video is the Healthy People 2020 initiative
Group B:
Please research medical technological advances that may be unique to the care of women and children. Discuss how this technology will improve care to women and children. (ideas may be: genetic screening, public health initiatives, mammography, cervical screening, Fetal monitoring, Electronic medical records, telemedicine).
Which technological advances have been utilized in your local hospital? How has it impacted the care of women and children?
Module 2 discussion
Emergency Contraception / Emergency Department
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Group A will complete the following discussion and then respond to Group B discussion.
Emergency Contraception:
A16 year old reports to the local Family Planning clinic with concerns regarding pregnancy. She relates she had unprotected intercourse 2 nights ago and believes she may be ‘fertile’. She wants to learn more about the ‘morning after pill’
What additional information should you obtain from her?
What do you know about emergency contraception and the side effects?
What educational points should you provide to her?
Group B will complete the following discussion and respond to Group A’s discussion post.
Vaginal Bleeding in pregnancy:
A pregnant patient arrives in the Emergency Department with complaints of vaginal bleeding. You will choose the gestational age of your patient, and based on that gestational age answer the following questions:
Knowing the gestational age, provide information on LMP, and EDD
What are the possible reasons she is bleeding at this gestational age?
What are your nursing interventions for this issue, and please include education to your patient.
Module 3 discussion
Labor Management
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Part 1: An 18 year old Primigravida presents to Labor And Delivery with what appears to be active labor. Upon questioning, you discover she has received no prenatal care. In obtaining some history while placing her on the fetal monitor you learn she is a smoker, approximately 1 pack per day, occasional marijuana for stress, and denies any support system. The Father of the Baby (FOB) has no knowledge of the pregnancy. No prenatal vitamins – they were too hard to swallow. She has no idea when her LMP was and she relates always being very irregular. * remember LMP is to ask the first day of the Last Menstrual cycle, not when the bleeding stopped*
What other questions are essential for her safe care?
What lab values do you need to obtain?
What exam findings should you obtain at this time?
What education will you provide for her?
She asks you how long this will take to have the baby – what is your best response?
Group B
Part 2: Objective information:
Fetal heart tones are 130, with minimal variability
Vaginal exam is 4 cm/90%effaced/ -1 station
She is complaining of pain – 8/10 on a numerical scale.
An IV has been started with an 18 gauge catheter with 1 liter of Lactated Ringers at 150 ml per hr in left forearm.
How can you provide non pharmacological comfort to this patient?
What are the pharmacological methods to use?
Without prenatal records or history GBS is unknown. What must you provide?
Contractions are 5 minutes apart and you receive an order to augment labor – what non pharmacological methods can you employ (or ask the MD to provide?)
Pitocin is ordered, please include at what rate you will start Pitocin, and how often you titrate. What equipment is needed to hang and run Pitocin IV?
Preterm Labor Management
Preterm labor
Assignment:Patient with Hyperkalemia
Assignment:Patient with Hyperkalemia

Assignment: Preventative Care
Assignment: Preventative Care
Module 1 discussion
Preventative Care / Care of Women and Children
Respond to each discussion prompt as your initial post. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Group A:
Healthy People 2010 – is a guide to promote preventative care. Review primary, secondary and tertiary prevention and relate this to women and children at risk in your community. Identify those risk factors that a prevention program could impact the health of the group you identify.
This video is the Healthy People 2020 initiative
Group B:
Please research medical technological advances that may be unique to the care of women and children. Discuss how this technology will improve care to women and children. (ideas may be: genetic screening, public health initiatives, mammography, cervical screening, Fetal monitoring, Electronic medical records, telemedicine).
Which technological advances have been utilized in your local hospital? How has it impacted the care of women and children?
Question 2
Week 1 discussion
At this point, you have selected a facility and preceptor for this practicum. Describe your current knowledge of the facility you have chosen and the reasoning behind your choice. What did you learn about the types of informatics activities/projects the facility has going on right now? What are some broad learning objectives that you have identified during your first week with your preceptor that you should think about for your learning contract next week? What else do you need to know about your site?
Week 2 discussion
This week, your learning contract is due. List some tasks and more focused learning objectives that you and your preceptor have agreed upon and explain why you are going to include them. Describe some of the activities/projects you have identified that you will be able to work on and explain in which stage of the systems development life cycle model each activity/project is in.
Week 3 discussion
Prepare a list of ten pertinent questions that you plan to ask your preceptor throughout your practicum experience to gain more knowledge about the specific role of an informaticist. Share your questions along with a rationale about why you feel these particular questions are important.
Week 4 discussion
What electronic health record (EHR) system does your facility use? How long has it been in place? How was it chosen as the preferred system? What type of struggles occurred during implementation? Now that it is functional, what does the staff view as both pluses and minuses to this particular system?
Week 5 discussion
Does your facility have a patient portal system? Ask about how staff and patients were introduced to the portal. Review the educational materials they have for staff and patients. Is it sufficient? If not, what would you add? Ask about usage data. Is it tracked and analyzed? Discuss your findings with your peers. If your facility does not have a patient portal system, apply these same questions to another tool it is using.
Week 6 discussion
Does your facility participate in TeleHealth with its patients? If so, what type of system does it use? How does the staff feel about it? If it does not have a TeleHealth system, do you think this particular facility would benefit from offering TeleHealth? Why or why not?
Week 7 discussion
Do some online research on your facility, including social media components. Describe what you see. Are there more opportunities available for health promotion? Think in terms of your future employer. What would you suggest putting in place for an online presence that encourages health promotion?
Week 8 discussion
Reflect on your first session of the health informatics practicum. What have you learned thus far in the field? What have you not had the opportunity to apply yet from your previously learned coursework that you may still want experience with during the next session? Give specific examples.

Discuss: Sexually Transmitted Infections
Discuss: Sexually Transmitted Infections
Week 4 discussion
The Centers for Disease Control and Prevention estimates that there are 19 million new cases of sexually transmitted infections every year in the United States (CDC, 2010b). STIs may present serious health implications for infected patients—especially for those who are unaware of their health condition. Studies show that women are not only at greater risk of contracting these infections, but they also tend to have more severe health problems resulting from infections than men (U.S. Department of Health and Human Services, 2009b). As an advanced practice nurse, you must educate female patients and emphasize the importance of prevention and STI testing for all women regardless of marital status, race, ethnicity, or socioeconomic status. For this Discussion, consider STI education strategies for the three patients in the following case studies:
Case Study 1:
A 19-year-old Asian American female comes into the clinic for a well-woman checkup. She states that about three weeks ago she had a non-tender sore on her labia that resolved without treatment. Her gynecologic exam is normal but she has maculopapular lesions on her trunk, neck, palms, and soles of her feet. The remainder of her exam was unremarkable.
Case Study 2:
A 31-year-old African American female is concerned about a white vaginal discharge. She has self-treated in the past with over-the-counter vaginal creams with some success. She has had no relief thus far for this episode.
Case Study 3:
A 21-year-old nulligravida comes to see you concerned about vague lower abdominal pain for two days associated with a yellowish, nonodorous, vaginal discharge. Past history reveals regular menstrual periods and no previous surgeries or significant medical problems. Her last menstrual period was normal and ended two days ago. She had a similar episode about eight months ago for which she did not seek care because of lack of health insurance. She is currently sexually active with one partner and has had two partners in the past year. She is not using any type of contraception. On physical exam you note a temperature of 38º C, a regular pulse of 100, and a BP of 110/65. Her abdomen is diffusely tender in both lower quadrants. Pelvic exam reveals a yellowish cervical discharge with cervical motion tenderness and a tender fullness in both adnexa.
To prepare:
Review Chapter 20 of the Schuiling and Likis text and the Centers for Disease Control and Prevention article in this week’s Learning Resources.
Review and select one of the three provided case studies. Reflect on the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the sexually transmitted infection you identified as your primary diagnosis.
Week 5 discussion
Discussion: Diagnosing and Managing Gynecologic Conditions
Gynecologic conditions can be difficult to diagnose for a variety of reasons, including overlapping symptoms, lack of patient knowledge, or even patient fear or embarrassment about sharing information. Your role provides you the opportunity to develop a relationship of trust and understanding with these patients so that you can gather the appropriate details related to medical history and current symptoms. When caring for this patient population, it is important to make these women an integral part of the process and work collaboratively with them to diagnose and develop treatment and management plans that will meet their individual needs. For this Discussion, consider diagnosis, treatment, and management strategies for the patients in the following four case studies:
Case Study 1:
A 32-year-old African American female is concerned about increasing dysmenorrhea over the past three years. In the past year, this was associated with painful intercourse. She has been in a monogamous relationship with one male partner for the past five years. They tried to have children without success. Menarche was at age 10; menstrual cycles are 21 days apart and last for 6–7 days. The first day of her last menstrual period was 10 days ago and was normal. She denies vaginal itching or discharge. On gynecologic exam there was no swelling, external lesions, or erythema, urethral swelling, or vaginal discharge. Cervix is pink without lesions or discharge. Uterus was small, retroverted, and non-tender. Adnexa were small and non-tender. Nodules are noted along the cul de sac.
Case Study 2:
A 42-year-old African American female is in the clinic for a routine gynecologic exam. When asked, she admits to noticing bleeding in between her menstrual periods for the past several months. She has been pregnant three times and has three children. She is sexually active with one male sex partner in a monogamous relationship. During her bimanual exam, you note an irregular intrauterine non-tender mass about 4 cm in diameter. The mass is palpable abdominally. The remainder of her gynecologic exam was normal.
Case Study 3:
A 48-year-old Caucasian female is in the clinic concerned about prolonged menstrual bleeding for three weeks now. Her prior menstrual periods have been irregular for the past eight months, lasting no more than three days each. There have been one to two months when she had no menstrual cycles at all. She reports occasional hot flushes and mood swings.
Case Study 4:
A 16-year-old Caucasian female comes to the clinic concerned because she has not had a menstrual period for three months. She’s a junior in high school and active in sports. She has lost about 10 lbs. in the past two months. She is currently 5 ft. 4 in. and weighs 100 lbs.
To prepare:
Review Chapter 26 of the Schuiling and Likis text and Chapter 7 of the Tharpe et al. text.
Review and select one of the four provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the sexually transmitted infection you ide